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Flashcards in Other Gram Negative Rods Deck (56):
0

False about Vibrio cholerae
A.Comma shaped, curved rod
B. Single flagellum & motile
C. Facultative anaerobes
D. Oxidase negative

D. Oxidase negative

Positive dapat

1

False about Vibrio cholerae
A.Tolerate alkaline media
B.Sensitive to acid
C.Maybe halophilic
D. None of those mentioned

D.

2

False about antigenic structure of Vibrio cholerae
A.Single heat stabile H antigen (in several Vibrio)
B.O lipopolysaccharide Found in V.cholerae
C. O LPS Used for serologic specificity

A.Single heat stabile H antigen (in several Vibrio)

Labile dapat

3

Differentiate serotype from biotype

Serotype-classified based on cell surface antigen

Biotype-Classified based on physical and/or biochemical properties

4

Two biotypes of Vibrio cholerae O1 antigen

Classical and El Tor

5

Adherence factors of Vibrio cholerae

hemagglutinin, toxin-coregulated pili)

6

Motility, Mucinolytic enzymes, Cholera exotoxin, Neuraminidase, Proteases

Which is not a virulence factor of V.cholera?

Cholera exotoxin.

Enterotoxin dapat

7

False about Cholera enterotoxin
A.Heat labile (same as LT of ETEC)
B.Composed of subunit A and B
C. Subunit A catalyzes ADP-ribosylation regulator complex
D. Increase in cAMP prolonged hypersecretion of water and electrolytes
E. Stimulates absorption of Na+ and Cl-

E. Stimulates absorption of Na+ and Cl-

Inhibits dapat

8

Which is not true about V.cholera O139?
A.Derived from the pandemic El Tor biotype
B.Lost the characteristic O1 somatic antigen
C.Produces a polysaccharide capsule and a different cholera enterotoxin D.Retained the epidemic potential of O1 strain

C.Produces a polysaccharide capsule and a different cholera enterotoxin

Same enterotoxin pa rin

9

V.cholera onset of symptoms

2-3 days

10

V.cholera mode of transmission

ingestion of contaminated food and water

11

Fill in the blanks(V.cholera clinical manifestations):

Watery diarrhea (___ stools)
Vomiting
Loss of 15-20 liters of fluid/day Dehydration and shock
___ hands
Fluid and electrolyte imbalance

Rice water
Washer woman's

12

True or false: In lab diagnosis of Vibrio cholera, Gram stain is done on stool specimen

False. From plate dapat

13

In lab diagnosis of Vibrio cholera, what kind of smear is done?

dark filed microscopy/phase contrast

14

What specific media is used for Vibrio cholerae?

Thiosulfate Bile Salt Agar

15

Which is false in TCBS Culture?
A. Alkaline peptone water must be applied for 8 hours after culture
B. Should be held for 48 hours before reporting as negative for V. cholerae
C. Both are false

A. Alkaline peptone water must be applied for 8 hours after culture

prior to culture dapat

16

color of colonies on TCBS
___for V. cholerae
__ for V. parahemolyticus

Yellow
Green

17

Vibrio species causing Septicemia, wound infection

V.vulnificus

18

False about Tetracycline
a. Interferes with nucleic acid synthesis
b. Shortens the period of excretion of Vibrio
C. Reduces stool output in cholera
D. Must be given for 3 days to patients with cholera

a. Interferes with nucleic acid synthesis

Protein dapat

19

True or false: Vaccine can be used to prevent cholera

True (oral cholera vaccine)

20

False about Campylobacter jejuni
A. comma, S or ‘gull wing’ shapes
B. Motile with 1 flagellum
C. Aerobic, non-fermenting
D. oxidase positive

C. Aerobic, non-fermenting

Microaerophilic dapat

21

Which is false about C.jejuni?
A.has LPS with endocytic activity
B.parasites in GIT of meat and poultry
C.mode of transmission: ingestion of contaminated food and water

B.parasites in GIT of meat and poultry

Commensals dapat

22

False about Pathology of C.jejuni
A.Multiply in large intestines, invade the epithelium producing inflammation
B.Acute exudative and hemorrhagic inflammation
C.Increase in WBC or pus cells in fecalysis
D.Can invade the bloodstream
E.Heat-labile toxin may cause diarrhea

A.Multiply in large intestines, invade the epithelium producing inflammation

Small dapat

23

For C.jejuni
A.Onset of symptoms: 2-4 days B.Incubation period: 1-4 days C.Symptoms last for 2-4 days

Which is false?

C. 7-10 dapat

24

Which is not a possible complication of C.jejuni infection?
(1) Reactive arthritis
(2) Hemolytic uremic syndrome
(3) Meningitis
(4) Recurrent colitis
(5) Chronic cholecystitis

(5) Chronic cholecystitis

Acute dapat :)

25

Complication of C.jejuni infection involving progressive and ascending paralysis of muscle groups

Guillain-Barre syndrome

26

In lab diagnosis of C.jejuni, which is not done?
A. Gram stain
B. Culture on TCBS
C. Dark field microscopy

B. Culture on TCBS

Skirrow's or Campy blood agar dapat

27

Campy blood agar has the same mechanism as ___ in V.cholera

Alkaline peptone water

28

False about H.pylori
A.Found in esophagus + the mucus gel that coats the stomach epithelium
B.secreted in the poop
C.may be part of normal flora
D.Grows at pH 6.0 – 7.0

B

29

(1) Spiral shaped, gram (-) rods
(2) Motile
(3) Urease (-)

Which is not true about H.pylori?

(3)
Dapat urease positive

30

What does H.pylori produce to neutralize stomach acidity?

NH2

31

Protease is one of H.pylori's virulence factors. What does it do?

modifies gastric mucosa and reduce acidity

32

Two substances that attract H.pylori to gastric mucosa

Hemin and urea

33

False about Culture of gastric biopsy tissue for H.pylori
A.Chocolate agar or TCBS agar
B. Oxidase (+), catalase (+), urease (+)
C. Both are false

A.Chocolate agar or TCBS agar

Skirrow, not TCBS

34

False about treating H.pylori
(1) Bismuth salt + 2 antibiotics
(2) Proton pump stimulator
(3)both are false

(2) Proton pump stimulator

Inhibitor dapat

35

False about Pseudomonas
A. Anaerobic bacilli
B.Motility is by single, polar flagellum
C. more than 140 species are Mostly saprophytic

A. Anaerobic bacilli

Aerobic dapat

36

False about growth requirements of Pseudomonas aeruginosa
(1) Non-fermentative aerobe
(2) Grown on media supplying only acetate for carbon and ammonium sulfate for nitrogen
(3) use sulfate as electron acceptor
(4) Grows best at 25 to 37⁰C, but may survive at lower or higher
(5) Resists high concentrations of salt, dyes, weak antiseptics, and many commonly used antibiotics

(3) use sulfate as electron acceptor

Nitrate dapat

37

Pseudomonas modes of transmissions: which is not part?
(1) Patient to patient on the hands of hospital personnel
(2) Direct patient contact with contaminated reservoirs
(3)Ingestion of contaminated food & water
(4)sexual contact

(4)sexual contact

38

False about P.aeruginosa
A.Pathogenic in areas devoid of normal defenses
B.non-invasive
C.toxigenic

B
Invasive siya

39

What is alginate (in P.aeruginosa)?

exopolysaccharide that produces biofilm

40

Alginate is seen in __ fibrosis

Cystic

41

Toxin A of Pseudomonas is similar to ___ toxin

Diptheria

42

Color of pus in burn infections caused by P.aeruginosa

Blue green

43

False about P.aeruginosa lab diagnosis
a. Isolate on BAP or TCBS
b. Fruity (sweet, grape-like) odor and can grow at 42degrees Celsius
c. Forms smooth round colonies with fluorescent green color
d. Positive at lactose fermentation and oxidase

A
Eosin-methythionine blue agar dapat

44

Which is false?
A. Pyocyanin is produced by all Pseudomonas species
B. Pyoverdin is produced by P. aeruginosa
C. None of the above

A. Pyocyanin is produced by all Pseudomonas species

Not all

45

Which is not an effective antibiotic against P.aeruginosa?
A.Aztreonam
B. Imipenem
C. Penicillin
D. Ceftazidime
E. Cefeperazone

C
Ciprofloxacin dapat

46

False about Gardnerella vaginalis
(1) Small and pleomorphic
(2)gram-variable rod
(3)obligate anaerobe

(3)obligate anaerobe

Facultative dapat

47

Identify: A condition in women where normal balance of bacteria in the vagina is disrupted & replaced by an overgrowth of certain bacteria

Bacterial vaginosis

48

False about bacterial vaginosis
A.Foul or “fishy” vaginal odor
B.increased amount of gray-white milky discharge
C.Accompanied by pain, itching or burning
D.caused only by Gardnerella vaginalis

D
Polymicrobic infection siya

49

Which is not a direct condition for growth?
(1) Presence of Lactobacilli
(2) Change in pH of vaginal fluid
(3) Decreased acidity

(1)
Absence of Lactobacilli dapat

50

Which is not a direct risk factor for bacterial vaginosis?
(1) Changing sex partners
(2) Douching
(3) Intrauterine device for contraception
(4) none of the above

(4) none of the above

51

Identify the test used to detect bacterial vaginosis
a. sample + potassium hydroxide solution
b. positive result: release of amines, producing fishy odor

Amine/Whiff Test

52

True or false: When a more mixed flora is present and Lactobacillus is absent or present in low numbers, the smear would be diagnosed as consistent with bacterial vaginosis.

True

53

a. homogenous vaginal discharge
b. vaginal pH > 4.5
c.presence of clue cells (>20% of all epithelial cells)
d. fishy odor after addition of KOH to vaginal secretions

The aforementioned are collectively called __

Amsel criteria

54

True or false:"When the examination fits into the Amsel criteria, you need not culture”

True

55

What are clue cells?

epithelial cells heavily coated with bacteria so that the peripheral borders are obscured