Question UW Flashcards
Nucleic acid amplification test is test used for diagnosis of
Gonorrhoea
Untreated of gonococcal and chlamydial infection lead to. : ( in male and female )
- In male lead to : prostatitis and epididymitis.
- In female lead to : pelvic inflammatory disease
Treatment of Chlamydia trachomatis infection ( eg, urethritis, cervivitis)
Azithromycin
Drug of choice for all stages of syphillis?
Penicillin G
Diphtheria toxin act in a similar to which toxin
Exotoxin A that produce by pseudomonas
Diphtheria toxin and exotoxin A ribosylate and inactivate the :
Elongation factor- 2
Which vaccine take in the day of birth ?
HBV vaccine
HBV vaccine called :
Non-infectious glycoprotein vaccine
Which nematode cause perianal serpiginous rash, and rhabditiform larvae seen in faces under microscopy?
Strongyloides
Which nematode is Threadworm
Strongyloides
Treatment of Strongyloides
- Bendazole
- Ivermectin
Listeria toxin
Pore forming toxin { steriolysin O}
Lyme disease :
Cause by :
Transmitted by :
Reservoir{host} :
Cause by : borrelia burgdorferi
Transmitted by : Ixodes deer tick
Reservoir{host} : mouse , white tailed deer الغزال الابيض
Grape-like cluster bacteria :
S.aureus
Violaceous lesion on the skin exam, which disease?
Caposi sarcoma
Caposi sarcoma cause by which virus ?
HHV-8
200
- Oral thrush
- Squamous cell carcinoma
- HHV-8 { caposi sarcoma}
- Oral hairy leokplakia
The most common side of MRSA coloniozation :
- Nose
- Axilla
- Hand
Eradication of colonizated MRSA by :
- Mupirocin nasal ointment ( for nose )
- Cholrhexidine hand disinfection ( for hand )
Picornavirus inactivate by
Chlorine releasing agent
Which type of TB therapy effected against bacteria that located within the phagolysosome of macrophage ?
Pyrazinamide
Which TB drug required acid media to work ?
Pyrazinamide
Which virus required viral polymerase ?
- Negative ssRNA
- Naked dsDNA
Which virus can cause poliomyelitis ?
Poliovirus
Ureaplasma resistance to B-lactams drugs due to :
Absence of cell wall
Drug of choice to ureaplasma :
- Azithromycin
- Tetracycline
Side effect of vancomycin in case of using it oral
Altered sense of test { dysgeusia }
Victor of visceral lishmeniasis :
Sand-fly
Which virus has icosanderal capsid and (+) CD3, CD4, CD7, can found in japan and west Africa, and cause lymphadenopathy..?
HTLV
All the enveloped virus from host plasma membrane except one DNA virus that enveloped from nuclear cell membrane, what’s this virus ?
Herpes virus
Source of viral enveloped :
- Plasma membrane ( all virus except herpes )
- Nuclear membrane ( herpes virus )
Medullary sinus contains which cells ‘?
- Macrophage
- Reticular cell
Vessels-like space located between the cord or lymphatic tissue “:
Medullary sinus
Chlorine releasing agent :
- Chlorine dioxide
- Sodium hypochlorite
Mechanism of Chlorine releasing agent :
Oxidation and denaturation of intracellular structure
Clinical uses of Chlorine releasing agent :
- Highly resistance spore ( clostridium)
- Some viruses like picornavirus
Enlargement of supraclavicular lymph node + (+) interferon gama assy + cough, weight loss, high sweats :
Active pulmonary TB
Which antiviral drug does not required any viral kinase to act ?
- Cidofovir
- Foscarnet
Visceral ulcer on the lips, mouth and gums cause by :
HSV-1
Gingivostomatiits
Visceral ulcer on the lips, mouth and gums
Daptosone breaks by :
Surfactant
Contact dependent host cytotoxicity by:
E.histolotica
Cross reaction cause by :
- Rheumatic fever
- Gullian barre syndrome
Which organism can cause “ villus epithelial destruction “ ?
- Rota virus
- Giardia
Large endothelial cell with large ovoid nuclei contains prominent basophilic despite
Owel’s eye (CMV)
Vaccine of rabies :
Inactivated (killed) vaccine
Rabies in united state transmitted by
Bat
Rabies in undeveloped country transmitted by :
Dog
“Bat in cave” to which virus refer ??
Rabies virus
Biofilm of s.epidermides :
Extracellular polysaccharide matrix
High fever, irritability, photophobia, hydrocephalus, with Extracellular polysaccharide matrix:
S. Epidermidies
What is the cause of S.epidermides disease ?
Biofilm (Extracellular polysaccharide matrix )
Obligated intracellular organism :
1.Reckitssia
2. Chlamydia
Facultative intracellular organism
- Legionella
- Listeria
- Salmonella
- Nesseria
Malaria appear in blood smear as :
Ring form
Babies appear in blood smear as :
Maltese cross form
Which organism transmitted by dog bit ?
- Rabies
- Pasturella
- Staph
- Strep
Local Defence against candida infection by :
T-cell
Systemic Defence against candida infection by :
Neutrophils
Low count of neutrophils in case of immunocompromised lead to :
Disseminated candida infection - systemic infection
Low count of T-lymphocytes in case of immunocompromised lead to :
Superficial candidal infection
Which species of malaria can cause latent hepatic infection in intra-hepatic state ( hypnozoites) ?
- Vivax
- Ovale
Plasmodium species :
- Vivax and ovale
- Falciparum
- Malaria
Which form of malaria can relapse ?
Hypnozoites
HIV drug that can cause hyperglycaemia
Lopinavir
Which cell release elastase enzyme in case of acute inflammation ?
- Neutrophil
- Macrophage
Function of elastase enzyme
Breakdown of collagen
Which cell release immunoglobulin ?
Plasma cell
In which case we can see the plasma cell under the microscopy ?
Only in case of “ multiple myeloma “ (tumour of plasma cells ).
Major basic protein release from :
Eosinophils ( hypersensivity reaction )
Yellow white pseudomembranous colitis after antibiotics cause by :
C.difficile
Flask shape ulceration in caecum and ascending colon, cause by :
E.histolotica
Foamy macrophage in small intestinal lamina propria , which disease ?.
Whipple disease
Inflammatory infiltration and necrosis of payer patches, which disease. ?
Typhoid fever
Reassortment of genetic material between viral and human occurs by :
Segmented virus
Segmented virus :
- Orthomyoxivirus
- Rotavirus
- Bunyavirus
- Arenovirus
Latent infection + flair + resolution =
HSV infection
HSV latent infection in :
Neural cell bodies
Bacterial gene transport between the organism by
Plasmid conjugation
Face mask uses for
Respiratory droplet infection
Face mask + non-sterile gloves +gown use for protection from which organism ?
- N.meningitis
- Influenza
- Pertussis
- M.pneumonia
Respiratory mask uses :
For airborne
N-95 mask :
Respiratory mask
Respiratory mask + sterile gloves + grown, uses :
- TB
- VZV
Protection from methicillin sensitive s.aureus by
Hand hygiene
Toxic shock syndrome, in man cause
Nasal packing
Toxic shock syndrome, in women cause
Vaginal tampons
Endotoxin activate _____ by bacterial component.
Toll like receptor
Function of capsule
Anti-phagocytosis
Function of fambrial Ag {pilli} :
Bacterial Adhesion
Septic shock in gram (-) bacteria cause by
Lipid A
Which organism activate electrolytes transporter ?
- C.jejune
- Cholera
The great risk factor of c. Septicum :
Clonic malignancy
The greatest risk factor of fulminant vibro-vulnificus :
Hematochrmoatosis
Which tumour decrease the B-lymphocytes, plasma cell, IgG production ?
Multiple myeloma
Patient with multiple myeloma have risk factor to infect by which organism ?
- Influenza
- S.pneumonia
- E.coli
Administration of isoniazid mono-therapy for TB result in :
Bacterial resistance to isoniazid ( rapid gene mutation ).
Which drug decrease transporting protein expression on the cell surface ?
- Floroquinilon
- Macrolide
- Aminoglycoside
Granuloma formation lead to activation of which cell ?
Macrophage
Outer polysaccharide capsule =
Encapsulated bacteria
Antimicrobial drug that work intracellular :
- Macrolide
- Tetracycline
Mechanism of resistance of antimicrobial drug that work intracellular :
Transmembrane efflux pumps
Rod =
Bacilli
Most common cause of septic arthritis in sexual active young women :
Disseminated gonococcal infection
Rout of transmission of typhoid fever :
Contaminated food ingestion
Lymphadenopathy refers to :
Enlargement of lymph-node
Lymphadenopathy + painful ulcer + irregular, ragged border =
Chancroid
Exchange of genomic segment between bacterial strain and human strain, this process called :
Reassortment of genetic material
Reassortment of genetic material, result in :
Formation of new bacteria
Patient that take chemotherapy usually this therapy associated with _____ fever .
Neutropenic fever .
Chemotherapy decrease_____ and increase risk factor of _____ infection .
Decrease immunity and increase risk factor of bacterial infection
Opportunistic infection in immunocompromised patient :
- M.avium
- Cryptoccus
- Histoplasma
The most common bacterial infection in case of burn :
- Pseudomonas
- S.aureus
- Enterococci
- E.coli
- Klebsiella
Which derivatives of fluroquinilone has anti-pseudomonal activity ?
- Levofloxacin
- Ciprofloxacin
Which derivatives of fluroquinilone does not effect against pseudomona ?
Moxifloxacin
The most common cause of otitis media in children.
S.pneumonia ( most common cause of MOPSS ).
Gram (-) bacteria induce TNF and IL1 by
Lipid A
Gram (+) bacteria induce TNF and IL1 by
Lipoteichoic acid
Lung abscess after influenza infection cause by
S. Aureus
Fever, nasal congestion, rhinorrhea, myalgia =
Influenza symptoms
Cough, fever, sputum sample =
Lung abscess
Alpha toxin of c.perferingines cause on blood agar :
Double zone of hemolysis
Capsule of B.anthrax contains :
D-glutamate
Painless black ulcer cause by :
B.anthrax
S.epidermidis adhere to catheter by :
Glycocalyx
Glycoprotein structure that allow bacterial adherence to the cell surface :
Fimbria ( pilus )