Usmle First Aid Flashcards

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1
Q

(T/F) The outer membrane
for G+ and the cell
membrane for G- act as
major surface antigens.

A

FALSE: they DO act a major
surface antigens BUT the
outer mb for G- and the cell
membrane for G+

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2
Q

Are endotoxins heat stable?

A

yes, stable at 100C for 1 hr.

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3
Q

Are endotoxins secreted from

cells?

A

NO

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4
Q

Are endotoxins used as

antigens in vaccines?

A

no, they don’t produce

protective immune response

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5
Q

Are exotoxins heat stable?

A

no, destroyed rapidly at 60C
(exception: Staphylococcal
enterotoxin)

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6
Q

Are exotoxins secreted from

cells?

A

YES

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7
Q

Are exotoxins used as

antigens in vaccines?

A

Yes, TOXOIDS are used as

vaccines

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8
Q

Describe the chemical
composition of
peptidoglycan.

A

Sugar backbone with crosslinked

peptide side chains.

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9
Q

Describe the major

components of a G- cell wall.

A
inner and outer lipid bilayer
membranes - thin layer of
peptidoglycan - periplasmic
space - contains
lipopolysaccharide,
lipoprotein and phospholipid
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10
Q

Describe the major

components of a G+ cell wall.

A

one lipid bilayer membrane -
thick layer of peptidoglycan -
contains teichoic acid

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11
Q

Describe the process of

conjugation.

A

DNA transfer from one

bacterium to another.

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12
Q

Describe the process of

transduction.

A

DNA transfer by a virus from

one cell to another

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13
Q

Describe the process of

transformation.

A

purified DNA is taken up by a

cell

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14
Q

Does endotoxin induce and

antigenic response?

A

no, not well

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15
Q

Does exotoxin induce and

antigenic response?

A

Yes, induces high-titer

antibodies called antitoxins

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16
Q

Give two general functions of

peptidoglycan

A

Gives rigid support - protects

against osmotic pressure

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17
Q

How are Group A and Group B

Strep primarily differentiated?

A

Group A are Bacitracin
sensitive - Group B are
Bacitracin resistant

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18
Q

How are the pathogenic
Neisseria species
differentiated?

A

on the basis of sugar

fermentation

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19
Q

How are the species of
Streptococcus primarily
differentiated?

A

on the basis of their

HEMOLYTIC capabilities

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20
Q

List the four phases of the

bacterial growth curve.

A

Lag phase - log (exponential)
phase - stationary phase -
death phase

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21
Q

Name 2 G- rods that are
considered slow lactose
fermenters.

A

Citrobacter and Serratia

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22
Q

Name 3 G- rods that are
considered fast lactose
fermenters.

A

1) Klebsiella 2) E. coli 3)

Enterobacter

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23
Q

Name 3 G- rods which are
lactose nonfermenters and
Oxidase(-)?

A

Shigella, Salmonella, Proteus

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24
Q

Name 4 bacteria that use IgA
protease to colonize mucosal
surfaces.

A

1) Strep. pneumoniae 2)
Neisseria meningitidis 3)
Neisseria gonorrhea 4) H. flu

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25
Q

Name 4 genus of bacteria

that are G- ‘coccoid’ rods.

A

1) H. flu 2) Pasteruella 3)
Brucella 4) Bordetella
pertussis

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26
Q

Name 6 bacteria that don’t

Gram’s stain well?

A

Treponema - Rickettsia -
Mycobacteria - Mycoplasma
- Legionella pneumophila -
Chlamydia

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27
Q

Name four genus of bacteria

that are G+ rods.

A

1) Clostridium (an anaerobe)
2) Coynebacterium 3) Listeria
4) Bacillus

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28
Q

Name seven G+ bacteria

species that make exotoxins.

A
1) Corynebacterium
diphtheriae 2) Clostridium
tetani 3) Clostridium
botulinum 4) Clostridium
perfringens 5) Bacillus
anthracis 6) Staph. aureus 7)
Strep. pyogenes
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29
Q

Name three diseases caused

by exotoxins.

A

Tetanus - botulism -

diptheria

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30
Q

Name three G- bacteria

species that make exotoxins.

A

1) E. coli 2) Vibrio cholerae

3) Bordetella pertussis

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31
Q

Name three Lactosefermenting

enterics.

A

Eschericia, Klebsiella,
Enterobacter
Name two diseases caused by
endotoxins.

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32
Q

Name two diseases caused by

endotoxins.

A

Meningococcemia - sepsis by

G(-) rods

33
Q

Name two type of Strep that

exhibit alpha hemolysis?

A

S. pneumoniae - Viridans

strep. (e.g. S. mutans)

34
Q

Name two types of Strep. that

exhibit beta hemolysis.

A

Group A Strep. (GAS) and

Group B Strep. (GBS)

35
Q

Teichoic acid induces what

two cytokines?

A

TNF and IL-1

36
Q

What are the effects of

erythrogenic toxin?

A

it is a superantigen - it

causes rash of Scarlet fever

37
Q

What are the effects of

streptolysin O?

A

it is a hemolysin - it is the
antigen for ASO-antibody
found in rheumatic fever

38
Q

What are the effects of the
exotoxin secreted by Bacillus
anthracis? (1)

A

one toxin in the toxin
complex is an adenylate
cyclase

39
Q

What are the effects of the
exotoxin secreted by
Bordetella pertussis? (3)

A
Stimulates adenylate cyclase
by ADP ribosylation - causes
whooping cough - inhibits
chemokine receptor, causing
lymphocytosis
40
Q

What are the effects of the
exotoxin secreted by
Clostridium botulinum?

A
blocks release of
acetylcholine: causes
anticholenergic symptoms,
CNS paralysis; can cause
'floppy baby'
41
Q

What are the effects of the
exotoxin secreted by
Clostridium perfringens?

A

alpha toxin is a lecithinase -
causes gas gangrene - get a
double zone of hemolysis on
blood agar

42
Q

What are the effects of the
exotoxin secreted by
Clostridium tetani?

A

blocks release of the
inhibitory NT glycine; causes
‘lockjaw’

43
Q

What are the effects of the
exotoxin secreted by
Corynebacterium diphtheria?
(3)

A

1) inactivates EF-2 by ADP
ribosylation 2) pharyngitis 3)
‘pseudomembrane’ in throat

44
Q

What are the effects of the
exotoxin secreted by E. coli?
(2)

A
this heat labile toxin
stimulates adenylate cyclase
by ADP ribosylation of G
protein - causes watery
diarrhea
45
Q

What are the effects of the
exotoxin secreted by Staph.
aureus?

A

superantigen; induces IL-1
and IL-2 synthesis in Toxic
Shock Syndrome; also causes
food poisoning

46
Q

What are the effects of the
exotoxin secreted by Vibro
cholerae? (3)

A
Stimulates adenylate cyclase
by ADP ribosylation of G
protein - increases pumping
of Cl- and H2O into gut -
causes voluminous rice-water
diarrhea
47
Q

What are the general clinical

effects of endotoxin?(2)

A

fever, shock

48
Q

What are three primary/
general effects of endotoxin
(especially lipid A)?

A

1) Acivates macrophages 2)
Activates completment (alt.
pathway) 3) Activates
Hageman factor

49
Q

What are two exotoxins

secreted by Strep. pyogenes?

A

Erythrogenic toxin and

streptolysin O

50
Q

What are two functions of the

pilus/fimbrae?

A

Mediate adherence of bacteria
to the cell surface - sex pilus
forms attachment b/t 2
bacteria during conjugation

51
Q

What are two species of Gram
(-) cocci and how are they
differentiated?

A

1) Neisseria memingitidis:
maltose fermenter 2)
Neisseria gonorrhoeae:
maltose NONfementer

52
Q

What bacteria produces a

blue-green pigment?

A

Pseudomonas aeruginosa

53
Q

What bacteria produces a red

pigment?

A

Serratia marcescens

‘maraschino cherries are red’

54
Q

What bacteria produces a

yellow pigment?

A

Staph. aureus (Aureus= gold

in Latin)

55
Q

What culture requirements do

Fungi have?

A

Sabouraud’s agar

56
Q

What culture requirements do
Lactose-fermenting enterics
have?

A

MacConkey’s agar (make pink

colonies)

57
Q

What culture requirements

does B. pertussis have?

A

Bordet-Gengou (potato) agar

58
Q

What culture requirements

does C. diphtheriae have?

A

Tellurite agar

59
Q

What culture requirements

does H. flu have?

A

chocolate agar with factors V

NAD) and X (hematin

60
Q

What culture requirements
does Legionella pneumophia
have?

A

Charcol yeast extract agar
buffered with increased iron
and cysteine

61
Q

What culture requirements

does N. gonorrhea have?

A

Thayer-Martin (VCN) media

62
Q

What G- rod is a lactose
nonfermenter and is Oxidase
+ ?

A

Pseudomonas

63
Q

What is a function of the
plasma membrane in
bacterial cells.

A

site of oxidative and

transport enzymes

64
Q

What is a toxoid?

A

exotoxin treated with
formaldehyde (or acid or
heat); retains antigeniciy but
looses toxicity

65
Q

What is an acronym for
remembering 6 bacteria that
don’t Gram’s stain well?

A

TRMMLC: These Rascals May

Microscopically Lack Color

66
Q

What is meant by alpha, beta,

and gamma hemolysis?

A

On a Blood agar plate:
alpha= complete; clear -
beta= partial; green -
gamma= no hemolysis; red

67
Q

What is the chemical

composition of a glycocalix?

A

polysaccharide

68
Q

What is the chemical
composition of bacterial
ribosomes?

A

RNA and protein in 30S and

50S subunits

69
Q

What is the chemical

composition of endotoxin?

A

Lipopolysaccharide

70
Q

What is the chemical

composition of exotoxin?

A

polypeptide

71
Q

What is the chemical

composition of spores?

A

keratin-like coat - dipicolinic

acid

72
Q

What is the funciton and
chemical composition of the
flagellum?

A

for motility - made of protein

73
Q

What is the function of a

glycocalix?

A

mediates adherence to
surfaces, especially foreign
surfaces (i.e. catheters)

74
Q

What is the function of

spores?

A

provides resistance to
dehydration, heat, and
chemicals

75
Q

What is the major chemical

composition of the capsule?

A

Polysaccharide (*except
Bacillus anthracis, which
contains D-Glutamate)

76
Q

What is the major function of

the capsule?

A

antiphagocytic

77
Q

What is the mode of action of

endotoxin?

A

includes TNF and IL-1

78
Q

What is the nature of the DNA

transferred in conjugation?

A

Chromosomal or plasmid

79
Q

What is the nature of the DNA

transferred in transduction?

A

Any gene in generalized
transduction; only certain
genes in specialized
transduction