PSEUDOMONADS, ACITENOBACTERS, UNCOMMON GRAM-NEGATIVE BACTERIA Flashcards

1
Q
  1. The green-to-yellow color change on Burkholderia colonies on
    the OFPBL agar is primarily because ~ *
    a) alkaline pH caused by the breakdown of pyruvate
    b) acidic pH caused by the utilization of lactose
    c) alkaline pH caused by the utilization of lactose
    d) acidic pH caused by the breakdown of pyruvate
A

Answer: b. acidic pH caused by the utilization of lactose
Burkholderia cepacia complex colonies on (left) OFPBL agar,
which color change green to yellow because of the acidic pH
caused by utilization of lactose, and on (right) Pseudomonas
cepacia (PC) agar, which color change yellow to pink because of
the alkaline pH caused by the breakdown of pyruvate.

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2
Q
  1. This medium is used to isolate B. pseudomallei when
    melioidosis is suspected
    a) Ashdown medium
    b) OFPBL agar
    c) Burkholderia cepacia agar
    d) Pseudomonas cepacia agar
A

Answer: a. Ashdown medium
Ashdown medium is used to isolate B. pseudomallei when
melioidosis is suspected and may take up to 96 hours for growth to
appear

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3
Q
  1. Identification scheme for Pseudomonas aeruginosa involves the following, EXCEPT:
    a) Oxidase-positive
    b) Triple sugar iron slant with an alkaline/no change
    reaction
    c) Production of pyocyanin, pyoverdin, pyrorubin or
    pyomelanin pigments
    d) Oxidase-negative
A

Answer: d. Oxidase-negative
Pseudomonas aeruginosa
-a convenient and reliable identification scheme for P. aeruginosa
involves the following:
Oxidase-positive
Triple sugar iron slant with an alkaline/no change (K/NC)
reaction
Production of bright bluish (pyocyanin), green
(pyoverdin), red (pyrorubrin), or brown (pyomelanin)
diffusible pigment on Mueller-Hinton agar or trypticase
soy agar

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4
Q
  1. A non-fermentative organism is isolated from a 48-hour culture plate. You suspect this to be ~ *
    a) Burkholderia mallei
    b) Burkholderia cepacia
    c) Pseudomonas aeruginosa
    d) Pseudomonas putida
A

Answer: b. Burkholderia cepacia
B. cepacia should be suspected whenever a non-fermentative
organism that decarboxylates lysine is encountered.
- detectable growth on 5% sheep blood agar and chocolate agars,
incubated at 35 ° C in carbon dioxide or ambient air, generally
occurs 24 to 48 hours after inoculation
- growth on MacConkey agar incubated in ambient air at 35 ° C
occurs 24 to 48 hours after inoculation

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5
Q
  1. Pseudomonas putida can be distinguished from P. flourescens by ~ *
    a) their ability to liquefy gelatin
    b) their ability to oxidize xylose
    c) their inability to liquefy gelatin
    d) their inability to oxidize xylose
A

Answer: c. their inability to liquefy gelatin
P. putida - can be distinguished from P. flourescens by their
inability to liquefy gelatin

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6
Q
  1. These microorganisms appear as gram-positive because they
    resist alcohol decolorization.
    a) Acinetobacter
    b) Burkholderia
    c) Stenotrophomonas
    d) Pseudomonas
A

Answer: a. Acinetobacter
In gram staining, Acinetobacter species – plump coccobacilli that tend to resist alcohol decolorization, thus appearing as gram-positive

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7
Q
  1. The following correctly describe the Acinetobacter spp. *
    a) Lactose fermenter on blood agar
    b) Non-lactose fermenter on MacConkey agar
    c) Produces lavender to light purple pigment
    d) Some genospecies are beta-hemolytic
    e) growth on 5% sheep blood agar when incubated at 5
    degC
A

Answer: b. Non-lactose fermenter on MacConkey agar

Acinetobacter species are non-lactose fermenter on blood agar;
non-lactose fermenter on Mac but colonies exhibit a purplish hue
that may cause the organism to be mistaken for Lactose
Fermenter; some genospecies are beta-hemolytic

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8
Q
  1. This species can produce biochemical profiles similar to those of
    Burkholderia cepacia *
    a) Steotrophomonas maltophilia
    b) Psedomonas aeruginosa
    c) Acenitobacter
    d) E. coli1:25,999
A

Answer: a. Steotrophomonas maltophilia
Steotrophomonas maltophilia - oxidase-negative, non-fermentative
gram-negative bacillus that can produce biochemical profiles
similar to those of Burkholderia cepacia

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9
Q

Pseudomonas and Nonfermenting and Misc. Gram-negative bacilli

A

may or may not grow on MacConkey
don’t ferment sugars
some oxidize saccharolytic sugars
oxidase positive
TSI slants K/K (nonfermenters)
use O/F media

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10
Q

Nonfermenting means it doesn’t ferment _______

A

glucose

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11
Q

Pseudomonas and Nonfermenting (source)

A

found in environment (soil, water, plants)
lots of nosocomial infections
prefer moist environments (nebulizers, catheters, etc.)
rarely part of normal flora

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12
Q

Pseudomonas and Nonfermenting (treatments)

A

can withstand chlorohexidine and ammonium cleaning products
resistant to multiple antibiotics

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13
Q

Pseudomonas and Nonfermenting (clinical infections)

A

usually in hospitalized patients
septicemia
meningitis
osteomyelitis
wound infections

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14
Q

Three clinically important bacteria of group

A

Pseudomonas aeruginosa
Acinetobacter species
Stenotrophomonas maltophilia

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15
Q

fluorescent group
grape-like odor, blue-green hue, beta-hemolytic
oxidase + and catalase +
oxidizes carbohydrates

A

Pseudomonas aeruginosa

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16
Q

Pseudomonas aeruginosa (virulence factors)

A

Endotoxin in LPS, exotoxins (Exotoxin A)
motile, pili, capsule
proteases, hemolysin, lecithinase, elastase, DNase, alginate

17
Q

Exotoxin A

A

similar to diphtheria toxin - blocks proteins synthesis

18
Q

Pseudomonas aeruginosa (clinical infections)

A

wound infections and burns
pulmonary infections, pneumonia (CF patients)
nosocomial UTI’s and bacteremia
endocarditis, Keratitis
Hot tub syndrome

19
Q

Pseudomonas aeruginosa (general characteristics)

A

beta-hemolytic on SBA
produces pyoverdin (fluorescence) and pyocyanin (green hue)
Arginine dihydrolase (ADH) +, citrate +
grows at 42C
acetamide utilization
very drug resistant

20
Q

Drugs to use on Pseudomonas aeruginosa

A

aminoglycosides work best; drug combo for severe infections

21
Q

P. fluorescens and P. putida

A

part of fluorescent group (pyoverdin); low virulence (UTI’s, wounds); doesn’t grow at 42C

22
Q

P. stutzeri, P. mendocina, P. pseudoalcaligenes, P. alcaligenes, P. luteola, P. oryzihabitans

)

A

Nonfluorescent group (Pseudomonas

23
Q

P. stutzeri

A

wrinkled colonies, light yellow or brown
arginine dihydrolase (ADH) -, starch hydrolysis +