Gram Negative Cocci

Question 0

Habitat of Neisseria meningitidis?

Answer 0

Upper respiratory tract

Question 1

Gram negative diplococci that ferments maltose and glucose?

Glucose only?

Answer 1

M and G - N. meningitidis

G - N. gonorrhoeae

Question 2

What is Neisseria meningitidis’ antiphagocytic factor?

Answer 2

Large polysaccharide capsule

Insignificant capsule in gonorrheae

Question 3

What medium used to culture Neisseria meningitidis?

Answer 3

Chocolate agar

Question 4

Neisseria meningitidis has a high carriage rate in what group of people?

Answer 4

Living in close quarters

Question 5

Neisseria meningitidis infection is an effect of what complement deficiency?

Answer 5

C5 to C9

Unable to form MAC

Question 6

Most common cause of meningitis from 2-18 years old?

Fever, HA, stiff neck

Answer 6

Neisseria meningitidis

Question 7

Dissemination of meningococci into bloodstream leads to?

Answer 7

Meningococcemia

With characteristic purpura fulminans

Question 8

Most severe form of meningococcemia?

Answer 8

Waterhouse Friederichsen Syndrome

Bilateral adrenal hemorrhagic destruction

Question 9

DOC for Neisseria meningitidis infection?

Answer 9

Ceftriaxone

Question 10

Primary prevention for Neisseria meningitidis?

Answer 10

Meninogococcal vaccine

A C Y W-135

Question 11

Chemoprophylaxis for close contacts of people with Neisseria meningitidis?

Answer 11

Rifampin

Question 12

What medium is used to culture Neisseria gonorrheae?

Answer 12

Thayer Martin Agar
With VCN
Vancomycin, Calistin, Nystatin

Question 13

Habitat of Neisseria gonorrheae? Transmitted via?

Answer 13

Genital tract

Only by sexual contact and passage thru birth canal

Question 14

Neisseria gonorrheae is usually co-infected with?

Answer 14

Chlamydia trachomatis
Give doxy if nonpregnant (discoloration of teeth and chelates calcium)
Give azith if pregnant

Question 15

What prophylaxis to avoid ophthalmia neonatorum?

Answer 15

Crede’s prophylaxis
Erythromycin ointment on both eyes
Not silver nitrate!

Question 16

Neisseria gonorrheae is the most common cause of what genital tract infection in men?

Answer 16

Urethritis
Very painful purulent urethral discharge
(Endocervicitis in females, asymptomatic)
vs. Trichomonas - asympt males

Question 17

Neisseria gonorrheae infection in women that presents with fever, abnormal bleeding, cervical motion tenderness?

Answer 17

PID

Question 18

A complication of Neisseria gonorrheae PID that scars the fallopian tube?

Answer 18

Sterility

Question 19

A complication of Neisseria gonorrheae PID after salpingitis?

Answer 19

Ectopic pregnancy

Question 20

A complication of Neisseria gonorrheae PID described as violin string adhesions surrounding the liver that cause RUQ pain?

Answer 20

Fitz Hugh Curtis Syndrome

Perihepatitis

Question 21

Acute joint pain and swelling in sexually active adults?

Answer 21

Septic arthritis by Neisseria gonorrheae

Staph in nonsexually active

Question 22

Important consideration in treating Neisseria gonorrheae infections?

Answer 22

Always treat the partner!