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
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.
0.5 mg/mL of cycloheximide 16 mg/mL of chloramphenicol 5 mg/mL of gentamicin and 16 mg/mL of chloramphenicol Ciprofloxacin
26
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.
Direct Microscopic Examination
27
Detection of mycobacteria, Nocardia spp. And some isolates of Blastomyces spp
Acid-fast stain and partial acid-fast stain
28
Detection of mycobacteria and Nocardia spp.,
Auramine-rhodamine stain
29
Excellent screening tool; sensitive and affordable.
Auramine-rhodamine stain
30
detects fungi rapidly because of bright fluorescence.
Calcofluor white stain
31
Commonly performed on most clinical specimens submitted for bacteriology; detects most fungi.
Gram stain
32
Detection of Cryptococcus spp. in CSF
India ink
33
Diagnostic of meningitis when positive in CSF.
India ink stain
34
Most widely used method of staining and observing fungi
Lactophenol cotton or aniline blue wet mount
35
preserves structures; slides can be made permanent.
Lactic acid
36
Clearing of specimen to make fungi more readily visible
Potassium hydroxide
37
Rapid detection of fungal elements.
Potassium hydroxide
38
Examination of melanin pigment in fungal cell walls
Masson-Fontana stain
39
Aids differentiation of melanin and hemosiderin pigments
Masson-Fontana stain
40
Best stain for detecting fungal elements
Methenamine silver stain
41
Detection of fungi in histologic section
Methenamine silver stain
42
Examination of secretions for malignant cells
Papanicolaou stain
43
Stains fungal elements well; hyphae of molds and yeasts can be readily distinguished.
Periodic acid Schiff (PAS) stain
44
Examination of fungal elements
Saline wet mount
45
Examination of bone marrow or peripheral blood smears
Wrights stain
46
Detects Histoplasma capsulatum and Cryptococcus spp
Wright’s stain
47
Morphologic Form Found in Specimens
Yeastlike ● Spherules ● Yeast and pseudohyphae or hyphae ● Pauciseptate hyphae ● Hyaline septate hyphae ● Dematiaceous septate hyphae ● Sclerotic bodies ● Granules
48
sensitive method that is difficult to perform and interpret.
Complement fixation (CF)
49
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.
Immunodiffusion testing
50
for both antibody and antigen have been used. These tests are also commonly negative in immunocompromised patients, especially early in the infection
Enzyme immunoassays
51
Intermediate growers form mature colonies in
6 to 10 days
52
Slow growers form mature colonies in
11 to 21 days
53
Rapid growers form mature colonies in
5 days or less
54
Colony Topography:
Verrucose Umbonate Rugose
55
Colony Texture:
Cottony Velvety Glabrous Granular Wooly
56
furrowed or convoluted
verrucose
57
slightly raised in the center
umbonate
58
furrows radiate out from the center
rugose
59
low aerial mycelium resembling a velvet cloth
Velvety
60
loose, high aerial mycelium
cottony
61
smooth surface with no aerial mycelium
Glabrous
62
high aerial mycelium that appears slightly matted down)
Wooly
63
dense, powdery, resembling sugar granules
Granular