RSL - Micro (bacteria)

Question 1

Allergic Bronchopulmonary Aspergillosis

Answer 1

Associated with Asthma and Cystic Fibrosis; may cause Bronchiectasis and Eosinophilia. Wheezing, fever, migratory pulmonary infiltrates

Question 2

Disseminated Gonorrheal infection Triad:

Answer 2

Triad: Arthritis, Dermatitis, Tenosynovitis

Question 3

Posterior auricular lymphadenopathy

Answer 3

Rubella (Rash starting on head) - Togavirus

Question 4

PCV vaccine

Answer 4

Pneumococcal (conj.)

Question 5

PPSV vaccine

Answer 5

Pneumococcal (unconj)

Question 6

Protein A virulence factor

Answer 6

S. aureus, binds IgG and prevents opsonization

Question 7

E. coli: LT

Answer 7

AC –> Cl- secretion

Question 8

E. coli: ST

Answer 8

GC –| NaCl reabsorption

Question 9

B. pertussus: Pertussis toxin

Answer 9

–|Gi–>AC –> impaired phagocytosis. Child coughs on expiration and whoops on inspiration

Question 10

Lecinithase

Answer 10

C. perfringens; degrades cell membranes

Question 11

Lysogenic phage toxins

Answer 11

ABCDE;

Shiga-toxin, Botulinum toxin, Cholera toxin, Diptheriatoxin, erythrogenic toxin

Question 12

Novobiocin sensitive

Answer 12

S. epidermidis

Question 13

Novobiocin resistant

Answer 13

S. saprophyticus

Question 14

S. viridans

Answer 14

alpha hemolysis

Question 15

S. agalactacia

Answer 15

Group B strep

Question 16

CAMP factor

Answer 16

(S. agalactacia) Increases area of hemolysis of S. aureus

Question 17

Hippurate test positive

Answer 17

S. agalactacia

Question 18

Endocarditis of normal valve

Answer 18

S. aureus

Question 19

Endocarditis of damaged valve

Answer 19

S. viridans (mutans, sanguis)

Question 20

Endocarditis after GI/GU procedure

Answer 20

enterococcus

Question 21

Endocarditis in Colon cancer

Answer 21

S. bovis

Question 22

Metachromatic granules

Answer 22

Corynebacterium diptheria

Question 23

Elek test (+)

Answer 23

Diptheriae toxin

Question 24

Capsule composition

Answer 24

polysaccharide

Question 25

Polypeptide capsule

Answer 25

B. anthrax

Question 26

Hemorrhagic mediastinitis: widened mediastinum

Answer 26

Pulmonary anthrax

Question 27

Oral/facial absesses with sulfur granules

Answer 27

actinomyces

Question 28

Actinomyces treatment

Answer 28

Penicillin

Question 29

nocardia treatment

Answer 29

sulfonamides

Question 30

only gram +ve bacteria to make endotoxin

Answer 30

Listeria

Question 31

Cord factor

Answer 31

inhibits macrophage maturation, induces release of TNF-alpha. induces serpentine growth

Question 32

Tuberculoid

Answer 32

TH1 intact (minimal disease)

Question 33

Lepromatous

Answer 33

Th1 non-intact (massive disease process)

Question 34

Bacterial hyponatremia:

Answer 34

Legionella (no person to person spread)

Question 35

Anemia, thrombocytopenia, renal failure (acute)

Answer 35

HUS

Question 36

Current jelly sputum

Answer 36

Klebsiella

Question 37

Salmonella vs shigella: | Flagella, infectious dose, Antibiotic/excretion, immune response,

Answer 37

Yes/No, High/low, Prolongs/shortens, Monocytes/neutrophils

Question 38

pseudo-appendicitis

Answer 38

yersinia

Question 39

Catalase, oxidase, urease positive

Answer 39

H. pylori

Question 40

Weil disease;

Answer 40

severe leptospirosis; | - jaundice, azotemia, (liver and kidney dysfunction), fever, hemorrhage, anemia

Question 41

Leptospirosis: symptoms

Answer 41

Conjunctival suffusion, myalgias

Question 42

Charcot joint

Answer 42

Can't feel pain --> abuse of joint

Question 43

Rhagades

Answer 43

Linear ulcers at angle of mouth found in congenital syphillis

Question 44

Cattle and sheep amniotic fluid

Answer 44

Q fever (coxiella burnetti)

Question 45

Rash starting at wrists and ankles, spreading to trunk, palms, soles

Answer 45

Rocky mountain spotted fever

Question 46

Typhus rash

Answer 46

Starts centrally and spreads outward (sparing palms and soles)

Question 47

Erhlichiosis vs anaplasmosis

Answer 47

Monocytes vs granulocytes

Question 48

Culture negative endocarditis

Answer 48

coxiella burnetti

Question 49

elementary body

Answer 49

enters cell

Question 50

reticulate body

Answer 50

replicates

Question 51

Types ABC chlamydia trachomatois

Answer 51

Blindness due to follicular conjunctivitis in africa

Question 52

Types DK

Answer 52

everything else (urethritis, PID, neonatal pneumonia, conjunctivitis)

Question 53

Types L1,L2,L3

Answer 53

Lymphogranuloma venereum - small painless ulcers on genitals. Inguinal lymph nodes ulcerate (buboes)