Introduction and Basic Bacteriology Lecture 1 Flashcards Preview

PID Exams > Introduction and Basic Bacteriology Lecture 1 > Flashcards

Flashcards in Introduction and Basic Bacteriology Lecture 1 Deck (42)
Loading flashcards...
1

A high fever, e.g. 107.5 F is most likely to be caused by what type of microbe?

Bacteria

2

A purpuric rash is a sign of _. What causes it? What is the "fancy name"?

Disseminated intravascular coagulation, blood clotting
Blood leaking into skin because of loss of clotting factors, increased vascular permeability
Purpura fulminans

3

An elevated AST and ALT is a sign of damage to what organ? What about CPK and creatinine?

AST and ALT - liver damage
CPK and creatinine - muscle damage

4

There are 4 major bugs that cause purpura fulminans. What are they?

Neisseria meningitidis
Streptococcus pyogenes
Staphylococcus aureus
Bacillus Cereus

5

Among the following 3 microbes, which is / are gram negative? Which is / are gram positive?

Neisseria meningitidis
Streptococcus pyogenes
Staphylococcus aureus

Neisseria meningitidis - negative (n for negative)
Streptococcus pyogenes - gram +
Staphylococcus aureus - gram +

6

What is the major type of cell where staphylococcus aureus can be found?

On epithelial cells

7

Based on case 1 as presented, what is the drug used to treat MRSA? What is the drug used to shut off exotoxin production? What is the use of rifampin in the case?

MRSA - Vancomycin
Shut off exotoxin - Clindamycin
Rifampin - Nisseria meningitis

8

In case 1 as presented, what was the reason for suggesting that intravenous immunoglobulin (IVIG) be used? What is a drawback to its use?

IVIG can be used to neutralized superantigen exotoxins
It is expensive

9

From case 1, what were the 3 reasons for recommending treatment with drotrecogin-α ? What is another name for drotrecogin-α

- Antithrombotic
- Antiinflammatory
- Fibrinolytic properties

Activated protein C

10

In cases of post-influenza toxic shock syndromes (TSS), what is the major microbe that causes the main secondary infection following influenza? What are the 2 main super antigens responsible to the TSS?

Staphylococcus aureus
Toxic Shock Syndrome toxin 1
Staph Enterotoxin B

11

What is a major visible sign / symptom that is caused by toxic shock syndrome as identified in the lecture?

Purpura fulminans

12

A microbe that is the most significant cause of serious infections and deaths from infections according to the CDC is _

Staph aureus

13

What are the top 2 (in order) causes of blood stream infections?

Staphylococcus epidermis
Staphylococcus aureus

14

What is the number 2 cause of pneumonia?

Staphylococcus aureus

15

What is the Number 1 cause of infective endocarditis and osteomyelitis?

Staphylococcus aureus

16

In 430 - 427 BC, patients were described as having "Violent heats in the head, inflammation of eyes and throat, reddish livid skin, extreme diarrhea, and high fever.” Then it was called _. Now it is recognized as _

Thucydides Syndrome
Post-influenza staphylococcal TSS

17

True or false, the case to fatality ratio following influenza pandemics have increased over the years. Why is this the case?

False, the fatalities have actually dropped
Increases in medical knowledge

18

What is the main cause of mortality following influenza? Why?

Bacterial infections following the flu
Influenza and other viral infections leave patients transiently immuno-compromised

19

Following the 1918 influenza pandemic, what were the 3 main causes of secondary bacterial infections responsible for fatalities?

Haemophillus influenza
Streptococcus pneumoniae
Staphylococcus aureus

20

What is the moiety expressed on human epithelial cells that allow viral entry? What is the viral protein that binds this moiety?

Sialic acid
Hemagglutinin

21

Hemagglutinin (HA) requires a protease-dependent maturation event to expose the sialic acid binding site. What are the molecules that cleave and activate HA?

Serine proteases

22

What is the moiety expressed by the flu virus that is required for its exit from the host cell? What drug targets this moiety?

Neuraminidase
Oseltamivir (Tamiflu)

23

Co-infection with influenza virus and S.aureus have a higher case:fatality rate. What are 2 reasons?

- S. aureus proteases activate influenza HA, allowing
viral infection
- TSST-1+ S. aureus produce exceptionally high levels of proteases, including serine proteases

24

A fever that is characterized as low temperature and lower PMN elevation / inflitration is likely to be caused by what type of microbe?

Virus

25

We have seen how S. Aureus can promote viral infection. How does a virus promote S. Aureus infection?

Virus damages epithelium, allowing sites for secondary S.
aureus infection and TSST-1 production.

26

Sputum that is yellow / gold in color is likely to contain what microbe?

S. Aureus

27

What is a primary pathogen? What is an example?

Any pathogen that causes disease when present in host
Group A strep

28

What is an example of an opportunistic pathogen?

Staph epidermidis

29

Strength of the microbe in disease causation, and the factors that give them that strength. This describes _. An example would be _

Virulence (Factor)
Toxic Shock Syndrome toxin 1

30

A rod shaped organism would be described as _

Bacilli