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Flashcards in Microbiology Deck (119)
1

How do you know it's an anaerobe?

Gas, bad odor

2

What makes an adequate sputum sample?

25 leukocytes per low power field

3

What bug causes acute bacterial endocarditis?

Strep viridians (attacks damaged valves)

4

How do you diagnosed Rheumatic Fever?

Need at least 2 "SPECC"

Subcutaneous nodules
Polyarthritis
Erythema Marginatum (red margins)
Chorea (Sydenham's)
Carditis (MS>AS>TS) "MAT"

5

What are the only Gram - diplococci?

Neisseria

6

What is the only Gram + diplococci?

Streo pneumo

7

What bugs cause heart block onfections?

"Dont TeLL Chaga"

Diphtheria
Typhoid fever (salmonella typhii)
Legionella
Lyme disease
Chagas disease (Whipple's)

8

What are the IgA protease bugs?

Strep pneumo
H. influenza
Neisseria catt

9

What do the IgA protease bugs cause?

Sinusitis, otitis media, pneumonia, bronchitis

10

What are the simple Gram-bugs?

"simple HE"
H-influenza
E.coli

11

What are the atypical (no cell wall) bacteria?

"CLUMsy"
Chlamydia
Legionella
Ureaplasma
Mycoplasma

12

What is the only Gram + endotoxin?

Listeria

13

What are the Gram - exotoxins?

H influenza, Bordetella Pertussis

14

What are the spore forming Gram + bacteria?

Bacillus anthracis, Clostridium botulinum

15

What bugs cause walking pneumonia?

"Come My Love for a walk?
0-2 mo: Chlamydia pn
10-30 y: Mycoplasma pn
>40 y: Legionella pn
AIDS/Premies: Pneumo Jirovecii

16

What causes Cryoglobulinemia?

"I AM HE"
Influenza
Adenovirus
Mycoplasma
Hep B, C
EBV

17

What are the Silver Stainers?

"HaLV-C=Comma"
H. pylori
Listeria
Vibrio
Campylobacter

18

What bacteria cause diarrhea

"CBS"
Clostridium
Bacillus cereus
Staph aureus

19

What are the Gram - capsules?

"Some Killers Have Pretty Nice Capsules"

Salmonella
Klebsiella
H influenza B
Pseudomonas
Neisseria
Citrobacter

20

What is the Gram + Capsule?

Strep Pneumo

21

What are the Urease + bugs?

"Urease PPUNCH"
Proteus
Pseudomonas
Ureoplasma
Nocardia
Cryptococcus
H Pylori

22

What bugs cause Monocytosis?

"STELS"
Syphilis
TB
EBV
Listeria
Salmonella

23

What are the big Mama Anaerobes?

Bacteroides fragilis
Strep Bovis
C. septicum

24

What bugs disrupt G proteins?

Pertussis: inhibits Gi
Cholera: Stimulates Gs
E. coli: Stimulates Gs

25

What bacterias causes UTIs and prostatitis?

E.coli
Proteus
Klebsiella
Pseudomonas

26

What bug is associated w/cat scratch?

Bartonella henselae

27

What bug is associated w/cat saliva?

Pasturella multocida

28

WHat bug is associated w/ cat pee?

Toxoplasmosis

29

What bug is associated w/cat caca?

Toxocara cati

30

What disease are caused by the Ixodes Tick?

Lyme disease -bull's eye lessions
Babesiosis - hemolytic anemia
Ehrlichiosis - puncture near eye

31

What bug causes hospital abscesses?

Day 1-3: Staph aureus - lots of O2
Day 4-7: Strep viridans: no enzymes
Day >7: Anaerobes - PMNs

32

What kind of patients does Staph and Pseudomonas like to attack?

DM
Cystic fibrosis pt
Burns pts
Neutropenic pts

33

What disease have granulomas?

TB
Sarcoidosis
Syphilis
Histiocytosis X
The -ellas

34

What disease provide malaria protection?

Sickle cell: AAs
G-6PD: Mediterraneans

35

What bug causes multiple liver abscesses?

Entamoeba histolytica

36

What bug causes multiple cerebral abscesses?

Citrobacter

37

What has multiple lung aneurysms?

Osler-Weber-Rendu

38

What bugs cause Loeffler syndrome?

"NASSA"
Necator americanus
Ancylostoma duodenale
Schistosomiasis
Strongyloides
Ascaris lumbricoides

39

What is the symptom of Loeffler syndrome?

Pulmonary eosinophilia

40

What is PIE syndrome?

Pulmonary Infiltrate w/ Eosinophilia

41

What disease have PIE syndrome?

Aspergillus, Loeffler's, Churg-Strauss

42

What disease does Coxsackie A cause?

Hand-foot-mooth disease

43

What disease does Coxsackie B cause?

Endocarditis, DM type 1

44

What bugs cause Meningitis?

0-2mo: "baby BEL"
Group B strep
E coli
Listeria

>2mo: Strep pneumo
10-21y/o: N. meningitidis

45

What are the CSF lab vales for Meningitis?

PMNs-> bacteria
T cells/MP->nonbacterial
Normal glucose -> viral

46

What does the Hep B Core Ag tell you?

Gone before pt has symptoms (2 mo)

47

What does the core Ab tell you?

Past infection

48

What does the surface Ag tell you?

Current infection

49

What does the surface Ab tell you?

Vaccination has occurred

50

What does the E Ag tell you?

Transmissibility/infectivity

51

What does the E Ab tell you?

Low transmissibility

52

What antibody shows past Hep A infection?

IgG

53

What antibody shows current Hep A infection?

IgM

54

What type of people does Hep E like to infect?

Pregnant women. Asians

55

What is associated with Staph aureus?

Cellulitis, dairy products, gold pigment, endocarditis, styes, hordeolum (on eyelid)

56

What is associated with Strep pyogenes?

"LINES", ASO, hyaluronic acid capsule

57

What is associated with Staph epidermidis?

Central lines, VP shunts, white pigment

58

What is associated w/ Propionibacterium?

Acne, Progesterone=> propionic acid

59

What is associated w/Pateurella?

Cat/dog saliva => cellulitus w/lymphadenitis

60

What is associated w/Staph saprophyticus?

Female UTIs, honeymooners cystitis

61

What is associated w/ Hemophilus aegyptus?

Swollen eyeball w/pus

62

What is associated w/Francisella tularensis?

Ulcers at rabbit or deer tick bite site (Tx: Streptomycin)

63

What is associated with Pseudomonas aeruginosa?

Otitis externa, ecthyma granulosum, loves rubber, whirlpool folliculitis, ADP ribosylates EF-2

64

What is associated w/Streptococcus pneumoniae?

Otitis media, red bulging tympanic membrane

65

What is associated w/ Fusobacterium?

Painful mouth ulcers, gum pus, Vincents angina

66

What is associated w/Strep mutans?

Dental Cavities

67

What is associated w/ Strep viridans?

Subacute bacterial endocarditis, green pigment

68

What is associated w/Strep salivarius?

Cold agglutinin test

69

What is associated w/Strep pyogenes?

Rheumatic fever, strain 12=>PSGN

70

What is associated w/ Group C Strep?

Pharyngitis

71

What is associated w/ Corynebacyerium diphtheriae?

Chinese letters, gray pseudomembrane, suffocation, ADP ribosylates EF2, heart block, Elek test

72

What is associated w/ Strep pneumonia?

Gram + diplococci, rusty sputum, IgA protease, vaccine covers 23 strains

73

What is associated w/ H influenza?

Gram - pleomorphic rod, Factors V/X, 5 C-ribose capsule, B-type:meningitis, epiglottitis, sepsis

74

What is associated w/ N Catarrhalis?

Loves mucus-> attacks respiratory tract

75

What is associated w/ Chlamydia psittaci?

Parakeets, parrots

76

What is associated with Chlamydia pneumonia?

Staccato coughing, elementary and reticulate bodies

77

What is associated with Mycoplasma pneumonia?

Bullous myringitis, ground glass CXR, P1 protein, erythema multiforme

78

What is associated w/ Legionella pneumonia?

AC ducts, silver stains lung, CYEA, pontiac fever, Legionnaire's pneumonia

79

What is associated with Pnuemocystis Jiroveciinia?

AIDS, premies, rusty sputum, silver stains lung, ^ LDH (Tx: steroids)

80

What is associated with Clostridium botulinum?

Canned food, honey, inhibits Ach release, resp failure, stool toxin (Tx: Penicillin)

81

What is associated with Clostridium tetani?

Rusty nail wounds, inhibits Gly release, resp failure, risus sardonicus, tennis, racquet shape

82

What is associated with Bordetella pertussis?

Whooping cough, ADP ribosylates Gi

83

What is associatedw/Bacillus antracis?

Black eschar, woolsorter's lung disease, D-Glu, boxcar-like spore (Tx: Ciprofloxacin)

84

What is associated with H pylori?

Duodenal ulcers

85

What is associated with Salmonella?

Raw chicken & eggs, tutles, rose typhoid spots, H2S, sickle cell osteomyelitis

86

What is associated w/ Campylobacter jejuni?

Raw chicken & eggs, very bloody diarrhea, inactivated by gastric juice, Guillain-Barre, seagull -shape

87

What is associated with clostridium perfringes?

Holiday ham & turkey, DM gas gangrene, soil/feces

88

What is associated w/ Bacillus cereus?

Fried rice, pre-formed toxin

89

What is associated with Listeria monocytogenes?

Raw cabbage, hot dogs, spoiled milk, migrant workers => heart block, meningitis, abortions

90

What is associated w/ Vibrio parahaemolyticus?

Raw fish

91

What is associated with Actinomyces?

Face fistulas, sulfur granules

92

What is associated w/ Vibrio vulnificus?

Raw oysters, cellulitis in swimmers cuts

93

What is associated with Shigella?

Day care outbreaks => seizures, destroys 60 S ribosome, infects M cells

94

What is associated with Vibrio Cholera?

Rice water diarrhea, ADP ribosylates Gs

95

What is associated w/ Clostridium difficile?

Explosive diarrhea= pseudomembranous colitis

96

What is associated with Yersinis enterolitica?

Presents like appendicitis + Reiter's, bloody diarrhea

97

What is associated w/ Strep bovis?

Colon cancer, black pigment

98

What is associated with Clostridium septicum?

colon cancer

99

What is associated with ETEC?

Traveler's=> rice-water diarrhea

100

What is associated with EHEC?

Hemmorrhagic=> renal failure

101

What is associated w/ EIEC?

Inflammatory=> loose stool

102

What is associated w/ EPEC?

Pathogenic=> newborn diarrhea

103

What is associated w/ E. coli?

Raw hamburger, ADP ribosylates Gs, verotoxin, HUS

104

What is associated w/ Proteus mirabilis?

Staghorn calculus, UTI (Tx: Norfloxacin)

105

What is associated w/Klebsiella pneumonia?

Alcoholics, currant jelly sputum, UTI lung fissure

106

What is associated w/ Staph saprophyticus?

Young & college girls UTIs

107

What is associated with N meningitides?

DIC, pili, releases toxin in log phase

108

What is associated with Brucella?

farmers/vet, spiking fever 5x/day, animal placentas

109

What is associated w/ R. rikettsii?

Ticks=> Rocky mountain spotted fever

110

What is associated w/ R. akari?

Mites=> fleshy papules

111

What is associated w/ R typhi?

Fleas, starts in armpit

112

What is associated w/ R. prowazekii?

Lice, starts on body

113

What is associated w/ R tsutsugamushi?

Mites=> scrub typhus

114

What is associated with Coxiella burnetti?

Dusty barn=> Qfever

115

What is associated w/ Yersinia pestis?

Rats, fleas=> bubonic plague

116

What is associated with Bartonella henselae?

Cat scratch => single painful lymph node, silver stains

117

What is associated w/ bacteroides fragilis?

Post-op bowel abscess, grows in blood clots

118

What is associated w/ Chlamydia trachomatis?

Neonatal inturned eyelashes/cornea ulcers

119

What is associated w/Neisseria gonorrhea?

Pili, urthritis, tenovitis, septic arthritis