clinical micro

Question 1

MCC of acute upper/lower respiratory infection

Answer 1

pneumococcus + H flu

Question 2

capable of meningiococcemia and meningitis and sepsis

Answer 2

N meningitidis

Question 3

Otitis, sinusitis, bronchitis, penumonia in COPD and elderly (no sepsis)

Answer 3

Moraxella catarrhalis

Question 4

what are the 3 mouth aerobes

Answer 4

alpha strep (viridans), Neiseria (gonorrhea), HAECK

Question 5

what are the HAECK bugs

Answer 5

Hemophilus, actinobacillus, cardiobacterium, eikenella, kingella

Question 6

fastidious G- bacilli that cause endocarditis

Answer 6

HAECK

Question 7

endocarditis and dental caries

Answer 7

strep viridans

Question 8

catalase +, coag +, beta-hemolytic

Answer 8

staph aureus

Question 9

what is the most common cause of sepsis

Answer 9

staph aureus

Question 10

coag - staph

Answer 10

epidermidis and saprophiticus

Question 11

how do you differentiate between staph eli and saprophiticus

Answer 11

epi is NOVA sensitive and saprophiticus is resistant

Question 12

where do you find GAS

Answer 12

mucous membranes (strep throat)

Question 13

what are the not bad streps

Answer 13

viridans + gamma-hemolytic

Question 14

colon cancer

Answer 14

strep bovis

Question 15

where are enterococci a part of the normal flora

Answer 15

GI/GU

Question 16

what are the cause of bed sore infections

Answer 16

enterococci

Question 17

first 2 dz when you think of enterococci

Answer 17

IV catheters and GI lesions

Question 18

what is the most resistant bacteria

Answer 18

enterococci

Question 19

name 6 G- rods and what is a family name for them

Answer 19

enterobacteriaceae = E. coli, Klebsiella, Proteus, Enterobacter, Pseudomonas, Acinetobacter

Question 20

pneumonia in IC / hospitalized

Answer 20

enterobactericeae

Question 21

where do strict anaerobes infect

Answer 21

non-sterile epithelial surfaces (mouth, vagina, gut)

Question 22

what causes thrush and vaginitis

Answer 22

candida

Question 23

nosocomial UTI

Answer 23

candida

Question 24

N gonorrhea + hemophilus Ducreyi

Answer 24

STIs

Question 25

enteric infections (6)

Answer 25

salmonella, shigella, campylobacter, yersinia, E. coli, Vibrio

Question 26

atypical pneumonia in smokers/exposure to H2O

Answer 26

legionella

Question 27

PUD

Answer 27

H pylori

Question 28

meningitis in neonates, elderly and IC + club shaped G+ rods

Answer 28

Listeria

Question 29

grow in mycelia-like filaments

Answer 29

actinomyces

Question 30

TB + MOTT

Answer 30

mycobacterium

Question 31

looks like cancer, necrotizing sinusitis invading brain in DKA –> Rhinocerebral mucormycosis

Answer 31

zygomycetes

Question 32

no cell wall w/ increased cholesterol in the membrane that causes atypical pneumonia

Answer 32

mycoplasma

Question 33

male urethritis or female post partum endometritis

Answer 33

M. hominis, ureaplasma

Question 34

ehrliciosis

Answer 34

anaplasmataceae

Question 35

fever of unknown origin

Answer 35

anaplasmataceae, bartonellosis (cat scratch)

Question 36

what causes severe intractable diarrhea in AIDS

Answer 36

cryptospiridium

Question 37

what does HSV1 produce in IC host

Answer 37

esophagitis

Question 38

RNA virus that turns into DNA virus

Answer 38

retrovirus

Question 39

chronic meningitis

Answer 39

cryptococcus

Question 40

necrotizing encephalitis

Answer 40

HSV

Question 41

Lemierre’s syndrome

Answer 41

Fusobacterium nucleatum

Question 42

vancomycin resistant

Answer 42

enterococcus faecium

Question 43

Septic shock w/ foruncle

Answer 43

Staph aureus

Question 44

lymphangitis that looks like sporotrichosis

Answer 44

mcobacterium marinum

Question 45

fever of unknown origin in homeless person w/ lice

Answer 45

Bartonella quintana

Question 46

fever of unknown origin in anybody

Answer 46

TB

Question 47

cystitis

Answer 47

staph saprophyticus

Question 48

4 viruses that have mono-like syndrome

Answer 48

CMV, HHV-6, EBV, Toxo