Micro Flashcards
What is the function of the peptidoglycan layer?
Gives cells rigid support.
What is the major surface antigen on bacteria?
Cell wall (if gram positive)
What is the antigenic part of the outer membrane of gram negative bacteria?
Lipid A
What is the function of the capsule of bacteria?
Protects against phagocytosis
What is the function of pilli?
Cell attachment
What is the function of the glycocalyx?
Mediates cell adherence to surfaces
What is the gram stain and morphology of staph and strep?
Gram positive cocci
What is the gram stain and morphology of Neisseria?
Gram negative cocci
What is the gram stain and morphology of Clostridium?
Gram positive rod
What is the gram stain and morphology of Corynybacterium?
Gram positive rod
What is the gram stain and morphology of Bacillus?
Gram positive rod
What is the gram stain and morphology of Listeria?
Gram positive rod
What is the gram stain and morphology of mycobacterium?
Weak Gram positive (acid fast) rod
What is the gram stain and morphology of gardnerella?
Gram variable rod
What are the two gram positive, branching filamentous rods?
Actinomyces
Nocardia
What are the two pleomorphic, gram negative rods?
Rickettsiae
Chlamydiae
What are the three gram negative spirochetes?
Borrelia
Leptospira
Treponema
What are the three major gram negative respiratory bacteria?
Haemophilus
Legionella
Bordetella
What are the 6 bacteria that do not gram stain well? (hint: These Microbes May Lack Real Color)
Treponema Mycobacteria Mycoplasma Legionella Rickettsia chlamydia
What are the bacteria that stain with a Giemsa stain? (hint: Certain Bugs Really Try My Patience)
Chlamydia Borrelia Rickettsia Trypanosomes Plasmodium
What is the PAS reaction used for?
Polysaccharides
India ink stain = ?
Cryptococcus neoformans
Ziehl-Neelsen (carbol fuchsin rxn) is used to identify which bacteria?
Nocardia and Mycobacterium
Silver stain is used to identify what type of organisms?
Fungi
Which bacteria needs chocolate agar with factors V (NAD) and X (hematin)?
H. influenzae
Which bacteria needs Thayer-Martin media (VPM)?
Neisseria gonorrhoeae
Neisseria Meningitidis
What is contained within the VPM media that N. gonorrhoeae and N. Meningitidis need?
Vancomycin
Polymyxin
Nystatin
Which bacteria needs Bordet-Gengou (potato) agar?
Bordetella pertussis (bordet for bordetella)
Which bacteria needs Lowenstein-Jensen agar?
TB
What is the agar that fungi need to grow?
Sabourand (Sab’s a fun gi)
Aerobic or anaerobic: Nocardia
aerobic
Aerobic or anaerobic: Pseudomonas
aerobic
Aerobic or anaerobic: mycobacterium
aerobic
Aerobic or anaerobic: clostridium
Anaerobic
Aerobic or anaerobic: Bacteroides
Anaerobic
Aerobic or anaerobic: actinomyces
Anaerobic
What are the enzymes needed for a bacteria to be able to survive oxygen?
Catalase and superoxide dismutase
Burn wounds, what bacteria?
Pseudomonas
What are the two intracellular parasitic bacteria?
Rickettsia, and chlamydia (stay inside cells when it’s Really Cold)
What are the eight facultative intracellular parasites?
salmonella Neisseria Brucella Mycobacterium Listeria Francisella Legionella Yersinia
(Some Nasty Bugs May Live Facultatively)
What are the 7 encapsulated bacteria that are normally cleared by the spleen? (SHiNE SKiS)
Strep pneumoniae Haemophilus influenzae type B Neisseria meningitidis E.coli Salmonella Klebsiella GBS
What are the catalase positive organisms (7, PLACESS for your cats)?
Pseudomonas Listeria Aspergillus candida E.coli S. Aureus Serratia
What is the cause of chronic granulomatous disease?
Defect or deficiency of NADPH oxidase
True or false: a pure polysaccharide antigen cannot be presented to T cells for immune system activation
true
True or false: H influenzae, Meningococcal, and PCV vaccines are all conjugated polysaccharide vaccines
True
What are the urease positive organisms? (CHuck norris hates PUNKSS)
Cryptococcus H. Pylori Proteus ureaplasma Nocardia Klebsiella S epidermidis S. Saprophyticus
What is the color of the pigment produced by actinomyces israelii?
Yellow
What is the color of the pigment produced by Staph Aureus?
yellow (Aureus = gold)
What is the color of pseudomonas aeruginosa?
Green
What is the color of Marcescens?
Red
What is the function of the protein A bacterial virulence factor?
Binds to Fc region of IgG
What is the function of the IgA protease that is secreted by S. pneumoniae, Neisseria, and H .influ?
Cleaves IgA
Which bacteria secrete IgA protease (hint, all are encapsulated bacteria, but not all encapsulated bacteria secrete IgA protease)?
S. pneumoniae
H .influ
Neisseria
(SHiN)
What is the M protein found on bacteria?
prevents phagocytosis. Expressed by GAS.
Is exotoxin found on gram negative or gram positive bacteria?
Both
Is endotoxin found on gram negative or gram positive bacteria?
Negative
Is exotoxin found on cell membranes, or secreted? Endotoxin?
Exo is secreted
Endo found on gram - cell walls
What type of polymer are exotoxins? Endotoxins?
Exo = polypeptide Endo = Lipopolysaccharide
Where is the gene located for exotoxins? Endotoxins?
Exo = Plasmid Endo = Bacterial chromosome
What is the toxicity of exotoxins? Endotoxins?
Exo = highly toxic Endo = low toxicity
What are the effects of endotoxins?
fever
Shock
DIC
What is the MOA of endotoxin (what are the three chemokines that the body secretes)?
Induces TNF-alpha
IL-1
IL-6
Is the antigenicity of exotoxins high or low? Endo?
Exo = induces many antibodies Endo = Low
Is there a vaccine available for exotoxins? How about endotoxins?
Exo = yes Endo = no
Which is more heat stable: endotoxins or exotoxins?
Endo
Clostridium tetani: endo or exotoxin?
Exo
Diphtheria: endotoxin or exotoxin?
Exo
What is the MOA of diptheria toxin?
Inactivates EF-2
What is the exotoxin that pseudomonas releases? MOA?
Exotoxin A
Inactivates EF-2
What is the exotoxin that Shigella releases? MOA?
Shiga toxin
Inactivates 60S ribosome
What is the exotoxin that EHEC releases? MOA?
Shiga-like toxin
Inactivates 60S ribosome
Does EHEC invade host cells?
No
What causes the diarrhea associated with Shiga toxin?
Gi mucosal damage
What is the MOA of the heat labile toxin that ETEC releases? Heat stable one?
heat labile=Over Activates cAMP (labile in the Air)
Stable = over activates cGMP (stable on the Ground)
What is the exotoxin that bacillus anthracis releases? MOA?
Edema factor
Mimics adenylate cyclase
Black eschar = ?
Bacillus anthracis
What is the exotoxin that Vibrio Cholerae releases? MOA?
Cholera toxin
Over Activates adenylate cyclase
Rice water diarrhea = ?
Cholera
What is the exotoxin that bordetella pertussis releases? MOA?
Pertussis toxin
Increases cAMP to inhibit phagocytosis
What is the exotoxin that Clostridium tetani releases? MOA?
Tetanospasmin
Inhibits SNAREs of presynaptic terminals of inhibitory interneurons
What is the exotoxin that clostridium botulinum releases? MOA?
Botulinum toxin
Inhibits SNARES of excitatory neurons
What is the exotoxin that Clostridium perfringens releases? MOA?
Alpha toxin
phospholipase degrades cells membranes
What is the exotoxin that Streptococcus pyogenes releases? MOA?
Streptolysin O
protein that degrades cell membranes
What is the disease caused by clostridium perfringens?
Diarrhea, myonecrosis, gas gangrene
What is the bacteria that causes toxic shock syndrome? Exotoxin?
Staph Aureus—TSST-1
What is the superantigen that GAS (strep pyogenes) releases?
Exotoxin A
Is LPS heat stable or labile?
Stable
What are the signs/symptoms of LPS shock (ENDOTOXIN)
Edema Nitric oxide DIC Outer membrane TNF-alpha O antigen eXtremely heat stable IL-1 Neutrophil chemotaxis
What is bacterial transformation?
Ability to take up naked DNA
Which bacteria can transform easily?
SHiN
S. pneumoniae
H. Influ
Neisseria
Is F+ x F+ possible?
No
Is F+ x Hfr possible?
Yes
What is bacterial transposition?
Segment of bacterial DNA that can transpose from one location to another
What is generalized transduction?
Lytic cycle
What is specialized transduction?
When Bacterial DNA is incorporated into phage protein capsule
What are the ABCDE toxins that are encoded by lysogenic phages?
shigA botulinum Cholera Diphtheria Erythrogenic toxin of strep pyogenes
Gram positive bacteria with branching filaments that is anaerobic and not acid fast. What bacteria is this?
Actinomyces
Gram positive bacteria printing film in aerobic and acid fast. What bacteria is this?
Nocardia
Gram positive cocci that is catalase positive and coagulase positive = ?
Staphylococcus aureus
Gram positive cocci that is catalase negative = ?
Strep
Gram positive cocci that is catalase positive, Coagulase negative, and novobiocin sensitive is what?
Staph epidermidis
Gram positive cocci that is catalase positive, Coagulase negative, and NOT novobiocin sensitive is what?
Staph Saprophyticus
Gram positive cocci that is catalase negative, and hemolysis alpha = ?
Strep pneumoniae
Gram positive cocci that is catalase negative, and hemolysis beta= ?
S. pyogenes
S. Agalactiae
Gram positive cocci that is catalase negative, and hemolysis gamma= ?
Group D enterococcus
How do you differentiate between strep pyogenes and strep agalactiae?
bacitracin positive = pyogenes
Is strep pyogenes bacitracin sensitive?
Yes
What does alpha hemolysis mean?
partial hemolysis
What does beta hemolysis mean?
Complete hemolysis
What does gamma hemolysis mean?
No hemolysis on blood agar
Which Staphylococcus bacteria is novobiocin resistant?
Staph Saprophyticus
Which Staphylococcus bacteria is sensitive to novobiocin?
Staph Epidermidis
Which streptococcus bacteria is optochin sensitive?
Pneumoniae
Which streptococcus bacteria is optochin resistant?
Viridans
Which strep bacteria is bacitracin resistant? Sensitive?
resistant = GBS Sensitive = GAS
What is the virulence factor on Staph Aureus?
Protein A
What is the MOA of TSST-1?
binds to MHC class II, resulting in polyclonal T cell activation…shock
Gram positive cocci that is catalase positive, coagulase positive = ?
Staph Aureus
What is the major bacteria that coats catheters?
Staph Epidermidis
What are the first and second most common causes of UTIs?
E.coli
Staph Saprophyticus
What are the four diseases that strep pneumoniae commonly causes? Is strep pneumoniae optochin sensitive or resistant?
Meningitis
OM
Pneumonia
Sinusitis
(MOPS (most optochin sensitive))
True or false: strep pneumoniae has no virulence without a capsule?
true
Which hemolysis result for Strep viridans? Which abx is used to differentiate them? Sensitive or resistant?
Alpha
Optochin
resistant
(they colonize the mouth because they are not afraid of the chin (optochin))
What is the causative agent of strep throat?
Strep pyogenes
What is the cause of acute glomerulonephritis?
Strep pyogenes
What is the abx used to differentiate strep pyogenes? Sensitive or resistant?
Bacitracin sensitive
Bacitracin is used to differentiate between which two groups of strep? Which is sensitive/resistant?
GBS = resistant
Strep pyogenes = sensitive
What diseases do enterococcus bacteria cause?
UTIs
What disease is strep bovis associated with?
Colon cancer (bovis in the blood = CA in the colon)
Pseudomembranous pharyngitis = ?
Diphtheria
Corynebacterium diphtheriae = gram positive or negative? rods or cocci?
gram positive rods
Which of the following bacteria form spores:
- strep pyogenes
- Clostridium perfringens
- Clostridium tetani
- Bacillus anthracis
- Staph aureus
- Clostridium perfringens
- Clostridium tetani
- Bacillus anthracis
What are the neurons that are affected by tetanospasmin?
renshaw cells
What is the MOA of botulinum toxin?
Inhibits SNAREs from releasing ACh
Canned goods, honey = ?
C. Botulinum
gas gangrene = ?
Clostridium Perfringens
What are the two toxins released by C. diff? What does each do?
Toxin A–binds brush border
Toxin B–disrupts actin polymerization
What is the treatment for C. diff infx?
Vanco
Bacillus anthracis: gram positive or negative? Morphology? Spores?
gram positive Rod
yes to spores
Box shaped, gram positive, rods?
Anthrax
What is cutaneous anthrax? (symptoms, prognosis)?
Black esher, rarely deadly
What is pulmonary anthrax?
Woolsorter’s disease
very deadly
What disease does bacillus cereus cause?
Food poisoning
reheated rice = ?
bacillus anthracis
Unpasteurized deli meats and cheeses + food poisoning = ?
Listeria monocytogenes
Rocket bacteria = ?
Listeria monocytogenes
Listeria: rods or cocci? gram positive or negative?
gram positive rods
Nocardia vs actinomyces: which is gram positive
Both
Nocardia vs actinomyces: which is aerobic
nocardia
Nocardia vs actinomyces: which is acid fast
nocardia
Nocardia vs actinomyces: which is treated with PCN, and which with sulfa?
Actinomyces = PCN Nocardia = Sulfa
What is a Ghon complex?
Focus of radiopacity, indicative of TB
What disease does mycobacterium Kansasii cause?
Like TB, but less severe
What disease does mycobacterium avium-intracellulare cause?
Disseminated, non-TB disease in AIDS pts
true or false: all mycobacteria are acid fast
True