Midterm 2
Bacterial Pathogenesis
Spring 2026: March 19th
Professors Dan Portnoy and Russell Vance
(MCB103, PMB103)
On each page, CAPITALIZE your name in the upper right-hand corner. Write your SID# on the top of this
page.
Please circle one: MCB103 PMB103
Questions 1-8 TRUE/FALSE: Fill in the box completely for your answers. If you change your answer, put
a clear X through the box. (16 points)
1. Which is TRUE of Corynebacterium diphtheriae? (2 points)
T F
◻ a. Gram-positive obligate aerobe
b. Binds to intestinal cells and elaborates a toxin
c. Disease caused by superantigen
d. Vaccine consists of toxoid
2. Which is TRUE of Gram-positive cocci? (2 points)
T F
◻ a. Low G+C content
b. Reside extracellularly
c. Motile
d. Often part of normal microbiota
3. Which of the following are present only in Gram positive cell wall (2 points)
T F
◻ a. Lipoproteins
b. Lipid A
c. LPXTG proteins
d. Peptidoglycan
4. Which is TRUE of Streptococcus pneumoniae? (2 points)
T F
◻ a. One serotype causes most human infections
b. Salt tolerant
c. Antibody to capsule provides protective immunity
d. Responsible for millions of annual fatalities
5. Which is TRUE of Bordetella pertussis? (2 points)
T F
◻ a. Gram-negative obligate anaerobe
b. Grows in alveolar macrophages
c. Disease symptoms stop after bacteria are cleared
d. Non-motile
6. Which is TRUE of Vibrio cholerae? (2 points)
T F
◻ a. Motile
b. Causes inflammatory diarrhea
c. Obligate pathogen
d. Antibodies to Cholera toxin confer long-lasting immunity
, 2 Name (CAPITALIZE):__________________________
7. Which is TRUE of Yersinia pestis? (2 points)
T F
◻ a. A single bacterium can kill a mouse
b. 99% DNA homology with Yersinia pseudotuberculosis
c. Produces a superantigen
d. Currently responsible for thousands of annual U.S. deaths
8. Which is TRUE of type III secretion (2 points)
T F
◻ a. Present in Gram-positive and Gram-negative bacteria (excluding flagella)
b. Mediates secretion of toxins
c. Effectors are highly conserved
d. Type III apparatus is highly conserved
9. Fill in all of the blanks (18 points)
Blocked by
Match from
Name of toxin Biochemical mode of toxin action, including target bafilomycin
Disease micrographs
(1pt) (2pt) (Yes or No)
below (1pt) (.5pt)
Yes
Diphtheria ADP-ribosylation of EF2. Inhibition of protein
Diphtheria B toxin synthesis
No
Transfer of ADP-ribose from intracellular NAD to
Cholera C Cholera toxin the alpha chain of a Gs protein – causes it to remain
active and make lots of cAMP
Yes
Anthrax toxin LF- Cleaves MAPK kinases that disrupts cell
Anthrax A Lethal factor signaling and induction of cytokines (TNF)
No
Food Staph Superantigen activates CD4 T-cells to make
poisoning
D enterotoxin cytokines
A B C D