Week 2 Flashcards

1
Q

List examples of common gram positive cocci.

A
  • staphylococcus aureus

- streptococcus pneumoniae

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2
Q

List some examples of gram positive rods/bacci.

A
  • listeria monocytogenes

- corynebacterium diphtheriae

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3
Q

Give an example of a gram negative cocci.

A

Neisseria meningitidis

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4
Q

List some examples of common gram negative rods/bacci.

A
  • Escherichia coli

- salmonella species

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5
Q

What are the benefits of normal flora colonisation?

A
  • establishment of infections is inhibited by competition and natural by products.
  • vitamins (K and B) in the gut produce metabolic end products.
  • immune stimulation
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6
Q

Which body sites are sterile?

A
  • blood, tissues and organ systems
  • CNS
  • lower respiratory tract
  • sinuses, inner and middle ear
  • renal system down to posterior urethra
  • female reproductive tract down to cervix
  • eye except exposed conjunctivae
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7
Q

List the features of systemic inflammatory response syndrome (SIRS).

A
  • temp out with 36-38
  • heart rate >90
  • respiratory rate > 20
  • PaCo2 < 4.3 kPa
  • white cell count out with 4000-12000 / ml
  • > 10% immature band forms
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8
Q

What is sepsis?

A

SIRS in presence of infection

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9
Q

What is severe sepsis?

A

Sepsis with evidence of organ hypoperfusion e.g. hypoxaemia, oliguria, acidosis, cerebral dysfunction

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10
Q

What is septic shock?

A

Severe sepsis with hypotension despite fluid resuscitation or vasopressor/inotropic support

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11
Q

List some examples of extracellular bacteria, parasites and fungi.

A
  1. Streptococcus pneumoniae (bacteria that causes pneumonia)
  2. Clostridium tetani (bacteria that causes tetanus)
  3. Trypanosoma brucei (parasite that causes sleeping sickness)
  4. Pneumocystis carinii (fungi that causes pneumocystis pneumonia)
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12
Q

List some examples of intracellular bacteria and parasites.

A
  1. Mycobacterium leprae (bacteria that causes leprosy)
  2. Leishmania donovani (parasite that causes leishmaniasis)
  3. Plasmodium falciparum (parasite that causes malaria)
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13
Q

List some examples of intracellular viruses.

A
  1. Variola (causes smallpox)
  2. Influenza (causes flu)
  3. Varicella (causes chickenpox)
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14
Q

List some examples of extracellular parasitic worms.

A
  1. Ascaris (causes ascariasis)

2. Shistosoma (causes shistosomiasis)

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15
Q

Give examples of vaccines that use live attenuated, or killed, bacteria.

A
  • these allow immune system to learn an antibody response*
    1. BCG vaccine for tuberculosis
    2. Cholera vaccine for cholera
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16
Q

Give examples of vaccines that use live attenuated viruses.

A
  • these allow the body to learn a cell mediated antibody response*
    1. Polio vaccine
    2. Rabies vaccine
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17
Q

Give examples of vaccines that use a subunit (antigen).

A
  • these allow body to learn an antibody response*
    1. Diphtheria toxoid
    2. Tetanus toxoid
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18
Q

Give examples of conjugate vaccines.

A
  • these enable body to learn a helper T cell dependent antibody response to polysaccharide antigens*
    1. Haemophilus influenza
    2. Streptococcus pneumoniae
19
Q

Give an example of a synthetic vaccine.

A
  • allows body to learn antibody response*

1. Hepatitis virus

20
Q

What types of vaccines are undergoing clinical trials?

A

Viral vectors and DNA vaccines - both aim to provide protection through a cell mediated and humoral immune response.

21
Q

Discuss Ebola.

A
  • spread via human contact/body fluids e.g. saliva and sweat
  • kills 1 in 2
  • signs/symptoms include:
    • fever
    • aches and pain
    • weakness and fatigue
    • sore throat
    • loss of appetite
    • GI - abdominal pain, vomiting, diarrhoea
      - unexplained haemorrhaging, bruising or bleeding
22
Q

Discuss the Zika virus

A
  • transmitted by mosquitos
  • can cause hydrocephalus in infants
  • can cause Guillian Barre syndrome (immune system attacks PNS)
  • signs/symptoms
    • rash
    • itching
    • high temp
    • headache
    • joint pain/swelling
    • muscle pain
    • conjunctivitis
    • lower back pain
    • pain behind eyes
23
Q

Discuss malaria.

A
  • parasite spread by anopheles mosquito
  • parasites replicate in liver and erupt as new forms which can get into RBCs
  • characterised by fever
  • cerebral malaria - RBCs become sticky and stick in vessels of brain to cause stroke
24
Q

Discuss lymphatic filariasis (elephantiasis)

A
  • parasitic worm from mosquitos (Aedes)
  • can cause, itching, swelling and thickening of skin
  • lymph doesn’t drain
25
Q

List some mosquito borne diseases

A
  • malaria
  • lymphatic filiariasis
  • Zika virus
  • Yellow fever
  • Dengue fever
  • Chikungunya
  • West Nile virus
26
Q

List some other arthropod borne diseases.

A
  • plague by fleas
  • leishmaniasis by sandflies
  • African trypanosomiasis by tsetse flies
  • American trypanosomiasis by reduced bugs
  • relapsing fever by ticks
  • Lyme disease by ticks
27
Q

Discuss yellow fever.

A
  • transmitted by mosquitos
  • vaccine available
  • signs/symptoms
    • fever
    • headache
    • nausea/vomiting
    • weakness/fatigue
28
Q

Discuss Chagas’ disease (aka American trypanosomiasis)

A
  • spread by kissing bugs that feed from mucous membranes/spread parasites in there faeces
  • cold/flu like symptoms
  • parasites may become dormant for 10/20 years
  • immune response over this period of time will eventually destroy infected tissues/organs
    • megacolon
    • cardiomegaly
29
Q

Discuss leishmaniasis.

A
  • parasitic cause, transmitted by sandflies
  • may cause skin or visceral disease, can also attack mucosal membranes
  • treated with antimony
30
Q

Discuss cholera.

A
  • caused by vibrio cholerae
  • too much water excreted so can kill very quickly
  • can be treated with oral rehydration salts
  • preventable by proper sanitation
31
Q

List some water and food borne diseases.

A
  • cholera
  • salmonella
  • e.coli
  • shigella
  • enterovirus
  • giardiasis
  • amoebiasis
  • cryptosporidiosis
32
Q

Discuss schistosomiasis.

A
  • water borne
  • parasitic worm
  • Praziquantel drugs kill parasite
33
Q

Describe the gram stain, shape and infections associated with MRSA

A
  • gram positive
  • coccus
  • skin, wound infections, blood
34
Q

Describe the gram stain, shape and infections associated with clostridium difficile.

A
  • gram positive
  • bacillus
  • antibiotic associated diarrhoea
35
Q

Describe the gram stain, shape and infections associated with pseudomonas aeruginosa.

A
  • gram negative
  • bacillus
  • respiratory, immunocompromised
36
Q

Describe the gram stain, shape and infections associated with mycobacterium tuberculosis.

A
  • neither gram +ve/-ve - acid fast staining
  • bacillus
  • pulmonary TB but can affect anywhere in the body
37
Q

Describe the gram stain, shape and infections associated with bordetella pertussis.

A
  • gram negative
  • cocco-bacillus
  • whooping cough
38
Q

What are PAMPs and DAMPs made up of and what is there function?

A
  • pathogen associated molecular patterns or damaged tissue associated molecular patters
  • function is to interact with pattern recognition receptors
39
Q

What is the complement cascade made up of and what is its function?

A
  • plasma proteins
  • function:
    1. Opsonise bacteria for phagocytosis
    2. Attract more phagocytic cells
    3. Directly kill bacteria
40
Q

Give an example of a chemokine and its function.

A
  • iL-8

- attract neutrophils

41
Q

Give examples of cytokines and their function.

A
  • iL-1, iL-6, TNF-a

- vascular permeability

42
Q

What is histamine and what does it do?

A

An inflammatory mediator that increases vascular permeability.

43
Q

How does the immune system respond to bacterial infections?

A
  • complement cascades
  • phagocytosis (opsonisation, antigen presentation via MHC II, Th1 or Th2)
  • cell mediated (Th2, IFN-y stimulates killing mechanisms)