Clinical Bacteriology Flashcards
(136 cards)
1
Q
Intestinal infection, possible ileocecal valve obstruction
Eggs visible in feces under microscopy
A
Giant roundworm aka
Ascaris lumbricoides
1
Q
chronic infection leading to squamous cell carcinoma of bladder and pulmonary HTN
A
Schistosoma haematobium
2
Q
cystercercosis bug
A
taenia solium
2
Q
Name 2 bugs:
neutropenic patients
A
Candida albicans
Aspergillus
3
Q
Hippurate test positive
Produces CAMP factor
A
GBS
3
Q
Rickettsia ricketsii vs Rickettsia typhii
A
Rickettsii on the wrists, Typhus on the trunk
4
Q
Associated with acute hemorrhagic cystitis
A
Adenovirus
5
Q
Palms and soles rash (name 3)
A
CARS
Coxsackie A
Rocky Mountain Spotted Fever
Syphilis (secondary)
5
Q
Possible anatomically remote sequela of PID
A
Fitz-Hugh-Curtis Syndrome – infection of liver capsule and violin string adhesions of peritoneum to liver
6
Q
Intestinal infection causing anal pruritis
See eggs on tape test
A
Pinworm aka
Enterobius vermicularis
7
Q
Pinworm treatment
A
bendazoles
8
Q
Gram negative “coccoid” rods (name 4)
A
H flu
Pasteurella
Brucella
Bordatella pertussis
9
Q
Dimorphic cigar shaped budding yeast
Spores introduced by plant thorn
Pustule or ulcer with nodules along draining lymphatics
A
Sporotrichosis 2/2
Sporothrix schenckii
10
Q
Gram +
Cocci
Catalase +
Coagulase +
A
Staph aureus
10
Q
Gram negative diplococcus
Maltose fermenter:
Maltose non-fermenter:
A
Maltose fermenter: N. meningitidis
Maltose non-fermenter: N. gonorrhea
11
Q
Gram +
Cocci
Catalase - (chains)
Complete hemolysis (beta)
A
B-BRAS
Bacitracin - GBS Resistant, GAS Sensitive
13
Q
Name the bug
Currant jelly sputum
A
Klebsiella
14
Q
Gram +
Cocci
Catalase + (clusters)
Coagulase -
A
NO StRESs
NOvobiocin:
Saprophyticus Resistant
Epidermis Sensitive
14
Q
Gram negative coccoid rod common in animal bites
A
Pasteurella
14
Q
Leishmaniasis treatment
A
Amphotericin B
Sodium stibogluconate
15
Q
Gram positive
Branching filaments
Anaerobe
Not acid fast
A
Actinomyces
16
Q
Which flora is more dominant in colon:
B fragilis or E Coli?
A
B fragilis
17
Q
Diabetic or immunocompromised pt with cerebral infection 2/2 direct extension of rhinosinusitis
A
mucormycosis
18
Q
Mycotic disease
Hypopigmented or pink patches
Lipid degredation
A
Tinea versicolor
20
Hansen disease treatment
Lepromatous:
Tuberculoid:
Lepromatous: Clofazimine
Tuberculoid: Dapsone and rifampin
21
Chagas disease treatment
Benznidazole or nifurtimox
22
Spiking fevers
pancytopenia
HSM
Sandfly
leishmaniasis
23
Name causative organism:
Condolomata acuminata:
Condolomata lata:
Condolomata acuminata: HPV-6 or HPV-11
Condolomata lata: T palladium (syphilis)
24
Name three bug
UTI 2/2 catheterization
E Coli
Klebsiella
Proteus
25
Common atecedent to Guillain Barre Syndrome
Campylobacter
26
Liver mass, associated with sheep and dogs
Hydatid cyst
27
Fever, hemolytic anemia, northeastern US
Maltese cross or ring form on blood smear
Babesiosis
28
E Coli Strains
EIEC: Invasive
ETEC: traveler's diarrhea (watery)
EPEC: Pediatric diarrhea
EHEC: HUS
29
Which enters the cell in chlamydia infection:
Elementary body or reticulate body
Elementary
30
Syphilis serologies
Sensitive:
Specific:
Sensitive: VDRL, RPR
Specific: FTA-ABS
31
2 most common causes of brain abscess in immunocompetent
Viridans strep and Staph aureus
32
Name the organism:
Lymphatic infection
Painless genital ulcers
Painful LAD (buboes)
Chlamydia trachomatis (Lymphogranuloma venereum)
33
3rd leading cause UTI
Large mucoid capsule and viscous colonies
Klebsiella pneumoniae
34
Are mycobacteria acid fast?
Yes
35
Second most common cause of uncomplicated UTI young women
Novobiocin resistant
S. saprophyticus
35
Bacteremia and endocarditis associated with colon cancer
S. bovis
Bovis in the blood = cancer in the colon
35
Explanations for false-positive VDRL
**V**iral infection
**D**rugs
**R**heumatic Fever
**L**upus and leprosy
35
Bloody diarrhea
Liver abscess with anchovy paste exudate
RBC's in trophozoite cytoplasm
Entamoeba histolytica
35
fever, headache, anemia, splenomegaly
travel associated
Malaria
37
Exfoliatin
Epidermal sloughing
Staph scalded skin syndrome
38
3 most common causes of osteomyelitis in IV drug abusers
Pseudomonas
Candida
S. aureus
39
Foul smelling greenish vaginal discharge
Trophozoites on wet mount
Strawberry cervix
Trichomonas
40
Name the bug:
Decubitus ulcers, surgical wounds, drains
S aureus
41
Strep pneumo is most common cause of
Meningitis
Otitis media (kids)
Pneumonia
Sinusitis
42
Erythematous sandpaper-like rash with fever and sore throat in a child
Scarlet fever 2/2 Strep pyogenes
43
B12 deficiency 2/2 infection
Diphyllobothrium latum
44
GNR
Lactose nonfermenter
Oxidase negative
Doesn't produce H2S
Shigella
45
red granules (Schuffner stippling) throughout RBC cytosol
P vivax/ovale
46
South America
Megacolon
Megaesophagus
Dilated cardiomyopathy
Chagas disease
47
GNR
Lactose fermenter
Slow fermenter
Citrobacter
Serratia
48
Blood smear: trophozoite ring within RBC, schizont containing merozoites
Malaria
49
Bronchiectasis and eosinophilia
Associated with CF and asthma
Allergic bronchopulmonary aspergillosis (ABPA)
50
Latex agglutination test
Cryptococcus neoformas
51
Neonatal encephalitis and vesicular lesions
HSV-2
52
Name the bug:
Day care outbreaks, pseudoappendicitis
Yersinia enterocolitica
53
Lab abnormality associated with Legionella
hyponatremia
54
Gram +
Cocci
Catalase - (chains)
No hemolysis (gamma)
Group D
Enterococcus or Strep bovis
55
Only gram positive that produces endotoxin
Listeria
56
Mycotic disease
Inflammatory lung disease that can disseminate to skin and bone
**Broad budding base**
Blastomycosis
57
Gram positive
Branching filaments
Aerobe
Acid Fast
Nocardia
58
GNR
Lactose fermenter
Fast fermenter
Klebsiella
E Coli
Enterobacter
59
GNR
Lactose nonfermenter
Oxidase positive
Pseudomonas
59
Currant jelly sputum
Nosocomial UTI
Aspiration PNA in alcoholics and diabetics
Klebsiella
59
Latin American mycotic disease
Budding yeast with captain's wheel
Paracoccidiomycosis
59
Toxoplasma treatment
Sulfadiazene + pyrimethamine
59
Intestinal infection causing anemia by sucking blood from intestinal walls
Hookworms aka
Ancylostoma duodenale
Necator americanus
59
Sickle cell and osteomyelitis
Salmonella (also can be S aureus)
60
flu-like sx
myalgias, especially of the calves
photophobia
conjunctival suffusion (erythema w/o exudate)
Surfers and in the tropics
Leptospirosis
62
Severe diarrhea in AIDS
Cryptosporidium
63
Hepadnavirus structure
Partially DS and circular
64
Heavily encapsulated yeast
India ink and mucicarmine stain
Sabourad agar culture
cryptococcus neoformans
65
Facultative intracellular microbe
Unpasteurized dairy products and deli meats
Rocket tails via actin polymerization
Listeria
66
High cold-agglutinin titer and RBC lysis with PNA
Mycoplasma PNA
67
PNA in cystic fibrosis
Also in burn infections
Pseudomonas
68
Liver abscess and dysentery
E histolytica
69
Parasite causing biliary tract dz, cholangiocarcinoma
Undercooked fish
clonorchis sinensis
71
Sporotrichosis treatment
Itraconazole
Potassium iodide
72
Pseudohyphae and budding yeasts at 20 degrees C
Candida
73
Recurrent infections and chronic diarrhea in neonate
HIV
74
Painful genital ulcer with exudate
Inguinal LAD
Chancroid 2/2 H ducreyi
75
Dominant flora in vagina
lactobacilus
76
Immune response in Hansen disease
Lepromatous:
Tuberculoid:
Lepromatous: low cell-mediated immunity w/ intact Th2 response and suppressed Th1 response
Tuberculoid: high cell-mediated immunity w/ largely Th1 response
77
Optocin resistant
Dental caries
Endocarditis
Viridans strep group
78
Intubated or ventilated patient with new infiltrate on CXR
Pseudomonas (sweet odor)
Klebsiella
Acinetobacter
S. aureus
79
Most common culture negative endocarditis
cattle/sheep amniotic fluid
Q fever from Coxiella
80
Prosthesis and catheter infections
biofilms
Novobiocin sensitive
S. epi
82
Walking pneumonia
Patient \< 30 yo
Often military or prison
Mycoplasma pneumoniae
83
Virulence in mycobacterium TB associated with:
presence of cord factor
84
Patent ductus arteriosus (or Pulm art hypoplasia)
Cataracts
Deafness
+/- blueberry muffin rash
Rubella
85
Granulocytes with morulae in cytosol
Anaplasma
87
Bug in elephantiasis
Wuchereria bancrofti
88
GNR
Lactose nonfermenter
Oxidase negative
Produces H2S
**SPY**
**S**almonella
**P**roteus
**Y**ersinia
89
Methenamine silver stain
Bilateral ground glass opacities
disc-shaped yeast
PCP
90
Chorioretinitis
hydrocephalus
intracranial calcifications
Congenital toxoplasma
91
Cryptosporidium tx in immunocompetent host
nitazoxanide
93
Trypanosoma cruzi causes what disease
Chagas disease
94
Hearing loss
Seizures
Petechial rash
Blueberry muffin rash
Periventricular calcifications
Neonatal CMV
96
cysticercosis treatment
Praziquantel
Albendazole for neurocysticercosis
97
Clue cells
gray vaginal discharge
BV
99
Trophozoites or cysts in stool
Fatty Diarrhea
Giardia
101
Comma or S shaped organism, growth at 42 C
Campylobacter
102
Adenovirus structure
DS and linear
103
Bacteria associated with chronic granulomatous disease
S aureus
104
Malaria treatment
Chloroquine if sensitive
Mefloquine if resistant
Add primaquine for P vivax/ovale
105
Bacteria with D-glutamate polypeptide capsule
Anthrax
106
Virus frequently causing conjunctivitis
Adenovirus
107
Malaria:
48 hour cycle:
72 hour cycle:
48 hour cycle: P vivax/ovale
72 hour cycle: P malariae
108
Neonate:
Notched teeth
Saddle nose
Short maxilla
Saber shins
CN VIII deafness
Congenital syphilis
110
Giant roundworm treatment
Bendazoles
111
Mycotic PNA
Resides in macrophages
Histoplama
112
Most severe type of malaria
P falciparum
113
Tsetse fly bite
Somnolence, LAD, recurring fever
Trypanosoma brucei
aka African sleeping sickness
114
Gram negative
Oxidase positive, comma shaped
Grows in 42 degrees C:
Grows in alkaline media
Produces urease:
Grows in 42 degrees C: Campylobacter
Grows in alkaline media: Vibrio cholerae
Produces urease: H pylori
115
Name 3 bugs:
Rash on hands and feet
Coxsackie A
Syphilis
Rickettsia rickettsii
117
Amoebas in spinal fluid
Rapidly progressive meningoencephalitis
Swimming in freshwater lakes
Naegleria fowleri
118
Babesiosis treatment
Atovaquone + azithromycin
119
What is physical exam finding of Argyll Robinson pupil?
Accomodates but does not react
120
African sleeping sickness treatment
Suramin = blood borne disease
melarsoprol = CNS penetration
"Sure is nice to go to sleep. Melatonin helps with sleep"
121
Chlamydia trachomitis serotypes
A, B, and C:
D-K:
L1, L2, L3:
A, B, and C: Africa, blindness, chronic infection
D-K: everything else
L1, L2, L3: Lymphogranuloma venereum -- painless genital ulcers and inguinal LAD
122
Gram +
Cocci
Catalase - (chains)
Partial hemolysis (alpha)
OVRPS
**O**ptocin - **V**iridins is **R**esistant, **P**neumoniae is **S**ensitive
123
Which is more important in Shigella: exotoxin production or mucosal invasion
Mucosal invasion
124
Mycotic disease
PNA and Meningitis
**Spherule filled with endospores**
Erythema nodosum
Arthralgias
Coccidiomycosis
125
Life threatening malaria treatment
IV quinidine or artesunate (test G6PD)
126
Hand foot and mouth disease
Coxsackie A
127
Herpesvirus DNA structure
DS and linear
128
Dark field microscopy positive means what bug?
Syphilis
129
Cysts from meat or oocysts from cat feces
Tachyzoite on biopsy
Toxoplasma
130
Larvae enter bloodstream and encyst in striated muscle
Fever, vomiting, nausea, periorbital edema, myalgia
Trichinosis
131
Monocytes with morulae (berry-like inclusions)
Ehrlichiosis
132
Goats, wools, hides
Widened mediastinum
Medusa head culture
Anthrax
133
Beta hemolytic bacteria
Staph aureus
GAS
GBS
Listeria
