Microbiology Flashcards
Clinically significant bacteria grow in what ph and temperature range?
6.5-7.5, 20-40 C (37 C)
What are microaerophilic bacteria?
Bacteria that prefer reduced oxygen tension
What are capnophilic bacteria?
Bacteria requiring high levels of CO2
What are fastidious microbes?
Bacteria with strict growth requirements
What are 4 bacteria shapes?
Coccus, Bacillus, Coccobacillus and pleomorphic
How many phases of growth does bacteria have?
4
Fungal organisms consist largely of what?
Tubes called hyphae which grow toward food sources
What can aid in the IDing of fungi?
Presence or absence of cross walls within the hyphae (growth tubes) underneath the microscope
The catalase test is used to ID which type of bacteria?
Gram positive Cocci and Bacilli
What are 3 methods of sample collection in microbiology?
Aspiration, swabbing, imprinting
Why are samples that are going to be gram stained, heat fixed?
To fix the sample to the slide, kills and makes the bacteria permeable and preserves cell morphology.
What is the reagent used for the catalase test?
3% hydrogen peroxide
What is alpha hemolysis?
Partial hemolysis that creates a narrow band of greenish or slimy discoloration around the bacterial colony
What is a culture medium?
Any material that can support the growth of microorganisms
What is enriched media?
Media with extra nutrients like egg, blood or serum, to meet the needs of fastidious pathogens. Ex, blood/chocolate agar
What is selective media?
Media containing bile salts or antimicrobials that inhibit or kill all but a few types of bacteria. Ex. MacConkey agar.
What is differential media?
Media that allows bacteria to be differentiated into groups based on their biochemical reaction in the medium. Ex. Simmons citrate.
What is enrichment media?
Media that favors the growth of certain types of pathogens. Ex. Tetrathionate or selenite broth.
What is transport media?
Media designed to keep microbes alive while discouraging growth and reproduction. Culturette contains this.
What is the most common blood agar used?
Trypticase soy agar with sheep blood
Blood agar acts as which 2 media?
Enrichment and differential
What is thioglycollate broth?
Liquid medium used to culture anaerobic bacteria to determine their oxygen tolerance. Obligate aerobes grow in the top layer, and obligate anaerobes grow in the bottom layer.
MacConkey agar is commonly used to grow what bacteria?
Gram negative, ex. Enterobacteriaceae
EMB agar is used to ID what organisms?
Lactose fermenting
Hairs infected with the species Microsporum (ringworm) grow what color under a Wood’s lamp?
Clear apple green
What is a reagent?
A substance or mixture for use in chemical analysis or other reaction
What reagent is used to prepare a solid tissue sample for fungal testing?
Potassium hydroxide
What is the MIC?
Minimum inhibitory concentration, the lowest concentration of an antibiotic that will inhibit the growth of bacteria
Acid fast and non-acid fast stains what colors?
Acid fast stains red, non acid fast stains blue
Giemsa stain is used to detect what?
Spirochetes and rickettsiae
What is exudate? What are the lab normals?
Fluids with increased cellularity and protein concentration. Turbid, white or slightly yellow.
SG > 1.025, TP > 3.0, TNCC > 3000Neut, mononuclear, rbc
Fluid samples in cytology should be collected in what chemical?
EDTA
A line smear in cytology is used for what?
Low cellularity fluid or a small volume
Cytology slides should be in fixative for how long?
2-5 minutes
What is the preferred fixative for cytology slides?
95% methanol
What is the benefit of using new methylene blue in cytology?
Give excellent nuclear detail, used as an adjunct to Romanowsky. Does not stain RBC.
What should be submitted in a cytology sample for cells and fluids?
2-3 air dried unstained smears, 2-3 romanowsky stained smears for cells. For fluids, direct and concentrated smears in EDTA/red top tube should be submitted.
Peritoneal and pleural fluid is collected in what tube?
EDTA and RTT
What do you observe and record in peritoneal/pleural fluid?
Color, turbidity and odor
Total nucleated cell counts are performed the same as what other procedure?
CBC
What is transudate? What are the lab normals?
Clear fluid that’s poor in protein with low cellularity. SG < 1.017, TP < 2.5, TNCC < 1000/mcl
What is modified transudate? What are the lab normals?
Light yellow, clear fluid that’s protein rich with mononuclear cells and high cellularity.
SG 1.017 – 1.025, TP 2.5 – 5, TNCC 500 – 10,000Lymph, mono, meso, rbc, neut
Transudate is seen in what diseases?
Ascites, secondary to CHF and hypoalbunemia, cyst rupture
Modified transudate is seen in what diseases?
Cardiac, lymphatic, PTE
Exudates are seen in what diseases?
Infection, sepsis, neoplasia, inflammation
Describe a mesothelial cell
CENTRAL ROUND NUCLEI WITH A MODERATE AMOUNT OF LIGHT PURPLE CYTOPLASM AND A “CORONA” OR “FRINGE” TO THE CYTOPLASMIC BORDERS
Where are mesothelial cells found?
Line body cavities
What is pleocytosis in CSF?
ELEVATED CSF NUCLEATED CELL COUNT, MOSTLY DUE TO NEUTROPHILS
What are indications of normal CSF?
NO RBCS •<25 NUCLEATED CELLS/MILLILITER •95% TO 100% MONONUCLEAR CELLS (LYMPHOCYTES)
What does Malassezia look like?
Boot print
What are common abnormal findings in an ear cytology?
Yeast, malassazia, bacteria, parasites, mites
What are the predominant cells during anestrus?
NONCORNIFIED SQUAMOUS EPITHELIAL CELLS
What are the predominant cells during the stages of proestrus?
EARLY: PROESTRUSEARLY •HIGH NUMBERS OF RBCS ALONG WITH BASAL AND PARABASAL EPITHELIAL CELLS
LATER: RBCS DECREASE AND EPITHELIAL CELLS SHOW SIGNS OF CORNIFICATION
LATE: ALL EPITHELIAL CELLS ARE INTERMEDIATE
What are the predominant cells during estrus?
SQUAMOUS EPITHELIAL CELLS ARE CORNIFIED AND USUALLY ANUCLEAR
What are the predominant cells during met/diestrus?
NONCORNIFIED SQUAMOUS EPITHELIAL CELLS
What characteristics should be noted in semen evaluation?
VOLUME OF EJACULATION•GROSS APPEARANCE•WAVE MOTION•MICROSCOPIC MOTILITY•SPERMATOZOAL CONCENTRATION•RATIO OF LIVE/DEAD SPERMATOZOA•PRESENCE OF FOREIGN CELLS OR MATERIAL
What are the classifications of sperm motility?
Very good, good, fair, poor
What do epithelial cell tumors look like?
Highly cellular, often exfoliate into clumps or sheets
What do mesenchymal cell tumors look like?
AKA sarcoma, usually less cellular, tend to exfoliate singly or in wispy spindles
What do discrete cell tumors look like?
Exfoliate very well but usually not in clumps/clusters
When greater than 15% of a cytology sample contains macrophages, it’s classified as what?
Granulotomous
What do karyolyis look like?
Nucleus that appears swollen/ragged without an intact nuclear membrane
How long should prepared cytology slides remain in fixative?
2-5 minutes
How is suppurative inflammation characterized?
Presence of >85% of TNCC
Pyknosis is what?
Slow cell death, and refers to a small, condensed dark nucleus
Epithelial cell tumors are also referred to as what?
Adeno/carcinomas
What does a plasma cell tumor look like?
Has eccentrically located nucleus and prominent perinuclear clear zone
What do cornified epithelial cells look like?
Angular, no nuclear or pyknotic nuclei
What are mott cells?
Plasma cells containing secretory vesicles of Ig
Normal peritoneal/pleural fluids have less than how many nucleated cells per mcl?
10,000
What is the nuclear criteria of cell malignancy?
Anisokaryosis, pleomorphism, high/variable nucleus:cytoplasm ratio, increased mitotic activity, coarse chromatin pattern, nuclear molding, multinucleation
What are evaluations performed on a semen sample?
Volume, gross appearance, wave motion, motility, sperm concentration, ration of dead: live sperm, morphology, presence of foreign cells or material
The starfish smear is also called:
the needle spread technique
A line smear should be used in what samples?
Low cellularity and small volumes
What is a Tzanck preparation?
Making multiple imprints from different layers of an external lesion
Dry tissue samples can be moistened with what?
0.9% saline
What is the most common liquid medium and what does it grow?
Thioglycollate broth
Anaerobic bacteria
BUTT detects what?
Glucose fermentation
Triple sugar iron agar screens for what?
Gram negative enterobacteria which ferment glucose, become acidic and turn yellow, and alkalization turns red
What bacteria ferments glucose?
Salmonella
What color do acid fast staining bacteria turn and what bacteria are they?
Red
Gram positive
Which agar is primarily used for the agar diffusion C&S test?
Muehler-Hinton