micro exam 2 last minute Flashcards

(76 cards)

1
Q

Where does rhinocerebral zygomycosis originate in

A

sinuses

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2
Q

Where does rhinocerebral zygmoycosis spread to

A

neighboring tisues

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3
Q

Who gets zygomatic infections of the lungs

A

burn pts

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4
Q

Who gets zygomatic infections of GI tract

A

burn pts, neonates, premmies

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5
Q

Who gets zygomatic infections of skin

A

burn pts, traumatin incoulation

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6
Q

What forms can candida exist in

A

yeast, pseudohyphal, hypal

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7
Q

Presentation of trush

A

white patches in mouth, when they are scrapped off it’s red underneath

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8
Q

How do you treat thrust

A

mouth washes or lozenges of nystatin and azole compounds

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9
Q

What is the distrubtion of c. neuformans

A

pitbull - mr. worldwide

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10
Q

What is the appearance of histoplasmosis

A

tuberculate (bumpy)

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11
Q

Where does histoplasmosis spread

A

through the lympathic and reticulendothelial system

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12
Q

What symptoms distinguish histoplasmosis from TB

A

hepatomegaly, splenomegaly, lymphadenopathy

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13
Q

How can you diagnose histoplasmosis

A

direct observation in tissues/samples
cultivate organisms from clinical samples
serology

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14
Q

What does blastomycosis disseminate into

A

ulcerative lesions of skin, bone, and urogential tract (want to blast through butthole)

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15
Q

What does disseminated paracoccidioidomycosis disseminate into

A

chronic cutaneous and mucocutaneous ulcers

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16
Q

What does coccidiodomycosis pulmonary disease start as

A

mild to moderate flu like symptoms

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17
Q

What can coccidiodomycosis disseminate into

A

infection of joints, skin, and CNS (desert rheumatism)

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18
Q

What is the leading form of fungal menigitis

A

cryptococcosis

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19
Q

Descrive the PCP organism

A

single cell eukaryotic organism

similiar to protozoa

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20
Q

What are fungus balls associated with

A

aspergillomas

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21
Q

What do Ziehl-Neelsen/Kinyoun stains test for

A

mycobacteria acid fast staining, not specific to TB

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22
Q

Descrive mycobacteria

A

gram positive

acid fast rods

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23
Q

Mycobacterium avium intracellulare

A

complex of several mycobacteria

pulmonary infection resembling TB in immunocompromised pts

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24
Q

Mycobacterium kansasii

A

common in elderly and COPD pts

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25
Virulence facts for haemophilus
LPS IgA protease PRP capsule
26
How do you treat Haemophlis
severe case - broad spectrum cephalosporin | less severe - amoxicillin
27
Vax for Haemophilis
Conjugate vax made from PRP capsule
28
Common bacterial agent for actue bronchitis
mycoplasma pneumoniae
29
What is the agar for pertussis
bordet gengou
30
What is the structure of pertussis
gram neg coccobacilli
31
Major adhesin for pertussis
filamentous hemagglutinin
32
Major toxin for pertussis
pertussis toxin
33
What is the pertussis vax made of
acellular pertussis, detoxed pertussis toxin
34
Purelent sputum is
typical pneumonia
35
scant water mucoid sputum is
walking pneumonia
36
foul smelling sputum is
anaerobic bacterial pneumonia
37
How do you treat atypical pneumonia
tetracycline and erythromycin
38
What is the virulence factor for mycoplasma pneumoniae
P1 adhesin
39
describe chlamydophila pneumoniae
small gram neg
40
What is the legionella pneumophila inside the cells
coccobacilli
41
What is legionella pneumophilia outside the cell
pleomorphic
42
What is the pathogenesis for legionella pneumophilia
target and attach to alveoloar macrophage using pili, flagella, proteins
43
How do you treat legionella pneumophilia
macrolide or fluoroquiolone
44
Characteristics of s. pneumoniae
gram positive diplococci
45
How do you treat s. pneumonia that are sensitive
penicillin or macrolide
46
How do you treat serious cases of s. pneumoniae
azithromycin plus cephalosporin
47
Virulence factors of s. aureus
coagulase protein A PVL
48
How do you treat s. aureus
penicillins/cephalosporins
49
How do you treat MRSA
linezolid or vancomycin
50
What are the virulence factors for klebsiella
LPS | capsule
51
What are common complications to the common cold
otitis media sinus infection asthma
52
Which virus has an icosahedral capsid
adenovirus
53
What are the most common respiratory disease causing serotypes of adenoviruses
1,2 and 5
54
What is the seasonal patern of adenoviruses
none
55
What serotypes of adenoviruses are associated with GI disease
40 and 41
56
What adenovirus serotypes have a vax for them
4 and 7
57
Can coxsackiviruses survive low PH in the GI tract
yup
58
What is the most common cause of acute croup
type 1
59
What can type 3 parainfluenza cause
LRT infection
60
What type of genome is parainfluenza viruses
-ssRNA
61
What is a disease that has abundant PMN cells w/o significant + of bacteria
primary influenza virus pneumonia
62
What is the fatality rate of primary influenza virus pneumonia
50%
63
What are common causes of bacterial influenza associated pneumonia
s. pneumonia s. aures H. influenzae
64
What is the transmission of SARS coronavirus
fecal oral
65
What disease is adult respiratory distress syndrome associated with
SARS
66
What family is RSV from
parmycovirus
67
Is PSV envloped or not
enveloped
68
What is the genome of RSV
-ssRNA
69
How does aerosolized ribavirin treatment work
it's a guanosine analogue that inhibits nucleotide biosynthesis
70
WHich URT tissues are sterile
mastoid air cells, middle ear, sinuses, trachea, bronchi/bronchies, alveoli, conjuctiva
71
What streptococcus is beta hemolytic
s. pyogees, s. agalactiae
72
What are commona gents of otitis media
s. pneumoia haemophilus moraxella
73
What are the common agents of sinutists
s. pneumoia heamophilis moraxella
74
EB
metabolically inactive | infectious
75
RB
metabolically active | noninfectious
76
What disease can chlamydia trachmatis causes
trachoma, adult inclusion conjuctivis, neonatal conjuctivis, infant pneumo