Infectious Disease + Micro Flashcards

1
Q

What is the function of node like receptors?

A

Purpose is to detect intracellular microbial pathogens.

Stimulate the release of cytokines and cause cellular apoptosis

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2
Q

Give 3 examples of pattern recognition receptors?

A

Toll Like receptors

Rig like receptors

Nod like receptors

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3
Q

What are the purposes of pattern recognition receptors such as node like receptors and toll like receptors?

A

Amplify the immune response.

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4
Q

What are 3 functions of antibodies?

A

Opsonisation

Neutralise toxins

Activate complement system

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5
Q

What is the function of complement factors?

A

Recruit and activation of macrophages, neutrophils and other WBC

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6
Q

What are the 4 stages of growth in liquid media?

A
  1. Lag Phase
  2. Log Phase
  3. Stationary Phase
  4. Decline Phase
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7
Q

DO gram negative or gram positive bacteria produce more endotoxin??

A

Gram positive. Hence why it causes more serious damage

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8
Q

Describe the following:

Active immunisation:

Passive immunisation:

A

Active immunisation: stimulates virgin lymphocytes to be stimulated to make antibodies

Passive: ready made antibodies injected into body

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9
Q

Define

infectivity

Virulence

A

Infectivity: the ability to become established in a host

Virulence: the ability a pathogen has at eliciting a disease

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10
Q

What are the 3 components of an outer component of a Gram negative bacteria ?

A

Lipid

Core R antigen

Somatic O antigen

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11
Q

Which strain of HIV is more prevalent in humans?

A

HIV 1

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12
Q

Give the name of two receptor types on the service of a HIV virus?

A

G120 and G41

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13
Q

What is the CD4 count in a patient with HIV?

What is the CD4 count in a patient with AIDS?

A

CD4 in HIV >400

CD4 in AIDS >200

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14
Q

How many genes make up the HIV virus?

A

7

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15
Q

What is the pathophysiology behind HIV and its replication?

A

The HIV virus attaches to a cell via its receptors G41 and G120

The HIV then de envelopes and releases reverse transcriptase that causes viral RNA to be transcribed and then spliced.

Virions are then released out of the cells. They are undetectable as are surrounded by host cell.

Constantly mutates

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16
Q

How would you describe the immunogenicity of HIV?

Does it have genetic diversity?

A

Poor immunogenicity

YES it does

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17
Q

What are 3 cells affected by HIV?

A

Macrophages

CD4 T cells

Dendritic cells

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18
Q

What are some features of an acute infection of HIV?

A
  1. Fever
  2. Weight loss
  3. Sweating
  4. Malagia and Lymphadenopathy
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19
Q

What are some symptoms of secondary infection of HIV?

A

Signs of malignancy: cervical cancer, non Hodgkin’s lymphoma and also kaposi sarcoma.

Signs of infection: TB, pneumonia and diarrhoea

Weight loss, generalised lymphadenopathy and candida

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20
Q

How do you monitor the levels of HIV via the blood? (3 ways)

A

CD4 levels

P24 antigens

Via saliva or blood glucose test

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21
Q

How do you manage HIV?

A

HAART therapy: anti-retro virals such as tenofovir and abacavir

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22
Q

What are the 3 different types of Protozoa?

A
  1. Flagellates
  2. Amoebae
  3. Sporozoans
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23
Q

What class are the malaria’s part of protozoa wise?

A
  1. Sporozan
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24
Q

Give 5 steps that a virus needs to replicate?

A

Attachment

Cell entry

Interaction

Replication

Assembly

Vision Release

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25
What are 5 ways that a virus can cause disease?
1. Direct damage to the host cell 2. Damage by modification of cell function or structure 3. Physical modification 4. Functional Modification 5. Damage by over reaction Damage through cell proliferation and immortalisation
26
What are interferons?
Chemokines that have anti-viral properties
27
What are the 3 groups of Helminths?
Cestode: tape worm Nermatode: flat worm Trematode: round worm
28
What is an example of a flat worm?
Liver, lung or blood flukes Schistosomiasis
29
How do you treat the nermatode thread worm?
Mebendazole
30
What type of cell is a fungi?
Eukaryotic
31
How would you describe: - Yeast - Mould
Yeast is a single cell organism that divides by budding Mould is a multi cell organism that divides by sported
32
What do you need to stain a fungal culture with?
KOH
33
How would you describe a mycobacteria ?
1. Aerobic 2. Non sporting 3. Non motile
34
What is the difference between intrinsic and extrinsic antibiotic resistance?
Intrinsic naturally occurs and is passed on Extrinsic passed on by horizontal gene transfer and spontaneous gene mutation
35
What is the main aetiology behind Hep B?
Vertical transmission
36
What is the main aetiology behind Hep C ?
IVDU
37
If a patient had an active infection of Hep B what antigens would be present in their blood?
Hep B surface antigen Of Hep B envelope antigen (less specific)
38
What antibody would be present in a patient who has had a Hep B immunisation or post infection?
Hep B surface antibody
39
If a patient had a Hep B core antibody present in their blood what would it suggest?
They have an acute, chronic or past infection of Hep B Is not present in a patient who has had the vaccination.
40
What time period is classed as chronic in Hepatitis B?
More than 6 months.
41
What are two complications of Hep B?
Liver cirrhosis and hepatocellular cancer as Hep B is an oncogenic virus
42
What is the management of Hep B?
You need to give the anti viral tenofovir used to use Pegylated interferon alpha
43
Is hep B DNA or RNA?
DNA
44
What monitoring tests are need in someone with chronic viral hepatitis?
Alpha fetoprotein US monitoring Fibroscan and possibly Liver biopsy. Need to check viral markers
45
If a patient was Hep C. Is the virus DNA or RNA?
RNA
46
What medication do you give someone who has Hep C ?
Direct Acting Anti-viral Drug (DAA) aka elbasvir
47
What are two medications used in life threatening COVID?
Remdesevir Dexametasone
48
What anti coag would you want to give to a COVID patient?
1. Stop warfarin and DOAC | 2. Start LMWH
49
What are 3 tests you could do in a patient with suspected latent TB?
1. Mantoux Test 2. IGRA test 3. CX-Ray
50
What are two SE of rifampicin?
Red urine + Tears and Hepatitis
51
What are two SE of isoniazid?
Hepatitis , peripheral neuropathy
52
What anti-TB drug affects the COCP?
Rifampicin
53
In latent TB what is the treatment?
Rifampicin and Isoniazid for 3 months each
54
What is the management for a patient with active TB?
You need 2m of Rifampicin and Isoniazid + Pyrazinamide + Ethambutol 4m of Rifampicin + Isoniazid
55
Which of the anti TB drugs is bacterialcidal? What is a SE of this?
Ethambutol optic neuritis
56
What medication can you not take with HAART?
Omeprezole
57
Which Hepatitis Virus’ can you vaccinate against?
Hep A and B
58
When is a patient with Hep C ‘cured’?
When their HCV RNA levels are negative after 12 w of stopping meds
59
What class of drug is used to treat Hep C?
DIrect Acting Anti-Viral Drugs
60
When would a Hep B envelope antibody be present in?
In a patient who has had or has the virus
61
If a pregnant lady is positive for Hep B what do you do post labour to the baby?
You give Hep B antibodies
62
What is the definition of sepsis?
Life threatening organ dysfunction due to a dysregulated host response to an infection.
63
What other virus does Hep D need to survive?
Hep B
64
What antibiotic is used to treat staph infections?
Flucoxicillin
65
What antibiotics are used to treat listeria?
Amoxicillin + gentamicin
66
What is the abx you need to use for someone with klebseilla?
Cefotaxime
67
What is the abx treatment for helicobacter pylori?
Clarithromycin and Amoxicillin
68
What virus will you see owl eye inclusion bodies on microscope?
Cytomegaly
69
What virus will you see inclusion bodies in ?
Herpes Simplex Virus
70
What agar should you use for candida growth?
Sabourad Agar
71
Give an example of a cephalosporin abx?
Ceftotaximine
72
What is an example of a carbapenm? What is it useful in?
Resistant bacteria both -ve and +ve Example: meropeneum
73
What is an example of a macrolide?
Erythromycin
74
Example of an aminoglycoside?
1. Streptomycin | 2. Gentamicin