Micro Practical Flashcards
Aspergillus
______ on ______ agar
Green on saboraud dextrose agar
Aspergillus
Infections caused?
Aspergillosis
Allergic Bronchopulmonary aspergillosis
Chronic pulmonary aspergillosis
Aspergillus
Sample ?
Diagnosis?
Sputum, tissue biopsy, BAL
Microscopy, culture, sensitivity, PCR
Aspergillus
Agar?
Staining agent?
Saboraud dextrose
Lactophenol cotton blue stain
Aspergillus
Treatment?
Voriconazole
Itraconazole
Proteus _______
_______ motility on ______ agar
Mirabilis
Swarming
Blood
Proteus 3 each
Infections ?
Treatment??
UTI, pneumonia, wound infections
Penicillin , ampicillin, cephalosporin
Proteus
______ positive
H2S (pos or neg?)
Gram _____
_____ shape
Motile or non-motile
Lactose (ferment or non-ferment?)
_____ odor
Habitat?
Urease; pos
Neg ; rod
Motile
Non-ferment
Fishy ; soil,water
Agar; Normal ; lactose fermenters
MacConkey
Eosin methylene Blue
Yellow; pink
Red; green with a metallic sheen
The dye methylene blue in the medium , EMB, helps to ____________________________________
inhibit the growth of gram-positive bacteria
All Enterobacteriales are gram _______ , except???
Negative
Pseudomonas
We have proteus ———— or proteus ________
Mirabilis
Vulgaris
usefulness of christensen medium?
Detect Urease production
Urease production
Medium: ?
Indicator: ?
Positive reaction is from —— to _______
Other urease positive organisms
christensen medium
Phenol red
Yellow to pink/red
Proteus, H,pylori, brucella, yersenia, corynebacterium
Corynebacterium
Gram ______
_____ shape
Motility?
Catalase (pos or neg?)
Virulence factors??
Other species
Negative
Club
Non-motile
Positive
Fimbriae,pilli, diphtheria toxin
Gravis, mitis, intermedius
Diphtheria toxin has 3 domains
List
Active
Binding
Hydrophobic
The agar can be divided into two. Top and bottom, bottom turning _____ means ______ fermentation. Top turning _______ means _______ fermentation.
Black is _____ production.
Space at the bottom is ____ production
Yellow; glucose
Yellow; lactose
H2S; gas
metachromatic granules of Corynebacterium diphtheriae can be observed with which stains
Albert stain
Lugol iodine
Methylene blue
Describe the metachromatic granules of corynebacterium
Green bacilli with bluish slick
_________ is used for selective isolation and differentiation of Corynebacterium diphtheriae types.
Cystine Tellurite agar
Corynebacterium
_______ test for toxin production, and what’s the presentation
Elek’s test
Precipitin line/zone of equivalence
Aspegullus Flavus colonies on saboraud agar is ???
Describe aspergillus Niger
Green
Black center, bright halo around it
Neisseria gonorrhea
Medium- ?
Gram ______
Shape?
Treatment
Infections
Modified martins-thayer
Negative
Bean shaped/ diplococci
Third generation cephalosporins
Genital gonorrhea, pharyngeal gonorrhea
Oxidase test
A drop of oxidase reagent was was placed on the right and left side of the filter paper
When N.gonorrhea is dropped on one side, it turns it _____ or ______ while E.coli _____________________
Purple or black
Does not produce anything
NAAT-??
Nucleic acid amplification test
E.coli
Gram _______
Motility?
oxidase (pos or neg?)
Ferment lactose or non-fermenter
H2S (pos or Neg?)
Negative ; motile
Negative
Ferment lactose
Negative
E.coli
Toxin produced?
Disease produced?
Shiga-toxin; Cholera toxin
UTI, diarrhea, sepsis, meningitis
E.coli
Species?
ETEC
EHEC
EIEC
EAEC
Media : normal color; indicator
MacConkey
EMB
Klighler iron
Christensen
Yellow; neutral red
Red; eosin Y and methylene blue
Red ; phenol red
Yellow; phenol red
Klebsiella
How to recognize it?
Gas or no gas?
Motile or non-motile?
Indole (pos or neg?)
Mucoid colonies
Gas; non-motile
Negative except oxytoca and ornithological
Klebsiella
Other spices ?
Virulence factors?
Disease?
Pneumoniae, oxytoca, granulomatis
Pilli, LPS, polysaccharide capsules, Siderophores
UTI, liver abscess, pneumonia
Mention 2 organism that can be cultured on chocolate agar?
Haemophilus influenzae
Neisseria gonorrhea
Chocolate what is a ________ agar
Enriched
2 selective media where you can find Neisseria
Blood
Chocolate
MYCOBACTERIUM TUBERCULOSIS
Acid fast stain- primary dye is ________, decolonizing agent is __% alcohol for tuberculosis, ____% alcohol for leprae, counter stain is ________ or _______
carbol fuschin
3; 1
methylene blue or Malachite green
MYCOBACTERIUM TUBERCULOSIS
Acid fast organisms are _______,______
Colony morphology of an LJ medium: are _________,_______, and ______
Contents of LJ medium: ____,______,______,_____
Specimen: ______,________,_______, and _____
Disease caused by mycobacteriums : ______,________,_______
Treatment: _____
mycobacteriums, nocardia
non pigmented, rough, and dry
salt, glycerol, malachite green, and antibiotics
Sputum, CSF, gastric washing, and pleural fluid
Tuberculosis, POTT’s disease, leprosy
RIPE
Mycobacterium tuberculosis
Uses of LJ medium: to _______ , test ____________ of _________, and ________
diagnose disease
antibiotic susceptibility of isolate
differentiate species
Mycobacterium tuberculosis
Tb produces large quantity of _____, other mycos don’t
Gold standard is ______ medium
niacin
Lowenstein Jensen
LJ medium could also be used for ______ and ______ besides tuberculosis
Leprae
Bovis
Malachite green is a _____, that ________________ and ___________
dye
Kills normal flora and prevents contamination
Substitute for LJ is _____________ medium
middlebrook TH1
Broth’s media
They utilize ____________, releasing ______, which is detected by the machine
C-palmitic acid
Co2
List 2 counter stains that can be used in place of Ziehl neelsen
Malachite green, Methylene blue
BACTERIODES!
Can cause- ________,________,_______,________
Found in ______,________,_______
Virulence factors- ______,_______
diabetic ulcer, bacteremia, abscesses, decubitus
GI, vagina, urethra
polysaccharide capsule, fimbrae
Bacteriodes
Isolation procedures - use of ________ to remove debris and _________ which accumulates on the _______
sterile toothpicks
white soft tar tar
molar teeth
Bacteriodes
______ and ______, ____ pigmentation on ______ agar
Shiny and smooth
Black
Blood
Bacteriodes
Gram _________
Catalase (pos or neg?)
Superoxide dismutase (pos or neg?)
Negative
Positive
Positive
Bacteriodes
Other species
Treatment
Fragilis, corodens
Drainage of abscess, debridement , metronidazole
All anaerobes are sensitive to _______
All aerobes are sensitive to _________
metronidazole
gentamicin
Clostridium perfringens
List the toxins
Disease it causes
Forms ______ colonies on _____ agar
Alpha, theta
Cellulitis, gas gangrene
Hemolytic ; blood
Clostridium tetani
List the toxins
Disease it causes
Tetanospasmin
Tetanus
Clostridium perfringens
In a broth containing fermentible carbohydrates, its growth is accompanied by production of ______ and ______
hydrogen and Co2
______ medium for ______ activity (____ reaction)
Specific for clostridium perfringens
Egg; lecithinase
Naglar
Clostridium
Gram ______
Grows on ______ agar
_________ broth can be used
Positive
Blood
Thioglycolate
Clostridium tetani
On Robertson red meat cooked medium, it ________ the cooked meat as a result of _______ reaction , while perfringens _________ as a result of ______ reaction
Blackens; proteolytic
Reddens it; saccarholytic
Reducing substances in Robertson Cooked meat?
Haemin
Glutathione
Clostridium
Indole (pos or neg?)
H2S (pos or neg?)
Catalase (pos or neg?)
Oxidase (pos or neg?)
POS
POS
Negative
Negative
Salmonella
Antigens: ?
H2S (pos or neg?)
Disease?
Specimen
Motile or not?
O(somatic), H(flagella), Vi(capsule)
Positive
Gastroenteritis, typhoid, bacteremia
Blood stool urine
Motile
Salmonella
Selective medium
Enrichment medium
Salmonella-shigella
Xyline-Lyosine Deoxycholate agar
Tetrathionate broth, selenite
Salmonella
Treatment
Ampicillin, tetracycline
Hektoen agar
For which organism
Changes seen
Salmonella and shigella
Forms black colonies on a yellow background
Salmonella rapidly ferments xylose , forming ________, then decarboxylate lysine when xylose is exhausted , turning the colonies _____
yellow
red
The _____ test is an advanced way to check for antibodies that your body makes against the salmonella bacteria that causes typhoid fever
Widal
Shigella
Motile or not?
H2S (pos or neg?)
Lactose fermentation( pos or neg?)
Urease ( pos or neg?)
Oxidase ( pos or neg?)
Encapsulated or not
Non-motile
Negative
Negative
Negative
Negative
Not encapsulated
Deoxycholate citrate agar
Lactose fermenters produce …………….. color colonies and may be surrounded by a zone of precipitated ……………. Which is due to acid production
• d. Non lactose fermenter……………… color, due to their alkaline reaction they are surrounded by a…………….. zone of medium
Pink; deoxycholate
Colorless, orange yellow zone
Pseudomonas aeruguinosa
Disease
Oxygen?
Motility?
Capsule
______ motility
Oxidase( pos or neg?)
Haemolysis or not?
Nosocomial infection, UTI
Obligate aerobe
Motile with a polar flagella
Encapsulated
Hanging drop
Positive
Haemolysis
Non-selective agar?
Moderately selective agar?
Blood
MacConkey agar
Pyocyanin
Puoyerdin
Blue green
Yellow green
Pseudomonas aeruguinosa
Treatment ?
Gentamycin, tombramycin, diazobactam
Oxidase positive organisms
PVNCH
Pseudomonas aeruguinosa, vibrio cholerae, Neisse, campylobacter, haemophilus/ helicobacter
Haemophilus influenza
Capsule?
Disease?
Culture
Specimen
Treatment
Yes
Otitis media, meningitis, epiglottitis, bronchopneumoniae
Chocolate agar(mucoid colony)
Blood, CSF, nasopharyngeal swab
Ceftriaxone
Haemophilus influenza
Indole (pos or neg?)
Urease( pos or neg?)
Positive
Positive
________, to differentiate H influenzae from other species
Satellitism
H.ducreyi needs only factor ___ to grow
X
Factor X is ?
Factor V is ?
Haemin
NAD
______ produces NAD when growing in a medium containing blood
Staphylococcus aureus
Haemophilus may grow on _____ agar that normally lacks factor ___, if it’s very close to _____
Sheep
V
Staphylococcus aureus
Organisms that can be cultured on chocolate agar?
Hemophilus
Neisseria
Staphylococcus
Catalase (pos or neg?)
Coagulase (pos or neg?)
Positive
Positive
Function of Coagulase?
Types of coagulase
Causes plasma to clot (fibrinogen to fibrin)
Free- tube
Bound- slide
Staphylococcus grows on _________ and ________ agar
Mannitol salt
MacConkey
On mannitol salt agar
Aureus is ??
Epidermidis is ??
Yellow
Red
Ph indicator used in mannitol salt agar is ?
Phenol red
Staphylococcus aureus
Dnase (pos or neg?)
Toxins?
Hemolysis?
Disease
Positive
Exfoliative toxin, toxic shock syndrome
Beta hemolytic
Scalded skin syndrome, cellulitis, pneumoniae
Treatment for staphylococcus aureus
Treatment for staphylococcus epidermidis
Vancomycin, penicillin
Vancomycin
Mannitol salt agar is ___________ medium
Selective and don’t differential
Streptococcus
___________ In blood agar is particularly selective for streptococcus
Crystal violet
Streptococcus pneumoniae is _________ sensitive
Streptococcus pyogenes is _________ sensitive
Optochin
Bacitracin
On blood agar, _____ pigmentation is seen around the growth of Streptococcus
Green
Streptococcus pneumo
Bile soluble or insoluble
Optochin (sensitive or resistant?)
Catalase (pos or neg?)
Coagulase (pos or neg?)
Soluble
Sensitive
Negative
Positive
List the :
Alpha haemolytics and their color change
Beta haemolytics and their color change
Gamma haemolytics and their color change
Streptococcus pneumonia and viridans; green
Pyogenes, agalacticae; clear
Bovis; no hemolysis
RSV
CPE: ??
Nuclei inclusions: ??
Specimen: ??
Large syncytia
None
Sputum
Measles has ______ center
Pink
CPE!!
RSV
Enterovirus
Herpes
Poliovirus
Mumps
Large syncytia
Ballooning
Ballooning
Plaque formation
Syncytial formation, hemadsorption
List the 4 inoculation routes!
Amniotic
Yolk sac
Allantoic
Chorioallantoic
Amniotic route of inoculation is for ?
Measles
Influenza
Yolk sac route of inoculation is for ?
Herpes
Yellow fever
Allantoic route of inoculation is for ?
Measles
Avian adenovirus
Newscastle disease virus
Influenza
Chorioallantoic route of inoculation is for ?
Herpes
Rous sarcoma
Pox virus
Tissue culture flask
Contents:
Glucose
Isotonic solution of salt
Vitamins
Amino acid
Coenzyme
Antibiotics
Contents of Tissue culture flask
Function:
Glucose
Isotonic solution of salt
Vitamins
Amino acid
Coenzyme
Antibiotics
Energy source
To maintain isotonicity
Act as coenzymes
To synthesize protein and amino acid
Co-enzyme stuff
Prevent accidental contamination
Fluid in tissue culture flask
Hela mononuclear cell later
Tissue culture flask
Original color?
Virus growing color?
Orange
Yellow
Function
V shaped microtitter
U shaped microtitter
Hemagglutination
Complement
T.vaginalis
Causes :?
Treatment:?
Medium for culture :??
Trophozoite motility??
Trichomoniasis
Metronidazole, Timidazole
Diamond medium, lash, kupferberge
Jerking motility
T.vaginalis
Diagnosis is by ?
Wet mount microscopy
Culture
PCR
T.vaginalis
Sample?
Urethral discharge , vaginal discharge, semen, prostatic fluid
Trypanosome
Are ___________
Class ________
Haemoflagellates
Mastigophora
T.cruzi: ________ disease
T.brucei- : __________ disease
Chagas
Sleeping sickness
Vectors
T.cruzi
T.brucei
Triatoma(kissing bugs)
Glossina
Stages in life cycle
T.cruzi
T.brucei
Amastigote, epimastigote, blood trypomastigote
epimastigote, blood trypomastigote
Trypanosomes
Dark spot is ??
Diagnosis??
Specimen??
Symptoms??
Kinetoplast
Parasite in blood
Blood, CSF
Fever, Adenopathy, headache, neuropsychiatric signs
Balantudium coli
Phylum :
Infects :??
Diseases??
Invasive stage is the ??
Infective stage is the ??
Ciliophora
LI and caecum
Balantidiosis(ciliary dysentry)
Trophozoite
Cyst
Balantudium coli
SHAPE of trophozoite, and cyst
Oval
Spherical
Balantudium coli excyst in the??
SI
Balantudium coli
Reproduces by??
Diagnosis ??
Control??
Binary fission and conjugation
Motile trophozoite In stool
Cyst killed by booking of water
Balantudium coli
Symptoms?
Treatment?
Constipation, abdominal pain, weight loss
Metronidazole, tetracycline
Entamoeba Histolytica
Disease??
Infective stage??
Diagnosis??
Treatment???
Manifestations???
Complications???
Amoebiasis
Cyst
Wet mount, iodine mount
Tinidazole, paromomycin
Diarrhea, Dysentery
Perforation, intussuception, toxic megacolon
Babesia
Vector??
Incubation period??
Clinical features ???????
Diagnosis ??
Treatment??
Prevention???
Ixodes scapularis
1-6weeks
High Fever ,headache, rigors, Hepatomegaly, splenomegaly
Intra erythrocytic trophozoite in the form of a Maltese cross
Atovaquone,azithromycin
Protection from tick bites
Enterobius vermicularis
Treatment??
Diagnosis:??
Time to lay eggs??
Infective stage??
Clinical symptoms?
Mebendazole
Scotch tape technique or swube tube
At night
L3(filariaform)
Itchy anal region
Ascaris
Risk factor
Who is larger (female or male?)
Clinical features
Termite mound-eating
Females
Abdominal discomfort , malabsorption, dyspnea, hemoptysis, cough
Ancylosyoma duodenale
Has ______ mouth per teeth
Causes _______, cured by ______
Other species include ???
Normal
CLM; ivermectin, albendazole
Brazilense, caninum
Ancylostoma ________ larvae causes ______________(DUSN)
caninum
Diffuse unilateral subacute neuroretinitis
Ancylostoma duodenale
Infective stage is ??
Route is ???
Presentation??
Complication??
Filariaform
Percutaneous entry
Ground itch, epigastric pain, watery diarrhea
Iron deficiency Anaemia
Ancylostoma duodenale
Affects the ???
Ancylostoma duodenale
Diagnosis??
Treatment??
Prevention??
Microscopy of eggs in stool
Pyrantel pamoate, benzimidazole
Avoid walking barefooted, dispense faeces, education
Trichuris Trichiura
Aka ??
Route or entry?
Adults can be found in the ????
Whipworm
Faeco-oral
Ascending colon, caecum, appendix
Trichuris Trichiura
Presentation: ________,__________,___________ , hemorrhages
Complication: ________
dysentery, weight loss, abdominal pain
Rectal prolapse
Trichuris
Diagnosis : ______ shaped _____
Treatment: _______,________
Barrel; egg in stool
Benzimidazole, pyrantel palmoate
Trichuris
Releases ______ egg, that hatches in the _______ after _____
Unembryonated
Duodenum
10days
Giardia lamblia
Found in ????
Causes ????
Invective form ?
Feeding form??
Duodenum and jejunum
Diarrhea
Mature cyst
Trophozoite
Giardia lamblia
Mature cysts have ____ nuclei
Immature cysts have ______ nuclei
Trophozoite has _____ nuclei and _____ pairs of flagella
4
2
2;4
Giardia lamblia
Has ________ for attachment
Excysts in the ????
Encyst in the???
Sucking disk
Stomach and duodenum
Colon
Giardia lamblia
____ trophozoite is gotten from 1 cyst
Prevention?
Treatment??
Complication ??
2
Boiling of water , sound hygiene
Timidazole, metronidazole
Failure to thrive , malabsorption syndrome, skin rash
Taenia
Solium : ____ circlets of hooks, (smaller or bigger?)
Saginata: ____ circlets of hooks, (smaller or bigger?)
2; smaller
None; bigger
Human cysticercosis is caused by ??
Solium
Solium affects ______
Saginata affects _______
Pig/swine
Cattle
Diagnosis of Taenia
Macroscopy: ____________
Microscopy: _____________
Chain of proglottids
Raidially stunted embryophore enclosed by a shell
Taenia, Treatment ?
Cysticercosis, Treatment ?
Praziquantel, niclosemide
Praziquantel, naromycin
Fasciola hepatica
Aka??
Gotten by eating ____________ contaminated by __________
Sheep-liver fluke
Water cress or aquatic plants
Metacercariae
Fasciola hepatica
Symptoms??
Diagnosis??
Treatment??
Complication??
Hepatomegaly , Fever pain
Egg in feaces
Triclabendazole
Pharyngitis(halzoun)
Fasciolopsis buski
________ fluke
Mainly found in??
Transmission is by ???
Intestinal
Pig raisers
Ingestion of plant
Fasciolopsis buski
Clinical signs??
Diagnosis???
Treatment???
Complication??
Loose stool. Abdominal pain, abdominal distension, loss of weight
Yellow-brown egg filled with yolk cell
Praziquantel, niclosamide
Ulceration, bleeding
Schistosoma Hematobium has ___________ spine
Schistosoma mansoni has ___________ spine
Terminal
Lateral
Schistosoma Hematobium uses ______ specie of snail
Schistosoma mansoni uses ______ specie of snail
Bulinus spp
Biomphalaria
Schistosoma Hematobium is found in??
Schistosoma mansoni is found in??
Vesical plexuses
Inferior and superior mesenteric plexuses
Schistosomiasis
Infection enters through ??
Percutaneous cercarial entry
Features of Schistosoma Hematobium
Features of Schistosoma mansoni
Hematuria, burning sensation in urethra
Abdominal pain, diarrhea, bloody stool
Complications of Schistosoma Hematobium
Complications of Schistosoma mansoni
Bladder/Ureter fibrosis, kidney disease
Debility
Diagnosis of schistosomiasis
Egg in urine sediments from urine sample
Popular syndrome in schistosomiasis is ??
Katayama fever
Microsporidium
Related to ???
Infection ???
Stain??
Diagnosis??
Treatment ??
Prevention?
Fungi
Diarrhea , keratoconjuctivitis
Chromotrope
AlBendazole, fumagillin
General hygiene
Isospora belli
______ in the environment is required before Oocysts becomes infectious
Sporulation
Isospora belli
Oocysts ——- ______ ———- __________——-
Sporozoite
Merozoites
Sporulated oocyst
Isospora belli
Diagnosis ??
Stain?!
Presentation??
Oocysts in stool
Acid fast stain
Diarrhea, GI symptoms
Cryptosporidium
Ingestion of __________
Syndrome __________
Features ????
Oocysts
Malabsorption
Cholera-like diarrhea, G-vomiting , low grade fever
Cryptosporidium
Stains??
Diagnosis ??
Treatment???
Acid fast stain, kinyoun stain
Oocyst in fresh stool sample
Azithromycin , paramomycin, nitazoxamide
Vb