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DIT Quizzes day 2
Bacteriology, Gram + bacteria, Immuno
86
Other
Professional
05/08/2013

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Term
What bacterial structure mediates adherence of bacteria to the surface of a cell?
Definition
Pili/fimbriae
Term
What bacterial structure protects against phagocytosis?
Definition
Capsule
Term
What is the name for the space between the inner and outer membrane of gram negative bacteria??
Definition
periplasm
Term
What bacterial structure forms attachment between two bacteria during transfer of DNA (conjugation)?
Definition
Sex pilus
Term
What bacterial structure contains a variety of genes for antibiotic resistance, enzymes, and toxins?
Definition
Plasmid
Term
What exotoxin inhibits ACh release-->flaccid paralysis
Definition
Botulinum toxin
Term
What exotoxin stimulates adenylate cyclase-->Cl and water in the gut-->diarrhea
Definition
Cholera toxin and Heat-labile toxin (ETEC)
Term
What exotoxin causes scarlet fever?
Definition
erythrogenic/pyrogenic toxins of Strep. pyogenes
Term
What exotoxin inactivates EF2-->pseudomembranous pharyngitis
Definition
Diptheria toxin
Term
What exotoxin blocks the release of inhibitory neurotransmitter glycine?
Definition
tetanospasmin of C.tetani
Term
What are the acute phase cytokines?
Definition
IL-1, IL-6, TNF-a
Term
What organisms do not gram stain?
Definition
"These Rascals May Microscopically Lack Color"
Treponema
Rickettsia
Mycobacterium
Mycoplasma
Legionella pneumophila
Chlamydia
Term
What stain is required to see Cryptococcus neoformans?
Definition
India ink
Term
What stain is required to see Pneumocystis jiroveci?
Definition
Silver stain
Term
What stain is required to see Amyloid?
Definition
Congo Red stain
Term
What stain is required to see Chlamydia?
Definition
Giemsa stain
Term
Describe the characteristics of MacConkey's agar
Definition
1. Bile salts and crystal violet-inhibit growth of gram positive
2. Lacotse is only carbohydrate, Neutral red stain- lactose fermenters turn pink
Term
By what method are plasmids exchanged in bacteria
Definition
Conjugation
Term
Which bacteria are encapsulated?
Definition
"Some Killers Have Nice Shiny Bodies"
Strep pneumo
Klebsiella
H. influenzae
Neiserria meningitidis
Salmonella
Group B strep
Term
Which bacteria are spore formers
Definition
C.perfringens, C. tetani, C.botulinum
Bacillus anthracis, B.cereus
Coxiella burnetii
Term
What is the function of ribosomes?
Definition
protein synthesis
Term
What bacterial structure provides motility?
Definition
flagella
Term
What is the bacterial form that provides resistance to dehydration, heat, and chemicals
Definition
Spore
Term
Which bacterial structure provides rigid support to bacterial cells and protects against osmotic pressure
Definition
Peptidoglycan
Term
What three things does exotoxin do?
Definition
1. Activates macrophages
2. Activates complement (alternate pathway)
3. Activate Hageman factor (XII)
Term
What exotoxins work by inactivating 60S ribosome by cleaving rRNA?
Definition
Shiga toxin and Shiga-like toxin of EHEC
Term
Name 5 enterotoxigenic bacteria (cause water and electrolyte imbalance-->diarrhea)
Definition
Enterotoxigenic E.coli
Vibrio cholera
Shigella
Salmonella
Staph. aureus
Term
Name the intracellular bacteria
Definition
Obligate: Rickettsia, Chlamydia
Facultative: Legionella
Term
What color pigment does Serratia marcenscens produce?
Definition
Red
Term
What color pigment does Staph. aureus produce?
Definition
yellow
Term
What skin infections can be caused by both Staph aureus and Strep pyogenes? (3)
Definition
Folliculitis, Cellulitis, Impetigo
Term
What are the major Jones Criteria for Rheumatic fever (S. pyogenes)
Definition
Polyarthritis
Carditis
Erythema marginatum
Sydenhams Chorea
Subcutaneous nodules
Term
What are the 3 most common bacteria that can cause neonatal death
Definition
Group B Strep
Listeria
E.coli
Term
Which bacteria are obligate aerobes? (4)
Definition
"Nagging Pests Must Breathe"
Nocardia
Pseudomonas aeruginosa
Mycobacterium tuberculosis
Bacillus
Term
What patients are susceptible to Listeria monocytogenes
Definition
neonates, immunocompromised, AIDS
Term
What organisms are most commonly implicated in subacute endocarditis
Definition
S. sanguis (Viridans)
S. bovis (Group D, enterococcus)
S.epidermidis (Coag neg staph)
Term
A woman who is breast feeding develops redness and swelling of her breast over a period of 24 hours. Exam reveals a warm, fluctuant mass. What is the dx?
Definition
Mastitis->Staph aureus
Term
What is the most common aerobic skin flora
Definition
Staph epidermidis
Term
What organism causes acute endocarditis
Definition
Staph aureus
Term
Which gram positive bacteria is associated with scalded skin syndrome
Definition
Staph aureus
Term
Which gram positive bacteria is associated with white membrane on pharynx
Definition
Corynebacterium diptheriae
Term
Which gram positive bacteria is associated with pharyngitis-->glomerulonephritis
Definition
Strep pyogenes
Term
Which gram positive bacteria is the most common cause of meningitis
Definition
Strep pneumoniae
Term
Which gram positive bacteria is the most common cause of osteomyelitis
Definition
Staph Aureus
Term
Which gram positive bacteria is associated with serious newborn infections
Definition
Listeria, GBS
Term
Which gram positive bacteria is associated with an infant with poor muscle tone
Definition
Clostridium botulinum (floppy baby)
Term
Which gram positive bacteria is associated with diarrhea after antibiotic use
Definition
Clostridium difficil (C.diff)
Term
Which gram positive bacteria is associated with respiratory distress in a postal worker
Definition
Bacillus anthracis
Term
Which gram positive bacteria is associated with otitis media in children
Definition
Strep pneumoniae
Term
Which gram positive bacteria is associated with cellulitis
Definition
Staph aureus
Strep pyogenes
Term
What is the MOA of botulinum toxin?
Definition
inhibits ACh release at the NMJ-->flaccid paralysis
Term
Clinical uses for alpha-interferon
Definition
Hepatitis B and C, Kaposi sarcoma, leukemias, malignant melanoma
Term
Clinical uses for B-interferon
Definition
Multiple sclerosis
Term
Clinical use for gamma-interferon
Definition
Chronic granulomatous disease
Term
Clinical use for erythropoeitin
Definition
Anemias (especially renal failure)
Term
Clinical use for Filgrastim (granulocyte-macrophage colony-stimulating factor)
Definition
Recovery of bone marrow (in general, after chemotherapy)
Term
Clinical use for Aldesleukin (IL-2)
Definition
Renal cell carcinoma, metastatic melanoma
Term
Which type of hypersensitivity is responsible for Rheumatic fever?
Definition
Type II
Term
Which type of hypersensitivity is responsible for Poststreptococcal glomerulonephritis?
Definition
Type III
Term
Which type of hypersensitivity is responsible for Asthma?
Definition
Type I
Term
Which type of hypersensitivity is responsible for Tuberculosis skin test (PPD)?
Definition
Type IV
Term
Which type of hypersensitivity is responsible for allergies, anaphylaxis, and hay fever?
Definition
Type I
Term
Which type of hypersensitivity is responsible for Polyarteritis nodosum?
Definition
Type III
Term
Which type of hypersensitivity is responsible for Serum sickness?
Definition
Type III
Term
Which type of hypersensitivity is responsible for ABO blood type incompatibility?
Definition
Type II
Term
Which type of hypersensitivity is responsible for Poison ivy?
Definition
Type IV
Term
Which type of hypersensitivity is responsible for eczema?
Definition
Type I
Term
Which type of hypersensitivity is responsible for contact dermatitis?
Definition
Type IV
Term
Which type of hypersensitivity is responsible for Goodpasture's syndrome?
Definition
Type II
Term
Which complement is responsible for neutrophil chemotaxis?
Definition
C5a
Term
A young child presents with tetany from hypocalcemia and candidiasis resulting from immunosuppression. Dx?
Definition
DiGeorge's syndrome
Term
A young child has recurrent lung infections and granlulomatous lesions. Dx? What is the defect in neutrophils?
Definition
Chronic granulomatous disease
Deficiency in NADPH oxidase-->absent respiratory burst in neutrophils
Term
A mother brings in her 2 year old child who has had multiple viral and fungal infections and is found to be hypocalcemic. Which of the three types of germ cells (ecto-, endo-, meso-) give rise to the structure that is absent in this child?
Definition
Missing structure=thymus (DiGeorge syndrome) derived from endoderm
Term
A child has an immune disorder in which there are repeated Staph abscesses; it is found that the neutrophils fail to respond to chemotactic stimuli. What is the most likely dx?
Definition
Job's syndrome (Hyper-IgE--->Th cells fail to produce IFN-gamma)
Term
What would you expect to see in a patient with Wiscott-Aldrich syndrome?
Definition
Thrombocytopenia, Infections, Eczema, recurrent pyogenic infections

decreased IgG and increased IgA
Term
What is the cause of Chronic Granulomatous Disease? What type of infections are these people more prone to?
Definition
NADPH oxidase deficiency
-increased susceptibility to catalase positive organisms (S.aureus, E.coli, Aspergillus)
Term
In what disease would you see the following antibodies: Anti-mitochondrial
Definition
Primary biliary cirrhosis
Term
In what disease would you see the following antibodies: Anti-TSH receptor
Definition
Grave's disease
Term
In what disease would you see the following antibodies: Anti-centromere
Definition
Scleroderma (CREST)
Term
In what disease would you see the following antibodies: Anti-basement membrane
Definition
Goodpasture's syndrome
Term
In what disease would you see the following antibodies: Anti-neutrophil
Definition
ANCA
p-anca=Wegeners
c-anca=other vasculitides
Term
What drugs are composed of antibodies against TNF
Definition
etanercept, infliximab, adalimumab
Term
How does the mechanism of Type II hypersensitivity differ form Type III hypersensitivity?
Definition
Type II: antibodies against self that cause damage by way of complement and macrophages

Type III: causes same damage via anibodies against foreign antigens that form complex that deposits in cells
Term
A patient suffers from recurrent Neisseria infections. What complement proteins are deficient?
Definition
MAC (5b-9)
Term
A 45 year old woman complains of malar rash and arthritis. Which antibodies are specific for the most likely disorder?
Definition
SLE-->anti-smith, anti-dsDNA
(will also see anti-nuclear antibodies)
Term
After a bone marrow transplant, a patient suffers from dermatitis, enteritis and hepatitis. What disease process is occuring?
Definition
Graft vs host disease
-Grafted immunocompetent T cells proliferate in the irradiated immunocompromised disease host and rejects cells with "foreign" proteins
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