Strep Pneumoniae And Viridans-Alpha Knight Tournament Flashcards

1
Q

What is the result of gram staining with Strep pneumonia and viridians

A

Gram positive

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2
Q

What is the result of blood culture of Strep pneumonia and viridians

A

Alpha hemolytic, so partial hemolysis with a green hue (oxidation of hemoglobin)

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3
Q

What is the state of the capsule on Strep pneumonia

A

Polysaccharide capsule is present

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4
Q

What is the main virulence factor in Strep pneumonia

A

Capsule

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5
Q

What is the site of optochin sensitivity in Strep pneumonia

A

Optochin sensitive

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6
Q

What is the morphological feature of Strep pneumonia

A

Diplococci like a lancet

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7
Q

What is that characteristic of the sputum in Strep pneumonia

A

Rust colored sputum

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8
Q

What are the conditions that are caused by Strep pneumonia

A
#1 cause of MOPS
M-Menigitis
O-Otis media
P-Pneumonia
S-Sinusitis
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9
Q

What is a virulance factor that allows Strep pneumonia to enter the mucosa

A

Protease that can cleave IgA

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10
Q

Which condition is commonly seen to be at a higher risk of encapsulated bacteria

A

Those who have had their spleen removed, common in sickle celled individuals (aplesia)

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11
Q

What are the treatments for Strep pneumonia

A
  • Macrolides
  • Arithromycin
  • Ceftriaxone (a cephalosporin)
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12
Q

What is the state of the adult vaccine for Strep pneumonia and viridians

A

23 valent vaccine and leads to IgM production, but is short term

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13
Q

What is the state of the children vaccine for Strep pneumonia and viridians

A

7 valance vaccine that elicits IgG production

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14
Q

What is the state of the capsule in Strep viridians

A

No capsule present

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15
Q

What is the state of optochin susceptibility in Strep viridians

A

Optochin resistant

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16
Q

What is the correction with bile and Strep pneumonia

A

Bile soluble, so can not grow

17
Q

What is the correlation of bile and Strep viridians

A

Bile resistant, so it can grow

18
Q

With regards to teeth, what is the association with Strep viridians

A

Dental carries (S. Mutans)

19
Q

How is Strep viridians able to adhere to damaged heart valves

A

-Synthesizes dextran from glucose, which is able to adhere to platelets

20
Q

What are the common locations of infection via Strep viridians (sanguineous)

A

Dextrans able to bind to patents in damaged heart valves, commonly the mitral valve