MicroBio Flashcards
What is special about prion proteins and what disease process are they associated with?
No DNA/RNA
Mad cow disease
Elements of bacterial cell structure used for:
a. movement
b. adhesion
a. Flagellum
b. Fimbriae/Pilli
Name the main shapes of bacteria (3)
- Coccus (round)
- Bacillus (rod)
- Spirochaetes
What are the different types of atmospheres bacteria can exist in (5)
AEROBIC: presence of air \+OBLIGATE: require O2 ANAEROBIC: absence of air \+OBLIGATE: killed by O2 FACULTATIVE: exist in both
Differentiate between the terms pathogenicity and virulence.
Ability of microorganism –> disease vs. degree of pathogenicity of organism
Name one type of organism resistant to sterilisation procedures
Prion proteins
Gram + organisms stain…
Purple - thick peptidoglycan wall
Gram - organisms stain…
Pink - thin peptidoglycan wall (N)
Endotoxin is produced by…
Gram - organisms (N) - part of cell wall
Exotoxin is produced by…
Gram + organisms - exported from cell wall
Classify spores in terms of gram stain
Gram + bacilli (LATENCY)
Gram + coccus in chains are?
Streptococci
Gram + coccus in clusters are?
Staphlococcus
The test to classify different streptococci?
Haemolysis:
Alpha (partial) - GREEN - Strep. pneumoniae + viridans Beta (complete) - YELLOW - Group A (pyogenes) and B Strep.
Gamma (none) - Enterococcus sp.
Examples of: Alpha-haemolytic Streptococci?
Strep. pneumoniae + “viridans” group
Examples of: Beta-haemolytic Streptococci?
Group A Strep. (Strep. pyogenes), Group B Strep.
Examples of: Non-haemolytic Streptococci?
Enterococcus sp.
The test to distinguish Staphylococcus aureus from other Staph. spp.?
Coagulase test +ve = Staph. aureus -ve = other Staph. spp. (common skin commensals)
Treatment of choice for Staph. aureus infection?
Flucloxacillin
Treatment of choice for anaerobic infections
Metronidazole
Example of mycobacterium (and key buzzwords!)
TB - ZN STAIN, CASEOUS NECROSIS, GRANULOMAS
Some examples of Gram- bacilli (5)
Bordetella H. influenzae Coliforms Pseudomonas Campylobacter
Features of haemophillus influenzus
Coccobacillus
‘Chocolate agar’
Examples of coliforms that are gut commensals (3)
E. coli Klebsiella sp. Proteus sp.
Examples of coliforms that are gut pathogens (3)
Salmonella sp. Shigella sp. E. coli 0157
The name of the toxin produced by E. coli 0157 is…
Verotoxin (VTEC)
Treatment of choice for coliform infections?
Gentamicin
Examples of gram- cocci in pairs (diplococci)
Neisseria meningitidis and Neisseria gonorrhoeae
Examples of strict aerobes (2)
Pseudomonas sp. (Gram- bacilli) Legionella sp. (Gram- bacilli)
Examples of strict anaerobes (2)
Clostridium spp. (Gram+ bacilli) Bacteroides spp. (Gram- bacilli)
Examples of spirochaetes (2)
Syphillus
Lyme disease
Genetic variation in bacteria is dangerous because…
Resistance to antibiotics may develop
Gene transfer: Transformation
DNA from dead bacteria is taken up by living bacteria and incorporated into plasmids/bacterial chromosome.
Gene transfer: Conjugation
Sex pilus forms between bacteria to allow transfer of plasmid DNA.
Gene transfer: Transduction
Viruses can transfer bacterial DNA between cells they infect.
The 5 methods of spread of infection are…
Inhalation, Ingestion, Inoculation, mother to Infant, Intercourse
Viruses contain RNA or DNA, never both. True/False?
True Size of their capsid (protein coat) limits space
Bactericidal antibiotics inhibit cell growth. True/False?
False Kill bacteria directly - bacteriostatic inhibits cell growth
Viruses that remain persistant within the cell.
Reactivation (HSV, VZ)
Remain active for years (HIV, Hep C)
What is the term given to an antibiotic that kills the bacteria without harming the host?
Selectively toxic
Reason for prescribing more than one abx (3)
Covers broad range of microorganisms
Prevents resistance
Synergistic effect
Why cant antibiotics be used to treat fungi?
No cell wall and have a different structure from bacterial ribosome + have a single circular chromosome
Antibiotics that act on the bacterial cell wall (3)
Penicillins
Cephalosporins
Glycopeptides
Vancomycin is part of which family of antibiotics?
Glycopeptides
Penicillins are bactericidal/bacteriostatic, safe/not safe in pregnancy, excreted via kidneys/urine/liver
Bactericidal, safe in pregnancy, kidneys
Benzylpenicillin is given IV and is AKA penicillin V. True/False?
False Penicillin G; phenoxymethyl-penicillin is AKA penicillin V
Flucloxacillin is a ___ spectrum antibiotic. Which organisms is it effective against?
Narrow Staph and Strep only (1st line for Staph aureus)
Beta lactamase destroys which antibiotic?
Amoxicillin
Co-amoxiclav is probs the best antibiotic to have on a desert island - why?
Treats everything apart from Pseudomonas and MRSA Can be taken orally or IV
Cephalosporins are bactericidal/bacteriostatic, safe/not safe in pregnancy, excreted via kidneys/urine/liver
Bactericidal, safe in pregnancy, kidneys + urine
Glycopeptides are only active against Gram _ cell walls
+
Name the antibiotics that inhibit protein synthesis (3)
Macrolides
Tetracyclines
Aminoglycosides
Gentamicin [aminoglycoside] is bactericidal/bacteriostatic, safe/not safe in pregnancy, excreted via kidneys/urine/liver
Both bacteriostatic + bactericidal, not safe in pregnancy, urine
Macrolides are bactericidal/bacteriostatic, safe/not safe in pregnancy, excreted via kidneys/urine/liver
Bacteriostatic, erythromycin safe in pregnancy, liver
Can you name the 3 macrolides?
Erythromycin, clarythromycin, azythromycin
Gentamicin belongs to which class of antibiotics?
Aminoglycosides
In what way is gentamicin toxic?
Damages kidneys and XIIIth CN
Name the antibiotics that act on bacterial DNA
Metronidazole, trimethoprim +/- sulphanimide, fluoroquinolones
Metronidazole is bactericidal/bacteriostatic, safe/not safe in pregnancy, treats aerobes/anaerobes
Bactericidal, safe in pregnancy, anaerobes (Clostridium and Bacteroides)
Trimethoprim +/- sulphonamide is bactericidal/bacteriostatic, can be combined with sulphonamide to form _____
Bacteriostatic, co-trimoxazole
Give examples of fluoroquinalones (2)
Ciprofloxacin, levofloxacin
What is PVL?
Severe strain of MRSA causing skin infections such as necrotizing fascitis
The 4 antibiotics that most commonly cause C diff infection are…
Ciprofloxacin Co-amoxiclav Clindamycin Cephalosporins (ceftriaxone)