Usmle First Aid Flashcards

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
Name 4 genus of bacteria | that are G- 'coccoid' rods.
1) H. flu 2) Pasteruella 3) Brucella 4) Bordetella pertussis
26
Name 6 bacteria that don't | Gram's stain well?
Treponema - Rickettsia - Mycobacteria - Mycoplasma - Legionella pneumophila - Chlamydia
27
Name four genus of bacteria | that are G+ rods.
1) Clostridium (an anaerobe) 2) Coynebacterium 3) Listeria 4) Bacillus
28
Name seven G+ bacteria | species that make exotoxins.
``` 1) Corynebacterium diphtheriae 2) Clostridium tetani 3) Clostridium botulinum 4) Clostridium perfringens 5) Bacillus anthracis 6) Staph. aureus 7) Strep. pyogenes ```
29
Name three diseases caused | by exotoxins.
Tetanus - botulism - | diptheria
30
Name three G- bacteria | species that make exotoxins.
1) E. coli 2) Vibrio cholerae | 3) Bordetella pertussis
31
Name three Lactosefermenting | enterics.
Eschericia, Klebsiella, Enterobacter Name two diseases caused by endotoxins.
32
Name two diseases caused by | endotoxins.
Meningococcemia - sepsis by | G(-) rods
33
Name two type of Strep that | exhibit alpha hemolysis?
S. pneumoniae - Viridans | strep. (e.g. S. mutans)
34
Name two types of Strep. that | exhibit beta hemolysis.
Group A Strep. (GAS) and | Group B Strep. (GBS)
35
Teichoic acid induces what | two cytokines?
TNF and IL-1
36
What are the effects of | erythrogenic toxin?
it is a superantigen - it | causes rash of Scarlet fever
37
What are the effects of | streptolysin O?
it is a hemolysin - it is the antigen for ASO-antibody found in rheumatic fever
38
What are the effects of the exotoxin secreted by Bacillus anthracis? (1)
one toxin in the toxin complex is an adenylate cyclase
39
What are the effects of the exotoxin secreted by Bordetella pertussis? (3)
``` Stimulates adenylate cyclase by ADP ribosylation - causes whooping cough - inhibits chemokine receptor, causing lymphocytosis ```
40
What are the effects of the exotoxin secreted by Clostridium botulinum?
``` blocks release of acetylcholine: causes anticholenergic symptoms, CNS paralysis; can cause 'floppy baby' ```
41
What are the effects of the exotoxin secreted by Clostridium perfringens?
alpha toxin is a lecithinase - causes gas gangrene - get a double zone of hemolysis on blood agar
42
What are the effects of the exotoxin secreted by Clostridium tetani?
blocks release of the inhibitory NT glycine; causes 'lockjaw'
43
What are the effects of the exotoxin secreted by Corynebacterium diphtheria? (3)
1) inactivates EF-2 by ADP ribosylation 2) pharyngitis 3) 'pseudomembrane' in throat
44
What are the effects of the exotoxin secreted by E. coli? (2)
``` this heat labile toxin stimulates adenylate cyclase by ADP ribosylation of G protein - causes watery diarrhea ```
45
What are the effects of the exotoxin secreted by Staph. aureus?
superantigen; induces IL-1 and IL-2 synthesis in Toxic Shock Syndrome; also causes food poisoning
46
What are the effects of the exotoxin secreted by Vibro cholerae? (3)
``` Stimulates adenylate cyclase by ADP ribosylation of G protein - increases pumping of Cl- and H2O into gut - causes voluminous rice-water diarrhea ```
47
What are the general clinical | effects of endotoxin?(2)
fever, shock
48
What are three primary/ general effects of endotoxin (especially lipid A)?
1) Acivates macrophages 2) Activates completment (alt. pathway) 3) Activates Hageman factor
49
What are two exotoxins | secreted by Strep. pyogenes?
Erythrogenic toxin and | streptolysin O
50
What are two functions of the | pilus/fimbrae?
Mediate adherence of bacteria to the cell surface - sex pilus forms attachment b/t 2 bacteria during conjugation
51
What are two species of Gram (-) cocci and how are they differentiated?
1) Neisseria memingitidis: maltose fermenter 2) Neisseria gonorrhoeae: maltose NONfementer
52
What bacteria produces a | blue-green pigment?
Pseudomonas aeruginosa
53
What bacteria produces a red | pigment?
Serratia marcescens | 'maraschino cherries are red'
54
What bacteria produces a | yellow pigment?
Staph. aureus (Aureus= gold | in Latin)
55
What culture requirements do | Fungi have?
Sabouraud's agar
56
What culture requirements do Lactose-fermenting enterics have?
MacConkey's agar (make pink | colonies)
57
What culture requirements | does B. pertussis have?
Bordet-Gengou (potato) agar
58
What culture requirements | does C. diphtheriae have?
Tellurite agar
59
What culture requirements | does H. flu have?
chocolate agar with factors V | NAD) and X (hematin
60
What culture requirements does Legionella pneumophia have?
Charcol yeast extract agar buffered with increased iron and cysteine
61
What culture requirements | does N. gonorrhea have?
Thayer-Martin (VCN) media
62
What G- rod is a lactose nonfermenter and is Oxidase + ?
Pseudomonas
63
What is a function of the plasma membrane in bacterial cells.
site of oxidative and | transport enzymes
64
What is a toxoid?
exotoxin treated with formaldehyde (or acid or heat); retains antigeniciy but looses toxicity
65
What is an acronym for remembering 6 bacteria that don't Gram's stain well?
TRMMLC: These Rascals May | Microscopically Lack Color
66
What is meant by alpha, beta, | and gamma hemolysis?
On a Blood agar plate: alpha= complete; clear - beta= partial; green - gamma= no hemolysis; red
67
What is the chemical | composition of a glycocalix?
polysaccharide
68
What is the chemical composition of bacterial ribosomes?
RNA and protein in 30S and | 50S subunits
69
What is the chemical | composition of endotoxin?
Lipopolysaccharide
70
What is the chemical | composition of exotoxin?
polypeptide
71
What is the chemical | composition of spores?
keratin-like coat - dipicolinic | acid
72
What is the funciton and chemical composition of the flagellum?
for motility - made of protein
73
What is the function of a | glycocalix?
mediates adherence to surfaces, especially foreign surfaces (i.e. catheters)
74
What is the function of | spores?
provides resistance to dehydration, heat, and chemicals
75
What is the major chemical | composition of the capsule?
Polysaccharide (*except Bacillus anthracis, which contains D-Glutamate)
76
What is the major function of | the capsule?
antiphagocytic
77
What is the mode of action of | endotoxin?
includes TNF and IL-1
78
What is the nature of the DNA | transferred in conjugation?
Chromosomal or plasmid
79
What is the nature of the DNA | transferred in transduction?
Any gene in generalized transduction; only certain genes in specialized transduction