LEC 2 Flashcards

1
Q

what are meninges

A

membranes that cover brain and spinal cord

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2
Q

how many meninges

A

3 (dura, arachnoid, pia)

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3
Q

where is CSF located

A

arachnoid

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4
Q

what should CSF not have

A

microorganisms

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5
Q

what is gram morphology of N.m

A

gram neg diplococcus

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6
Q

what does N.m have around outer cell wall

A

capsule made of polysaccharides

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7
Q

what is mode of transmission

A

droplet

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8
Q

what is droplet transmission

A

large mucous molecules expelled through cough + sneeze

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9
Q

VIRULENCE FACTORS where is endotoxin / lipid A located

A

cell wall

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10
Q

VIRULENCE FACTORS what does endotoxin of N.m cause (4)

A
  1. blood clotting
  2. DIC
  3. hemorrhage
  4. shock
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11
Q

VIRULENCE FACTORS what does hemorrhage lead to

A
  1. petechiae

2. purpura

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12
Q

VIRULENCE FACTORS what are petechiae

A

small purple spots

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13
Q

VIRULENCE FACTORS what are purpura

A

large purple spot

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14
Q

VIRULENCE FACTORS what does capsule of N.m cause

A

inactivation of WBC trying to phagocytize it

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15
Q

VIRULENCE FACTORS what does inactivation of WBC by N.m cause

A

N.m replication in CSF

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16
Q

VIRULENCE FACTORS what does N.m replication in CSF cause

A
  1. bacteria die

2. bacteria release endotoxin

17
Q

VIRULENCE FACTORS what is another name for N.m

A

meningococcus

18
Q

what 2 diseases can meningococcus cause

A
  1. meningococcal meningitis

2. meningococcal sepsis

19
Q

what is meningococcal meningitis

A

inflammation of meninges

20
Q

what is meningococcal sepsis

A

replication of bacteria in blood

21
Q

what kind of sepsis is meningococcal sepsis

22
Q

what does gram neg sepsis mean

A

endotoxin involved

23
Q

SYMPTOMS what are symptoms of meningococcal meningitis (5)

A
  1. fever
  2. petechiae
  3. headache
  4. photosensitivity
  5. stiff neck
24
Q

SYMPTOMS what are symptoms of meningococcal sepsis (5)

A
  1. fever
  2. petechiae
  3. shock
  4. DIC
  5. hemorrhage
25
what happens as soon as CSF and blood taken
administration of empirical antibiotic
26
what is empirical antibiotic
best guess antibiotic before culture confirmation
27
what is purpose of culturing bacteria
used for antibiotic testing
28
what are 3 types of vaccines
1. polysaccharide 2. conjugate 3. type B
29
what is polysaccharide vaccine
antibodies made for polysaccharide (of capsule)
30
what is conjugated vaccine
antibodies for polysaccharide + immunogenic protein
31
what is type B vaccine
antibodies for proteins in cell wall of B serotype
32
what to offer contacts of those that were infected
prophylactic / preventative antibiotic
33
what is purpose of antibiotic if vaccine administered
vaccine takes 2 weeks to become effective