Mycobacterium tuberculosis Flashcards

1
Q

TB risk factors:

A
  1. low income
  2. alcoholism / IV drug use
  3. malnutrition
  4. diabetes
  5. silicosis

AND ESPECIALLY IMMUNOSUPPRESSION!!!!! BUT YOU ALREADY KNOW THIS!!!

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2
Q
Mycobacterium avium complex
gram (+/-)
aerobe/anaerobe? 
Shape?
Acid-fast?
A

+
aerobe
bacilli
acid-fast

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3
Q

TB transmission

A

person-to-person route through aerosol droplet nuclei

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4
Q
Mycobacterium tuberculosis:
aerobe/anaerobe? 
shape?
motile?
growth?
A

OBLIGATE aerobe
bacillus
non-motile
intracellular growth**

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5
Q

What is the source of the BCG vaccine?

A

Mycobacterium bovis

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6
Q

What two stains can actually stain mycobacterium tuberculosis (since they are acid-fast and difficult to stain)

A

Ziehl-Neelsen

Kinyoun

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7
Q

reactivation of secondary TB is a progression from caseous lesions that

A

erode and discharge TB bacilli into bronchi

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8
Q

What is the main virulence factor of mycobacterium tuberculosis

A

BUILT TO KILL
Structure**** is the virulence factor

peptidoglycan + mycolic acids

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9
Q

What is the leading cause of non-tuberculous mycobacterial (NTM) infections in HIV-positive patients residing in the U.S?

A

Mycobacterium avium complex

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10
Q

Mycobacterium avium complex transmission

A

ingestion of contaminated water or food

  • ****NO PERSON TO PERSON!!!!!
  • ****DIFFERENT THAN TB!!!!!
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11
Q

In latent TB, the bacteria remain _____ in the lesions, but ______

A

viable

inactive

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12
Q

What 3 specifies can produce human TB

A
  1. mycobacterium tuberculosis
  2. mycobacterium bovis
  3. mycobacterium africanum
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13
Q

How do many children become infected by TB?

A

caregivers

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14
Q

Patients with inadequate treatment of TB both remain infectious AND

A

offer opportunity for drug resistance development

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15
Q

Granulomas in TB become evident _____ weeks after infection

A

2-6

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16
Q

Miliary tuberculosis results from

A

lympthohematogenous spread of primary infection

or

via a latent focus with subsequent spread