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GNUR 203 Module 7.

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Exam of 6 pages for the course Anatomy Condensed Final Exam Review - GNUR 155 at Anatomy Condensed Final Exam Review - GNUR 155 (GNUR 203 Module 7.)

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  • June 15, 2024
  • 6
  • 2023/2024
  • Exam (elaborations)
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GNUR 203 Module 7
Antimicrobial resistance - ANS-microbe isn't affect by a drug therapy that is intended to
inhibit or eliminate the pathogen

What are superbugs? - ANS-resistant microbes

Intrinsic Resistance - ANS-natural resistance to antimicrobial drugs

How is intrinsic resistance developed? - ANS-pathogens gain this through mutations of
DNA

What are the 4 mechanisms of antimicrobial resistance? - ANS--alter drug target: the
target is changed in cell so drug does not bind anymore
-reduced permeability: low concentration inside the cell and endospores and mycolic
acid prevent drug from going into the cell
-pump drug: the cell goes through a fast removal process of the drug
-alter drug: the drug shape is changed and does not allow for binding on the target

How do resistant populations develop? - ANS-The last cell to die is the most resistant, if
it does not die then it goes through binary fission and cloning and creates a new
resistant population

Acquired resistance - ANS--from acquiring genes from another microorganism
-faster than intrinsic resistance

How does acquired resistance work? - ANS-genes from other microorganism are
contained on an R-plasmid and transferred to another microorganism

Vertical gene transfer - ANS--cell passes genetic info to next generation because of cell
division
-human cells

Horizontal gene transfer - ANS--cell passes genetic info between cells through
independent cell division
-bacteria cells

What is required for horizontal gene transfer? - ANS-F-plasmid that encodes the pilus
which allows for transfer of this to another cell that is lacking it

, R-Plasmids - ANS-antimicrobial resistant genes

F-plasmids - ANS-genes that allow transfer of plasmid

F and R plasmids - ANS-antimicrobial resistant genes and genes necessary for
transferring the plasmid

Why does acquired resistance allow for bacteria to become resistant to multiple drugs?
- ANS-they can obtain multiple R-plasmids which will allow for the development of
resistance to multiple drugs

What enzyme allows for resistance to B-lactams? - ANS-B-lactamase

How does B-lactamase work? - ANS--breaks dow B-lactam ring which prevents
functioning of the drug
-allows for cross-bridges to form allowing resistance to B-lactams

What are the 3 organisms that the CDC classifies as an urgent threat? -
ANS--Clostridioides difficile
-Carbapenem-resistant Enterobacteriaceae
-Drug-resistant Neisseria gonorrhoeae

What is CRE? - ANS--carbapenem-resistant enterobacteriaceae
-group of enterobacteriaceae that have become resistant to carbapenems and other
common antibacterial drugs
-it is a resident microbiota
-it is not a pathogen

Where can you find CRE? - ANS-member of the microbiome of the human GI system

How does CRE cause disease? - ANS-they can spread outside of the GI system and
act as opportunistic pathogens

How is CRE transmitted? - ANS--through direct and indirect contact
-hands of healthcare workers

Why is CRE classified as an urgent threat? - ANS-some strains are resistant to almost
all available antibiotics so there's no way to treat

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