Leptospirosis Flashcards

(46 cards)

1
Q

Which of the following statements accurately describes the epidemiology of Feline Leptospirosis?
A. Indirect transmission through water contact is a very common route of infection for cats due to their affinity for water.
B. Cats usually acquire Leptospira infection from hunting rodents, and subclinically infected wild animals can serve as reservoir hosts.
C. Leptospires can only remain infectious for a few days under optimal environmental conditions.
D. Leptospirosis is rare in cats, and they are not considered a potential source of infection.

A

Cats usually acquire Leptospira infection from hunting rodents, and subclinically infected wild animals can serve as reservoir hosts.

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2
Q

A cat presents with anorexia, lethargy, polydipsia, and mild diarrhea. At necropsy, an enlarged liver and non-purulent interstitial nephritis are noted. Which disease is most consistent with these findings?

A. Tetanus
B. Nocardiosis
C. Feline Leptospirosis
D. Actinomycosis

A

Feline Leptospirosis

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3
Q

Regarding the treatment of feline leptospirosis, what is the primary goal of the first stage of antimicrobial therapy and what is the antibiotic of choice for this stage?

A. To reduce muscle spasms; Metronidazole
B. To address the carrier state; Doxycycline
C. To reduce fatal complications and inhibit multiplication; Penicillin or its derivatives
D. To prevent future infections; Amoxicillin-clavulanate

A

To reduce fatal complications and inhibit multiplication; Penicillin or its derivatives

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4
Q

Which of the following statements is true regarding tetanus in cats?
A. Cats are highly susceptible to tetanus and are routinely vaccinated against it.
B. Tetanus in cats is often associated with smaller wounds producing less toxin.
C. Recovery from tetanus in cats can take several months due to the need for new nerve terminal generation.
D. Clinical signs of tetanus in cats typically appear rapidly, within 1-2 days of a wound.

A

Recovery from tetanus in cats can take several months due to the need for new nerve terminal generation.

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5
Q

A cat is diagnosed with Nocardiosis. Which characteristic of Nocardia species contributes to their ability to resist destruction by the host’s immune system, and what type of immune response is critical for combating this infection?

A. They form spores that are resistant to phagocytosis; Innate immune response
B. Their mycolic acids and lipids inhibit phagosome-lysosome fusion; T cell-mediated immune response
C. They rapidly replicate intracellularly, overwhelming macrophages; Antibody production
D. They produce exotoxins that paralyze immune cells; Humoral (B cell) response

A

Their mycolic acids and lipids inhibit phagosome-lysosome fusion; T cell-mediated immune response

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6
Q

Which of the following is a common mode of transmission for Nocardiosis in companion animals, and what underlying condition is strongly associated with its occurrence in cats?

A. Inoculation through puncture wounds, foreign bodies, or bites; Feline Leukemia Virus (FeLV) or Feline Immunodeficiency Virus (FIV) coinfection
B. Direct contact with infected urine; Diabetes Mellitus
C. Ingestion of contaminated food; Feline Panleukopenia Virus (FPV) infection
D. Inhalation of airborne bacteria; Feline Infectious Peritonitis (FIP)

A

Inoculation through puncture wounds, foreign bodies, or bites; Feline Leukemia Virus (FeLV) or Feline Immunodeficiency Virus (FIV) coinfection

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7
Q

Actinomycosis in cats is primarily caused by which type of bacteria, and what is its main mode of transmission?

A.Gram-negative aerobes; Direct contact with infected animals
B. Spirochetes; Indirect transmission through contaminated water
C. Gram-positive filamentous anaerobes; Endogenous origin following tissue trauma
D. Acid-fast bacilli; Inhalation of spores from soil

A

Gram-positive filamentous anaerobes; Endogenous origin following tissue trauma

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8
Q

Which of the following clinical signs and pathological findings are most characteristic of Actinomycosis in cats?

A. Trismus (‘lockjaw’) and opisthotonus
B. Acute kidney failure and severe muscle tremors
C. Severe coughing with blood and rapid progression to systemic infection in immunocompetent cats
D. Localized swelling, draining sinus tracts often containing sulfur granules, and potential involvement of bone or internal organs

A

Localized swelling, draining sinus tracts often containing sulfur granules, and potential involvement of bone or internal organs

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9
Q

In the pathogenesis of tetanus, how does tetanospasmin primarily exert its effect on the central nervous system, leading to the observed clinical signs?

A

It prevents the release of inhibitory neurotransmitters (glycine and GABA) from inhibitory interneurons, resulting in uncontrolled skeletal muscle contraction.

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10
Q

Which of the following is an effective long-term treatment strategy for Nocardiosis in domestic animals, and what supportive care might be needed in severe pulmonary cases?

A. Vaccination and antifungal medications; Promoting self-recovery without intervention.
B. Short-term antimicrobial therapy (less than 1 month) with only one drug; Fluid restriction and avoidance of oxygen.
C. Surgical debridement alone without antibiotics; Minimizing environmental stimuli.
D. Long-term antimicrobial therapy (1–6 months), often combined, with surgical management for localized lesions; Intravenous fluid therapy and oxygen supplementation.

A

Long-term antimicrobial therapy (1–6 months), often combined, with surgical management for localized lesions; Intravenous fluid therapy and oxygen supplementation.

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11
Q

What is the gold-standard indirect diagnostic test for confirming exposure to Leptospira in cats?

A. Blood smear microscopy
B. Modified agglutination test (MAT)
C. Dark-field urine microscopy
D. Western blot

A

Modified agglutination test (MAT)

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12
Q

Which antibiotic is used during the second phase of leptospirosis treatment in cats to eliminate the carrier state?

A

Doxycycline

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13
Q

Which clinical sign is LEAST likely to be observed in a cat with leptospirosis?

A. Polyuria/polydipsia
B. Enophthalmos
C. Anorexia
D. Bleeding disorders

A

Enophthalmos

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14
Q

Which of the following is FALSE regarding the diagnosis of feline leptospirosis?

A. PCR can be used for direct detection of the organism
B. Leptospira can be visualized by dark-field microscopy in fresh urine
C. Blood culture is the most reliable method
D. ELISA is used for antibody detection

A

Blood culture is the most reliable method

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15
Q

Which of the following clinical signs is most specific for localized tetanus in cats?

A. Polyuria and polydipsia
B. Trismus and risus sardonicus
C. Hypersalivation and ataxia
D. Lameness and nasal discharge

A

Trismus and risus sardonicus

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16
Q

What is the most likely source of C. tetani infection in cats?

A. Inhalation of spores
B. Penetrating wound with anaerobic conditions
C. Consumption of spoiled meat
D. Contact with infected feces via grooming

A

Penetrating wound with anaerobic conditions

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17
Q

Which treatment must be administered before wound debridement in tetanus cases?

A. Penicillin
B. Tetanus antitoxin
C. Diazepam
D. Clindamycin

A

Tetanus antitoxin

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18
Q

What is the least likely autonomic sign observed in cats with tetanus?

A. Bradycardia
B. Hypertension
C. Hypotension
D. Polyuria

A

Polyuria

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19
Q

Which statement about tetanus pathogenesis in cats is correct?

A. Tetanospasmin is rapidly degraded in the bloodstream before reaching the CNS
B. The toxin binds irreversibly to inhibitory interneurons
C. Recovery is rapid due to reversible toxin action
D. The toxin acts by stimulating parasympathetic fibers

A

The toxin binds irreversibly to inhibitory interneurons

20
Q

What explains the delayed onset of clinical signs in feline tetanus?

A

Slow retrograde axonal transport of the toxin

21
Q

Which of the following features best distinguishes Nocardia spp. from most other bacterial pathogens in cats?
A. Presence of endospores
B. Acid-fast staining due to mycolic acids
C. Flagella-based motility
D. Complete absence of cell wall

A

Acid-fast staining due to mycolic acids

22
Q

Which feline population is at the highest risk for developing nocardiosis?
A. Young, healthy female indoor cats
B. Male cats involved in frequent outdoor fights
C. Geriatric neutered males in multi-cat households
D. Kittens housed in sterile laboratory conditions

A

Male cats involved in frequent outdoor fights

23
Q

What is the primary immune mechanism responsible for combating Nocardia infection in cats?
A. Humoral (B cell–mediated) immunity
B. Eosinophil-mediated hypersensitivity
C. T cell–mediated immunity
D. Complement fixation cascade

A

T cell–mediated immunity

24
Q

Which of the following is NOT a typical site of systemic Nocardia dissemination in feline patients?
A. Brain
B. Pancreas
C. Liver
D. Kidneys

25
Which diagnostic method provides the most definitive identification of Nocardia spp. in a suspected feline patient? A. Fine needle aspiration followed by culture on MacConkey agar B. Histopathology with eosin stain C. Aerobic culture on Sabouraud or blood agar followed by molecular typing D. ELISA-based serology alone
Aerobic culture on Sabouraud or blood agar followed by molecular typing
26
Which treatment regimen is most effective for disseminated feline nocardiosis? A. Metronidazole monotherapy for 1 week B. Short-term ampicillin therapy only C. Long-term combination therapy (e.g., amikacin + sulfonamides) with supportive care D. Fluconazole and corticosteroids
Long-term combination therapy (e.g., amikacin + sulfonamides) with supportive care
27
Which of the following mechanisms helps Nocardia evade destruction by macrophages in the host? A. Toxin production causing leukopenia B. Mycolic acids preventing phagosome-lysosome fusion C. Capsule that binds and neutralizes IgG D. Biofilm formation in the bloodstream
Mycolic acids preventing phagosome-lysosome fusion
28
In cats, Actinomyces spp. are considered part of which normal flora?
Oral cavity and gastrointestinal mucosa
29
Which of the following is the most common predisposing factor for feline actinomycosis? A. Viral gastroenteritis B. Congenital immunodeficiency C. Penetrating wounds from dental disease or trauma D. Inhalation of contaminated dust
Penetrating wounds from dental disease or trauma
30
How can Actinomyces infections be differentiated from Nocardia infections in lab diagnosis? A. Actinomyces are acid-fast and aerobic B. Nocardia grows only under anaerobic conditions C. Actinomyces are not acid-fast and prefer anaerobic to microaerophilic conditions D. Both are indistinguishable on culture
Actinomyces are not acid-fast and prefer anaerobic to microaerophilic conditions
31
What is a hallmark lesion of feline actinomycosis?
Suppurative pyogranulomas with sulfur granules
32
What is the most appropriate long-term treatment approach for actinomycosis in cats?
Surgical debridement with prolonged penicillin-based antibiotics
33
Which mycobacterial species is most commonly associated with feline tuberculosis in Great Britain and is often misclassified due to its similarity to M. tuberculosis and M. bovis?
Unclassified variant resembling M. tuberculosis and M. bovis
34
What is the primary route of transmission for Mycobacterium microti in cats?
Bite wounds from infected rodents
35
Which group of mycobacteria is commonly associated with feline leprosy and is characterized by non-tubercle-forming, unculturable organisms?
Non-tuberculous mycobacteria (NTM)
36
Which breed predispositions suggest a genetic or immune-mediated vulnerability to disseminated Mycobacterium avium complex infections in cats?
Siamese and Abyssinian
37
Which diagnostic method is considered most reliable for confirming a feline mycobacterial infection?
Mycobacterial culture
38
In feline tuberculosis, which anatomic site is most commonly affected and shows granuloma formation?
Ileocecal region and mesenteric lymph nodes
39
Which clinical presentation is more typical of cutaneous M. microti infection in cats? A. Pulmonary nodular interstitial infiltration B. Granulomas on the legs or face with associated lymphadenopathy C. Hepatosplenomegaly with CNS signs D. Oral ulcers and draining oropharyngeal lesions
Granulomas on the legs or face with associated lymphadenopathy
40
Which of the following is least likely to serve as a source of Mycobacterium bovis infection in cats? A. Ingestion of raw meat B. Environmental contamination from badger feces C. Inhalation from infected cats D. Consumption of unpasteurized milk
Inhalation from infected cats
41
Which of the following best describes the pathogenesis of systemic tuberculosis in cats? A. Inhalation is the primary route with lung lesions predominating B. Infection begins in the oropharynx and is limited to cervical lymph nodes C. Alimentary, dermal, or respiratory entry → lymphatic spread → granuloma formation and dissemination D. Direct bloodstream invasion without any primary lesions
Alimentary, dermal, or respiratory entry → lymphatic spread → granuloma formation and dissemination
42
Which of the following findings is most characteristic of disseminated MAC (Mycobacterium avium complex) infections in cats? A. Multifocal ulcerated lesions on the limbs only B. Lung granulomas with no systemic signs C. Weight loss, intestinal lymphadenopathy, splenomegaly D. Purely cutaneous nodules without systemic involvement
Weight loss, intestinal lymphadenopathy, splenomegaly
43
What histopathologic feature is typical of feline granulomas due to tuberculosis?
Central necrosis with plasma cells and macrophages surrounded by fibrous tissue
44
Why is the tuberculin skin test considered unreliable for diagnosing tuberculosis in cats?
Cats do not develop strong dermal reactions despite adequate immunity
45
In cases of feline NTM infections, what is the most frequent site for granulomatous panniculitis to manifest?
Ventral abdomen and inguinal region
46
What is a common clinical sign seen in both TB and NTM infections in cats that may suggest dissemination?
Generalized lymphadenopathy and anorexia