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Micro Flashcards

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1
Q

How do you know it’s an anaerobe?

A

Gas, bad odor

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2
Q

What bug causes Acute Bacterial Endocarditis?

A

Staph aureus (attacks healthy valves)

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3
Q

What bug causes Subacute Bacterial Endocarditis?

A

Strep viridans (attacks damaged valves)

Optochin-resistant
Bile-insoluble

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4
Q

How do you diagnose Rheumatic Fever?

A

Subcutaneous nodules
Polyarthritis
Erythema Marginatum (red margins)
Chorea (Sydenham’s)
Carditis (MS > AS > TS) “MAT”

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5
Q

Etiology of Rheumatic Fever

PYR, bacitricin sensitive

A

Group A- B-Hemolytic Strep (GAS)

Streptococcus pyogenes

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6
Q

what is Aschoff bodies

rheumatic heart disease

A

Granuloma of rheumatic inflammation.
*fibrinoid necrosis
*type IV hypersensitivity

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7
Q

What are the only Gram – diplococci

A

Neisseria

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8
Q

What is the only Gram + diplococci?

capsule

A

Strep pneumo

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9
Q

Heart block bugs

A

Diptheria
Chaga’s dz
Typhoid fever(salmonella)
Legionella
Lymes dz

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10
Q

What are the IgA protease bugs?

A

Strep pneumo.
H. influenza
Neisseria catt.

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11
Q

What do the IgA protease bugs cause?

A

Sinusitis,
otitis media,
pneumonia,
bronchitis

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12
Q

What are the simple Gram – bugs?

A

“simple HE”
H. influenza
E. coli

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13
Q

What are the atypical (no cell wall) bacteria?

A

“CLUMsy”
Chlamydia
Legionella
Ureaplasma
Mycoplasma

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14
Q

What is the only Gram + endotoxin

A

Listeria

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15
Q

What are the Gram – exotoxins

A

H. influenza, Bordetella pertussis

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16
Q

What are the spore forming Gram + bacteria?

A

Bacillus anthracis,
Clostridium botulinum

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17
Q

What bugs cause walking pneumonia? By age group

A

“Come My Love for a walk”
0-2 yo: Chlamydia pn.
10- 30y: Mycoplasma pn. >40 y:
40+ : Legionella pn.
AIDS/Premies: Pneumo carinii

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18
Q

Gram-pos bacilli

A

Listeria
Corynebacterium Dip
Bacillus

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19
Q

What causes Cryoglobulinemia

A

“I Am HE”
Influenza
Adenovirus
Mycoplasma
Hep B, C
EBV

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20
Q

What are the Silver Stainers?

A

H. pylori
Listeria
Vibrio
Campylobacter
PJP

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21
Q

What bacteria cause diarrhea <8hrs after introduction

A

“CBS”
Clostridium
Bacillus cereus
Staph aureus

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22
Q

What are the Gram – capsules?

A

“Some Killers Have Pretty Nice Capsules”
Salmonella
Klebsiella
H. influenza B
Pseudomonas
Neisseria
Citrobacter

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23
Q

What is the Gram + capsule?

A

Strep pneumo

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24
Q

What are the Urease + bugs?

A

“Urease PPUNCH”
Proteus
Pseudomonas
Ureaplasma
Nocardia
Cryptococcus
H. Pylori

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25
What bugs cause Monocytosis?
"STELS" Syphilis TB EBV Listeria Salmonella
26
What are the Big Mama Anaerobes?
Bacteroides fragilis Strep. bovis C. melangosepticus
27
What bacteria cause UTIs and prostatitis
E. coli Proteus Klebsiella Pseudomonas
28
What bug is associated w/ cat scratch?
Bartonella henselae
29
What bug is associated w/ cat saliva?
Pasturella multocida
30
What bug is associated w/ cat pee?
Toxoplasmosis
31
What bug is associated w/ cat caca?
Toxacara cati
32
What diseases are caused by the Ixodes Tick?
*Lyme disease – bull's eye lesion *Babesiosis – hemolytic anemia *Ehrlichiosis – puncture near the eye
33
What bugs cause hospital abscesses?
*Day 1-3: Staph aureus – lots of O2 *Day 4-7: Strep viridans – no enzymes *Day >7: Anaerobes – PMNs
34
What kind of patients does Staph and Pseudomonas like to attack
DM Cystic fibrosis pts Burn pts Neutropenic pts
35
What diseases have granulomas?
TB Sarcoidosis Syphilis Histiocytosis X The -ellas
36
What diseases provide malaria protection?
Sickle cell: AAs G-6PD: Mediterranean
37
What bug causes multiple liver abscesses?
Entamoeba histolytica
38
What bug causes multiple cerebral abscesses? | citris producing
Citrobacter
39
What has multiple lung aneurysms?
Osler-Weber-Rendu
40
What bugs cause Loeffler syndrome?
"NASSA" Necator americanus Ancylstoma duodenale Schistosomiasis Strongyloides Ascaris lumbricoides
41
What is the sign of Loeffler syndrome?
Pulmonary eosinophilia
42
What is PIE syndrome?
Pulmonary Infiltrate w/ Eosinophilia
43
What diseases have PIE syndrome?
Aspergillus, Loeffler's, Churg-Strauss
44
What disease does Coxsackie A
Hand-Foot-Mouth disease
45
What diseases does Coxsackie B
Endocarditis, DM type 1
46
What bugs cause Meningitis?
0-2 mo: "baby BEL"* Group B Strep E. coli Listeria >2mo: Strep pneumo >10-21y/o: N. meningitidis
47
What are the CSF lab values for Meningitis
PMNs -->bacterial T cell/MP-->non-bacterial Normal glucose-->viral
48
What does the Hep B Core Ag tell you?
Gone before pt has symptoms (2 mo)
49
What does the Core Ab tell you?
Past infection | core Ab=IgG
50
What does the Surface Ag tell you?
Current infection | Surface Ag= IgM
51
What does the Surface Ab tell you?
Vaccination has occurred | Surface Ab= IgG to vaccine
52
What does the E Ag tell you?
Transmissibility/ infectivity
53
What does the E Ab tell you?
Low transmissibility
54
What antibody shows current Hep A infection?
IgM | surface antigen
55
What antibody shows past Hep A infection?
IgG | core Ab
56
What type of people does Hep E like to infect?
Pregnant women, Asians
57
What is associated w/ Staph aureus? Enymes and conditions
Cellulitis, dairy products, gold pigment, endocarditis, styes, hordeolum (on eyelid)
58
What is conditions associated w/ Strep pyogenes?
"LINES", ASO, hyaluronic acid capsule Lymphangitis Impetigo Necrotizing Fasciitis Erysipelas Scarlet fever
59
What is associated w/ Staph epidermidis?
Central lines, VP shunts, white pigment
60
What is associated w/ Propionibacterium acnes?
Acne, progesterone => propionic acid
61
What is associated w/ Pasteurella Multocida?
Cat/dog saliva => cellulitis w/ lymphadenitis
62
What is associated w/ Staph saprophyticus?
Female UTIs, honeymooner's cystitis
63
What is associated w/ Hemophilus aegyptus?
Swollen eyeball w/ pus
64
What is associated w/ Francisella tularensis?
Ulcers at rabbit or deer tick bite site (Tx: Streptomycin)
65
What is associated w/ Pseudomonas aeruginosa?
Otitis externa, icthyma granulosum, loves rubber, whirlpool folliculitis, ADP ribosylates EF-2
66
What is associated w/ Streptococcus pneumoniae?
Otitis media, red bulging tympanic membrane
67
What is associated w/ Fusobacterium?
Painful mouth ulcers, gum pus, Vincent's angina | Vincent's angina: Pharyngitis and tonsilitis
68
What is associated w/ Strep mutans
Dental cavities
69
What is associated w/ Strep viridans?
Subacute bacterial endocarditis, green pigment
70
What is associated w/ Strep salivarius?
Cold agglutinin test
71
What is associated w/ Strep pyogenes?
Rheumatic fever, strain 12 => PSGN
72
What is associated w/ Group C strep?
Pharyngitis
73
What is associated w/ Cornybacterium diptheriae?
Chinese letters, gray pseudomembrane, suffocations, ADP ribosylates EF2, heart block, Elek test
74
What is associated w/ Strep pneumonia?
Gram + diplococci, rusty sputum, IgA protease, vaccine covers 23 strains
75
What is associated w/ H. influenza?
Gram – pleomorphic rod, Factors V/X, 5C-ribose capsule, B-type: meningitis, epiglottitis, sepsis
76
What is associated w/ N. catarrhalis?
loves mucus--> attacks respiratory tract
77
What is associated w/ Chlamydia psittaci?
Parakeets, parrots
78
What is associated w/ Chlamydia pneumonia?
Staccato coughing, elementary and reticulate bodies
79
Primary CNS lymphoma with a single cerebral ring-enhancing lesion in immunocompromised ppl
EBV
80
EBV characteristics
Envelope ds linear DNA virus
81
Primary cns lymphoma, new unset of seizure, single ring enhancing lesion
EBV in (AIDS, transplant pt…)
82
Adenovirus characteristic
Non envelope ds linear dna
83
Localized warm, tender, erythema, swollen, Xrays: perioesteal elevation Dx, Bug, enzyme used
Osteomyelitis: staphylococcus using collagenase, hyaluronadase, lecithenase
84
What is associated w/ Mycoplasma pneumonia?
Bullous myringitis, ground-glass CXR, P1 protein, erythema multiforme
85
What is associated w/ Legionella pneumonia?
AC ducts, silver stains lung, CYEA, Pontiac fever, Legionnaire's pneumonia
86
What is associated w/ Pneumocystis carinii pneumonia?
AIDS/premies, rusty sputum, silver stains lung, (Tx: steroids)
87
What is associated w/ Clostridium botulinum?
Canned food, honey, inhibits ACh release, resp failure, stool toxin (Tx: Penicillin
88
What is associated w/ Clostridium tetani?
Rusty nail wounds, inhibits Gly release, resp failure, risus sardonicus, tennis racquet shape
89
What is associated w/ Bordetella pertussis?
Whooping cough, ADP ribosylates Gi
90
What is associated w/ Bacillus anthracis?
Black eschar, woolsorter's lung disease, D- Glu, boxcar-like spore (Tx: Ciprofloxacin)
91
What is associated w/ H. Pylori?
Duodenal ulcers
92
What is associated w/ Salmonella
Raw chicken & eggs, turtles, rose typhoid spots, H2S, sickle cell osteomyelitis
93
What is associated w/ Campylobacter jejuni?
Raw chicken & eggs, very bloody diarrhea, inactivated by gastric juice, Guillane-Barre, seagull-shape
94
What is associated w/ Clostridium perfringens?
Holiday ham & turkey, DM gas gangrene, soil/feces
95
What is associated w/ Bacillus cereus?
Fried rice, pre-formed toxin
96
What is associated w/ Listeria monocytogenes?
Raw cabbage, hot dogs, spoiled milk, migrant workers => heart block, meningitis, abortions
97
What is associated w/ Vibrio parahaemolyticus?
Raw fish
98
What is associated w/Actinomyces?
Face fistulas, sulfur granules
99
What is associated w/ Vibrio vulnificus?
Raw oysters, cellulitis in swimmer's cuts
100
What is associated w/ Shigella?
Day care outbreaks => seizures, destroys 60S ribosome, infects M cells
101
What is associated w/ Vibrio cholera?
Rice water diarrhea, ADP ribosylates Gs
102
What is associated w/ Clostridium difficile?
Explosive diarrhea = pseudomembranous colitis
103
Clostridium difficile treatment?
Vancomycin
104
What is associated w/ Yersinia enterolitica?
Presents like appendicitis + Reiter's, bloody diarrhea
105
What is associated w/ Strep bovis?
Colon cancer
106
What is associated w/ Clostridium melanagosepticus?
Colon cancer; black pigment
107
What is associated w/ ETEC?
Traveler's => rice-water diarrhea
108
What is associated w/ EHEC?
Hemorrhagic => renal failure(hus:0157:H7) shega-like toxin
109
What is associated w/ EIEC?
Inflammatory => loose stool
110
What is associated w/ EPEC?
Pathogenic => newborn diarrhea
111
What is associated w/ E. coli?
Raw hamburger, ADP ribosylates Gs, verotoxin, HUS
112
What is associated w/ Proteus mirabilis?
Staghorn calculus, UTI (Tx: Norfloxacin)
113
What is associated w/ Klebsiella pneumonia?
Alcoholics, currant jelly sputum, UTI, lung fissures, homeless people
114
What is associated w/ Staph saprophyticus?
Young & college girls UTIs
115
What is associated w/ Enterococcus
UTI, infective endocarditis post-GI/GU procedure, nitrate negative UTI
116
What is associated w/ N. meningitides?
DIC, pili, releases toxin in log phase Maltose fermentation
117
What is associated w/ Brucella?
Farmers/vets, spiking fever 5x/day, animal placentas
118
What is associated w/ R. rikettsii?
Ticks => Rocky mountain spotted fever
119
What is associated w/ R. akari?
Mites => fleshy papules
120
What is associated w/ R. typhi?
Fleas, starts in armpit (rash)
121
What is associated w/ R. prowazekii?
Lice, starts on body (rash)
122
What is associated w/ R. tsutsugamushi?
Mites => scrub typhus
123
What is associated w/ Coxiella burnetti?
Dusty barn => Q fever
124
What is associated w/ Yersinia pestis?
Rats, fleas => Bubonic plague
125
What is associated w/ Bartonella henselae?
Cat scratch => single painful lymph node, silver stains
126
What is associated w/ Bacteroides fragilis?
Post-op bowel abscess, grows in blood clots
127
What is associated w/ Chlamydia trachomatis?
Neonatal inturned eyelashes/cornea ulcers
128
What is associated w/ Neisseria gonorrhea?
Pili, urethritis, tenovitis, septic arthritis
129
lymphangitis, impetigo, necrotizing fasciitis, erysipelas scarlet fever. etiology
Strep Pyogenes
130
etiology of rash on palm and sole
TSS,SSSS-->Staph A RMSF Cocksackie A Kawasaki Scarlet fever Syphilis
131
honey crusted lesion
s. pyogenes
132
bacteria pick up DNA from environment
transformation
133
Conjugation method is seen with
Pili
134
ulcer at back of mouth--trench mouth cause by
fusobacterium
135
ipsilateral pain on head rotation
peritonsillar abscess
136
Retropharengia abscess (normal flora) presentation (physical)
Pain with extension
137
small intestinal infection cause by Ecoli
Cholecystitis Ascending cholangitis Appendicitis Spontaneous bacterial peritonitis Abdominal abscess
138
EColi makes
90% vit k Biotin Folate B5 Releasing factor for B12
139
Big MaMa Anaerobes
Bacteroides fragilis Strep. Bovis Clostridium melangosepticus clostridium difficile
140
Clostridium Diff tx
oral vancomycin
141
Tx for Big MaMa
CLindamycin: above diaphragm Metronidazole: below the diaphragm Cefoxitin: above and below the diaphragm
142
What test differentiate Staph family
Coagulase
143
Differentiate Staph from Strep
Catalase
144
Vancomycin covers
Complete gram pos coverage
145
Vanco side effect Moa: Bind terminal D-ala-D-ala of cell-wall precursor peptides
Ototoxicity Redness due to rapid infusion
146
Group D strep
Strep viridans (s. Mutants…) Enterococcus (E. Faecalis)
147
Thrombolytics Antodote
Urikinase Streptokinase Tissue plasminogen activator Alteplase Amiocaproic acid
148
Meningitis 0 to 2 months(BEL)
GBS E. Coli Listeria
149
Meningitis 2mos to 10 years
Strep pneumonia Neisseria m.
150
10 years to 21 year meningitis
Neisseria m Strep p.
151
21+ yo meningitis
Strep pneumonia
152
Diphtheria toxin action
Adp-riboylates EF-2 Gray membrane at back of throat
153
2 bacteria:Adp- ribosylation ef-2
C. Dip Pseudomonas
154
G-i ADP- Ribosylates
Bordetella pertussis
155
G-s aDP- Ribosylation
Vibrio cholera and ETEC. Increase cAMP
156
Painless genital ulcer with granuloma inguinal.
Klebsiella granulomatis
157
What confirmatory test is use for granuloma inguinale
Biopsy and Giemsa or wright staining Shows dark-staining intracytoplasmic Donovan bodies
158
Haemophilus ducreyi test
Chocolate agar
159
Test for HSV genital herpes
PCR or Tzank smear of an open skin with multinucleate gaint cells.
160
Epiglottitis, Thumb sign on X-ray
Hemophilus Flu, type B
161
Hemophilus is a… Characteristic
Gram neg pleomorphic rod Ig-A Protease
162
Poly ribose phosphate Capsules
Hemophilus 20% capsulated
163
Otitis media, bronchitis and pneumonia, sinusitis
Hemophilus Influenza
164
MCC of chancroid, painful genital lesion
Ducreyi
165
G-neg diplococcus family
N. Meningitidis Maltose: DIC , Adrenal insufficiency Gonorrhea: ferments glucose : fitz-hugh-Curtis syndrome N. catarrhalis: does not ferment sugar Loves mucus 3rd mc resp infection
166
Rifampin is prophylactic for
N. meningitides and H. flu type B.
167
# pyelonephritis e.coli treatment
quenonones IV ciprofloxacin levofloxacin cephalosporins ceftriaxone
168
ciprofloxacin covers
Gram Neg ecoli, proteus, klebsiella, enterobacter, pseudomonas
169
Primary treatment for gram pos :clostridium , staph enterocolitis
vancomycin
170
Fever, urinary symptoms and perineal pain In older male associated with
Acute bacteria prostatitis
171
Acute bacteria prostatitis cause by
Ecoli in 50 yo
172
Most common lobar pneumonia
Strep pneumonia
173
Adult Community acquire lobar pneumonia txt
Macrolides/doxycycline
174
Optochin sensitive, bile soluble, a-hemolytic, cat-neg
Strep pneumonia
175
Beta-hemolytic gram pos cocci
Strep pyogenes
176
Neonatal herpes/ vesicular rash at strongest risk for
Meningoencephalitis
177
Congenital hearing loss and microcephaly
Toxo, syphillis, Zika, cmv
178
Bloody diahrea with right lower abdomen pain
Yersinia enterocolitis
179
Major virulence of c. Perfringens
A-toxin(lecithinase): myonecrosis
180
UTI/ Pyelonephritis: fever, N/vomiting & flank pain: bug? Treatment?
Ecoli : ciprofloxacin, levofloxacin n ceftriaxone
181
Quinolones MOA
inhibit topoisomerase DNA gyrase | psuedomonas coverage
182
What quinolones cover psuedomonas
ciprofloxacin levofloxacin
183
# cephalosporine 5th gen MERSA and resistant pseudomonas
ceftaroline
184
# 3rd gen cephalosporine disulferan reaction block Vit K
moxalactam cefoperazone
185
# 3rd gen cephalosporine not given to babies 1st 2 months
ceftriaxone | long halflife
186
# 3rd gen cephalosporine given to babies in first 2 months
cefotaxime | water soluble
187
# 3rd gen cephalosporin covers
G-Neg/Anaerobe
188
# 2nd gen cephalosporine covers
G. Neg G. Pos Anaerobe | GI surgery
189
# 2nd gen cephalosporine disulferam reaction Blocks Vit K
Cefotetan | gonorrhea coverage
190
# 2nd gen cephalosporine Gonorrhea coverage
cefotetan cefoxitin ceferoxin
191
# 1st gen cephalosporine covers
G. Pos
192
# 1st gen cephalosporine I.V.
cefazolin | water soluble
193
# 1st gen cephalosporine Oral admin
cephalothin (interstitial nephritis cefadroxil cefpodoxime cephalexin
194
# penicillins staph and psuedomonas
Ticarcillin/clavulanic acid piperacillin/Tozobactam
195
penicillin with hi Na+ load
carbenicillin | anti-pseudomona
196
monobactam covers
only G.Neg
197
Beta-lact Resistant penicillins
Naf Oxa cloxa dicloxa | Nafcillin=hi Na+ load
198
covers community acquire pneumonia
ceftriazon Azytromycin
199
Ampicillin best for
Listeria UTI
200
# Extended penicillins covers simple G. Neg | ecoli, proteus, Ella family
Amoxicillin/Clavulanic Acid Ampicillin/Sulbactam
201
simple penicillins
Pen V Pen G
202
curve rod urease pos silver stain hydrogen breath
H. pylori
203
H. Pylori associated with
95% Duodenal ulcers 70% Gastric ulcers
204
H. pylori treatment options
Amoxicillin, Bismuth, H-2 blocker or PPI for 2 week | AOC: Amoxi, Omeprazole, Clarithromycin
205
causes acute apendisitis fecalif
ecoli
206
acending cholingitis murpy sign hi Alkaline phosphatase
Ecoli
207
Abdominal abscess
Ecoli
208
Acute spontaneous bacterial peritonitis
E.coli
209
Acute Cholecystitis
Ecoli
210
Proteus Mirabilis
2nd mcc of UTIs Urease pos high urin pH
211
encapsulated 3rd mcc cause of UTIs alcoholics
Klebsiella Pneumonia
212
produces a red pigment
Serratia Marcescens
213
Burn | other than Staph and Psuedomonas
Acinetobacter
214
multiple cerebral abscesses 0-2 months babies encapsulated citric acid production
citrobacter
215
likes plastic (endotracheal tubes, bladder catheter golden-green pigment
pseudomonas
216
whirlpool folliculitis-pus at ass crack
P. Aeruginosa
217
Tense black bollus mcc of death 2nd week of burn
Echthyma Gangrenosum | associated with P. Aeregenosa Do not rupture
218
eats through mastoid -kills
Malignant otitis externa | P. Aeregenosa
219
# Ella family Associated with humoral or cell mediated?
cell mediated inflamation Macrophages Erythema nodosum anemia of chronic disease
220
# ella fam associated with daycare outbreaks
shigella | gastroenteritis
221
what verulene factor of shigella causes seizures
exotoxin | shiga toxin
222
Shigella Sonnei mc in | Shigella Dysentery
US | MC outside US
223
osteomyelitis in sickle cell
salmonella | encapsulated
224
eating half cooked chicken/egg
gastroenteriitis | salmonella
225
salmonella hides in
gallbladder | causing cholecystitis
226
# slamonella mc strain in US
S. enteritidis
227
# salmonella mc strain outside U.S.
Dysentery
228
triad of typhoid fever
fever rose spots intestinal fire
229
typhoid is also associated with
heart block contaminated water treat with ciprofloxacin
230
whooping cough stages
prodromal stage catarrhal stage paroxysmal stage
231
exotoxin of bordetella pertussis MOA
ADP-ribosylates G-i
232
B. pertussis exotoxin results in
cell death Hi c-AMP --hi lung mucus
233
salmonnella typhi treatment
ciprofloxacin
234
# Bordetella dx
Eliza on nasopharyngeal washings
235
what is mcc death from bordetella
suffocation
236
bordetellas causes hi or lo lymphocytosis
extreme lymphocytosis
237
Bordetella treatment
erythromycin | pt and close contacts
238
Brucella | farmers and veterinarians
undulating fever | animal placenta
239
# treatment Francisella Tularensis | hunters/farmer
streptomycin
240
tularemia or oculoglundular fever
Francisella Tularensis | 90% rabbits/10% dear
241
inhibit 30s and covers all G. Neg
aminoglycosides
242
# aminoglycosides Tobramycin used for
eyedrop
243
aminoglycosides | inhibits 30s
gentamycin Tobramycin Neomycin amikacin streptomycin
244
vibrio requires ___________and attacks ________________
Iron Duodenum/ junjunum
245
# vibrio exotoxin moa
ADP-riboxylates G-s and elevates c-AMP
246
vibrio diarrhea is
osmotic diarrhea
247
# Vibrio curved rod Parahemolyticus
raw fish
248
# vibrio vulnificus
raw oysters Curved rod
249
Campylobacter jejuni | presentation
very copious bloody diarrhea | curved rod with flagilla
250
raw chickens and raw eggs bloody diarrhea
compylobacter jejuni | GBS
251
Treat C. Jujuni with
erythromycin
252
# two types Yersinia
pestis enterocolitica
253
Y. Pestis causes | rat
Bubonic plague Pneumonic plague
254
Y. Enterocolitica causes
ileitis or mesenteric adenitis Reiter's syndrome
255
HLA-B27 associated with
Reiter's syndrome Ankylosing spondylitis psoriasis
256
Atypicals characteristics n treatment options
no cell wall graulomatous quinolones, macrolides and TCA interstitial pneumonia
257
Chlamydia two forms
elementary body(extracellular infectious) reticulate body (dormant form)
258
Parasite that depends on host ATP and causes eosinophilia
chlamydia
259
MCC of Neonatal blindness
C. Trachomatis | cornea scarring: prevent with erythromycin
260
chlamydia Trachomatis diseases | presentation and complication
*lymphogranuloma venereum *STIs (90% asymtomatic) *Infertility in women *ectopic pregnancy (scarring)
261
C. Trachomatis DX
Eliza with all pap smears
262
C. Trachomatis treatment
1 dose azithro for pregnancy 100mg daily/7day doxycycline
263
chlamydia Pneumonia | presentation/characteristic
atypical age 0-2 month staccato coughing symptoms worse than physical findings eosinophilia
264
chlamydia Pneumonia may be associated with
alzheimer and coronary artery disease
265
Chlamydia psittaci
bird poop interstiial pneumonia nonbacterial endocarditis
266
no cell wall no epithelial lining looks like jerryfish what am I?
Mycoplasma
267
# age 10-30 cold agglutinin walking pneumonia bullous myringitis
mycoplasma pneumonia
268
mycoplasma associated with vaginitis
Hominis
269
# 40 n up atypical silver stains community acquire
legionella pneumophila
270
grows on CYE-A | Charcoal Yeast Extra Agar
legionella
271
interstitial pneumonia granulomatous inflam heart block
legionella pneumophilia
272
1st degree heart block
fixed prolonged PR interval
273
2nd degree heart block | Mo-1
progressively prolonged PR interval until drop beat
274
2nd degree heart block | Mo-2
normal PR, erraticaly dropping beat | AV node partial infarted
275
3rd degree heart block
No relationship b/t P waves and QRS | complete AV node infart
276
# what do legionella lyme diphtheria chaga's salmonella(typhoid) | have in common
Heart Blocks
277
no cell wall no epithelial lining cause vaginitis urease pos what am I?
ureaplasma Urealyticum
278
3 reations that manifest with Jerisch-Herxheimer reaction
spirochetes EBV CMV
279
tic bite causing thrombocytopenia Treatment
RMSF (Rocky Mountain spotted fever) Doxy
280
tic bite that causes hepatitis and heart block
Lyme dz
281
Catalase-pos organism affecting NADPH oxidase pt Bateria Fungi
Bacteria: Staph a, Burkholderia, Serratia, Nocardia Fungi: Aspergillus
282
Sabin(poliovirus) produces a stronger
IgA response
283
What drug class covers Pseudomonas PO check sensitivity
Ciprofloxacin 750mg q12h Levofloxacin 750mg QD
284
Use PO for MRSA coverage
Clindamycin Trimethoprim-Sulfamethoxazole (TMP-SMX): Tetracyclines (Doxycycline or Minocycline) Linezolid
285
Commonly used for MRSA, particularly effective in outpatient settings for SSTIs12.
Trimethoprim-Sulfamethoxazole (TMP-SMX):
286
These are effective against MRSA and are often used in community-acquired MRSA
Tetracyclines (Doxycycline or Minocycline)
287
Effective for MRSA, but susceptibility should be confirmed with a D-test if the isolate is erythromycin-resistant, as resistance can vary geographically
Clindamycin
288
effective against MRSA and can be used orally. It is often reserved for more serious infections
Linezolid
289
alway test _____ in males with UTI and treat for ____ day
PSA 30 day
Step 1 Clues
flashcards
Decks in class (27)
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