Week 1 Flashcards

1
Q

How can commensal microbes cause virulence?

A

By cross-infection, overgrowth or translocation.

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2
Q

What is the difference between a primary and opportunistic pathogen?

A

Opportunistic only cause disease when the host’s resistance is supressed whereas primary can cause disease despite having a normal host defence.

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3
Q

What is part of the normal microbial flora?

A

Bacteria and fungi.

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4
Q

What is a fast way of identifying bacteria?

A

Microscopy by shape or gram-staining.

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5
Q

Other than MCS what are techniques for microbial identification?

A

polymerase chain reaction, serology, chest X-rays, white cell count and inflammatory markers (ESR and CRP).

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6
Q

What are the ESKAPE pathogens?

A

Enterocoous faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobactor baumannii, Pseudomonas aeruginosa, Enterobactor species.

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7
Q

Which type of bacteria is the most difficult to treat?

A

Gram-negative bacteria.

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8
Q

What is the latent and incubation period?

A

Latent is the period between becoming infected and the pathogen being detectable. Incubation period is the period between the pathogen invading tissue and the appearance of symptoms.

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9
Q

What is sepsis?

A

A life-threatening, extreme systemic inflammatory response to infection, which damages healthy tissues and organs, leading to multiple organ failure, shock and ultimately death.

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10
Q

What is meningitis?

A

A life-threatening disease, associated with infection and inflammation of the meninges, which are the membranes that surround the brain.

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11
Q

What are the classes of antibiotics?

A

Aminoglycosides, carbapenems, cephalosporins, glycopeptides, lincosamides, macrolides, nitromidazoles, penicillins, quinolones, rifamycins, tetracyclines, anti-myobacterials, and other.

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12
Q

What is MINDME?

A

Guiding prinicples for prescribing anti microbials.
Microbiology, Indications, Narrowest spectrum, Dosage adjustment, Minimise duration and Ensure monotherapy.

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13
Q

What are causes of antibiotic resistance?

A

Over-prescribing, not finishing treatment, over-use in livestock and fish farming, poor infection control in hospitals, lack of hygiene and poor sanitation and lack of new antibiotics.

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14
Q

What are the two types of antibiotic resistance?

A

Intrinsic and acquired.

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15
Q

Which antibiotics cannot be taken with alcohol?

A

metronidazole and tinidazole.

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16
Q

Which antibiotics can reduce the efficacy of hormal contraceptive?

A

Rifamycin and rifabutin.

17
Q

What are type A reactions?

A

Pharmacologically predictable reactions.

18
Q

What are type B reactions?

A

Unpredictable reactions mediated by immunological mechanisms.

19
Q

Which penicillin and cephalosporin antibiotics are most likely for cross reactivity?

A

Amoxicillin with cephalexin and cefaclor.

20
Q
A