Niesseria bact Flashcards

1
Q

regarding GONOCOCCI

the most important viurlence factor is
and it’s function

A

Pilli
mediate attachment to mucosal cells and antiphagocytic.

Non-piliated strains are avirulent.

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2
Q

IgA1 protease function \;

A

hydrolyzes secretory IgA1 and allows
attachment of the organism to the mucosa

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3
Q

Lipooligosaccharides located in… and it’s function is

A

cell wall
and are responsible for the endotoxic effects occurring in gonococcal infections.

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4
Q

Opa proteins are present in …and plays role in..

A

outer membrane protein.
and attachment of
gonococci to host cells.

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5
Q

in gonococci

Por function

A

prevent phagosome-lysosome fusion

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6
Q

where does the gonnococci attack

A

mucous membranes of the genitourinary tract,

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7
Q

regarding Female gonorrhoea:

will cause

A

cervicitis and urethritis with mucopurulent discharge.

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8
Q

regarding Female gonorrhoea:

the gonorrhoea will extend in utrine tubes and cause

A

salpingitis and pelvic inflammatory disease (PID); leading
to fibrosis of the tubes,

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9
Q

fibrosis of the tubes, will cause

A

ectopic pregnancy and infertility in 20% of cases.

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10
Q

Male gonorrhoea will cause

A

acute anterior urethritis with purulent urethral discharge
and dysuria.

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11
Q

if the male gonorrhoea became chornic will cause

A

scanty discharge (morning drop).
complicated by urethral stricture, prostatitis and epididymitis.

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12
Q

in young girl gonorrhoea will cause

A

Vulvo-vaginitis

their vigana columnar epithelum

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13
Q

In both sexes, blood invasion may occur, though rarely, leading to

A

disseminated gonococcal infections (DGI)manifesting as

septic arthritis, tenosynovitis, skin
pustules and rarely endocarditis.

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14
Q

Repeated gonococcal infections are common due to:

A

-Antigenic variation in the pili and outer membrane proteins.
-Superficial nature of infection so IgG has little protective action.
-Secretory IgA1 is destroyed by IgA1 protease

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15
Q

why Direct smears stained by gram are usually difficult

A

presence of organism in small number and mixed with normal flora.

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16
Q

why blood cultures may need in dignosis

A

DGI. and Other sexually transmitted diseases
eg:

syphilis, non-gonoccocal urethritis caused by
Chlamydia trachomatis and HIV can coexist with gonorrhoea

17
Q

the treatment of gonohrrea is

A

intramuscular dose of ceftriaxone

recommended for partners

18
Q

The prevention of gonorrhoea involves

A

the use of condoms

19
Q

Neonatal ophthalmia is prevented by:

A

erythromycin or
tetracycline eye drops or eye ointment immediately after birth.

20
Q

the orgnaism that produce menigitits epidemic is

A

meningococci

21
Q

the most iportant virulence factor in meningococci ?

A

Capsular polysaccharide antigens.
divide the bacateria into 13 serogroups

22
Q

the most important serogroups of meningococci capsule

A

A.B.C.Y.W

23
Q

what serogroups that cuase epidemics ?

A

Group A and B

24
Q

Properties of the polvsaccharide capsule are:

A

enhances virulence by its antiphagocytic action.
antigen that defines the serologic groups.
-protective antibodies.

25
Q

the most severe form of meiningococcaemia

A

Waterhouse-Friderichsen syndrome,

26
Q

why in (meningococcaemia) the CSF is under tension

A

due to large number of pus cells;