tb_sunday Flashcards
(85 cards)
partially acid fast organisms that might give a false+ auramine stain
rhodococcus, nocardia, legionella, crypto cysts, isosproa, cyclospora, microsporidia
number of fields that must be read on ZN smear
300
Mycobacti organisms that show cording?
M. tb & M. kansasii
Name organism that is a scotochromogen at 37C but photochromogen at 25C?
M. szulgai
Describe handling of gastric specimens?
process in 4h, or add 100mg sodium carbonate to neutralize acidity
List unsat specimens
pooled sputum or urine, nonsterile containers, waxy containers or dry swabs
Reagents used for digestion of normal flora?
NALC, NaOH
Mucolytic agent
N-acetyl-L-cysteine, digests sputum and allows NaOH to be used a lower concentration
Decontaminating agent
4% NaOH
Purpose of sodium citrate
binds heavy metals present in specimens to inactivate acetylcysteine.
Decontaminating agent for Pseudomonas
%5 oxalic acid
Holding time for LJ slants?
37^C, 6-8w
Mycobacteria characteristics
not readily gram-stained, nonmotile rods, high lipid content, hydrophobic surface
Differentiate M. tb from M. bovis
M.bovis: susceptible to T2H & niacin -, pza-, nitrate-
NTMS?
photo, scoto, nonphoto, rapid growers
Genera containing mycolic acid
Corynebacterium, Gordona, Mycobacterium, Nocardia, Rhodococcus, Tsukamurella
acid-fastness describes which characteristic?
waxy envelope and presence of mycolic acid (lipid)
Culture used for M. leprae
none. Alright, armadillos and can be injected into footpads of mice.
Saprophytic mycobacterium
M. gordonae, M. pheli, smegmatis
Media growth for semi-quantitative catalase test?
LJ
mycobacti distinguised by salt tolerance?
rapid growers, fortuitum, chelonae, flavescens++, trivale
media growth for niacin and nitrate test and age requirement of culture.
LJ nitrate : 3-5 wLj niacin: 18-28 day growth
MTB organisms
tb, bovis, africanum, microti, canetti
HPLC IDs mycobacti based on which characteristic?
mycolic acids in cell wall