Microbiology Systems II Flashcards

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1
Q

newborn meningitis - birth - 6mo

A

group B strep
E. coli
listeria

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2
Q

child meningitis - 6mo - 6yr

A

strep pneumo
neisseria meningitidis
h flu type B
enterovirus

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3
Q

meningitis 6yr to 60yr

A

strep pneumo
neisseria (#1 in teens)
enterovirus
HSV

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4
Q

meningitis +60yo

A

strep pneumo
gram negative rod
listeria

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5
Q

tx meningitis

A

ceftriaxone and vancomycin empirically

-add ampicillin if suspect listeria

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6
Q

viral meningitis

A
enterovirus
HSV-2
HIV
west nile
VZV
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7
Q

HSV-1

A

encephalitis

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8
Q

meningitis in HIV

A

cryptococcus

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9
Q

h. flu meningitis

A

decreased since h. flu vaccine

-often unimmunized children

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10
Q

bacterial meningitis CSF

A

high pressure
high PMNs
high protein
low sugar

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11
Q

viral meningitis

A

normal or elevated pressure
high lymphocytes
normal sugar
normal or elevated protein

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12
Q

fungal/TB meningitis

A

high opening pressure
high lymphocytes
high protein
low sugar

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13
Q

brain abscess infection

A

MC - viridans or staph aureus

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14
Q

multi abscess

A

bacteremia

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15
Q

single abscess

A

contiguous site

ex/ otitis media and mastoiditis > temporal lobe and cerebellum

sinusitis or dental infection > frontal lobe

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16
Q

osteomyelitis infection

A

staph aureus

MC overall

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17
Q

osteomyelitis sex active

A

neisseria gonorrhea

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18
Q

sickle cell osteomyelitis

A

salmonella

staph aureus

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19
Q

prosthetic joint osteomyelitis

A

staph aureus

staph epidermidis

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20
Q

vertebral involvement osteomyelitis

A

staph aureus

TB - pott disease

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21
Q

pott disease

A

TB to vertebrae

22
Q

cat and dog bite osteomyelitis

A

pasteurella multocida

23
Q

IV drug abuse osteomyelitis

A

pseudomonas
candida
staph aureus

24
Q

UTI

A

ascension of microbe - urethra to bladder

to kidney - pyelonephritis

25
Q

CVA tender, hematuria, WBC casts

A

pyelonephritis

26
Q

MC cause UTI

A

E. coli

green metallic sheen on EMB

27
Q

UTI in sex active women

A

staph saprophyticus

28
Q

3rd MC UTI

A

klebsiella pneumonia

large mucoid capsule and viscous colonies

29
Q

UTI bug red pigment

A

serratia marcescens

30
Q

struvite stone UTI bug

A

proteus mirabilis

31
Q

blue-green pigmented UTI bug

A

pseudomonas aeruginosa

32
Q

leukocyte esterase

A

evidence WBC activity

33
Q

nitrite test

A

reduction of urinary nitrates by bacterial species

34
Q

urease test

A

ureas-producing bug

proteus, klebsiella

35
Q

clue cells, fish odor, thin white discharge

A

bacterial vaginosis
pH > 4.5

tx - metrondiazole

36
Q

strawberry cervix, frothy grey-green foul smell discharge

A

trichomoniasis
pH > 4.5

tx - metrondiazole

37
Q

thick white cottage cheese vaginal discharge, pseudohyphae

A

candida vulvovaginitis

tx - azoles

38
Q

ToRCHeS infections

A

pass from mother to fetus

Toxoplasma gondii
Rubella
CMV
HIV
HSV-2
Syphilis

transmission transplacental most cases - or via delivery

39
Q

hydrops fetalis

A

parvovirus B19 infection

40
Q

toxoplasma gondii

A

TORCHES
cat feces or undercooked meat

classic triad - chorioretinitis, hydrocephalus, intracranial calcifications, blueberry muffin rasrh

41
Q

rubella

A

TORCHES
transmitted resp droplets

classic triad - PDA, cataracts, deafness, blueberry muffin rash

42
Q

CMV

A

TORCHES

hearing loss, seizures, petechial rash, blueberry muffin rash, periventricular cacifications

43
Q

HIV

A

TORCHES

recurrent infection and chronic diarrhea in neonate

44
Q

HSV-2

A

TORCHES

encephalitis, herpetic vesicular lesions

45
Q

syphilis

A

TORCHES

stillbirth, hydrops fetalis

facial abnormalities, saddle nose, notched teeth, short maxilla, saber shins, CN VIII deafness

46
Q

newborn, saddle nose, notched teeth, saber shins

A

mother had syphilis

47
Q

hand foot mouth disease

A

coxsackie A virus

oval vesicles on palms and soles

vesicles and ulcers oral mucosa

48
Q

HHV-6

A

roseola

asympomatic rose colored macules appear on body after several days of high fever

febrile seizures

affects infants

49
Q

fifth disease

A

parvovirus B19
-erythema infectiosum

slapped cheek rash on face

can cause hydrops fetalis in pregnant owmen

50
Q

rubella virus

A

german measles

pink coalescing macules - begin at head and move down

fine desquamating truncal rasrh

postauricular lymphadenopathy

51
Q

strep pyogenes

A

scarlet fever

erythematous sandpaper rash with fever and sore throat

52
Q

VZV

A

chickenpox

vesicular rash on trunk
-spread to face and extremities

lesions of different stages present