Final Exam Flashcards
List the possible causative agents, modes of transmission, virulence factors, diagnostic techniques, and prevention/treatment for
pharyngitis
1.) causative agents: streptococcus pyogenes
2.) modes of transmission: droplet or direct contact with mucus
3.) virulence factors: ability of surface antigens to mimic host proteins; possession of super antigens
4.) diagnostic techniques: rapid strep test, culturing of pharyngeal swab
5.) prevention/treatment:
- no vaccine, hygiene
- penicillin/antibiotics
What are the possible sequelae of untreated strep infections
- rheumatic fever
- scarlet fever
- acute glomerulonephritis
What are the causative agents, transmission, and symptoms of the common cold
1.) causative agents: over 200 different viruses, rhinovirus, coronavirus, adenovirus, RSV
2.) transmission: indirect, droplet
3.) symptoms: sneezing, scratchy throat, runny nose, fever in child
What are the causative agents and treatment of sinusitis
1.) causative agents: various viruses, bacteria, fungi, allergies, structural abnormalities
2.) treatment: broad spectrum antibiotics for bacterial, antifungals or surgery for fungal
What are the causative agent, prevention, and treatment for acute otitis media
1.) causative agents: strep pneumoniae, candida auris
2.) prevention: Prevnar, vaccine
3.) treatment: “watchful waiting”, antibiotics, tympanic membrane tubes
List the possible causative agents, modes of transmission, virulence factors, diagnostic techniques, and prevention/treatment for
community-acquired pneumonia
1.) causative agents: strep pneumoniae(most common), legionella, mycoplasma, pneumoniae(walking pneumonia), SARS-CoV-2
2.) modes of transmission: droplet(strep), vehicle(legionella), droplet(mycoplasma)
3.) virulence factors: capsule(strep), resistant to chlorine(legionella), adhesins(mycoplasma)
4.) diagnostic techniques: gram stain
5.) prevention/treatment:
- vaccine for strep & COVID
- antivirals and antibiotics
What are the causative agents, diagnostic techniques, & prevention/treatment for healthcare-associated pneumonia
1.) causative agents: MRSA, klebsiella pneumoniae, E. coli, pseudomonas aeruginosa
2.) diagnostic techniques: tracheal swabs(not as useful), bronchoalveolar lavage cultures(but invasive)
3.) prevention/treatment:
- elevation of patients head, proper care of ventilators and respiratory equipment
- empiric therapy should begin as soon as hospital-associated pneumonia is suspected
What are the causative agent, virulence factors, transmission, prevention/treatment of influenza
1.) causative agent: Influenza A, B, & C viruses; hemagglutinin, neuraminidase(lipoprotein)
2.) virulence factors: glycoproteins, rapid shedding of cells, cytokine storm
3.) transmission: droplet, indirect
4.) prevention/treatment:
- vaccination
- tamiflu
What is antigenic drift and antigenic shift
- antigenic drift: mutation of the glycoproteins(H,N), gradually change their amino acid composition resulting in decreased ability of host memory cells to recognize them
- antigenic shift: RNA exchange between different influenza viruses, occurs during confection of a host cell
What are the causative agent, transmission, and prevention of respiratory syncytial virus(RSV)
1.) causative agent: respiratory syncytial virus(RSV)
2.) transmission: droplet and indirect contact via fomite
3.) prevention: passive antibody for high risk children
What are the causative agents, transmission, diagnostic techniques, prevention/treatment of tuberculosis
1.) causative agents: mycobacterium tuberculosis
2.) transmission: droplets
3.) diagnostic techniques: mantoux test
4.) prevention/treatment:
- limited exposure, vaccine(not in US)
- longterm antibiotics; 4-9 months
Discuss the problems associated with MDR-TB and XDR-TB
- MDR-TB: people are sicker and have higher mortality
- XDR-TB: few treatment options, 70% mortality rate within months of diagnosis
What is primary tuberculosis
bacteria multiply inside macrophages, tubercle formation in lungs, caseous lesions that heal by calcification
What is secondary tuberculosis
live bacteria can remain dormant, then reactivate; tubercles expand causing cavities in lungs; violent coughing, low-grade fever, anorexia, chest pain, untreated has 60% mortality rate
What are the causative agents of acute diarrhea
salmonella
shigellosis
shiga toxin producing E.coli(STEC)
campylobacter
clostridiodes difficile
vibrio cholerae
vibrio vulnificus
rotavirus
What are the causes of food poisoning
staph aureus
bacillus cereus
clostridium perfringens
What are the causes of chronic diarrhea
giardia
what classifies as acute diarrhea
three or more loose stools in 24 hours
What are the signs/symptoms, modes of transmission, virulence factors, and prevention/treatment of salmonella induced diarrhea
1.) signs: vomiting, diarrhea, and mucosal irritation, possible blood
2.) modes: animal products like meat and milk
3.) virulence: endotoxin
4.) prevention/treatment:
- avoiding contact
- mild cases: fluid and electrolyte replacement
- severe: ciprofloxacin
What are the signs/symptoms, modes of transmission, virulence factors, and prevention/treatment of shigella induced diarrhea
1.) signs: frequent watery stools, dysentery(blood in stool), mucus in stool
2.) modes: oral, direct
3.) virulence: enterotoxin, shiga toxin
4.) prevention/treatment:
- good food hygiene
- mild: no antibiotics
- severe: ciprofloxacin
What are the signs/symptoms, modes of transmission, virulence factors, and prevention/treatment of shiga-toxin producing E.coli(STEC)
1.) signs: bloody diarrhea
2.) modes: contaminated or undercooked beef
3.) virulence: shiga toxin
4.) prevention/treatment:
- good food hygiene, toxin and bacteria are killed by heat
- antibiotics are contraindicated(DO NOT USE)
- plamsa transfusions to dilute toxin
What are the signs/symptoms, modes of transmission, virulence factors, and prevention/treatment of campylobacter induced diarrhea
1.) signs: diarrhea, fever, vomiting, may last longer than 2 weeks, also can lead to guillain barre syndrome
2.) modes: ingestion of contaminated water, milk, meat, and chicken
3.) virulence: heat labile enterotoxin
4.) prevention/treatment:
- rigid sanitary control of water and milk supplies & care in food prep
- rehydration and electrolyte balance
- maybe azithromycin
What are the signs/symptoms, modes of transmission, virulence factors, and prevention/treatment of clostridiodes difficile induced diarrhea
1.) signs: pseudomembranous colitis, area of necrosis in intestine, abdominal cramps
2.) modes: normal biota, able to superinfection when broad spectrum antibiotics have disrupted normal biota
3.) virulence: enterotoxins
4.) prevention/treatment:
- withdraw offending antibiotic
- isolation conditions
- difficult to eradicate