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1
Q

Eosin methylene blue

A
  • contains eosin, methylene blue and lactose.
  • lactose fermentation –> acidification –> precipitation of eosin –> staining by methylene blue –> dark blue colonies
  • contains swarming inhibitor against Proteus

Pink colonies are lactose negative.
Lactose +: E.coli and klebsiella

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2
Q

Lance field grouping

A

Lancefield grouping (cell wall polysaccharide) based on the carbohydrate composition of bacterial antigens found on their cell walls.

Group A = S.Pygogenes
Groop B= S. Agalacticae
Group D = Enterococci

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3
Q

Zoonosis (definition + examples)

A

A bacterias that is transmitted from animals to humans.

Brucella, Salmonella, Campylobacter jejuni, E.coli, Shigella, Francisella Tularensis…

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4
Q

Special culture media for corynebacteria bacteria

A

Loffler (ivory color)

Clauberg - contains Tellurite, gives a dark color and garlic smell.

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5
Q

Morphology of Bacillus Cerus (culture, microscope)

A
Gram +
Rod
B-hemolytic
Spore-forming
non-capsulated
Faculative anarobic 

Can give diarrhea, from meat and rice that is not handled correctly after preparation or before.

Like colder temperature.

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6
Q

List 4 viral vaccines (what is the content, against what disease?)

A
HiB
- hemophilius influenza ( conjugated to the B-capsule)
- Given at 2 months. 
DPT 
- Diphteria, Pertussin, Tetanus
-Toxoid vaccine
MMR
- Mups, morbilli, rubella
- Live attenuated viruses given at 15 month and 11 years.
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7
Q

List 4 major meningitis pathogens

A
Streptococcus Pneumonia
Nisseria meningitis
Strephtococcus. Agalacticae
E.coli
Staphylococcus  Aureus
Haemophilus influenzae ( only the capsulated form)
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8
Q

Indol test

A
  • Triptophane –> indole (triptophanase enzyme)
  • Amylalcoholic (=organic) reagent –> idol is dissolved here after mixing –> intensive red ring on top ( because alcohol is lighter than water!)
  • can be performed in ureum-indole tube.

Indole + = E.coli

Remember: Idol, people are nervous gets diarrhea (for E.coli) on the stage then get the red buzzer (for the red ring on top)

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9
Q

CAMP test

A

To check if we have St.Pygoens or Strepth agalacticae. Use staph Aureus on blood agar. If we see a butterfly shape we know that it is Strept Agalacticae.

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10
Q

Staphylococcus Aureus morphological features (culture, microscope)

A
Gram +
Coccus 
B-hemolytic
Coagulase +
Capsule
Golden pigment
Grape-like clusters
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11
Q

What exotoxins do you know? (list 4)

A
Toxic-shock-syndrome toxin (TSST-1)
Toxic-shock -syndrome-like toxin
Exfoliative toxin 
Enterotoxin
Shigalike-toxin
Shiga-toxin
Boutlinum- toxin
Erytogenic toxin
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12
Q

Catalase test

A

To diff between strepto and staphylococcus
Microscope slide with bacteria and water. Mix them with catalase enzyme.
If you get a bubbly reaction this is positive. Remember to take one control without the bacteria.

H2O2–> CO2 + H20

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13
Q

Bismuth Suplhite medium

A

Contains: Bismuth, sulphite, lactose and brilliant green.

H2S forms black precipitate with heavy metal ions (iron, lead, bismuth) –> black colonies. (H2S producers: proteus, salmonella)

Selective medium for Salmonella

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14
Q

Brilliant green

A

Red colonies = E.coli

Colorless colonies = Salmonella typhimurium

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15
Q

How can we cultivate hemophilus influenzae?

A

On chocolate agar with factor V (NAD) and factor X (Hemin)

On blood agar with Staph Aureus in the beta hemolytic zone- gives the satellite phenomenon.

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16
Q

Enterovirulent E.coli strains

A
EPEC - enteropathogenic E.coli
ETEC - enterotoxigenic E.coli
EHEC - enterohaemorrhagic E.coli
EIEC - enteroinvasive E.coli
EAEC - enteroaggregative E.coli

remember: PATHI

17
Q

Legionella

A
Gram -
Oxidase +
Grown on BCYE agar
Requires Iron and cysteine to grow
Can survive on water and Air condition
Respiratory droplets. 
Give Pontiac fever and legionnaires (gives atypical pneumonia)
18
Q

Psudomonas Aruginosa

A
Gram -
Green/blue color
Catalase +
Oxidase +
Thrives aquatic environments
Have a grape-like odor. 
Encapsulated
Obligate aerobe
Toxin targets EF2. 
Diseases
- Nr. 1 cause of gram - nosocomial pneumonia 
    and nosocomial UTI
- Osteomylelitis - IV drug users.
19
Q

How and when do we use optochin disc?

A

Use it to diff between street Viridans and strept pneumonia

Pneumonia is optochin sensitive
Viridans is optohin resistive.

20
Q

Why can helicobacter pylori survive in the stomach?

A
  • Phili

- Urease enzyme - can create basic environment around itself.

21
Q

List 4 encapsulated bacterias

A
Psudomonas
Aureus
Agalacticae
Pyrogenes ( Hyaluronic acid)
Bacsilus Antracsis ( proteins)
Salmonella
22
Q

What can be the content of an active vaccine

A
Toxoid
Antitoxin
Antigens
Capsular antigens
inactive bacteria
23
Q

Nosocomial infection ( definition + 3 important bacterias)

A
Hospital acquired infections
Klebsiella
Hemophilus influenza
E.coli
Epidermidis
24
Q

Which bacterias can be transmitted by water? (give 4 examples)

A
Cholera
Legionella
Clostridium botolinium
Campylobacter jejuni
Salmonella
Shigella
E.coli
25
Q
Causative agent and transmission of:
Gonorrea
Plague
Scarlet fever
Salmonella typhoid
A

Gonorrea - STD and perinatal,
Plaque - Yerseria pestis transmission via flea bites
Scarlet fever - pyogens/group A cocci and transmission via respiratory droplets, cattle to human via raw milk and contaminated food, hand contact with nasal discharge.
Salmonella typhoid - S. typhi and paratyphi, human to human transmission, oblig pathogen

26
Q

Main human infections of salmonella

A

Gastroenteritis = salmonellosis

  • zoonosis
  • s.enteritidis, s.typhimurium

Abdominal typhus = enteral fever

  • obligate human pathogen
  • s.typhi, s.paratyphi
27
Q

Vaccines for pneumococcus

A

Pneumovax -23

  • polysaccharide vaccine
  • adults or >5 year children
  • 23 capsular antigen (=serotypes)

Prevenar -13

  • <2 year old children (2,4,18 months)
  • conjugated vaccine
  • 13 serotypes

Adults - 23 cysteine - IgM
Child - 13 - IgG

28
Q

Urease test

A

Christensens medium
Phenol red indicator
Purple- positive
Yellow - negative

Urease +: klebsiella, proteus, helicobacter