Gram (-) Bacteria - Spirochetes (corkscrew)

Question 1

2 Spirochete organisms?

Answer 1

Treponema Pallidum

Borrelia Burgdorferi

Question 2

2 Spirochete organisms?

Answer 2

Treponema Pallidum

Borrelia Burgdorferi

Question 3

What does Treponema Pallidum cause?

Answer 3

Syphilis

Question 4

Syphilis is caused by what bacteria?

Answer 4

Treponema Pallidum

Question 5

Primary syphilis occurs _____ after exposure

Answer 5

3-6 weeks after

Question 6

Primary Syphilis

Answer 6

Painless Chancre

Question 7

Secondary syphilis occurs _____ after primary syphilis

Answer 7

6 weeks after

Question 8

Secondary Syphilis

Answer 8

Condyloma Latum
Red rash of palms and soles
Loss of hair

Question 9

Tertiary syphilis occurs ____ after secondary syphilis

Answer 9

6-40 years after

Question 10

Tertiary Syphilis

Answer 10

Meningitis, decreased coordination and sensation
Thoracic Aortic Aneurysm
Gummatous lesions - bone and skin
Argyll Robinson pupils

Question 11

Tertiary Syphilis

Answer 11

Meningitis, decreased coordination and sensation
Thoracic Aortic Aneurysm
Gummatous lesions - bone and skin
Argyll Robinson pupils

Question 12

Argyll robinson pupils

Answer 12

Do not react to light but do react to a near object

Question 13

What is affected with Tertiary syphilis to cause decreased sensation and coordination?

Answer 13

Posterior columns of spinal cord

Question 14

To cause congenital syphilis, when does Treponema Pallidum cross the placenta?

Answer 14

4th month gestation

Question 15

Symptoms of Congenital Syphilis before 2 years old?

Answer 15

Snuffles - mucous membrane involvement

Rash on palms and soles

Question 16

Symptoms of Late Congenital Syphilis after 2 years old?

Answer 16

Central tooth notching
Bowing of tibias
Neurosyphilis findings - tertiary

Question 17

Non-specific screening tests for Treponema Pallidum (syphilis)?

Answer 17

VDRL

RPR

Question 18

Specific screening test for Treponema Pallidum (syphilis)?

Answer 18

FTA-ABS

Question 19

What bacteria causes Lyme Disease?

Answer 19

Borrelia Burgdorferi

Question 20

Borrelia Burgdorferi causes?

Answer 20

Lyme Disease

Question 21

Vector of Borrelia Burgdorferi?

Answer 21

Blacklegged Ticks

Question 22

Reservoir of Borrelia Burgdorferi?

Answer 22

Deer and mice

Question 23

Where is Lyme disease common?

Answer 23

Midwest and NE US

Question 24

____ after bite, what presents at bite site with Borrelia Burgdorferi?

Answer 24

10 days after

= Erythema migrans

Question 25

After Erythema Migrans presents with Borrelia Burgdorferi, what then happens?

Answer 25

Nervous system involvement

– Bell’s palsy, heart issues, joint - especially knee

Question 26

After Nervous system involvement presents with Borrelia Burgdorferi, what then happens?

Answer 26

Chronic Arthritis and Encephalopathy (memory impairment)

Question 27

What causes lyme disease?

Answer 27

Borrelia Burgdorferi