Block 1 Flashcards

1
Q

What is the normal range of WBC?

A

4.5 to 11 * 10^9/L

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2
Q

What levels of procalcitonin indicate bacterial infection?

A

0.5 to 2 = possibility, cant rule out infection

≥2 = bacterial infection

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3
Q

Empiric vs definitive

Educated guess

A

Empiric

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4
Q

Empiric vs definitive

Drug is aimed for specific “bug”

A

Definitive

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5
Q

Empiric vs definitive

Uses population data

A

Empiric

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6
Q

G+, cocci, catalase negative shape?

A

Chains

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7
Q

G+, cocci, catalase positive shape?

A

Clusters

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8
Q

G+, cocci, catalase +, coagulase +

A

S. aureus

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9
Q

G+, cocci, catalase +, coagulase -

A

S. epidermidis

S. saprophyticus

S. haemolyticus

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10
Q

G+, catalase -, alpha hemolysis

A

S. pneumoniae

S. mutans, S. sanguis

S. constellatus, S. intermedius, S. anginosus

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11
Q

G+, catalase -, beta hemolysis

A

S. constellatus, S. intermedius, S. anginosus

S. pyogenes (group A)

S. agalactiae (group B)

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12
Q

G+, catalase -, gamma hemolysis

A

Enterococci (E. faecalis, etc)

S. gallolyticus (group D)

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13
Q

G-, rods, lactose -, oxidase +

A

P. aeruginosa, C. jejuni, and Vibrio spp.

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14
Q

G-, rods, lactose -, oxidase -

A

Proteus, Shigella, and Salmonella

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15
Q

G-, rods, lactose +, oxidase -

A

Klebsiella

E. coli

Enterobacter

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16
Q

G+ or G-

Klebsiella

A

G-

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17
Q

G+ or G-

E. coli

A

G-

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18
Q

G+ or G-

Enterobacter

A

G-

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19
Q

G+ or G-

Shigella

A

G-

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20
Q

G+ or G-

Salmonella

A

G-

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21
Q

G+ or G-

Proteus

A

G-

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22
Q

G+ or G-

C. jejuni

A

G-

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23
Q

G+ or G-

P. aeruginosa

A

G-

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24
Q

G+ or G-

Vibrio spp.

A

G-

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25
G+ or G- Corynebacterium
G+
26
G+ or G- L. monocytogenes
G+
27
G+ or G- B. cereus
G+
28
G+ or G- Propionibacterium
G+
29
G+ or G- G. vaginalis
G+
30
G+ or G- Lactobacillus
G+
31
G+ or G- Clostridium
G+
32
G+ or G- Erysipelotrix
G+
33
G+ or G- Enterococci
G+
34
G+ or G- S. gallolyticus
G+
35
G+ or G- S. constellatus
G+
36
G+ or G- S. pyogenes
G+
37
G+ or G- S. agalactiae
G+
38
G+ or G- S. pneumoniae
G+
39
G+ or G- S. mutans
G+
40
G+ or G- S. epidermidis
G+
41
G+ or G- S. saprophyticus
G+
42
G+ or G- S. haemolyticus
G+
43
G+ or G- S. aureus
G+
44
Catalase + or - S. aureus
+
45
Catalase + or - S. epidermidis
+
46
Catalase + or - S. saprophyticus
+
47
Catalase + or - S. haemolyticus
+
48
Catalase + or - S. pneumoniae
-
49
Catalase + or - S. mutans
-
50
Catalase + or - S. sanguis
-
51
Catalase + or - S. intermedius
-
52
Catalase + or - S. anginosus
-
53
Catalase + or - S. constellatus
-
54
Catalase + or - S. pyogenes
-
55
Catalase + or - S. agalactiae
-
56
Catalase + or - S. galloyticus
-
57
Catalase + or - Enterococci
-
58
Catalase + or - Erysipelotrix
-
59
Catalase + or - Clostridium
-
60
Catalase + or - Lactobacillus
-
61
Catalase + or - G. vaginalis
-
62
Catalase + or - Corynebacterium
+
63
Catalase + or - L. monocytogenes
+
64
Catalase + or - B. cereus
+
65
Catalase + or - Propionibacterium
+
66
Coagulase + or - S. aureus
+
67
Coagulase + or - S. epidermidis
-
68
Coagulase + or - S. saprophyticus
-
69
Coagulase + or - S. haemolyticus
-
70
Alpha, Beta, or Gamma hemolytic S. pneumoniae
Alpha
71
Alpha, Beta, or Gamma hemolytic S. mutans
Alpha
72
Alpha, Beta, or Gamma hemolytic S. sanguis
Alpha
73
Alpha, Beta, or Gamma hemolytic S. consellatus
Alpha or Beta
74
Alpha, Beta, or Gamma hemolytic S. intermedius
Alpha or Beta
75
Alpha, Beta, or Gamma hemolytic S. anginosus
Alpha or Beta
76
Alpha, Beta, or Gamma hemolytic S. pyogenes
Beta
77
Alpha, Beta, or Gamma hemolytic S. agalactiae
Beta
78
Alpha, Beta, or Gamma hemolytic Enterococci
Gamma
79
Alpha, Beta, or Gamma hemolytic S. galloyticus
Gamma
80
Lactose + or - P. aeruginosa
-
81
Lactose + or - Proteus
-
82
Lactose + or - Klebsiella
+
83
Lactose + or - E. coli
+
84
Oxidase + or - Klebsiella
-
85
Oxidase + or - E. coli
-
86
Oxidase + or - Proteus
-
87
Oxidase + or - P. aeruginosa
+
88
Oxidase + or - Enterobacteriacae
-
89
How long do cultures take?
3-5 days Rapid diagnostic tests can take 15min to few hrs
90
What are the various rapid diagnostic tests available?
Rapid antigen test PCR MALDI-TOF
91
What is the gold standard antimicrobial susceptibility test?
Broth dilutions, however it is rarely done in practice