Bacteriology Flashcards

1
Q

causative organism of cat scratch disease

A

bartonella spp
gram negative bacilli

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2
Q

causative organism of cellulitis/osteomyelitis caused by animal bite

A

pasteurella multocida

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3
Q

disease transmitted by aerosols of cattle/sheep or amniotic fluid

A

Q fever –> coxiella burnetii

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4
Q

causative organism of Q fever

A

coxiella burnetii

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5
Q

causative organism of rocky mountain spotted fever

A

ricketssia rickettsi

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6
Q

source of transmission for rocky mountain spotted fever

A

ricketssia ricketssi –> dog tick (dermacentor)

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7
Q

vector responsible for transmission of chagas disease

A

reduviid bug

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8
Q

tabes dorsalis from tertiary syphyllis occurs due to damage to what spinal tract

A

dorsal column

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9
Q

what type of pupil may be found in tertiary syphyllis

A

argyl robinson pupil

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10
Q

treatment in nocardia vs actinomyces

A

‘treatment is a SNAP’
sulphonamides (co trim) - nocardia
actinomyces - penicillin

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11
Q

difference in nocardia vs actinomyces presentations

A

nocardia causes pulmonary infections in immunocompromised patients, cutaneous infections after trauma which can spread to CNS = abscesses

actinomyces causes oral/facial abscesses that drain through sinus/tract, often associated with dental trauma. can also cause PID with IUD’s

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12
Q

what do langhans giant cells in TB represent

A

secondary infection

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13
Q

salmon coloured truncal rash (rose spots), initial constipation then diarrhoea, abdominal pain, bradycardia, fever, progression to GI haemorrhage and ulceration

A

typhoid fever (salmonella typhi)

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14
Q

what can cause false positive results on non-treponemal specific testing for syphillis

A

pregnancy
viral infections (e.g. EBV, hepatitis)
drugs (chlorpromazine, procanamide)
rheumatic fever
lupus (anti-cardiolipin Ab) nd leprosy

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15
Q

testing available for syphillis

A

serological tests;
non-treponema specific - VDRL, RPR
treponema specific - FTA-ABS, TP-PA

direct testing;
- darkfield microscopy
- PCR

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16
Q

after treating syphillis will antiodies still be present on serological testing

A

Non-treponema tests will become negative, treponema tests will remain positive

Ab wont be present on non-treponema tests i.e. VDRL and RPR
Ab will still be present on treponema specific tests i.e. FTA-ABS, TP-PA

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17
Q

presentation of rickettsia typhus

A

rash starts centrally then spreads outwards sparing the hands and feet (unlike rickettsia rickettsi - spotty mountain fever)

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18
Q

rickettsial organisms and vector for typhus

A

endemic - fleas, rickettsia typhi
epidemic- human body louse, rickettsia prowazekii

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19
Q

common cause of culture negative endocarditis

A

coxiella burnettis - Q fever

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20
Q

vector for Q fever

A

no vector

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21
Q

flu like symptoms, headache, cough, pneumonia, hepatitis

A

Q fever

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22
Q

comma or S shaped organism, grows at 42 degrees, causes diarrhoea

A

campylobacter

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23
Q

bloody diarrhoea, liver abscess

A

E. histolytica

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24
Q

day care outbreaks, pseduoappendicitis

A

Y enterocolitica

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25
Q

causative organism - painful genital ulcer may bleed and inguinal lymphadenopathy

A

chancroid - haemophillus ducreyi

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26
Q

causative organism - painless beefy red ulcer that bleeds readily on contact

A

granuloma inguinale = klebsiella

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27
Q

what UTI causing organism shows ‘swarming’ on agar due to motility

28
Q

plasmodium falciparum on blood smear

A

trophozoite ring within RBC and crescent shaped gametocytes

29
Q

what condition may bring about a false negative PPD result

A

PPD positive in past or current TB infection
PPD = no TB infection
or false negative in immunocompromised patients (esp low CD4 counts)

30
Q

virulence factor h. influenzae

A

virulent capsule

31
Q

virulence factor e. coli

A

type 3 secretion system, haemolysins and fimbrae

32
Q

during what stage of chlamydia cell cycle does it become infectious

A

extracellular elementary body

33
Q

gram positive spore forming anaerobe

34
Q

shigella invades immune system via what cells

A

microfold cells

35
Q

virulence factor for TB

A

activates macrophages and induces release of TNF alpha
major glycolipid in bacterial cell wall called cord factor

36
Q

virulence factor of h. influenza and strep pneumoniae

A

cleavage of IgA

37
Q

contracted from southwestern USA. Fever, night sweats, arthralgia, cough, erythema nodosum or multiforme

A

coccidiodomycosis immitis

38
Q

disease which causes migratory arthritis after GAB infection and mechanism of infection

A

rheumatic fever
antibody cross reactivity against foreign and host immune systems

39
Q

genomic structure of h. duceuyi

A

gram negative diplococcus

40
Q

fever, sore throat, cervical lymphadenopathy, grey/whitish plaque on pharynx which isnt scrappable

A

diptheria
cultured on loffler or tellurite medium

41
Q

how to exotoxin produced by diptheria cause symptoms

A

adenosine diphosphate ribosylation of elongation factor 2

42
Q

causative organism of infection from indwelling medical devices

A

staph epidermidis, enterococcus

43
Q

grows on bile esculin agar

A

enterococcus
(gram positive, catalase negative, group A strep, optochin negative)

44
Q

vaccine causes antibody production against polyribosylribitol and phosphate type b capsule

A

h. influenza

45
Q

most common causative organism of infective endocarditis in patients on dialysis and IVDU

A

staph aureus

46
Q

haemolysin virulence factor

A

staph aureus

47
Q

h. influenza virulence factor

A

virulent capsule + cleavage of IgA

48
Q

single stranded, negative sense, linear, non- segmented RNA

A

paramyxoviruses
(enveloped and helical)

49
Q

what part of the epithelium does HPV affect

A

stratum basale

50
Q

what virus is a risk factor for non-hodgkins lymphoma

A

hepatitic C

51
Q

latency in mononuclear cells

A

CMV pneumonitis
- histology shows large cells with internuclear inclusions ‘owl eyes’
- double stranded linear DNA virus

52
Q

activation of guanylate cyclase leading to increased intracellular cGMP

A

e.coli (travellers diarrhoea)

53
Q

production of leithinase causing cell membrane destruction

A

alpha toxin by clostridium perfringes

54
Q

genomic structure of the causative organism of cat scratch disease

A

bartonella spp.
gram negative bacilli

55
Q

gram negative baccilus responsible for infection after rat bite

A

streptobacillus moniliformis

56
Q

genomic structure of clostridium botulism

A

gram positive, spore forming anaerobic bacilli

57
Q

tennis racket appearance on microscopy

A

clostridium botulism
(gram positive, rods spore forming anaerobe)

58
Q

virulence factor of cryptococcus neoformans

A

polysacharide capsule formation

59
Q

causative organism of meningitis after exposure to pigeon droppings

A

cryptococcus neoformans

60
Q

corkscrew shaped spirochete

A

borrelia burgdorferi

61
Q

cyclical fevers and recent travel

A

plasmodium falciparum

62
Q

UTI negative for nitrite and grows on bile esculin agar

A

enterococcus

63
Q

toxin produced by what bacteria works by inactivating ribosomes

A

shigella and e.coli

64
Q

toxin produced by what bacteria acts by over stimulating adenylate cyclase

A

bordetella pertusis

65
Q

what is the infective form of toxoplasmosis gondii

A

tachyzoites (bradyzoites are non transmittable and represent chronic infection)