Microbes 1 and 2 Flashcards

(32 cards)

1
Q

Lipopolysaccharide is found on the outer membrane of the cell wall in a gram ___ bacteria, which causes:

A

gram negative bacteria, causes a strong inflammatory response. IL-1, TNF, NO induction, causes fever and hypotension.

Complement causes neutrophil recruitment, hypotension.

TF –> coagulation cascade.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

if stains red, it is gram ____ and has ____.

if stains purple, it is gram ____ and has ____ acids

A
red= negative = Lipopolysaccharide
purple = positive = peptidoglycan and lipoteichoic acid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

gram positive cocci in a clump or cluster

A

staphyloCOCCUS aureus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

gram positive cocci in pairs and chains

A

streptoCOCCUS– S. pneumonia, s..pyogenes, enterococcus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

gram positive bacilli that forms SPORES

A

clostridium, bacillus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

gram positive bacilli that DO NOT form spores

A

listeria

corynebacterium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T/F CDif produces spores

A

true. it is a gram positive bacilli.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Gram negative cocci/diplococci

A

neisseria (N. gonorrhoea, N. meningitides)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Gram negative bacilli

A

E. coli/eterobacteriales. salmonella, shigella, yersinia.

pseudomonas aeruginosa
bacteria fragilis (normal gut flora)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CURVED gram NEGATIVE bacilli

A

campylobacter
h. pylori
vibriocholeae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

species that poorly gram stain

A

mycobacterium

spirochetes (syphilis, Lyme disease)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

All Bacilli are Gram negative except the gram positive ones (ABCDLMNOP)

A
Actinomyces
Bacillus
Clostridium (spores, gram positive)
Diptheria/Corynebacterium
Listeria (no spores, but gram positive)
Mycobacterium (no stain)
Nocardia
Oh no, what's the last one
Propionibacterium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

All cocci are gram positive except the gram negative ones NMV

A

Neisseria
Moaxellla
Veillonella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

is clostridium anaerobic

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

primary pathogen

A

one that regular causes disease even in an INTACT immune defence system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

commensal pathogen

A

organisms that are part of the normal human flora or environment that do not usually cause infection

17
Q

opportunistic pathogen

A

organisms that have the ability to cause an infection when the immune defences are impaired.

18
Q

superantigen

A

Non-specific stimulation of T cells  uncontrolled cytokine release (IL- 1, TNF)
i.e. Toxic Shock Syndromes of Group A Streptococcus, S.aureus

type of exotoxin

19
Q

ways of overtly overcoming our immune system

A

-overwhelmign it through toxin and enzymes, T cell infection

20
Q

ways of covertly overcoming our immune system

A
  • immune modulation
  • capsules: some pathogens have such a large capsule its hard to eat them. Disables phagocytosis.
  • biofilm production
  • antigenic variation: modifying their antigens so immune system cannot recognize them. or like mimicry (ex/ schistosome H. Adult worm in the host venous system coats itself wit host antigens to evade the immune response)
21
Q

what type of bacteria takes the longest to culture

A

mycobacteria. (10d-7weeks).

most gram positive and negative bacteria takes 18-48 hours to culture

22
Q

what is susceptibility testing

A

determines whether a pathogen is susceptible or resistant to a panel of antibiotics

23
Q

minimum inhibitory concentration

A

minimum concentration of an antibiotic required to inhibit microbial growth

MIC ≤ 0.06 ug/ml are sensitive MIC = 0.12-0.5 ug/ml is intermediate MIC ≥ 1 ug/ml are resistant

24
Q

differences between IgM, IgG.

What is window period and seroconversion?

A

IgM: usually indicates an acute infection
IgG: indicates a past infection or immunity.

Window Period: patient is infected, but antibody levels not developed to levels detectable.
Seroconversion: patient’s serology changes from negative to positive.

25
virulence factors of streptococcus pyogenes (strep throat)
1. capsulated; prevents phagocytosis 2. toxins an enzymes aid evasion of immune system and can move through tissues 3. pili M protein type antigen: prevents phagocytosis and ocmplement activation 4. lipoteichoic acid (promotes adhesion to pharynx mucosa)
26
cause of acute rheumatic fever (seen in strep infection)
it's an autoimmune response- cross reaction of antibodies against organisms direced against self proteins. associated complication of M-type strains tha cause pharyngitis (like strep)
27
hypersenstivity reactions (types 1-4)
1. immediate hypersensitivity: mast cell IgE response, usually anaphylaxis 2. cytotic: Ab binds to cell surface Ag mediating cytotoxicity. Cell necrosis 3. Immune complexes: post-streptococcal glomerulonephritis. immune complexes form with host antibodies and GAS antigens. these complexes deposit in the kidney aand generate inflammation. 4. delayed type. t cell mediated. Granuloma formation.
28
is enterobacteriaceae gram positive or negative
gram negative.
29
outline the enterobacteriaceae classes
YES, PECKSS yersinia, EHEC/Ecoli, Salmonella, Proteus, enterobacter, citrobacter, klebsiella, shigella, serratia.
30
which type of Ecoli is seen in small bowerl? Which one produced shiga toxin?
ETEC: Small Bowerl. EHEC: large bowel, shiga-toxin producing.
31
what is the major virulence factor that EHEC uses to cause disease? (Ecoli 0157:H7)
produces exotoxin (shiga toxin) Shiga toxin causes bloody diarrhea because it dirsupts protein syntehsis of mucosa. can also damage the endothelial cells causing HUS.
32
treating EColi (EHEC)
it's gram negative - carbapenems - FQ/ ciprofloxacin (broad) - aztreonams - aminoglycosides like tobramycin, gentamycin - monobactams - 4th gen cephalosporins like (ceftrixaone) - SEPTRA (TMP-SXT) BUT: FIRST LINE IS TO NOT DO ANYTHING. just give oral rehydration and IV fluids.