Microbiology Flashcards

1
Q

On gram stain, what colour will appear if gram positive

A

Purple

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2
Q

Why do gram positive bacteria stain purple

A

Contains peptidoglycan that is stained by crystal violet

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3
Q

On gram stain, what colour will appear if gram negative

A

Pink

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4
Q

Why do gram negative bacteria stain pink

A

Has a lot less peptidoglycan that is not stained, by instead stained by safranin

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5
Q

Appearance of Staphylococcus

A

Gram-positive cocci in clusters

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6
Q

Appearance of Streptococcus

A

Gram-positive cocci in chains

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7
Q

What is another way of distinguishing between staph and strep (not clusters or chains)

A

Catalase test

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8
Q

Describe catalase test

A

Hydrogen peroxide + Staphylococci -> Gas bubbles
+ve for staph
-ve for not staph (or strep)

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9
Q

You know that bacteria is Staphylococcus as positive catalase test. How would you test for Staph.aureus

A

Coagulase test
+ve = staph aureus as it produces coagulase that converts fibrinogen to fibrin
-ve = coagulase -ve staph

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10
Q

Example of a coagulase negative staphylococcus

A

Staph epidermis

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11
Q

You know a bacteria is an Alpha Haemolytic Streptococcus. How would you further differentiate between species

A

Optochin test:
Sensitive means Strep. pneumoniae
Resistant means Viridans strep

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12
Q

How can you tell if a Strep is beta, alpha or gamma haemolytic

A

Blood agar
Beta haemolysis = complete haemolysis
Alpha = partial
Gamme - none

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13
Q

Appearance of Streptococcus pneumoniae on microscopy

A

Gram Positive Diplococci

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14
Q

How would you further differentiate between beta haemolytic streptococci

A

Lancefield test - groups bacteria based on carbohydrate composition of bacterial antigen on cell wall, normally for beta-haemolytic strep

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15
Q

Examples of beta haemolytic streptococci and their group

A

A: Streptococcus pyogenes
B: Streptococcus agalactiae
D: Enterococcus, Strep bovis (group D is not beta-haemolytic)

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16
Q

Examples of gram positive bacilli

A

Listeria monocytogenes
Propionibacterium acne – acne
Clostridium difficile – diarrhoea from antibiotic overuse (those starting with C)

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17
Q

What does MacConkey agar contain

A

Bile salts, lactose and neutral red (pH indicator)

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18
Q

What is the purpose of MacConkey agar

A

Identifies bacteria that can ferment lactose (normally gram -ve bacilli or enteric bugs)

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19
Q

How does MacConkey agar work

A

Ferment lactose -> produce acid -> pH drop <6.8= pink, or if pH>6.8, remains normal colour
Therefore:
Lactose fermenting gram -ve bacilli = pink
Non-lactose fermenting gram -ve bacilli = yellow

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20
Q

Examples of bacteria (bacilli) that appear pink on MacConkey agar

A

(Enterobacteriaceae (coliforms)):
Escherichia coli
Klebisella pneumoniae

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21
Q

Examples of gram -ve non-lactose fermenting bacilli and what colour they appear on MacConkey agar

A

Appear YELLOW

salmonella, shigella, pseudomonas aeruoginosa, proteus mirabilis

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22
Q

Further differentiation between Gram negative non-lactose fermenting bacteria

A

Oxidase test:
Black/purple = +ve = pseudomonas (additional anti-pseudomonal snesitivity tests required to identify this) or Neisseria(note it is cocci not bacilli)

Colourless = -ve = Shigella, salmonella, proteus

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23
Q

How could you specifically identify Proteus mirabilis (Gram-ve bacilli that is oxidase negative and non-fermenting)

A

Urease test

+ve

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24
Q

Examples of gram -ve cocci

A

Neisseria meningitidis, gonorrhoea

Moraxella catarrhalis

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25
Appearance of Vibrio cholera
Gram -ve comma/curved shaped | Rice water stool
26
Examples of Gram-ve bacteria with a HELICAL SHAPE
Campylobacter jejuni – bloody diarrhoea | Helicobacter pylori – gastric and duodenal ulcer
27
Appearance of Haemophilus influenza
Gram negative coccobacilli
28
What is used to identify fastidious bacteria
Chocolate agar (Neisseria meningtidis also requires chocolate agar)
29
What is chocolate agar
blood agar but with lysed RBCs due to heating to 80 deg C (haem from factor X)
30
What medium is used to culture mycobacteria
Lowenstein-Jensen medium
31
What stain is used to identify mycobacteria
Ziehl-Neelsen stain
32
Antibiotic for MRSA
Vancomycin
33
Antibiotic for Entamoeba histolytica or Giardia
Metronidazole
34
Antibiotic for Pneumocystis pneumonia
Co-trimoxazole
35
Antibiotics that could be used for C. difficile
Vancomycin/metronidazole
36
When would you give Metronidazole antibiotic
Entamoeba histolytica | Giardia
37
How would you decide on treatment for pneumoniae
CURB65 score
38
Modes of action by antibiotics
Antibiotics that inhibit cell wall synthesis Antibiotics that inhibit protein synthesis Antibiotics which inhibit nucleic acid synthesis
39
Examples of antibiotics that inhibit cell wall synthesis
Glycopeptides | Beta lactams
40
Examples of glycopeptides
Vancomycin | Teicoplanin
41
Examples of beta lactams
Penicillins Cephalosporins Carbapenems
42
Examples of penicillins
Benzylpenicillin Flucloxacillin Amoxicillin
43
Examples of cephalosporins
``` 1st gen - Cephalexin 2nd - Cefuroxime 3rd - Ceftazidime (penetrate CNS) 1st gen more gram positives 3rd gen more gram negatives ```
44
Example of carbapenems
Imipenem | Ertapenem
45
Antibiotics that inhibit protein synthesis
Chloramphenicol Macrolides Tetracyclines Aminoglycosides
46
Examples of macrolides
Carithromycin | Erythromycin
47
Examples of tetracyclines
Tetracycline | Doxycylcine
48
Examples of Aminoglycosides
Gentamycin | Streptomycin
49
Antibiotics that inhibit nucleic acid synthesis
Inhibit folate synthesis Inhibit DNA gyrase Binds to RNA polymerase DNA strand breaks
50
Antibiotics that break DNA strands
Metronidazole (nitroidimazoles)
51
Antibiotics that bind to RNA polymerase
Rifampicin
52
Antibiotics that inhibit gyrase
Fluoroquinolones: | Ciprofloxacin, Ofloxacin, Levofloxacin
53
Antibiotics that inhibit folate synthesis
Trimethoprim Sulfonamides: Sulfamethoxazole Co-trimoxazole (trimethoprim and sulfamethoxazole)
54
Examples of fungi
Candida albicans Pneumocystis pneumonia Aspergilliosis
55
Treatment of candida albicans
Treat with antifungal e.g. topical nystatin or oral fluconazole
56
Treatment of pneumocystis pneumonia
Co-trimoxazole (fungi treatment)
57
Which patients get infected by aspergilliosis
Cystic fibrosis | Bronchiectasis
58
examples of helminths
Wucheria bancroftii Enterobius vermicularis Schistosomiasis Hookworm
59
What is pneumocystis pneumonia
Fungi
60
What is Wucheria bancroftii
Helminth | Filariasis causing lymphoedema
61
What is Enterobius vermicularis
Helminth | Common in UK, Itchy bum, spreads in household
62
What can result from schistosmiasis
Squamous cell bladder cancer
63
What is the worldwide cause of iron-deficiency anaemia
Hookworm
64
*Treatment of hookworm
Mebendazole
65
Examples of protozoa
Entamoeba histolytica Malaria Giardia
66
What is Enterobius vermicularis
Helminth
67
What is Entamoeba histolytica
Protozoa
68
What is candida albicans
Fungi
69
What is schistosmiasis
Helminth
70
What is Wucheria bancroftii
Helminth
71
What is Giardia
Protozoa
72
What is aspergilliosis
Fungi
73
What is malaria
Protozoa
74
What is Pneumocystis pneumonia
Fungi
75
Describe symptoms of Entamoeba histolytica
Bloody diarrhoea | Liver abscess
76
*Treatment of Entamoeba histolytica
Metronidazole
77
What causes diarrhoea in Giardia
Alteration of intestinal villi, reducing absorption
78
*Treatment of Giardia
Metronidazole