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Microbiology 2
First Aid: Microbiology 2
Question | Answer |
---|---|
Which variant of Neisseria has a polysaccharide capsule? | Meningococci |
Can cause epiglottitis, meningitis, otitis media, and pneumonia. | Haemophilus influenze; does not cause the flu however |
This organism causes pneumonia in alcoholics, and diabetics, with a red currant jelly sputum. Also cause of nosocomial UTI's | Klebsiella; 3 A's: aspiration pneumonia, abscess in lungs, alcoholics |
3 lactose-fermenting enteric bacteria? | Klebsiella, E.coli, Enterobacter; grow pink colonies on MacConkeys agar |
Gram negative cocci? | Neisseria |
Gram negative "coccoid" rod which requires NAD and hematin for culture? | H. influenzae; NAD is factor V and hematin is factor X |
Coccoid rod with an ADP ribosylating toxin? | Bordetella pertussis |
Lactose non-fermenting rod, oxidase positive? | pseudomonas |
Lactose non-fermenting rod, oxidase negative, bloody diarrhea, motile? | Salmonella; "salmon swim" |
Lactose non-fermenting rod, oxidase positive, bloody diarrhea, immotile? | Shigella |
This organism can cause bloody diarrhea, and mimic Crohn's or a "pseudoappendicitis". | Yersinia enterocolitica |
Causes food poisoning through contaminated seafood? | Vibrio parahaemolyticus and V. vulificus |
Causes food poisoning through reheated rice? | Bacillus cereus |
Causes food poisoning in meats. (4 organisms) | S. aureus, C perfringens (reheated meat), E.coli, Salmonella |
These 3 viruses cause watery diarrhea? | rotavirus, adenovirus, norwalk virus |
This organism causes bloody diarrhea and pseudomembranous colitis? | C. difficile |
This protozoan can cause bloody diarrhea. | Entamoeba histolytica |
These protoza can cause watery diarrhea, but one strikes campers and the other the immunocomprimised. | Giardia (campers) cryptosporidium (immunocompromised) |
This organism can cause watery diarrhea and gas gangrene? | C. perfringens |
This organisms toxin permanently activates Gs causing rice water diarrhea? | Vibrio cholerae |
This organisms toxin disables Gi, causing a whooping cough? | Pertussis |
The toxin of this organism is composed of a bacterial adenylate cyclase (edema factor) which increases cAMP. | Bacillus anthracis |
This organism requires silver stain and has an aerosol transmission from environmental water source. (No person to person transmission) | Legionella |
This organism is associated with wound and burn infection and a common cause of pneumonia in those with cystic fibrosis. | pseudomonas aeruginosa |
This urease positive organism is associated with 90% of duodenal ulcers | H. pylori |
This bacteria is commonly spread by tick bite? | Borrelia burgdorferi in lyme disease (francisella tularensis is also spread by tick bite) |
This bacteria is associated with flea bite? | Yersinia pestis; plaque |
This bacteria is the cause of cellulitis with dog and cat bites. | Pasteurella multocida |
In vaginosis, greenish, vaginal discharge with fishy smell, what would be expected under the microscope? | Gardnerella vaginalis; clue cells, or vaginal epithelial cells covered with bacteria |
What are common presentations of pseudomonas aeruginosa? | Burn and wound infections and "PSEUDO" Pneumonia (esp in CF), Sepsis (black lesions on skin), External otitis (swimmers ear), UTI, Diabetic osteomyelitis |
What is the treatment of H. pylori? | 1)bismuth, metronidazole, and TTC or amoxicillin 2) Metronidazole, omeprazole, clarithromycin (expensive) |
This organism causes an undulant fever and is often acquired from dairy products. | Brucella |
What is the treatment for pseudomonas aeruginosa? | aminoglycoside plus extended-spectrum penicillin (piperacillin, ticarcillin) |
What is the treatment for legionella? | Erythromycin |
What is the treatment for G. vaginalis? | Metronidazole |
What is the treatment for H. influenzae? | ceftriaxone (meningitis), rifampin (prophylaxis in close contacts) |
What are the 3 causes of a positive PPD test? (excluding false positive) | Current infection, past exposure, BCG vaccination |
What is the Ghon complex? | TB granulomas with lobar (usually lower) and perihilar lymph node involvement. Reflects primary infection. |
What is Pott's disease? | Extrapulmonary TB of the spine that presents as a sort of arthritis of the intervertebral joints. |
What are the most commmon symptoms of TB? | fever, night sweats, weight loss, and hemoptysis |
Patients presents with loss of eyebrows, nasal collapse, a deformed earlobe, and multiple lesions of the face. Diagnosis? | Leprosy; mycobacterium leprae |
Patient presents with fever, headache, and rash. Diagnosis? | Rickettsiae; classic triad of fever, headache and rash. Others my apply but if this is all you get, think Ricketts! |
What is the treatment for all forms of Rickettsiae? | TTC |
Patient presents with rash on palms of hand and soles of feet. What is the differential? (Hint: 3 of them) | Rocky mountain spotted fever (Rickettsia), syphillis, Coxsackie A (Hand, foot, and mouth disease) |
What is the Weil-Felix reaction? | antirickettsial antibodies, usually positive for rocky mountain spotted fever and typhus |
What is the classic cause of "walking" pneumonia? (insidious onset, headache, nonproductive cough, diffuse interstitial infiltrate) | Mycoplasma pneumoniae |
What is the treatment for mycoplasma pneumoniae? | tetracycline or erythromycin |
What are the two forms of chlamydia? | Elementary body which is extracellular form that enters cell by endocytosis; Reticulate body which replicates in cell by fission |
What are the 3 spirochetes? | Borrelia, leptospira, and treponema |