2S [LAB]: BAT Flashcards

1
Q

A serologic test for the presumptive diagnosis of enteric or typhoid fever caused by the Gram-negative bacilli S. typhi

A

Widal test

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2
Q

Principle used in Bacterial agglutination test

A

Direct agglutination

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3
Q

Bacterial agglutination test uses what reagent?

A

Dye-treated suspensions of bacteria

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4
Q

Antibody produced by S. typhi exposure that appears before H abs, and is more significant of active infection

A

O Abs

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5
Q

Antibody produced by S. typhi exposure that is valuable late in the course of disease where O abs may have disappeared

A

H Abs

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6
Q

For the early phase of infection, which sample is preferred in Widal Test?

A

Blood

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7
Q

The diagnostic antibodies used in Widal test

A

O and H ags

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8
Q

Antigen in S. typhi that is heat-stable

A

O Ag

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9
Q

Antigen in S. typhi that is heat-labile

A

H Ag

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10
Q

Specimens submitted by the patient for the Widal test

A

Paired sera (acute phase, 2 weeks after)

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11
Q

Significant titer for the Widal Test

A

1:80 (0.02 mL)

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12
Q

What grading of agglutination is considered significant and positive in the Widal Test?

A

2+ (50% of the organisms are agglutinated)

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13
Q

If high titers are observed on all antigens, this is interpreted as ___

A

Mixed infections

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14
Q

A non-specific test for the detection of rickettsial fever

A

Weil-Felix test

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15
Q

Antigen used in Weil-Felix Test

A

Proteus OX species strains

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16
Q

One of the most common zoonoes that affect farmers, veterinarians, and slaughterhouse workers

17
Q

A Rickettsia species are transmitted to human by arthropod except ___

A

R. prowazekii

18
Q

If the Weil-Felix Test yields the following results:

OX-2: +
OX-19: +
OX-K: -

Interpret which possible Proteus species is involved

A

P. vulgaris

19
Q

If the Weil-Felix Test yields the following results:

OX-2: -
OX-19: -
OX-K: +

Interpret which possible Proteus species is involved

A

P. mirabilis

20
Q

Significant titer in Weil-Felix test

A

1:160 (0.01 mL)

21
Q

Significant titer in Brucella test

A

1:80 (0.02 mL)

22
Q

OX-K strain of Proteus is the ___ strain

A

Kingsbury strain

23
Q

The antibodies against Brucella antigens are cross-reactive with ___ agglutinins

24
Q

A high titer of Proteus OX-K suggests what rickettsial infection?

A

Scrub or Tsutsugamushi fever

25
Q

Brill’s disease, murine typhus, epidemic typhus, and Rocky Mountain Spotted Fever (RMSF) will yield what results in Weil-Felix test?

A

High titer of OX-19
Weak reaction on OX-2

26
Q

Brucellosis is also known as ___

A

Malta fever

27
Q

Give the causative agent:

Rocky mountain spotted fever

A

R. ricketsii

28
Q

Give the causative agent:

Murine typhus

A

R. mooseri

29
Q

Give the causative agent:

Epidemic typhus

A

R. prowazekii

30
Q

Give the causative agent:

Brill’s disease

A

R. prowazekii

31
Q

Give the causative agent:

Scrub typhus

A

R. tsutsugamushi