Infectiology Flashcards

1
Q

In cats Bartonella infections are transmitted by
* Fleas
* Direct contact (fights…)
* Ticks
* Flies

A

Fleas

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2
Q

Which species account for the majority of Bartonella spp. isolated from domestic cats?
* B. henselae and B. clarridgeiae
* B. henselae and B. bovis
* B. clarridgeiae and B. koehlerae
* B. clarridgeiae and B. vinsonii

A

B. henselae and B. clarridgeiae

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3
Q

The main cause of cat scratch disease in humans is :
* B. henselae
* B. vinsonii
* B. clarridgeiae
* B. quintana

A

B. henselae

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4
Q

Which species account for the majority of Bartonella spp. isolated from domestic dogs?
* B. henselae and B. clarridgeiae
* B. henselae and B. vinsonii
* B. clarridgeiae and B. koehlerae
* B. clarridgeiae and B. bovis

A

B. henselae and B. vinsonii

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5
Q

Bartonella infection does not typically imply one of those steps :
* Neutrophils invasion
* Dermal dendritic cells colonisation
* Erythrocytes invasion
* Endothelial cells invasion

A

Neutrophils invasion

1) Replication in flea gut
2) Inoculation of Bartonella-contaminated insect feces by scratching
3) Colonisation of dermal cells such as dendritic cells
4) Invasion of endothelial cells and erythrocytes

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6
Q

Bartonella spp. can be seen during histopathological examination with :
* Silver stains
* PAS stain
* Ziehl-neelsen stain
* Alcian blue stain

A

Silver stains

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7
Q

Which Helicobacter species has not been identified in dogs ?
* H. pylori
* H. canicola
* H. salomonis
* H. felis

A

H. pylori

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8
Q

In cats, Helicobacter spp. infection has not been associated with:
* gastric lymphoma
* gastroduodenal ulcers
* lymphoplasmocytic gastritis
* atrophic gastritis

A

gastroduodenal ulcers

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9
Q

Which assay has the lowest sensitivity for Helicobacter infection in dogs and cats ?
* Urea breath and blood testing
* Rapid urea testing
* Fluorescence in situ hybridization
* Serology

A

Serology

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10
Q

Plague is not present in:
* Australia
* Asia
* Africa
* the Americas

A

Australia

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11
Q

Which antibiotic is effective against plague ?
* Doxycyclin
* Metronidazole
* Amoxicillin
* Azithromycin

A

Doxycyclin

Gentamicin and enrofloxacin are also effective. A 10 day treatment is recommended.

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12
Q

Tyzzer’s disease is caused by
* Clostridium perfringens
* Clostridium piliforme
* Clostridium difficile
* Clostridium sporogenes

A

Clostridium piliforme

Characterised by necrotizing enterocolitis, hepatitis, myocarditis. Characteristic “pick-up sticks” appearance of the bacillus at histopathology.

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13
Q

In a context of possible cryptococcosis, a LATEX agglutination titer of 1:100:
* is diagnostic of cryptococcosis
* should be confirmed with another test such as cytological examination
* cannot be compatible with cryptococcis
* is likely a false positive

A

should be confirmed with another test such as cytological examination

Antigen titers are frequently extremely high, however even a titer 1:2 can indicate cryptococcosis, but low titers can also represent subclinical colonization.

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14
Q

When speaking of cryptococcosis, compared to cats, dogs:
* Are more prone to LATEX agglutination test false negative results
* Experience more frequently upper respiratory tract clinical signs
* Experience more frequently cutaneous lesions
* Less frequently develop systemic disease

A

Are more prone to LATEX agglutination test false negative results

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15
Q

About cryptococcosis treatment in dogs and cats:
* resistance to antifungal treatment is common
* in many animals, a 3 months treatment is sufficient
* fluconazole and amphotericin B are the initial drugs of choice
* flucytosine should be instituted in any case of CNS involvement

A

fluconazole and amphotericin B are the initial drugs of choice

flucytosine is responsible of toxic epidermal necrolysis in dogs and should not be used in that species (but is interesting in cats with CNS involvement because it effectively penetrates the BBB and acts synergistically with amphotericin B AMB). Resistance to antifungal treatment are uncommon. In many animals, treatment should be pursued for years or the life of the animal.

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16
Q

True answer about amphotericin B (AMB):
* Lipid-complex AMB are more effective
* AMB is the most effective anticryptococcal agent
* AMB penetration of CNS and vitreous is good
* The major adverse effect of AMB is hepatic injury

A

AMB is the most effective anticryptococcal agent

Major AE : kidney injury (dose dependent, transient), lipid complex AMB is less nephrotoxic (only IV route). AMB penetration of CNS and vitreous is poor.

17
Q

Itraconazole
* Is the first line treatment for Candida sp. UTI
* Is not recommended as the first line systemic treatment for SNA aspergillosis in cats
* Is the first line systemic treatment for SOA aspergillosis in cats
*

A

Is not recommended as the first line systemic treatment for SNA aspergillosis in cats

18
Q

First line treatment for Candida UTI is:
* itraconazole
* fluconazole
* amphotericin B
* posaconazole

A

fluconazole

19
Q

In SNA and SOA in dogs and cats, which species are most frequently involved?
* Aspergillus fumigatus and Aspergillus felis
* Aspergillus fumigatus and Aspergillus niger
* Aspergillus circumdati and Aspergillus niger
* Aspergillus fumigatus and Aspergillus deflectus

A

Aspergillus fumigatus and Aspergillus felis

20
Q

Which Pneumocystis species infects dogs?
* P. carinii
* P. jirovecii
* P. murina
* P. oryctolagi

A

P. carinii

21
Q
A