Exam Questions Flashcards
Describe common phases of bacterial growth:
Enterobacteriaceae can be example of:
a) obligate anaerobes
b) facultative anaerobes
c) obligate aerobes
B
Penicillin binding proteins are responsible for:
a) peptidoglycan synthesis
b) production of penicillin in Peniclillium notatum
c) inhibition of beta lactic antibiotics action
A
Pseudomonas aeruginosa can be an example of:
a) obligate anaerobes
b) facultative anaerobes
c) obligate aerobes
C
Insertion sequences are responsible for:
a) . Reorganization of genetic elements
b) replication of DNA
c) division of bacterial cell
A
Enveloped viruses are:
a) more stable than non-enveloped
b) less stable than non-enveloped
B
Acid Fast stain bacteria:
a) have different cell wall and can’t be stained by Gram stain method
b) are part of G- bacteria
c) are part of G+ bacteria
d) cannot stain by Ziehl - Nielsen method
A
Write 3 mechanisms of horizontal transfer of genes among bacteria
Transduction: exchange of genetic material via Bacteriopahges with subsequent integration into genome
Transformation: free DNA from surrounding of prokaryotic cell is taken up and built into genome
Conjugation: genetic material in the form of plasmids is directly exchanged between 2 prokaryotes . Contact and exchange is mediated by Pili
3 Examples of extracellular living bacteria
Bacillus Athracis, E. Coli, Vibrio cholera, Streptococcus pyogenes, Staphylococcus aureus
2 Examples of obligate intracellular pathogens
Rickettsia spp. , Coxiella spp. ,
Porkaryotic cells are characterized by:
a) Peptidogylkan in the cell wall
b) Sexual reproduction
c) Respiration via mitochondria
d) Sterols in cytoplasmic membrane
A
Prokaryotic cells are characterized by:
a) Strands of DNA diploid genome
b) Single circular DNA haploid genome
C) present of Golgi bodies
D) Presence of ER
B
Description of cell wall
2 Examples of spore forming bacteria
Clostridium spp. / Bacillus spp. (i.e. Anthracis)
Gram stain is based on:
a) thickness of peptidoglycan in cell wall
b) acidity of cytoplasm
c) presence of Lipopolysaccharides
A
Insertion sequences are responsible for:
a) reorganization of genetic elements
b) replicaton of DNA
c) division of bacterial cell
A
Describe nucleocapsid structure
Nucleic acid
Structural proteins
Enzymes and other proteins
What organisms cause community acquired pneumonia ? Min. 2 examples
Mycoplasma pneumoniae, Chlamdia pneumonia, Moraxella catarrhalis S. pneumoniae….
What diseases can Staphylococcus aureus cause ? (Write 3 examples)
Food Poisoning , Toxic shock syndrome, Wound infections, pneumonia
Write 2 examples of disease caused by Enterococcus spp.
Urinary tract infections, Wound infections, Bacteremia, Endocarditis
What disease can be caused by Bacillus anthracis ?
Anthrax
What is the recommended treatment of infections caused by Neisseria gonorrhea?
Local therapy with silver nitrate / Doxycycline / Ceftriaxon
What microbiological tests should be done in patient with species meningitis ( 2 essential tests or specimens that should be sent for microbiological diagnosis)
Blood cultivation/ Serology + Liquor/CSF cultivation
What specimens would you send to microbiology. Laboratory in the case of suspected meningococcemia? (write 2 most important examples)
Blood and CSF
Write min. 2 examples of bacteria assoc. with autoimmune diseases:
Streptococcus pyogenes, Chlamydia, Treponema pallidum, Borelia, Helicobacter pylori
What Is recommended treatment of suspected bacterial meningitis caused by unknown agent (empiric therapy )?
3rd generation chepalosporins, Ampicillin
Which microbial. Test should be done in patient with a fever of unknown reason ? (usually in hospital)
Serology / Blood cultivation -> Haemoculure (Explain process - see below)
Write 2 examples of clinically important toxins that can be produced by Staphylococcus aureus ?
Toxic Shock syndrome toxin / Exfoliative toxins (superantigens/ Enterotoxins) / alpha and beta toxin / PVL
What is the recommended treatment of infections by Haemophilius influenzae?
Ampicilin, Ceftriaxon, Ceftaxim
Staphylococcus aureus is:
a) G+ rod
b) G- rod
c) G+ coccus
d) G- coccus usually from pairs (diplococcus)
C
Staphylococcus aureus:
a) can be part of normal bacterial flora (is facultative pathogen)
b) is an obligate pathogen (every finding of this microbe is an indication f. Treatment)
c) is non pathogenic
A
Antibiotic that should be used as recommended treatment of infections caused by Streptococcus pyogenes
Penicillin G/V, alternative beta lactams or Macrolides
Streptococcus pyogenes is
a) G+ rod
b) G- rod
c) G+ coccus
d) G- coccus usually diplococcus
C
Most common bacterial agent causing urinary tract infection in community ?
E.coli
In case of colonization of pregnant women with Steprococcus agalactiae:
a) antibiotic prophylaxis should be administered before birth
b) no necessity for prophylaxis, because this microbe is part if normal flora and there is no risk of infection in baby
c) antibiotic therapy should be started 1 month before expected birth for complete decolonization
A,C
Write 2 examples of diseases caused by Enterococcus spp.
Urinary tract infections, Bacteremia, Wound infections, Endocarditis
Infections caused by Listeria monocytogenes should be treated by:
a) 3rd generations cephalosporins
b) ampicillin (can be administered in combination with gentamicin)
c) 2nd generation cephalosporins in combination with amikacin
B
Neisseria gonorrhea can be spread
a) only by human contact (sexual)
b) rats can be vectors of this bacteria
c) by airways
A
What is the most important virulence factor of Hemophilius influenzae?
a) capsule
b) A-B toxin
c) adhesins
A
What is the causative agent of plaque ?
Yersinia pestis
What is the causative agent of typhoid fever ?
Salmonella typhi
What disease can be caused by Listeria monocytogenes ? 2 Examples
Meningitis, Sepsis
Mycobacterium tuberculosis can be stained by:
a) Gram strain (red)
b) Giesma stain
c) Ziehl Nielsen method (rods of the bacterium have red colour)
C
Causative agent if Pontiac fever ?
a) Legionella spp.
b) Pontia Pontiae
c) Rubeolla pontinica
A
What symptom is NOT typical for cholera ?
a) watery diarrhea
b) vomiting
c) hypovolemic shock
d) meningitis
D
Write 2 examples of obligate pathogens that belong to Enterobacteriaceae
Salmonella spp, Shigella spp.
Streptococcus pneumonias is:
a) G+ rod
b) G- rod
c) G+ coccus
d) G- diplococcus
C
What is the most important virulence factor of Neisseria gonorrhea ?
a) adhesion factors (pilin)
b) capsule
c) flagella
A
What patients are in the risk of fungal infections ? (Min. 2 examples)
Immunodeficient patients, People with Long- Term antibiotic or Corticosteroid treatment, Diabetic Patients, HIV Patients
Dimorphic fungi
Fungi that can exist in the form of both - yeast and hypae
Which antigen can be used for fungal infection diagnosis ?
a) peptidoglycan
b) galactomannan
c) chitin
B
What diseases can be caused by Cryptococcus ?
Meningitis / Meningoencephalitis / Pneumonia
What is the most common site of aspergillosis ?
Lungs
What is most common manifestation of aspergillosis?
Cough, allergic symptoms, skin + mucosal irritations, chronic weakness,
chronic contact leads to bronchopulmonal Aspergillosis
Histoplasma capsulatum is causative agent of:
a) dermatomycoses
b) lung and disseminated infections
c) diarrhea
B
Write 3 types of candidiasis
superficial, organic, systemic mycosis
Microsporium gypsum is causative agent of:
a) dermatomycoses
b) lung infections
c) meningitis
A
Microsporium canis causative agent of:
a) dermatomycoses
b) lung infection
c) meningitis
A
Crypotococcus is
a) fakultative pathogen (in immunocompomised patients )
b) obligate pathogen
c) non- pathogenic
A
Penicillium spp. Is:
a) ubiquitous mould with very low clinical significance
b) common fungal pathogen with at least 3 pathogenic species
c) responsible for zygomycoses
A
Which yeast is the most important pathogen of humans ?
Candida albicans
Zygomycoses are
a) life- threatening, very invasive, infections
b) important toxin- producers
c) can cause very slow infections usually found in travelers
A
What do these abbreviations mean ?
ETEC
EPEC
EHEC
ETEC = Enterotoxigenic E.coli EPEC = Enteropathogenic E.coli EHEC = Enterohemmorrhagic E.coli
Causative agent of cholera
Vibrio cholerae
Typical primary site of tuberculosis
Lung
Write min. 2 Examples of the targets of antibiotics:
Bacterial Proteinsynthesis
Cell Wall synthesis
RNA/DNA synthesis
Write the component of bacterial cell wall which is target for beta lactam Antibiotics
Transpeptidases ( e.g. Penicillin binding protein )
Define clinical resistance to antibiotics (EUCAST definition)
Likelyhood that the antibiotic treatment will fail
Define supectability to antibiotics (EUCAST def. )
Likelyhood that the antibiotic treatment will be successful
Which antibiotics are preferably used for empiric therapy of diseases caused by Steptococcus pneumonia ?
Penicillin G, Amoxillin (alternative: Cephalosporins, Vancomycin)
Antibiotic for staphylococcus aureus ?
Oxacillin, Methicillin (=pencillinase resistant penicillins, Vancomyin as alternative)
Treatment for herpes simplex virus ?
Virostatics like Aciclovir, Valacyclovir
Write at least 1 anti. Influenza drug:
Neuraminidase inhibitors like Tamiflu, Relenza
Which antibiotic is used for empiric therapy of meningitis ?
3rd generation cephalosporins, Ampicillin
What is target of anti influenza drug ?
Neuraminidase -> enables release of newly formed viruses, by drug activity of that enzyme is blocked
Component of cell wall target for beta lactams ?
Transpeptidases (PBP)
Dangerous side effect of chloramphenicol ?
Irreversible Bone Marrow aplasia
Target of tetracycline antibiotic ?
Binds to bacterial ribosomes -> inihibits Peptidyltransferase- reaction -> interrupts Proteinsynthesis
Syndrome after rapid injection of vancomycin?
Red Man syndrome due to massive Histamine release