quiz 6 Flashcards

1
Q

how do we diagnose listeria

A

culture, gram stain

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2
Q

what diseases does listeria cause

A

meningitis in pregnant, granulomatous infantiseptica, spontaneous abortion. outbreaks are uncommon

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3
Q

how does leprosy infect

A

PGL-1 macros and peripheral nerves (schwann cells). respiratory route

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4
Q

what temperature does leprosy grow

A

colder than body.

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5
Q

what is the immune reaction in tuberculoid leprosyu

A

Th1. mainly T cell. this has the ability to spontaneously remit. there are only little bacteria found.

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6
Q

mycobacter cell wall

A

mycolic acid, peptidoglycan, waxy and impermeable to antibiotics.

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7
Q

is TB prevalent

A

yes 33% of the worlds population

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8
Q

how many people does the average infected person infect

A

20

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9
Q

is antibiotic resistance a problem with TB

A

yes

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10
Q

how long to culture TB and on what media

A

2-4 weeks on lowenstein-jensin media

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11
Q

parvovirus genome

A

ssDNA

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12
Q

what is the cellular receptor for parvovirus

A

blood antigen P. found mainly in the bone marrow. infects presursor

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13
Q

what family does rubella belong

A

togavirdae

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14
Q

what is the periodicity of parvovirus infection

A

there are outbreaks about every five years. although there are some infected every year.

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15
Q

how is parvovirus spread

A

blood transfusion, pregnancy, respiratory droplets.

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16
Q

do the paramyoviruses have segmented genomes

A

no. the orthomyxoviruses do

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17
Q

RSV occurs when

A

in the winter

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18
Q

what is RSV and what is it related to

A

paramyxovirus. related to metapneumovirus

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19
Q

where is the hypervariable region for RSV

A

in the G protein. this accounts for reinfection

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20
Q

what are some therapies for RSV

A

supportive, patent airway, nebulized ribaviron, palivizumab.

21
Q

rickettsia

A

intracellular pathogen. small genome. gram negative.

22
Q

how are rickettsia spread

A

through arthropod vectors. maintained in the environment by animals

23
Q

what does rickettsia infect

A

endothelial cells

24
Q

what is the hallmark of scabies

A

interdigitary burrows

25
what is the treatment for bartonella henselae cat scratch fever
self limiting
26
how is scabies transmitted
by transfer of eggs, larvae or mites to the host skin
27
what is scabies
it is a mite that burrows in the skin sercopti scabieai
28
is scabies common
one of the three most common skin infections of children
29
what is the best way to diagnose salmonella typhi
culture of the bone marrow
30
what is used for the treatment of salmonella typhi
cetriaxone, azithromycin. vaccination!
31
does schistosomiasis form granuloma
yes. around eggs
32
what immune response is responsible for the granulomas of schistosomiasis. how do they heal
eosinophilic, INF and TNF responses. typically with fibrosis
33
what are the clinical features of schistosomiasis
skin itch after water, katayama syndrome with dry cough and changes on chest x, nonspecific malaise and tiredness, blood in urine
34
characteristics of s pneumo
bullet shaped, capsule, optochin sensitive, alpha hemolytic, resistant to penicillin. does not produce coagulase.
35
what is the most important virulence factor of s penumo
caspule
36
discuss the capsule of s penumo
antigenically diverse, anti-phagocytic, immunogenic in children over 2yrs of age.
37
techoic acid
present in all gram + cell walls.
38
lipotechoic acid
also present in all gram + cell walls
39
DOC for strep throat, why treat
penicillin. to avoid rheumatic fever
40
what are people with rheumatic fever required to do
prophylax antibiotic
41
is toxoplasmosis gondii intracellular
yes.
42
what is the definitive host for toxo
cat
43
rapidly dividing toxo
tachyzoite this is the extracellular stage
44
how do we acquire infection
through ingestion of occyst in soil. water ingestion as well.
45
how can we prevent the transmission of toxo
through heating and freeze-thawing meats.
46
how is trapanosome transmitted
tsetse fly
47
how to prevent trapanosome
coregated roofs instead of thatched, limits triemtorine bug population. insectacide treated traps for tsetse flies. screening blood products
48
what is the treatment for aspergillus
amphotericin B and vorcionazole