Intro to medical microbiology Flashcards

1
Q

What are the three domains of life?

A

bacteria (prokaryote)
archea (prokaroyte)
eucarya (eukaryote)

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2
Q

What are the microbial causes of infection?

A

bacteria -prokaryotic
viruses- unclassified
fungi -eukaryotic
parasites - eukaryotic (usually but can be vector for prokaryotes)
prions (proteins)- unclassified

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3
Q

What is a bacterium?

A

Chiefly round, spiral or rod shaped single celled prokaryotic organism that typically
lives in soil, water, organic matter or the bodies of plants and animals

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4
Q

What is a virus?

A

A unique, acellular, metabolically inert organism that only replicate within living cells

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5
Q

What is a fungus?

A

Any of a kingdom of saprophytic and parasitic spore-producing eukaryotic typically
filamentous organisms including moulds, yeasts, mushrooms and yeasts

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6
Q

What is a parasite?

A

An organism living in, with or on another organism

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7
Q

What is a prion?

A

Protein of unknown function that resides on the surface of brain cells. An abnormal form of
prion protein that in mammals includes pathogenic forms that arise spontaneously (e.g. genetic
mutation) or transmission (e.g. via infected tissue) and upon accumulation in the brain cause a prion
disease e.g. BSE or CJD.

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8
Q

Rank the sizes of microbes?

A

Parasites - microscopic to over 30 m
* Fungi - 2 to 10 µm
* Bacteria - 0.2 to 0.5 µm
* Viruses - 20 to 400 nm
* Prions - 10 nm (often measured in Angstrom [1 A = 0.1 nm]

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9
Q

What is the difference between sterile and non sterile body sites?

A

STERILE
Brain
Heart
Liver
Kidney
NON-STERILE
Mouth
Oesophagus
Lungs
Stomach
Intestine

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10
Q

What are the common specimen types for bacterial culture?

A
  • Mid stream specimen of urine (MSSU) – urinary tract infection.
  • Sputum – lower respiratory tract infection.
  • Throat swab – tonsillitis / pharyngitis.
  • Swabs – wound infection, genital tract infection.
  • Faeces – infectious diarrhea.
  • Blood culture – septicaemia (sepsis).
  • Cerebrospinal fluid CSF) – meningitis.
  • Aspirate of pus – abscess.
  • Bone – osteomyelitis.
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11
Q

What does staining specimen under microscope do?

A

Gives you good idea of morphology of microorgansim

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12
Q

What do lots of white blood cells tell us?

A

Common meningitis symptom
Lymphocitic- bowel
polymorphs- bacterial

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13
Q

How can diff parasites be differentiated ?

A

according to size

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14
Q

How do you interpret results?

A
  • Knowledge of commensal flora (if applicable).
  • Knowledge of common pathogens.
  • Clinical significance?
    if YES, antimicrobial susceptibility testing performed.
  • Some bacteria e.g. S. aureus are both a commensal (harmless) and
    pathogen!
  • Final report with interpretive comments and results.
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15
Q

What are some multi-drug resistant organisms?

A

MRSA
VRE
ESBL
CPE

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16
Q

What does PCR detect?

A

does not detect intact virus
detects section of RNA or DNA
a plus is that it is exceptionally sensitive

17
Q

How would you detect if virus is viable?

A

use cell or tissue culture- allows it to grow

18
Q

What are the ways to detect viruses?

A
  • Molecular methods
  • real time / multiplex PCR
  • Antigen detection
  • Serology to determine immunity #
  • Virtually obsolete methods e.g.
  • Electron microscopy
  • Cell or tissue culture - inoculate a “cell line”
19
Q

When does IgG and IgM occur? (classes of antibodies)

A

IgG- occurs initially
IgM- occurs later on which usually confers long term immunity

20
Q

What are the classifications of parasites?

A

Protozoa - malaria ameobae
Helminths- roundworms , tapeworms
Arthropods- ticks, lice

21
Q

Diagnosis of parasites?

A
  • Microscopy of different life cycle stages e.g.
    parasites, cysts and ova in faeces
    blood films for malaria
  • Culture rarely possible.
  • Serology sometimes useful.
  • Importance of reference laboratories