EMS Microbiology Flashcards

1
Q

What are Koch’s Postulates?

A

Causative organism must be isolated from every sufferer
Organism must be cultivated in pure culture
Typical symptoms must result in an individual inoculated
Organism must be recoverable from individuals infected

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2
Q

What are koch’s postulates for genes?

A

The gene encoding the trait of interest should be present and transcribed/translated in a virulent strain

The gene encoding the trait should not be present or should be silent in a strain that does not cause disease

Disruption of the gene should result in the formation of a strain that is incapable of causing disease

Introduction of the gene into a strain that did not cause disease should make it cause disease

Gene must be expressed in infection

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3
Q

What are some problems with Koch’s postulates?

A

Difficulty to isolate organisms
Ethical obligations
Animal models may be sufficient

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4
Q

What are some characteristics of viruses?

A

Intracellular parasites
Nucleic acid core wrapped in a protein coat made of capsomeres
Some have an envelope
Retroviruses are unusual

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5
Q

What are some characteristics of microfungi?

A
Eukaryotic
Cell wall made up of chitin
Hairy growths are moulds
Moulds have tiny filaments known as hyphae that form mycelia
Mycelia subdivided by septa
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6
Q

What are the 4 classes of protozoa?

A

Apicomplexa
Flagellate Protista
Ciliate protista
Amoeba

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7
Q

Name some infections caused by protozoa?

A

Toxoplasmosis
Amoebic Meningitis
Malaria
Amoebic dysentery

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8
Q

What is mutualism?

A

Both organisms, in a symbiotic relationship, benefit

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9
Q

What is neutralism?

A

Neither organism, in a symbiotic relationship, derives benefit or harm

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10
Q

What is commensalism?

A

In a symbiotic relationship, one organism benefits and the other derives neither benefit nor harm

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11
Q

What is parasitism?

A

One organism, in a symbiotic relationship, benefits at the expense of the host

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12
Q

What is the difference between sterile and non sterile sites?

A

Sterile sites have no normal flora

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13
Q

How is sterility maintained?

A

Surface cleaning
Barriers that allow unidirectional flow
Physical separation from non sterile sites

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14
Q

What are some examples of sterile sites?

A
Lower RT
Upper GT
Spinal cord
Meninges
Middle Ear
Urinary Tract
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15
Q

Coagulase Negative Staphylococci
Staphylococcus aureus
Propionibacterium acnes
Corynebacterium spp

Are examples of what?

A

Normal skin flora

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16
Q

Why is the skin difficult to colonise?

A

Variable temp
Dry
Aerobic environment
Nutrient Poor

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17
Q

Viridians
Oral strep
Anaerobes gram -ve and +ve
Candida spp

Are examples of what?

A

Normal mouth flora

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18
Q

Why are cavities in the mouth easy to colonise?

A

Constant temp
Moist
Rich nutrient source
Few physical challenges

19
Q

What organisms make up the normal nasopharyngeal flora?

A

Same as skin flora

20
Q

What organisms make up the normal flora of the pharynx?

A
S. pyogenes
H. influenza
S. pneumonia
N. meningitides
S. aureus
M. catarhallis
21
Q

When does the flora of the vagina change?

A

Puberty

Addition of Lactobacillus spp to the normal skin flora

22
Q

What does lactobacillus spp do?

A

Ferment glycogen and maintain a pH of around 3

23
Q

What is the make up of flora in the stomach?

A

Low pH inhibits bacterial growth
Acid tolerant lactobacilli
H. pylori

24
Q

What happens to the amount of organisms as you descend through the GI?

A

They increase in number

25
What are some characteristics of the flora of the large intestine?
Mostly anaerobes Some aerobic bacteria such as enteric gram -ve bacilli Milleri spp. also present
26
What are the benefits of normal flora?
Synthesis and excretion of vitamins Colonisation resistance Induction of cross reactive antibodies
27
Define pathogenicity
The capacity of an organism to cause infection
28
What key factors does an organism require in order to cause an infection?
Transmissibility Establishment in or on a host Harmful effects Persistence
29
What are the 6 stages of infection?
``` Pathogenic organism Reservoir Exit Transmission Entry Susceptible host ```
30
What is virulence?
The degree to which an organism can cause disease
31
What is infectivity?
The ability of an organism to become established on or in a host via a microbial ligand or host cell receptor
32
What is the virulence factor for bacteria?
Endotoxins
33
What are some characteristics of endotoxins?
Components of the gram negative cell wall Released from damaged/dead cells Active component is lipopolysaccharide Induce a range of uncontrolled host cell responses after binding to host cell receptors
34
What is the host response to endotoxins?
``` Systemic inflammatory response Uncontrolled T Lymph response Cytokine release DIC Cardiac and renal failure ```
35
Botulism is a type of which virulence factor?
Exotoxin
36
What is the mechanism of action of Clostridium botulinum?
Blocks ACh receptor and release of ACh causing a neuromuscular blocking effect
37
What is the clinical presentation of botulism?
``` Diplopia Dysphagia Dysarthria Dry mouth Death due to respiratory failure ```
38
What exotoxin is produced in tetanus?
tetanospasmin
39
What is the mechanism of action in tetanus?
Tetanospasmin binds to nerve synapses and inhibits the release of inhibitory neurotransmitters in the CNS causing a loss of inhibitory action on motor and autonomic neurons
40
Cholera, diphtheria, C.diff, whooping cough - are all examples of what?
Exotoxin mediated infections
41
Which virulence factors cause the following? Break down of connective tissue Inactivation of complement component C5a Lyse blood cells
Hyaluronidase and streptokinase C5a peptidase Streptolycin -O and -H
42
How does S. progenies evade the immune system?
M-protein binds fibrinogen and masks the bacterial surface which blocks complement binding and opsonisation
43
This organism has a polysaccharide capsule which inhibits opsonisation and therefore phagocytosis
S.Pneumonia