II. DIAGNOSTIC MYCOLOGY Flashcards

1
Q

produce moist, creamy, opaque or pasty colonies on media

A

Yeast

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2
Q

produce fluffy, cottony, woolly, or powdery colonies

A

Filamentous fungi or Molds

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3
Q

fungal pathogens that exhibit either a yeast or yeastlike phase and filamentous forms

A

Dimorphic

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4
Q

when dimorphism is temperature-dependent

A

Thermally dimorphic

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5
Q

mold form at

A

25°C to 30°C

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6
Q

yeast form t

A

35°C to 37°C

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7
Q

fungi that have more than one independent form or spore stage in their life cycle

A

Polymorphic fungi

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8
Q

Fungi have been categorized into three well-established phyla:

A

Zygomycota
Ascomycota
Basidiomycota

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9
Q

This diverse group of fungi includes organisms that produce sparsely septate hyphae and exhibit asexual reproduction by sporangiospores and sexual reproduction by the production of zygospores.

A

Zygomycota

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10
Q

fungi that reproduce asexually by the formation of conidia (asexual spores) and sexually by the production of ascospores.

A

Ascmycota

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11
Q

fungi that reproduce sexually through the formation of basidiospores on a specialized structure called the basidio

A

Basidiomycota

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12
Q

fungal infections that involve hair, skin, or nails without direct invasion of deeper tissue

A

Superficial (cutaneous) mycoses

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13
Q

infections that are confined to the subcutaneous tissue without dissemination to distant sites

A

Subcutaneous mycoses

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14
Q

Four categories of mycoses according to the type of infection:

A

Superficial (cutaneous) mycoses
Subcutaneous mycoses
Systemic mycoses
Opportunistic mycoses

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15
Q

infect immunocompromised hosts. ______________ include almost any fungus present in the environment

A

Opportunistic pathogens

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16
Q

Virulence factors

A

Size
Temp and ph (37°C at a neutral pH)
Conversion of the dimorphic
Toxin production

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17
Q

most common specimens collected for fungal culture

A

Respiratory tract secretions

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18
Q

prevents overgrowth by rapidly growing molds and should be included in at least one of the culture media

A

antifungal agent cycloheximide

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19
Q

are satisfactory for the recovery of fungi

A

Agar plates or screw-capped agar tubes

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20
Q

___________ are preferred, because they provide better aeration of cultures, a large surface area for better isolation of colonies, and greater ease of handling

A

Plates

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21
Q

Dishes should be opened and examined in a __________________

A

CERTIFIED BIOLOGICAL SAFETY CABINET

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22
Q

After inoculation, tubes should be placed in a _______________ for at ______________ to allow the specimen to absorb to the agar surface and prevent settling at the bottom of the tube.

A

Horizontal position
1 to 2 hours

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23
Q

___________ are unsatisfactory for fungal cultures.

A

Cotton-plugged tubes

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24
Q

● Cultures should be incubated at room temperature, or preferably at _______________ before they are reported as ___________

● Cultures should be examined at __________weekly during incubation.

A

30°C, for 21 to 30 days
Negative

Atleast three times

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25
Q

Addition of ___________________ and _________________ to media has been advocated to inhibit the growth of contaminating molds and bacteria, respectively. However, better results have been achieved using a combination of ________________________________ as antibacterial agents. _______________ at a concentration of 5 mg/mL may be used.

A

0.5 mg/mL of cycloheximide

16 mg/mL of chloramphenicol

5 mg/mL of gentamicin and 16 mg/mL of chloramphenicol

Ciprofloxacin

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26
Q

This important procedure often can provide the first microbiologic proof of the cause of disease in patients with fungal infection and guide the selection of appropriate media to support growth.

A

Direct Microscopic Examination

27
Q

Detection of mycobacteria, Nocardia spp. And some isolates of Blastomyces spp

A

Acid-fast stain and partial acid-fast stain

28
Q

Detection of mycobacteria and Nocardia spp.,

A

Auramine-rhodamine stain

29
Q

Excellent screening tool; sensitive and affordable.

A

Auramine-rhodamine stain

30
Q

detects fungi rapidly because of bright fluorescence.

A

Calcofluor white stain

31
Q

Commonly performed on most clinical specimens submitted for bacteriology; detects most fungi.

A

Gram stain

32
Q

Detection of Cryptococcus spp. in CSF

A

India ink

33
Q

Diagnostic of meningitis when positive in CSF.

A

India ink stain

34
Q

Most widely used method of staining and observing fungi

A

Lactophenol cotton or aniline blue wet mount

35
Q

preserves structures; slides can be made permanent.

A

Lactic acid

36
Q

Clearing of specimen to make fungi more readily visible

A

Potassium hydroxide

37
Q

Rapid detection of fungal elements.

A

Potassium hydroxide

38
Q

Examination of melanin pigment in fungal cell walls

A

Masson-Fontana stain

39
Q

Aids differentiation of melanin and hemosiderin pigments

A

Masson-Fontana stain

40
Q

Best stain for detecting fungal elements

A

Methenamine silver stain

41
Q

Detection of fungi in histologic section

A

Methenamine silver stain

42
Q

Examination of secretions for malignant cells

A

Papanicolaou stain

43
Q

Stains fungal elements well; hyphae of molds and yeasts can be readily distinguished.

A

Periodic acid Schiff (PAS) stain

44
Q

Examination of fungal elements

A

Saline wet mount

45
Q

Examination of bone marrow or peripheral blood smears

A

Wrights stain

46
Q

Detects Histoplasma capsulatum and Cryptococcus spp

A

Wright’s stain

47
Q

Morphologic Form Found in Specimens

A

Yeastlike
● Spherules
● Yeast and pseudohyphae or hyphae
● Pauciseptate hyphae
● Hyaline septate hyphae
● Dematiaceous septate hyphae
● Sclerotic bodies
● Granules

48
Q

sensitive method that is difficult to perform
and interpret.

A

Complement fixation (CF)

49
Q

simple, cost-effective procedure. Although it is 100% specific, it is relatively insensitive and is not used as a screening tool. This test also requires 2 to 3 weeks to exhibit a positive result.

A

Immunodiffusion testing

50
Q

for both antibody and antigen have been used.
These tests are also commonly negative in immunocompromised patients, especially early in the infection

A

Enzyme immunoassays

51
Q

Intermediate growers form mature colonies in

A

6 to 10 days

52
Q

Slow growers form mature colonies in

A

11 to 21 days

53
Q

Rapid growers form mature colonies in

A

5 days or less

54
Q

Colony Topography:

A

Verrucose
Umbonate
Rugose

55
Q

Colony Texture:

A

Cottony
Velvety
Glabrous
Granular
Wooly

56
Q

furrowed or convoluted

A

verrucose

57
Q

slightly raised in the center

A

umbonate

58
Q

furrows radiate out from the center

A

rugose

59
Q

low aerial mycelium resembling a velvet cloth

A

Velvety

60
Q

loose, high aerial mycelium

A

cottony

61
Q

smooth surface with no aerial mycelium

A

Glabrous

62
Q

high aerial mycelium that appears slightly matted down)

A

Wooly

63
Q

dense, powdery, resembling sugar granules

A

Granular