Bacterial Infection 1 Flashcards

Compare and contrast the immune parameters of tuberculoid leprosy and lepromatous leprosy. Diagnose an infection with Nocardia. Identify the epidemiology and pathogenesis of plague, anthrax, and tularemia.

1
Q

morphology of bacililus

A

gram + spore formiong bacilli

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2
Q

types of anthrax infection

A

cutaneous, GI, pulmonary

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3
Q

industry associated with most anthrax infections

A

textile

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4
Q

animals most often infected with anthrax

A

sheep, then cattle

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5
Q

most common type of human anthrax infection

A

cutaneous

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6
Q

decribe anthrax skin presentation

A

painless pruritic papule that vesiculates and ulcerates with draining of a blackish exudate

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7
Q

GI presentation of anthrax

A

n/v, and fever progrssing to hemorragic vomiting abdominal pain and shock

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8
Q

mortality of GI anthrax

A

50%

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9
Q

mortality of skin anthrax

A

20% untreated

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10
Q

mortality of inhaled anthrax

A

> 80%

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11
Q

name the plasmid encoding anthrax toxins

A

pXO1

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12
Q

3 anthrax toxins

A

protective antigen, edema factor, and lethal factor

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13
Q

A-B anthrax toxins

A

edema and lethal

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14
Q

forms the lethal toxin

A

protctive antigen and lethal factor

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15
Q

forms the edema toxin

A

protective antigen and edema factor

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16
Q

anthrax factor that is an adenylate cyclase

A

edema factor

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17
Q

activates edema factor

A

intracellular calmodulin and Ca++

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18
Q

MOA of lethal factorq

A

cleaves MAPKK inside macrophages. inhibits signal transduction leading to cell death

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19
Q

makeup of anthrax protien capsule

A

poly-D glutamic acid

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20
Q

plasmid encoding anthrax capsule

A

pXO2

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21
Q

regulates transcription of anthrax toxin and capsule

A

body temp and CO2

22
Q

DOC for anthrasx

A

penicillin/Cipro.doxy

23
Q

prevention of anthrax

A

vaccination of livestock, burying of unbroken cattle carcasses

24
Q

genus of plauge

25
morphology of yersinia
gram - rods, looking like safety pins
26
virulence factors for yersiniae
adhesin, Yop proteins, low calcium rtesponse V antigen, hemin storage factor
27
proteins injected into the host cell by yersiniae
Yop
28
MOA of Yop proteins
interfere with phagocytosis, detroying filaments and inhibiting platelet aggregation of eukaryotic cells
29
promotes Y pestis colonization in flea proventriculus
Hms
30
y pestis virulence factor that suppresses host immune response
LcrV
31
pandemic plague
urban
32
sporadic plague
sylvatic
33
resivoir for yersini pestis
rat
34
vector for plague
rat flea
35
way fleas transnit plague
vomiting infected blood from infected host into wound of new host
36
highest mortality plague
pnemonic
37
clinical types of plague
pnemonic and bubonic
38
culture mediums of plague
blood/maconcky agar
39
DOC for plague
streptomyocin
40
morpholoy of f tularensis
very small gm - coccobacillus
41
virulance factor in tularensis
capsule and endotoxin
42
resivoir of tuleramia
rabbits and small mammals
43
vector of tuleremia
ticks and deer flies
44
main range of tuleramia
arkansas/missouri
45
most virulent type of tuleramia
type A
46
number of tulerima bacteria that can make you sick if inhaled
10
47
pathogenesis of tulermia
infects organs rish with fixed tossue macrophages causing granulomas and necrosis
48
way tulermia survives macrophages
inhibits phagsome lysosome function
49
most common form of tuleramia
ulceroglandular
50
sx of ulceroglandular tulermia
local papule forms at site of inculation and becomes painful and ulcerative. Mat involve regional lymph nodes
51
media crowing tuleremia
cystein supplemented chocolate agar
52
DOC of tuleremia
streptomycin. possible gentamicin, fluroquinolones, and doxy