Spring Bugs Flashcards

1
Q

Lab ID of Mycobacterium Leprae

A

Gram-positive, bacilli, nonmotile, non-sporeforming, acid-fast, mycolic acid: (mycoside)phenolic glycolipid (PGL-I), high lipid content of cell wall, lipoarabinomannan (LAM), obligate intracellular parasite, strict aerobe

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2
Q

Virulence factors of M. Leprae

A

PGL-I, laminin binding protein, lipoarabinomannan, high lipid content of cell walls

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3
Q

Mechanism of phenolic glycolipid I virulence

A

Binds to the basal lamina of Schwann cells

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4
Q

Mechanism of laminin binding protein virulence

A

Binds to the basal lamina of Schwann cells

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5
Q

Mechanism of M. Leprae high lipid content of walls

A

high lipid content of cell wall made of mycolic acids and LAM -> prevents many pharmacological compounds from crossing bacterial cell membrane into cytosol; CD8+ Tc unable to insert perforin for cell lysis

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6
Q

What is the predominant organism that causes dental caries?

A

Streptococcus mutans

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7
Q

Why is streptococcus mutans so prevalent in dental caries?

A

Metabolizes sucrose more efficiently than other oral bacteria

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8
Q

Salmonella Enterica lab ID

A

gram negative, bacilli, non-spore forming, non-acid fasting, motile, flagella (H antigen), LPS (O antigen), capsule (K antigen), pili, produces H2S when fermenting glucose on Hektoen agar (Black), non-lactose fermenting

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9
Q

Transmission of Salmonella Enterica

A

food preparation practices allowing infecting dose of bacteria by growth in food before ingestion, turtles

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10
Q

Identification of Shigella

A

Gram-negative, Bacilli, Pili, Non-motile, Unencapsulated, Non-lactose fermenting, no flagella, non-sporeforming, non-acid fasting

O-antigen (lipopolysaccharide outer membrane LPS) Serogroup A- Shigella dysenteriae
Serogroup B- Shigella flexneri
Serogroup C- Shigella boydii
Serogroup D- Shigella sonnei

Grows on Hektoen enteric agar- Fermenters of glucose- but does not produce gas in this process (green)

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11
Q

What is O antigen?

A

lipopolysaccharide

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12
Q

What is K antigen?

A

capsule

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13
Q

What is H antigen?

A

Flagella

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14
Q

How is shigella acid resistance a virulence factor

A

able to survive acidic climate of stomach to reach intestines, where it enters and infects host

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15
Q

virulence of Invasion plasmid antigens (Ipa)

A

protein antigens injected by type III secretion system ➡️ induce cytoskeleton reorganization and actin polymerization ➡️ induces engulfment and internalization of Shigella into host cell by endocytosis

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16
Q

Virulence of shiga toxin (Stx)

A

B unit directs binding to a specific glycolipid receptor (Gb3) present on eukaryotic cells ➡️ internalized in an endocytotic vacuole ➡️ Inside the cell, the A subunit crosses the vacuolar membrane in the trans-Golgi network ➡️ exits to the cytoplasm ➡️ enzymatically modifies the ribosome site (28S-RNA of 60S subunit) where amino acyl tRNA binds ➡️ blocking protein synthesis ➡️ leading to cell death

17
Q

Virulence of shiga toxin (Stx)

A

B unit directs binding to a specific glycolipid receptor (Gb3) present on eukaryotic cells ➡️ internalized in an endocytotic vacuole ➡️ Inside the cell, the A subunit crosses the vacuolar membrane in the trans-Golgi network ➡️ exits to the cytoplasm ➡️ enzymatically modifies the ribosome site (28S-RNA of 60S subunit) where amino acyl tRNA binds ➡️ blocking protein synthesis ➡️ leading to cell death

18
Q

Virulence factors for salmonella enterica

A

Flagella, pili, Injection (type III) secretion system

19
Q

Virulence of injection (type III) secretion system for salmonella

A

S. Enterica adheres to cell via pili binding to mannose receptor ➡️ injection (type III) secretion system create a membrane “ruffles” (specialized plasma membrane site of filamentous actin cytoskeleton rearrangements) ➡️ salmonella endocytose and enter cell

20
Q

Identification of clostridium difficile

A

gram positive, bacilli, spore forming, anaerobic, catalase negative, superoxide dismutase negative

21
Q

Virulence factors for clostridium difficile

A

toxin A (TcdA) enterotoxin, toxin B (TcdB) a cytotoxin, C. difficile transferase (CDT), spores

22
Q

virulence of c. diff toxin A and toxin B

A

Toxin A and B glucosylate and inactivate GTPases ➡️ disrupts the signal transduction of G proteins ➡️ rearrange actin filaments ➡️ disrupts intracellular tight junctions ➡️ increase membrane permeability and fluid secretion

23
Q

virulence of c. diff transferase toxin (CDT)

A

exerts ADP-ribosylation ➡️ inhibit actin polymerization in enterocytes

24
Q

What does the pseudomembrane of C. difficile consist of

A

inflammatory plaques ➡️ coalesce into pseudomembrane (made of fibrin, leukocytes, and necrotic colonic cells)

25
Q

What kind of helminth is ascaris lumbricoides?

26
Q

What kind of helminth is diphyllobothrium latum?

27
Q

What are the five species of plasmodium which infect humans?

A
P. falciparum
P. vivax
P. ovale
P. malariae
P. knowlesi (rarely causes disease)
29
Q

Lab ID/Characteristics specific to P. falciparum?

A

1) Infect RBCs of any age
2) Bind to glycophorin A on RBCs
3) Form knobs on RBC surface ➡️ produce high-molecular weight adhesive protein (PfEMP1) ➡️ used to bind to ligands on endothelium
4) large, banana-shaped gametocytes
5) Double chromatin dots
6) May have double infection (>1 parasite per RBC)
7) Maurer dots (RBCs)

30
Q

Lab ID/Characteristics specific to P. ovale?

A

1) Has dormant stage (hypnozoite)
2) Only invade reticulocytes
3) Enlarged & pale RBCs
4) RBCs are oval and fimbriated (fringed borders)
5) Schuffner dots (RBCs)

30
Q

Lab ID/Characteristics specific to P. vivax?

A

1) Has dormant stage (hypnozoite)
2) Binds to Duffy antigen on RBCs
3) Only invade reticulocytes
4) Enlarged & pale RBCs
5) Schuffner dots (RBCs)

31
Q

Lab ID/Characteristics specific to P. malariae?

A

1) only invades senescent cells
2) trophozoites are band-shaped
3) merozoites arranged in rosettes

32
Q

General lab ID/characteristics of plasmodium?

A

1) Non-motile
2) Gametocytes larger & lack nuclear division compared to asexual stages
3) red nuclear chromatin
4) blue cytoplasm
5) brown/black pigment (hemozoin) with ⬆️ ferroprotoporphyrin IX (breakdown product of hemoglobin)