Gram - bacteria T03 Flashcards
Bacilli and cocci included
What does it mean by facultative anaerobic?
A facultative anaerobe is an organism that makes ATP by aerobic respiration if oxygen is present, but is capable of switching to fermentation or anaerobic respiration if oxygen is absent.
Which of the following are features of Enterobacteriaceae?
A. They are facultative anaerobes
B. They are glucose fermenters
C. They are oxidase-positive
D. In serology, they contain specific antibodies to O, H and Vi antigens
All except C
They are oxidase -ve
Which of the below are lactose fermenters which will show red color in MacConkey Agar ?
A. E.coli B. Klebsiella C. Enterobacter D. Serratia E. Cirtrobacter F. Proteus G. Shigella H. Salmonella
What color will others show?
Lactose fermenters:
A,B,C (E.coli, Klebseilla, Enterobacter)
Whic of the following are non-motile and which of the following is with swarming motility?
A. E.coli B. Klebsiella C. Enterobacter D. Serratia E. Cirtrobacter F. Proteus G. Shigella H. Salmonella
Non-motile:
B, G (Shigella and Klebsiella)
Swarming motility: F
Which of the following will give indole + test?
A. E.coli B. Klebsiella C. Enterobacter D. Serratia E. Cirtrobacter F. Proteus G. Shigella H. Salmonella
A: E.coli
Which of the following gives red-orange pigment in biochemistry test?
A. E.coli B. Klebsiella C. Enterobacter D. Serratia E. Cirtrobacter F. Proteus G. Shigella H. Salmonella
D: Serratia
Which of the following have mucoid colonies, VP+, Quellung +, and urease +?
A. E.coli B. Klebsiella C. Enterobacter D. Serratia E. Cirtrobacter F. Proteus G. Shigella H. Salmonella
B. Klebsiella
What Enterbacteriacceae will give urease + test and H2S+ test. (swarming motility too!)
Proteus
Shigella shows H2S+/-?, which is _________(color) in DCA agar.
H2S-, green
Salmonella shows H2S+/-?, which is _________(color) in DCA agar.
H2S+, black
Enteropathogenic Escherichia coli (EPEC) is associated in what patients?
paediatrics
Enterotoxigenic Escherichia coli (E. coli) is associated with?
Traveller’s diarrhea
Enteroinvasive E. coli (EIEC) is associated with?
Inflammation
Enterohemorrhagic Escherichia coli (EHEC) is associated with?
Hamburger meat, bloody stool
Uropathogenic E. coli (UPEC) is asscioated with?
UTIs
What are the clinical manifestations of E.Coli infections? (4)
- UTI: 90% cause
- Intra-abdominal infection
- Neonatal meningitis: 2nd cause after GBS
- hemolytic uremic syndrome by EHEC
Which of the following about E.coli is incorrect?
A. All of them causes diarrhea
B. Indicator organism faecal contamination
C. All of them are glucose fermenters
D. They turn MacConkey Agar red because they are all lactose fermenters
A
C: a family feature of Enterobacteriaceae!
This G- bacilli forms capsule and become mucoid colonies which are anti-phagocytic.
Klebsiella
List the clinical manifestations of infections by Klebsiella.
- Nosocomial pneumonia
2. UTI: catheter-related abscess (e.g. cholecystitis, liver abscess)
__________ is also a type of Enterobateriaceae whihc is only different from E.coli by biochemistry.
Enterobacter
Proteus is produces urease which raises urine pH by splitting urea, causing struvite kidnet stones, it is related with what clinical manifestations?
- UTI
2. Septicemia
Shigella directly invades mucosal cells but will not invade further. It releases ______________, and causes?
Shiga toxin (Enterotoxin);
- Baciliary dysentery: meaning diarrhea which turns from watery to bloody
- Hemolytic uremic syndrome
Which of the following about Shigella is incorrect?
A. Human is their only reserviour
B. It is a notifiable disease
C. It is transmitted via fecal-oral route
D. It is acid stable, with a low infective dose
E. It causes osteomyelitis in sickle cell disease patients
E
should be Salmonella
also, there are different species for Shigella:
- S.dysenteriae
- S. flexneri
- S. boydii
- S. sonnei
Other than osteomyelitis in sickle cell disease patients in general that Salmonella can cause, suggest types of Salmonella that causes Gastroenteritis and Typhoid fever respectively.
GE group: S.enteritidis (chicken), S. choleraesuis
Typhoid fever group: S. typhi (humans only), S. paratyphi
Which of the following about Salmonella is incorrect?
A. It turns DCA agar black
B. It is motile
C. There is increased risk of infection in people with reduced stomach acidity like patients with pernicious anemia
D. It is transmitted via fecal-oral route
None of the able
A: H2S+
C: acid labile; therefore without acid > increased infection