Chapter 10 Human Health and Diseases
1. Multiple Choice Questions
Question 1.
Which of the following is NOT caused by unsterilized needles?
(a) Elephantiasis
(b) AIDS
(e) Malaria
(d) Hepatitis
Answer:
(a) Elephantiasis
Question 2.
Opium derivative is …………………
(a) Codeine
(b) Caffeine
(c) Heroin
(d) Psilocybin
Answer:
(c) Heroin
Question 3.
The stimulant present in tea is …………………
(a) tannin
(b) cocaine
(C) caffeine
(d) crack
Answer:
(c) caffeine
Question 4.
Which of the following Is caused by smoking?
(a) Liver cirrhosis
(b) Pulmonary tuberculosis
(c) Emphysema
(d) Malaria
Answer:
(c) Emphysema
Question 5.
An antibody is …………………
(a) molecuic that binds specifically an antigen
(b) WBC which invades bacteria
(c) secretion of mammalian RBC
(d) cellular component of blood
Answer:
(a) molecule that binds specifically an antigen
Question 6.
The antiviral proteins released by a virus-infected cell are called …………………
(a) histamines
(b) interferons
(c) pyrogens
(d) allergens
Answer:
(b) interferons
Question 7.
Both B-cells and T-cells are derived from …………………
(a) lymph nodes
(b) thymus glands
(c) liver
(d) stem cells in bone marrow
Answer:
(b) thymus glands
Question 8.
Which of the following diseases can be contracted by droplet infection?
(a) Malaria
(b) Chicken pox
(c) Pneumonia
(d) Rabies
Answer:
(c) Pneumonia
Question 9.
Confirmatory test used for detecting HIV infection is …………………
(a) ELISA
(b) Western blot
(c) Widal test
(d) Eastern blot
Answer:
(b) Western blot
Question 10.
Elephantiasis is caused by …………………
(a) W. barterofti
(b) P. vivax
(c) Bedbug
(d) Elephant
Answer:
(a) W. bancrofti
Question 11.
Innate immunity is provided by …………………
(a) phagocytes
(b) antibody
(c) T-lymphocytes
(d) B-lymphocytes
Answer:
(c) T-lymphocytes
2. Short Answer Questions
Question 1.
What is the source of cocaine?
Answer:
Source of cocaine is coca plant – Erythroxylum coca.
Question 2.
Name one disease caused by smoking.
Answer:
Emphysema. (Damaged and enlarged lungs causing breathlessness)
Question 3.
Which cells stimulate B-cells to form antibodies ?
Answer:
Helper T-cells stimulate B-cells to form antibodies.
Question 4.
What does the abbreviation AIDS stand for?
Answer:
AIDS stands for Acquired Immuno Deficiency Syndrome.
Question 5.
Name the causative agent of typhoid fever.
Answer:
Salmonella typhi
Question 6.
What is Rh factor?
Answer:
Antigen ‘D’ present on the surface of RBCs is known as Rh factor.
Question 7
What is schizont?
Answer:
Schizont is a ring-like form produced from merozoites inside the
erythrocytes of human beings, infected by Plasmodium, which again forms new
merozoites.
Question 8.
Name the addicting component found in tobacco.
Answer:
Nicotine
Question 9.
Name the pathogen causing Malaria.
Answer:
Plasmodium vivax
Question 10.
Name the vector of Filariasis.
Answer:
Female Culex mosquito
Question 11.
Name of the causative agent of ringworm.
Answer:
Trichophyton
Question 12.
Health
Answer:
Health is defined as the state of complete physical, mental and social
well¬being and not merely the absence of disease or infirmity.
3. Short Answer Questions
Question 1.
What are acquired diseases?
Answer:
Diseases which are developed after the birth of an individual are called
acquired diseases. These are of two types, viz. (a) Communicable or infectious
diseases and (b) Non- communicable or Non-infectious diseases. Communicable or
infectious diseases are transmitted from infected person to another healthy
person either directly or indirectly. They are caused due to pathogens like
viruses, bacteria, fungi, helminth worms, etc. Non-communicable or
Non-infectious diseases cannot be transmitted from infected person to another
healthy one either directly or indirectly.
Question 2.
Antigen and antibody.
Answer:
Question 3.
Name the infective stage of Plasmodium. Give Symptoms of malaria
Answer:
Sporozoite
I. Symptoms of malaria:
- Fever
accompanied by shivering.
- Joint
pain or arthralgia.
- Vomiting.
- Anaemia
caused due to rupture of RBCs or haemolysis.
- Haemoglobinuria.
- Retinal
damage.
- Convulsions.
- Cyclical
occurrence of sudden coldness followed by rigor and then fever and
sweating lasting for four to six hours. This is called a classic symptom
of malaria.
- Splenomegaly
or enlarged spleen, severe headache, cerebral ischemia, hepatomegaly, i.
e. enlarged liver, hypoglycaemia and haemoglobinuria with renal failure
may occur in severe infections.
II. Spread / Transmission of malaria:
- Malaria
parasite is transmitted through the female Anopheles mosquito and hence it
is known as mosquito-borne disease. Mosquito acts as a vector.
- There
are four species of Plasmodium, viz., P. vivax, P. falciparum, P. ovale
and P. malariae which transmit malaria.
Question 4.
Explain the mode of infection and cause of elephantiasis.
Answer:
Mode of infection, i.e. transmission:
- The
parasite Wuchereria bancrofti is transmitted from a patient to other
normal human being by female Culex mosquito.
- The
filarial larvae leave mosquito body and arrive on the human skin where
they penetrate the skin and enter inside.
- They
undergo two moultings to become adults. Later they settle in the lymphatic
system. They incubate for about 8-16 months.
- When
they settle in lymphatic system, this infection is called lymphatic
filariasis.
- The
worms start infecting lymphatic circulation resulting into enlargement of
lymph vessels and lymph nodes. The extremities like legs or limbs become
swollen which resembles elephant legs. Therefore it is called
elephantiasis.
- This
condition is lymphoedema, i.e. accumulation of lymph fluid in tissue
causing swelling.
Question 5.
Why is smoking a bad habit?
Answer:
- Smoking
involves inhaling the cigarette smoke which contains nicotine and other
toxic substances like N-nitrosodimethlene. There is some amount of carbon
monoxide.
All these substances affect the normal respiratory health. - Smoking
invites problems like asthma, hypertension, heart disease, stroke, lung
damage.
- The
worst impact is that these substances are carcinogenic and hence can cause
cancer of larynx, trachea, lung, etc.
- Smoking
not only affects the smokers but also has bad effect on others due to
passive smokers.
- In
women, smoking is still hazardous as their ovaries can undergo mutations
due to mutagenic chemicals found in smoke.
- Therefore,
smoking is a very bad habit.
Question 6.
What do the abbreviations AMIS and CMIS denote?
Answer:
AMIS is Antibody-mediated immune system or humoral immunity and CMIS is
cell- mediated immune system.
Question 7.
What is a carcinogen? Name one chemical carcinogen with its target tissue.
Answer:
- Carcinogen
is the substance or agent that causes cancer.
- Urinary
bladder cancer caused by 2-naphthylamine and 4-aminobiphenyl.
Question 8.
Active immunity and passive immunity.
Answer:
4. Short Answer Questions
Question 1.
B-cells and T-cells.
Answer:
Question 2.
What are the symptoms of malaria? How does malaria spread?
Answer:
Symptoms of malaria:
- Fever
accompanied by shivering.
- Joint
pain or arthralgia.
- Vomiting.
- Anaemia
caused due to rupture of RBCs or haemolysis.
- Haemoglobinuria.
Question 3.
AIDS.
Answer:
(1) AIDS or the acquired immuno deficiency syndrome, is fatal viral disease
caused by a retrovirus (ss RNA) known as the human immuno deficiency virus
(HIV) which weakens the body’s immune system. It is called a modern pandemic.
(2) The HIV attacks the immune system which in turn causes
many opportunistic infections, neurological disorders and unusual malignancies
ultimately leading to death.
(3) AIDS was first noticed in USA in 1981 whereas in India,
first confirmed case of AIDS was in April 1986 from Tamil Nadu.
(4) HIV is transmitted through body fluids such as saliva,
tears, nervous system tissue, spinal fluid, blood, semen, vaginal fluid and
breast milk. However, only blood, semen, vaginal secretions and breast milk
generally transmit infection to others.
(5) The transmission of HIV occurs by sexual contact,
through blood and blood products and by contaminated syringes, needles, etc.
There is also transplacental transmission or through breast milk at the time of
nursing.
(6) Accidental needle injury, artificial insemination with
infected donated semen and transplantation with infected organs are some of the
rare occasions of transmission of HIV.
(7) HIV infection is not spread by casual contact such as
hugging, bite of mosquitoes or using other objects touched by a patient.
(8) Acute HIV infection progresses over time to asymptomatic
HIV infection and then to early symptomatic HIV infection. Later, it progresses
to full blown AIDS when patient shows advanced HIV infection with CD4 T-cell
count below 200 cells/mm.
Question 4.
Give the symptoms of cancer.
Answer:
Symptoms of cancer:
- Presence
of lump or tumour.
- White
patches in the mouth.
- Change
in a wart or mole on the skin.
- Swollen
or enlarged lymph nodes.
- Vertigo,
headaches or seizures if cancer affect the brain.
- Coughing
and shortness of breath if lungs are affected due to cancer.
Question 5.
Antigens on blood cells.
Answer:
- There
are about 30 known antigens on the surface of human red blood cells. They
decide the type of blood group such as ABO, Rh, Duffy, Kidd, Lewis, P MNS,
Bombay.
- The
different blood groups are determined genetically due to presence of a
particular antigen.
- Landsteiner
found two antigens or agglutinogens on the surface of human red blood
cells which are named as antigen A and antigen B.
- There
is another antigen called Antigen D which decides the Rh status of the
blood. If Antigen D is present, the person is said to be RH positive and
when it is lacking, the person is Rh negative.
- These
antigens are responsible for types of blood group and the specific
transfusions.
- Antigens
present on the RBCs and antibodies present in the serum can cause
agglutination reactions if they are non-compatible. Therefore, at the time
of transfusion blood groups are checked properly.
Question 6.
Antigen-antibody complex:
Img 1
Answer:
- Between
antigen and antibody there is specificity.
- Each
antibody is specific for a particular antigen.
- On the
antigens there are combining sites which are called antigenic determinants
or epitopes.
- Epitopes
react with the corresponding antigen binding sites of antibodies which are
called paratopes.
- The
antigen binding sites are located on the variable regions of the antibody.
Variable regions have small variations which make each antibody highly
specific for a particular antigen.
- Owing
to variable region the antibody can recognize the specific antigen.
- Antibody
thus binds to specific antigen in a lock and key manner, forming an
antigen- antibody complex.
Question 7.
What are the various public health measures, which you would suggest as
safeguard against infectious diseases?
Answer:
Infectious diseases spread through pathogens, therefore, it is an important
duty of each person to decrease the risk of infecting our own self or others.
This can be achieved by
- Washing
hands often, especially whenever, we are in contact with food and water.
Before and after preparing food, before eating and after using the toilet,
hand wash is a must.
- Vaccinations
: Immunization helps us to protect against contracting many diseases.
Therefore, timely vaccination should be taken. Especially at the time of
epidemic, one must keep distance from infected area or get vaccinated.
- One
must be at home if there are signs and symptoms of an infection. By going
out, we may infect other healthy persons.
- Proper
diet and exercise should be followed to improve one’s own immunity.
- Hygiene
should be utmost in the kitchen and dining area. One must take care while
eating uncovered and leftover food.
- Bathroom
and toilet should be cleaned daily as there can be a high concentration of
bacteria or other infectious agents in these areas.
- One
should have responsible sexual behaviour to avoid sexually transmitted
diseases.
- Personal
items such as toothbrush, comb, towel, undergarments or razor blade should
never be shared.
- Travelling
should be avoided because we may infect other passengers during travel.
Moreover, our illness can be aggravated. Some special immunizations are
needed during certain travels, such as anti-cholera vaccine while going to
Pandharpur during Ashadhi.
Question 8.
How does the transmission of each of the following diseases take place?
(a) Amoebiasis:
Answer:
Amoebiasis is usually transmitted by the following ways:
- The
faecal-oral route.
- Through
contact with dirty hands or objects.
- By
anal-oral contact.
- Through
contaminated food and water.
(b) Malaria:
Answer:
Symptoms of malaria:
- Fever
accompanied by shivering.
- Joint
pain or arthralgia.
- Vomiting.
- Anaemia
caused due to rupture of RBCs or haemolysis.
- Haemoglobinuria.
(c) Ascariasis:
Answer:
- Unsafe
and unhygienic food and drinks contaminated with the eggs of Ascaris are
the main mode of transmission.
- Eggs
hatch inside the intestine of the new host.
- The
larvae pass through various organs and settle as adults in the digestive
system.
(d) Pneumonia:
Answer:
- Pneumonia
usually spreads by direct person to person contact.
- It is
also spread via droplet infection, i.e. droplets released by infected
person.
- Using
clothes and utensils of the patient.
Question 9.
What measures would you take to prevent water-borne diseases?
Answer:
- To
prevent water-borne diseases, use of safe, clean and potable water is a
must. Water should be filtered, then boiled and stored in covered
container. If possible water purifier systems should be installed at home.
- One
should preferably use bottled water or carry our own water container while
travelling.
- Cleaning
of water containers and maintaining personal hygiene near water storage is
a must.
- Megacities
offer chlorinated and purified water for citizens. But villages and
smaller rural set ups use river water which may be highly contaminated
with pathogens. Such water should be purified before consumption to
prevent water-borne diseases.
Question 10.
Typhoid.
Answer:
Typhoid is an infective disease caused by Gram-ve bacterium, Salmonella typhi.
(1) It is food and water-borne infection. In the intestinal lumen of infected
person this bacteria is found.
(2) The bacterium has “O” – antigen, which is a
lipopolysaccharide (LPS), present on surface coat and its flagella has “H” –
antigen. Thus it becomes pathogenic.
(3) Signs and Symptoms of typhoid are as follows:
Prolonged and high fever with nausea, fatigue, headache.
Abdominal pain, constipation or diarrhoea. In severe cases rose-coloured rash
is seen on skin. Tongue shows white coating and there is cough. Anorexia or
loss of appetite is seen. In chronic cases there is breathlessness, irregular
heartbeats and haemorrhage.
(4) Poor hygiene habits and poor sanitation and insects like
houseflies and cockroaches spread typhoid.
(5) Typhoid is diagnosed by Widal test.
(6) Antibiotics like Chloromycetin can cure typhoid.
Preventive vaccines such as oral Ty21a vaccine and injectable typhim vi and
typherix against typhoid are also available. Chronic cases need surgical
removal of gall bladder.
5. Match the following.
Answer:
6. Long Answer Questions
Question 1.
Describe the structure of antibody.
Answer:
Img 2
- Antibodies
are highly specific to specific antigens. They are glycoprotein called
immunoglobulins (Igs.).
- They
are produced by plasma cells. Plasma cells are in turn formed by
B-lymphocytes.
- About
2000 molecules of antibodies are formed per second by the plasma cells.
- Antibody
is a ‘Y’-shaped molecule. It has four polypeptide chains, two heavy or
H-chains and two light or L-chains.
- Disulfide
bonds (-s-s-) hold the polypeptide chains together to form a ‘Y’-shaped
structure.
- The
region holding arms and stem of antibody is termed as hinge. Each chain of
the antibody has two distinct regions, the variable region and the
constant region.
- Variable
regions have a paratope which is an antigen-binding site. This part of
antibody recognizes and binds to the specific antigen forming an
antigen-antibody complex.
- Antibodies
are called bivalent as they carry two antigen binding sites.
Question 2.
Vaccination.
Answer:
- Vaccines
are prepared from inactivated pathogen, in the form of protein or sugar
from pathogen or dead form of pathogen or toxoid from pathogens or
attenuated pathogen.
- These
when they are administered to a person to protect against a particular
pathogen, it is called vaccination.
- Vaccination
’teaches’ the immune system to recognize and eliminate pathogenic
organism. Because, already in the body the vaccine is injected and body
has made antibodies in response to it. Thus, body is prepared before the
attack, if at all it is exposed to pathogen.
- Thus,
it is an important form of primary prevention, which reduces the chances
of illness by protecting people. It works by exposing the pathogen in a
safe form.
- Vaccinations
control spread of diseases like measles, polio, tetanus and whooping cough
that once threatened many lives.
- Vaccination
controls the epidemic outbreak of diseases, if all the people Eire
pre-vaccinated.
- Some
hazardous diseases like small, pox and polio have been completely
eradicated by the vaccination.
Question 3.
What is cancer? Differentiate between benign tumour and malignant tumour. The
main five types of cancer
Answer:
I. Cancer : Cancer is a disease caused by uncontrolled cell division due to
disturbed cell cycle.
II. Difference between benign tumour and malignant tumour:
III. The main five types of cancer:
Types of Cancer : According to the tissue affected, the
cancers are classified into five main types. These are as follows:
- Carcinoma
: Cancer of epithelial tissue covering or lining the body organs is known
as carcinoma. E.g. breast cancer, lung cancer, cancer of stomach, skin
cancer, etc.
- Sarcoma
: Cancer of connective tissue is called sarcoma. Following are the types
of sarcoma osteosarcoma (bone cancer), myosarcoma (muscle cancer),
chondrosarcoma (cancer of cartilage) and liposarcoma (cancer of adipose tissue). - Lymphoma
: Cancer of lymphatic tissue is called lymphoma. Lymphatic nodes, spleen
and tissues of immune system are affected due to lymphoma.
- Leukaemia
: Leukaemia is blood cancer. In this condition, excessive formation of
leucocytes take place in the bone marrow. There are millions of abnormal
immature leucocytes which cannot fight infections. Monocytic leukaemia,
lymphoblastic leukaemia, etc. are the types of leukaemia.
- Adenocarcinoma
: Cancer of glandular tissues such as thyroid, pituitary, adrenal, etc. is
called adenocarcinoma.
Question 4.
Describe the different type of immunity.
Answer:
There are two basic types of immunity, viz. innate immunity
and acquired immunity.
(A) Innate immunity:
- Innate
immunity is natural, inborn immunity, which helps the body to fight
against the invasion of microorganisms.
- Innate
immunity is non-specific because it does not depend on previous exposure
to foreign substances.
- Innate
immunity mechanisms consist of various types of barriers such as
anatomical barriers, physiological barriers, phagocytic barriers and
inflammatory barriers. They prevent entry of foreign agents into the body.
(B) Acquired immunity:
- The
immunity that an individual acquires during his life is called acquired
immunity or adaptive immunity or specific immunity. It helps the body to
adapt by fighting against specific antigens hence it is called adaptive
immunity. Since it is produced specifically against an antigen, it is
called specific immunity.
- Acquired
immunity takes long time for its activation.
- This
type of immunity is seen only in vertebrates.
- Due
to acquired immunity, the body is able to defend against any invading
foreign agent.
Question 5.
Describe the ill-effects of alcoholism on health.
Answer:
- Alcohol
in any form is toxic for the body. Hence as soon as alcohol is consumed,
the liver tries to detoxify it.
- In
low doses it acts as a stimulant but in high dose, it acts on central
nervous system, especially the cerebrum and cerebellum. Still higher dose
can induce a comatose condition.
- Alcohol
affect the gastrointestinal tract by causing inflammation and damage to
gastric 4 mucosa. Ulceration and painful condition arises in alcoholics.
- Excessive
doses of alcohol induce vomiting.
- The
worst effect of alcohol is on liver causing diseases like cirrhosis.
- Alcohol
induces hypertension and cardiac problems.
- Apart
from physical effect, it causes deterioration of mental health and
emotional well-being.
- Alcoholic
person cannot think due to numbness in his/her cerebrum.
- The
social health is greatly affected as the alcoholic can cause problems to
his family, friends and society in general.
Question 6.
In your view, what motivates the youngsters to take to alcohol or drugs and how
can this be avoided?
Answer:
I. Taking drugs or alcohol:
- Youngsters
are at the vulnerable age, where they lack the planning about their
future.
- If
they fall into bad company or are facing parental neglect, they get hooked
on to alcohol or drugs.
- Some
common causes for addiction among youngsters are insufficient parental
supervision and monitoring or excessive pressure and expectations from
them. Lack of communication between an adolescent and parents.
- Poorly
defined rules for the family. Continuous family conflicts.
- Favourable
parental attitudes towards alcohol and drug uses. Many a times, at home
children are exposed to such habits.
- Inability
to cope up with present and hence switching to the addictions. Risk taking
behaviour which is common among youngsters.
II. Methods/measures to avoid drug abuse:
- There
should be complete acceptance for the child, because the adolescent phase
is the most crucial phase when the children should be treated with love,
care and respect.
- Many
physical, hormonal and psychological transformations are taking place in
this phase. Therefore child suffers from stressful situation.
- Wrong
company and bad influence of peer group can trap the child in bad
addictive habits. Thus, family should be supportive and communicative to
help such children.
- The
sexual thoughts should be sublimed by channelizing energy into healthy
pursuits like sports, reading, music, yoga and other extracurricular
activities.
- Ill-effects
of drugs or alcohol should be told to youngsters.
- Education
and counselling can control the children from getting hooked on to the
addictions.
Question 7.
Do you think that friends can influence one to take alcohol/drugs? If yes, how
may one protect himself/herself from such an influence?
Answer:
Friends can influence one to take alcohol and drugs, if a boy or girl is timid
and non-communicative with his or her parents and teachers. It also depends on
the personality of the indtvidual. In the adolescent age, many fall in trap due
to such peer pressure. The confusion in the mind and role of hormones playing
on the psyche and thought process makes one unable to understand the hazards of
such habits. Also there is curiosity to do these experimentations due to bad
influence of media.
If there is complete trust and friendship with sensible
parents, then such influence does not work. One should protect himself or
herself by a strong denial. Communicating such incidents to an elder in whom a
boy or girl can confide, is very important. One should tell his or her friends
about the ill-effects of alcohol and drugs. He should be made aware of these
aspects that he or she has learnt in this lesson.