Bacteriology - Miscellaneous Bacteria by Kurt Asperas Flashcards

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1
Q

Zoonoses (4) - Bugs From Your Pets

A

Brucella abortus, Francisella tularensis, Yersinia pestis, Pasteurella multocida

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2
Q

Undulating fever is caused by

A

Brucella abortus

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3
Q

Source of Brucella

A

Unpasteurized dairy products (Unpas=Undulating fever)

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4
Q

DOC for brucellosis (undulating fever)

A

Doxycycline + rifampin

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5
Q

Tularemia is caused by

A

Franciscella tularensis

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6
Q

DOC for tularemia

A

streptomycin or gentamicin

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7
Q

Transmission of tularemia

A

TICKS (Dermacentor - same with erlichosis), Aerosols, Contact, Ingestions

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8
Q

Most virulent bacteria

A

Yersinia pestis

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9
Q

small, gram negative rods with bipolar staining (safety pin) - 2 answers

A

Yersinia pestis and Pasteurella multocida

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10
Q

Yersinia pestis causes

A

plague - bubonic, pneumonic, and septicemic

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11
Q

Transmission of yersinia

A

Flea bite/inhalation

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12
Q

Buttery colonies with musty odor due to indole production

A

pasteurella multocida

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13
Q

Reservoir of yersinia

A

wild rodents

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14
Q

resorvoir of pasteurella

A

cats and dogs

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15
Q

transmission of pasteurella

A

animal bites

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16
Q

DOC for pasteurella

A

Pen G

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17
Q

reservoir of francisella

A

rabbits, deers, rodents

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18
Q

DOC for yersinina

A

Streptomycin and tetracycline

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19
Q

TB: Prevents leukocycte migration

A

Cord Factor (most impt virulence factor of TB)

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20
Q

TB: subpleural granuloma

A

Ghon’s focus

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21
Q

TB: Ghon’s + LN

A

Ghon’s complex

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22
Q

TB: Radiologically detectable calcification

A

Ranke’s complex

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23
Q

TB: Reactivation focus

A

Simon’s Focus

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24
Q

(+) PPD for HIV, AIDS, old TB, immunocompromised

A

> 5mm

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25
Q

(+) PPD for HR population

A

> 10mm

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26
Q

(+) PPD for LR population

A

> 15mm

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27
Q

TB: Completed DOTS -> Declared NEG -> Positive again

A

Relapse

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28
Q

TB: Remained smear positive at the end or after tx

A

Failure

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29
Q

TB: tx was interrupted for 2 consecutive months

A

Defaulter

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30
Q

TB: Cat I - New smear positive

A

2HRZE + 4HR

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31
Q

TB: Cat II - Relapse, Failure, Defaulter

A

2HRZES & 1 HRZE; 5 HRE

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32
Q

TB: Cat III - New smear neg other than cat I, Less severe extrapulmonary TB

A

2HRZE + 4HR

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33
Q

Other use of BCG other than for dTB

A

Prevention of urinary bladder CA

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34
Q

TB: causes pulmonary disease in AIDS patient with CD4

A

Mycobacterium avium-Intracellulare Complex

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35
Q

DOC for MAI, MAC

A

Azithromycin

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36
Q

Fite Ferraco Staining is for…

A

Mycobacterium leprae (Nocardia - weakly staining also)

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37
Q

hypopigmented plaques, thickened superficial nerves, significant anesthesia

A

Tuberculoid leprosy

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38
Q

DOC for tuberculoid leprosy

A

Dapsone and rifampin

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39
Q

DOC for lepromatous leprosy

A

Dapsone, Rifampin, and clofazimine

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40
Q

DOC for erythema nodosum leprosum

A

Thalidomide

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41
Q

hard, nontender swelling with sinus tracts draining SULFUR GRANULES

A

Actinomyces israelli

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42
Q

DOC for actinomyces

A

Pen G + Drainage

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43
Q

Orange colonies

A

Nocardia asteroides

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44
Q

gram positive rods with aerial hyphae

A

Nocardia asteroides

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45
Q

Mycetomas

A

Nocardia asteroides

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46
Q

DOC for nocardia

A

TMP SMX + drainage

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47
Q

Smallest free living organism

A

Mycoplasma pneumoniae

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48
Q

Autoantibodies against RED CELLS and BRAIN, LUNG, and LIVER cells

A

Cold Agglutinins of mycoplasma

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49
Q

Walking pneumonia (MCC of atypical pneumonia)

A

Mycoplasma pneumoniae

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50
Q

MCC of infectious cause of SJS

A

Mycoplasma pneumoniae

51
Q

DOC for mycoplasma

A

eryhthromycin or azithromycin

52
Q

Causes Chancre

A

Treponema pallidum

53
Q

Causes chancroid

A

Haemophilus ducreyi (painful)

54
Q

Condyloma lata, macupapular rash, fever, headache, malaise, anorexia, lymphadenopathy

A

secondary syphilis

55
Q

Clinical spectrum of tertiary syphillis

A

Gummas, neurosyphillis, aortitis

56
Q

Most important diagnostic test for primary syphilis

A

Dark field microscopy

57
Q

Screening test for syphillis

A

RPR/VDRL

58
Q

Confirmatory test for syphillis

A

FTA-ABS (Fluorescent Treponemal Antibody-Absorption)

59
Q

Snuffles, Mulberry molars, Hutchinson triad, saber shins, rhagades, Higoumenakis sign, clutton’s joints

A

Congenital syphilis

60
Q

Hutchinson triad

A

Hutchinson teeth; deafness; keratitis

61
Q

unilateral enlargement of sternoclavicular portion of the clavicle

A

Higoumenakis Sign

62
Q

False positive VDRL results

A

V-D-R-L: Viruses, Drugs (marijuana), RF/Rheumatoid arthritis, Lupus/Leprosy

63
Q

DOC for syphillis

A

Pen G

64
Q

influenza like symptoms few hours after receiving pen g for tx of syphilis

A

Jarisch-Herxheimer reaction

65
Q

largest medically important bacteria

A

borrelia burgdorferi

66
Q

Stain for Borrelia

A

Aniline dyes (Giemsa/Wright)

67
Q

Cause of Lyme Disease

A

borrelia burgdorferi

68
Q

Transmission of Lyme Disease

A

bite from deer ticks (Ixodes)

69
Q

Spectrum of Lyme Disease

A

BAKE a LYME pie - Bell’s palsy, Arthritis, Kardiac (Myocarditis - AV Block), Erythema chronicum migrans

70
Q

DOC for Lyme Disease (Borrelia)

A

Doxycycline (alternative: amox or cefuroxime)

71
Q

Programmed Rearrangements =

A

Relapsing fever

72
Q

Cause of relapsing fever

A

Borrelia recurrenttis

73
Q

Diagnostic test for relapsing fever

A

microscopy

74
Q

DOC for relapsing fever (B. Recurentis)

A

Tetracycline or eryhromycin

75
Q

Transmission of relapsing fever

A

Human body louse (pediculus humanus)

76
Q

Shepherd’s crook

A

leptospira interrogans

77
Q

Gold standard for detection of leptospirosis

A

LeptoMAT (blood and CSF –> urine)

78
Q

Most severe form of leptospirosis

A

Weil Syndrome

79
Q

Triad of Weil Syndrome

A

Jaundice + Bleeding + Uremia

80
Q

DOC for leptospirosis

A

Pen G

81
Q

MCC cause of STI overall

A

Chlamydia trachomatis (Types D-K)

82
Q

Chronic Keratoconjuctivitis progressing to scarring and blindness

A

Trachoma (C. trachomatis type A-C)

83
Q

Stacato cough =

A

C. trachomatis neonatal pneumonia

84
Q

Lymphogranuloma venereum

A

C. trachomats L1-L3

85
Q

suppurative inguinal lymphadenitis

A

Lymphogranuloma venereum

86
Q

Positive Frei test

A

Lymphogranuloma venereum (intradermal injection of antigen)

87
Q

Associated with atherosclerosis, atypical pneumonia

A

Chlamydia pneumoniae

88
Q

Psittacosis =

A

Chlamydia psittaci

89
Q

bird fancier’s disease =

A

Psittacosis caused by C. psittaci

90
Q

DOC for chlamydia

A

Azithromycin

91
Q

DOC for chlamydia conjuctivitis

A

erythromycin

92
Q

DOC for LG venereum

A

doxycycline

93
Q

DOC for psittacosis

A

Azithromycin

94
Q

Detects anti-rickettsial antibodies in a patient’s serum by agglutination of proteus organisms

A

Weil-Felix Test

95
Q

Cause of rocky mountain spotted fever

A

Rickettsia rickettsii

96
Q

Cause of Rickettsial pox

A

Rickettsia akari

97
Q

Cause of epidemic typhus

A

Rickettsia prowazekii

98
Q

Cause of endemic typhus

A

Rickettsia typhi

99
Q

Cause of Scrub typhus

A

Orienttia tsutsumagushi

100
Q

Cause of Q fever

A

Coxiella burnetti

101
Q

Cause of ehrlichiosis

A

Ehrlichia chaffeensis

102
Q

Transmission of Rocky Mountain Spotted fever

A

Ticks (deer ticks - same with lyme disease)

103
Q

Transmission of rickettsial pox

A

Mites (chiggers) - like scrub typhus

104
Q

Transmission of epidemic typhus

A

Body Louse (like relapsing fever)

105
Q

Transmission of Endemic typhus

A

Rat flea

106
Q

Transmission of Scrub typhus

A

Mites (chiggers) - like rickettsial pox

107
Q

Transmission of Q fever

A

NONE

108
Q

Transmission of Ehrlichosis

A

Ticks (Dermacentor - like tularemia)

109
Q

Manifestation of Rocky Mountain Spotted Fever

A

rash starts in the wRist, spreads centriPetally (“Rocky mountain sPotter fever”)

110
Q

Manifestation of Typhus

A

rash starts in Trunk, spreads centriPHUgally (“TyPHUs”)

111
Q

Diseases with Palm and Sole Rash

A

“C”oxsackievirus Type “A”, “R”ocky mountain spotted fever, “S”yphillis - you drive CARS using your palms and soles

112
Q

Cat Scratch Disease

A

Bartonella henselae

113
Q

DOC for cat scratch disease

A

doxycycline

114
Q

DOC for ehrlichosis

A

doxycycline

115
Q

Clue cells =

A

Bacterial Vaginosis

116
Q

Bacterial vaginosis =

A

Gardnerella vaginalis

117
Q

Test for bacterial vaginosis

A

whiff test

118
Q

DOC for bacterial vaginosis

A

metronidazole

119
Q

DOC for chancroid

A

azithromycin or ceftriaxone

120
Q

Pseudeoappendicitis (mesenteric adenitis)

A

Yersinia enterocolitica, self-limiting

121
Q

Donovanosis =

A

Klebsiella granulomatis

122
Q

Closed safety pins=

A

Donovan bodies (like yersinia)

123
Q

Beefy red ulcer with velvety surface

A

Klebsiella granulomatis

124
Q

DOC for klebsiella granulomatis

A

azithromycin