basic bacteriology Flashcards
Identify the chemical composition and the two main functions of the peptidoglycan layer in bacteria.
It has a sugar backbone with cross-linked peptide side chains, and provides rigid support and protection against osmotic damage
A hospitalized 86-year-old has S. pneumoniae. His roommate has an E. coli UTI. Which structures do these bacteria have in common?
Gram positives (S. pneumoniae) and negatives (E. coli) both have a flagellum, pilus, capsule, peptidoglycan, and cytoplasmic membrane
The two main gram-positive cocci are ____ and ____; the major gram-negative coccus is ____.
Staphylococcus and Streptococcus; Neisseria
Name the unique component in the cell membrane of Mycoplasma.
The Mycoplasma cell membrane has sterols—there is no cell wall
Name six organisms that do not Gram stain well.
Treponema, Mycobacterium, Mycoplasma, Legionella pneumophila, Rickettsia, Chlamydia (these microbesmay lack real color
Which five organisms can be visualized on Giemsa stain?
Chlamydia, Borrelia, ricketsiae, trypanosomes, and Plasmodium—remember certain bugs really try my patience)
An unimmunized 1-year-old boy is irritable and sluggish and has a fever and stiff neck. How will you culture the causative organism?
He likely has Haemophilus influenzae meningitis, which is cultured on chocolate agar with factors V (NAD+) and X (hematin)
Name three obligate aerobes.
Nocardia, Pseudomonas aeruginosa, and Mycobacterium tuberculosis (nagging pests must breathe)
Clostridium, Bacteroides, and Actinomyces all lack ____ and/or ____ ____, making them susceptible to oxidative damage.
Catalase; superoxide dismutase (these obligate anaerobes cannot breathe air)
Which organisms are obligate intracellular pathogens? Why?
Rickettsia and Chlamydia are intracellular, as they cannot make their own ATP (stay inside [cells] when it is really cold)
Name seven examples of encapsulated bacteria.
S. pneumoniae, H. influenzae type B, N. meningitidis, E. coli, Salmonella, K. pneumoniae, & group B Strep (shine skis)
A 16-year-old girl has recurrent S. aureus, Pseudomonas, and Candida infections. What enzyme deficiency is responsible?
NADPH oxidase deficiency (chronic granulomatous disease)—these bugs are catalase positive, and they degrade the limited H2O2
For vaccine synthesis against encapsulated bacteria, ____ and ____ are conjugated to promote a ____ (T/B) response.
Protein; polysaccharide antigen; T-cell
Which eight bacteria are urease positive?
Cryptococcus,H. pylori, Proteus, Ureaplasma, Nocardia,Klebsiella, S. epidermidis, S.saprophyticus (Chuck Norris hates punkss)
Whic four bacteria are pigment-producing? What color pigment does each of them produce?
Actinomyces israelii has yellow; S. aureus, yellow; P. aeruginosa, blue-green; and Serratia marcescens, red
A 16-year-old boy has warm red swelling at the site of a cut on his foot. You suspect S. aureus. What protein promotes its virulence?
Protein A prevents opsonization and phagocytosis of S. aureus by binding the Fc region of immunoglobulins
Endotoxins are found in gram-____ (positive/negative) bacteria or ____ ; exotoxins are found in gram-____ (positive/negative) bacteria or ____
Negative (in the outer membrane); both; negative; both
Name six organisms that have ADP-ribosylating AB toxin.
Corynebacterium diphtheriae, Vibrio cholerae, Shigella, E. coli (ETEC and EHEC), Pseudomonas aeruginosa, and Bordetella pertussis
What is the chemical composition of endotoxin and where is it found?
Lipopolysaccharide; cell walls of gram negatives (endotoxin is an integral part of the cell wall of gram-negative bacteria)
Transfer of plasmids from one bacterium to another is called ____; the phage-mediated transfer of DNA between prokaryotes is called ____.
Conjugation; transduction
The ____ (cell wall/outer membrane) is the main gram-positive surface antigen; the ____ (cell wall/outer membrane) is gram negative.
Cell wall; outer membrane
A hospitalized 86-year-old has gram-positive pneumonia; roommate has gram-negative UTI. Which cell structures are unique to these bacteria?
Gram positives have lipoteichoic acid; gram negatives have periplasm and an outer membrane formed by endotoxin/lipopolysaccharide
List the six gram-positive bacilli.
Clostridium, Corynebacterium, Bacillus, Listeria, Mycobacterium (acid fast and weakly gram positive), and Gardnerella (gram variable)
Mycobacteria have what two distinguishing components in their outer layer?
Mycolic acid and high lipid content
A 30-year-old has a painless penile chancre. Why does the causative organism not Gram stain? What two methods can you use to visualize it?
Treponema is too thin to be visualized by Gram stain; can be seen by dark-field microscopy and fluorescent antibody staining
Periodic acid–Schiff (PAS) staining is used to stain what types of metabolic substances? What disease can be diagnosed with PAS?
Glycogen and mucopolysaccharides (pass the sugar): Whipple disease (Tropheryma whipplei)
A 25-year-old man with multiple sex partners develops dysuria and purulent penile discharge. How is the causative organism cultured? Why?
N. gonorrhoeae grows on VPN (nystatin kills fungi.vancomycin kills gram positives, polymyxin kills gram negatives except Neisseria)
Chest x-ray of a patient with reactivated tuberculosis shows apical infiltrates in both lungs. Explain the location of these findings.
Lung apices have highest partial pressure of oxygen, and Mycobacterium tuberculosis (and all obligate aerobes) require oxygen to make ATP
Where are anaerobes part of the normal flora? And where are they pathogenic?
They are normal flora of the gastrointestinal tract but are pathogenic in all other tissues
Which bacteria are facultative intracellular organisms?
Salmonella, Neisseria, Brucella, Mycobacterium, Listeria, Francisella, Legionella, Yersinia pestis (some nasty bugs may live facultatively)
A 30-year-old man recently underwent splenectomy and then received a pneumonia vaccine. What is the antigen in the vaccine?
The capsular antigen that is conjugated to a protein serves as the antigen
Catalase degrades H2O2 before it is converted to microbicidal products by myeloperoxidase (enzyme). Name seven catalase-positive organisms.
Pseudomonas, Listeria, Aspergillus, Candida, E. coli, S. aureus, Serratia (you need placess for your cats [catalase])
Name four vaccines that have been prepared to protect against encapsulated bacteria.
Pneumonia (PCV with conjugate, Pneumovax without) and Haemophilus influenzae type B (conjugate) and meningococcal (conjugate) vaccines
____ produces yellow ““sulfur granules.”” What are the granules made of?
Actinomyces israelii (Israel has yellow sand); granules composed of filaments of bacteria
Immunoglobulin A protease is secreted by which three bacterial species to help them colonize which part of the body? How does it work?
S. pneumoniae, H. influenzae type B, Neisseria (shin), which colonize the respiratory mucosa—IgA protease cleaves IgA
Exotoxins ____ (are/are not) secreted and ____ (mildly/very) toxic; endotoxins ____ (are/are not) secreted and ____ (mildly/very) toxic.
are; very (1 µg can be fatal); are not secreted; mildly (hundreds of µg needed for death)
Name three ADP-ribosylating AB toxins whose primary action is overactivation of adenylate cyclase.
Vibrio cholerae, enterotoxigenic E. coli (ETEC), and Bordetella pertussis
What is the primary active component of an endotoxin? Which components of the immune response does this agent directly activate?
Lipid A; macrophages, which complement (C3a, C5a) tissue factor
What kind of DNA is transferred during transformation: chromosomal, plasmid, or both?
Both
_____ (Lipid A/Lipoteichoic acid) on gram-positive cells and _____ (Lipid A/Lipoteichoic acid) on gram-positive cells induce TNF.
Lipoteichoic acid; lipid A (lipid A in bacteria lacking a gram-positive stain)—these also induce interleukin-1
What are the components of lipoteichoic acid?
It is a combination of lipids and teichoic acids
A 6-year-old has abdominal pain and intense vomiting. You suspect a gram-negative enteric bacteria. Name the 13 possibilities.
E. coli/Shigella/Salmonella/Yersinia/Klebsiella/Proteus/Enterobacter/Serratia/Vibrio/Campylobacter/Helicobacter/Pseudomonas
Name three intracellular bacteria that do not Gram stain well. Which lacks muramic acid in its cell wall? Which is seen with silver stain?
Rickettsia, Legionella, and Chlamydia; Chlamydia lacks muramic acid in its cell wall; Legionella pneumophila is seen on silver staining
What organisms can be visualized with a Ziehl-Neelsen stain? What is the main component of this stain?
Acid-fast bacteria (Nocardia, Mycobacterium); carbolfuchsin
A 10-year-old girl is diagnosed with whooping cough. How was the causative organism cultured?
Bordetella pertussis grows on Bordet-Gengou (potato) agar (Bordet for Bordetella)
Which aerobe is commonly associated with burn wounds, nosocomial pneumonia, and pneumonias in patients with cystic fibrosis?
Pseudomonas aeruginosa (P. aeruginosa is an aerobe)
A 56-year-old diabetic man has a foul-smelling foot ulcer with palpable crepitus. Which antibiotic should you not use to treat it? Why?
He has an anaerobic skin infection—aminoglycosides require oxygen to enter a bacterial cell and are therefore ineffective against anaerobes
A 20-year-old man recently had a splenectomy. Explain why he should receive S. pneumoniae, H. influenzae, and N. meningitis vaccines.
Encapsulated bacteria are opsonized then cleared by the spleen; asplenics have decreased opsonizing ability and are at risk for infection
Why does catalase make organisms more pathogenic?
Catalase degrades H2O2 before myeloperoxidase converts it to microbicidal products