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Reproduction - Sexually transmitted infections (STIs)

Grade 11IGCSEBiology

Review the key concepts, formulae, and examples before starting your quiz.

🔑Concepts

A Sexually Transmitted Infection (STISTI) is an infection that is transmitted via body fluids through sexual contact.

The Human Immunodeficiency Virus (HIVHIV) is a pathogen that causes AIDSAIDS.

HIVHIV specifically targets and destroys TT-lymphocytes (helper TT-cells), which are crucial for the immune response.

As the number of TT-lymphocytes decreases, the body becomes unable to defend itself against opportunistic infections, leading to Acquired Immunodeficiency Syndrome (AIDSAIDS).

Transmission of HIVHIV occurs through the exchange of body fluids: unprotected sexual intercourse, sharing of hypodermic needles, blood transfusions with contaminated blood, and from mother to child across the placenta or through breast milk.

Methods of limiting the spread of STIsSTIs include the use of mechanical barriers like condoms (femidoms and male condoms), regular testing, and education regarding safe sexual practices.

Bacterial STIsSTIs, such as Gonorrhea and Syphilis, can often be treated with antibiotics, whereas viral STIsSTIs like HIVHIV are currently managed with antiretroviral therapy but cannot be cured.

📐Formulae

AIDS Diagnosis Threshold=CD4+ count<200 cells/mm3\text{AIDS Diagnosis Threshold} = CD4^{+} \text{ count} < 200 \text{ cells/mm}^3

Transmission Risk1Correct Use of Barriers\text{Transmission Risk} \propto \frac{1}{\text{Correct Use of Barriers}}

V=V0ertV = V_0 e^{rt}

💡Examples

Problem 1:

A patient tests positive for HIVHIV. Over several years, their CD4+CD4^{+} T-lymphocyte count drops from 1000 cells/mm31000 \text{ cells/mm}^3 to 150 cells/mm3150 \text{ cells/mm}^3. Explain the biological consequence of this change.

Solution:

The patient has progressed from being HIVHIV-positive to having AIDSAIDS.

Explanation:

The reduction in TT-lymphocytes means the immune system can no longer produce enough antibodies or coordinate an effective immune response. When the count falls below the 200 cells/mm3200 \text{ cells/mm}^3 threshold, the individual is susceptible to life-threatening infections like pneumonia or rare cancers.

Problem 2:

Explain why HIVHIV cannot be treated with antibiotics like Penicillin.

Solution:

HIVHIV is a virus, and antibiotics only target bacterial structures.

Explanation:

Antibiotics work by disrupting bacterial cell wall synthesis (e.g., peptidoglycan) or 70S70S ribosomes. Since HIVHIV is a virus, it lacks a cell wall and uses the host cell's machinery to replicate; therefore, antibiotics have no effect on it.

Sexually transmitted infections (STIs) Revision - Grade 11 Biology IGCSE