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Fundamentals II Exam 2
Monday Nov. 4th and Wednesday Nov. 6th
99
Science
Professional
11/11/2013

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Cards

Term
Enterobacteriaceae are gram ____ , ____-shaped bacteria
Definition
gram negative, rod-shaped
Term
Name 4 pathogenic Enterobacteriaceae
Definition
Salmonella enterica; Shigella dysenteriae; Yersinia enterocolitica; Yersinia pestis
Term
Major endotoxin of gram negative bacteria which creates a multitude of immune responses that can lead to fever, hypotension, tachycardia, etc.
Definition
Lipopolysaccharide
Term
lpsmutation in mice is in the endotoxin receptor gene tlr4. This mutation causes what response?
Definition
Causes mice to be resistant to LPS
Term
3 main parts that make up LPS
Definition

1. O polysaccharide (aka O antigen side chain)

2. Polysaccharide core

3. Lipid A

Term
Enterobacteriaceae utilize what for energy?
Definition
Enterobacteriaceae are facultative anaerobes that ferment glucose
Term

Enterobacteriaceae are Oxidase_____;(pos/neg)

Nitrate and Catalase ______(pos/neg)

Definition

Enterobacteriaceae are Oxidase negative;

Nitrate and Catalase positive

Term
Most common Enterobacteriaceae in the gut is _________
Definition
Escherichia coli
Term
E. Coli is lactose and indole ____ (pos/neg)
Definition
E. Coli is lactose and indole positive
Term
Early phase of Gram negative sepsis
Definition

-Decrease in arterial resistance; increased cardiac output

-Kinins in plasma due to tissue damage, endotoxin

Term
2nd phase of Gram-negative sepsis
Definition
Increase in arterial resistance; decreased cardiac output
Term
3rd phase of Gram-negative sepsis (Irreversible)
Definition
Vascular collapse with organ failure. Endotoxin induces DIC which leads to hemorrhage and death
Term
E. Coli estimated to cause 4% of ____ in the U.S. and 30-40% of "Traveler's ______" in Mexico.
Definition
DIARRHEA!!!!
Term
This type of E. Coli causes Hemolytic Uremic Syndrome
Definition
Enterohemorrhagic E. Coli
Term
Klebsiella pneumoniae is lactose ____(pos/neg); and ____(motile/nonmotile)
Definition
Klebsiella pneumoniae is lactose positive and nonmotile
Term
Klebsiella pneumonia has _______ activity, which causes it to be resistant to ampicillin and carbenicillin (however, it is still sensitive to cephalosporins)
Definition
Beta-lactamase
Term
4 pathologies of Klebsiella pneumoniae
Definition

1. Pneumonia

 

2. Septicemia

3. UTI

4. Memingitis

Term
Pneumonia mortality rate and symptoms
Definition

-25-50% mortality

-Thick, non-purulent bloody sputum

-Necrosis and abscess formation

Term

Enterobacter cloacae (E. aerogenes) 

Lactose ______ (pos/neg)?

______(motile/nonmotile)?

 

Definition
lactose positive, Nonmotile
Term

-Proteus miribilis, P. vulgaris

 

Urease and H2S ____(pos/neg)?

____motile/nonmotile?

Definition

H2S and Urease positive

Motile

Term
Secretory diarrhea- Bacterial toxins can cause increases of _______ (such as cAMP) in mucosal cells
Definition
cyclic nucleotides
Term
Malfunction of Naabsorption mechanisms and increased Clsecretion (increased by mucosal cAMP) can cause ______
Definition
secretory diarrhea
Term
What does ETEC stand for? What can it cause?
Definition
Enterotoxigenic E. Coli. It can cause secretory diarrhea due to toxins increasing/activating cyclic nucleotides in mucosal cells
Term
Disease caused by bacterial invasion of colonic mucosa and characterized by frequent small volume stools (often with blood and mucus) and severe abdominal cramps
Definition
Bacillary Dysentery
Term
What food type caused the most food-borne illnesses?
Definition
Raw mulluscan shellfish
Term
3 Enterobacteriaceae that are common in food-borne illness outbreaks
Definition
Salmonella, E. Coli, Shigella
Term
Common food poinsoning syndrome caused by certain Samonlella sp.
Definition
Enterocolitis - Salmonella enterica
Term
fever caused by Samonella enterica
Definition
enteric fever/ Typhoid fever
Term
Most common outbreak strain of Enterohemorrhagic E. coli
Definition
O157:H7
Term
Syndrome caused by EHEC causng acute renal failure, hemolytic anemia, and thrombocytopenia
Definition
Hemolytic Uremic Syndrome
Term
Shigella species, closely related to E. coli, are lactose ____(pos/neg)
Definition
Shigella are lactose negative
Term
Mycobacteria stain type and morphology
Definition
Acid Fast Bacilli
Term
Mycobacteria oxygen dependency?
Definition
Obligate aerobes
Term

First bacteria shown to cause disease

 

Definition
Mycobacterium tuberculosis
Term
Causes Hansen's disease or leprosy
Definition
Mycobacterium leprae
Term
Number of cases of tuberculosis is ______(rising/falling)
Definition
falling
Term
Method of TB transmission
Definition
infectious droplet with 1-3 bacilli
Term
How many infectoius droplets of TB is considered an infectious dose?
Definition
5-200
Term
Name of skin test for TB
Definition
Mantoux skin test
Term
Mantoux skin test 3 positive readings
Definition
15 mm - Infected
10 mm - Infected in "at risk" opulations such as IV drug users, foreign born, prisoners, low income, etc.
5 mm - Infected if immunosuppressed or has come into recent close contact with TB
Term
blood test to detect latent (existing) M. tuberculosis infection
Definition
Quantiferon-Gold (IFN-gamma release assay)
Term
TB risk factors
Definition
Alcoholism, AIDS, Iatrogenic immunosuppression, diabetes, genetics
Term
Oral treatment for tuberculosis
Definition
INH (Izoniazid)
Term
Diagnoses of TB
Definition
AFB smear; TB skin test (Mantoux test); chest radiograph; AFB culture
Term
disseminated (spread throughout body tissues) Mycobacterial disease in 50% of AIDS patients (begins as a pulmonary disease)
Definition
Mycobacterium avium
Term
(Other impt Mycobacteria)
Causes TB like disease; photochromogen
Definition
M. kansaii
Term
(Other impt Mycobacteria)
Found in water (fish tanks and surface water); photochromogen
Definition
M. marinum
Term
(Other impt Mycobacteria)
Causes granulomatous cervical lymphadenitis in children
Definition
M. scrofulaceum
Term
(Other impt Mycobacteria)
Rapid growers (colonies in less than 7 days) that cause skin infections and pulmonary disease
Definition
M. fortuitum - M. cheloni complex
Term
Causes Hansen's disease
Definition
Mycobacterium leprae
Term
M. leprae transmission
Definition
inhalation or skin contact with contaminated respiratory secretions of lepromatous patients
Term
Leprosy diagnosis
Definition
AFB stain of nasal secretions OR lepromin skin test
Term
leprosy treatment
Definition
at least 1 year of dapsone and rifampicin
Term
Type of leprosy with intact cell-mediated response to M. leprae
-organisms grow in nerves in cooler parts of the body
-cutaneous loss of sensation…nerve damage due to cell mediated immunity
-non-progressive
Definition
Tuberculoid leprosy
Term
Type of leprosy where there are a high number in macrophages with a depressed CMI response. Bacteremia with localization in nerves and skin. Loss of nerve function.
Definition
Lepromatous leprosy
Term
Neisseria meningitidis stain type and morphology
Definition
Gram-negative diplococci
Term
N. meningitidis is oxidase _______ (pos/neg)
Definition
oxidase positive
Term
N. meningitidis is capnophilic. What does this mean
Definition
grows well with high CO2 (5-7%)
Term
2 types of media that N. meningitidis grows on?
Definition
chocolate and sheep blood agar
Term
3 pathogenic factors of N. meningitidis
Definition
polysaccharide capsule
LPS
IgA protease
Term
pathway of N. meningitidis
Definition
Nasopharynx->blood->CSF
Term
These 3 serogroups make up 90% of meningitis cases globally
Definition
A, B, and C
A- epidemics in developing countries
B,C,and Y - sporadic and outbreaks in developed countries
Term
T or F
N. meningitidis is the only form of meningitis that causes epidemics
Definition
T
Term
N. meningitidis risk factors
Definition
Crowding, socioeconomic status, exposure to tobacco smoke, asplenia
Term
Meningococcal Meningitis symptoms
Definition
Headache, stiff neck, photophobia, altered mental status, fever, nausea/vomiting, petechial or purpuric rash, pneumonia
Term
Meningococcal vaccine recommended for
Definition
U.S. military personnel, children 11-12 yrs, college students, asplenic people, those about to travel to high risk area
Term
Is the Meningococcal meningitis vaccine effective on children less than 2 yrs of age?
Definition
no
Term
Neisseria gonorrhoeae is Gram ________; ______(morphology) and _______(motile/nonmotile)
Definition
Gram-negative; diplococci; nonmotile
Term
T or F
N. gonorrhoeae is penicillin resistant
Definition
T
Term
N. gonorrhoeae is ________(intra/extracellular)
Definition
intracellular
Term
Disease- Neonatal gonococcol or chlamydial ocular infection
Definition
Opthalmia neonatorum
Term
Chlamydia trachomatis are Obligate _____(intra/extracellular) pathogens
Definition
intracellular
Term
Chlamydia lacks ______ in cell wall
Definition
peptidoglycan
Term
Chlamydia trachomatis prevents ________ in host cells
Definition
phagylosome fusion
Term
this ocular disease affects 400 million children and adults worldwide, mostly in developing countries
Definition
Ocular Trachoma - Follicular keratoconjunctivitus
Term
Disease of parrots and parakeets sometimes transmitted to humans. Causes respiratory infection (pneumonitis)
Definition
Chlamydia psittaci
Term
New species (1980s) similar to mycoplasma which can cause acute lower respiratory illness, pharyngitis, sinusitis
Definition
Chlamydophila pneumoniae
Term
term - single celled eukaryotes
Definition
Protozoa
Term
term - multi-cell eukaryotes (worms)
Definition
Helminths
Term
Entamoeba histolytica
How is it spread?
How is it diagnosed?
What does it cause?
Definition
-Spread fecal oral or water borne in the form of cysts
-Diagnosed as cysts or trophozoites in stool or serology
-Causes amoebic dysentary by lysing tissue (histolytica) in the colon liver or lung
Term
Non pathogenic amoeba that is morphologically identical to Entamoeba histolytic
Definition
Entamoeba dispar
Term
Most commonly diagnosed and important parasite of humans in the US
Definition
Giardia lamblia
Term
transmission of Giardia lamblia
Definition
fecal oral or water borne
Term
Symptoms of Giardia lamblia
Definition
frothy fatty diarrhea, malabsorption, osmotic diarrhea
Term
Reservoir hosts of Giardia lamblia
Definition
beavers
Term
Cat litter organism that causes congenital infections
Definition
Toxoplasma gondii
Term
Intracellular pathogen that causes watery diarrhea. They line up along the epithelium of the small intestine. Cysts are resistant to chlorine. Severe and untreatable disease in AIDS patients
Definition
Crytosporidium parvum
Term
this parasite causes malaria
Definition
Plasmodium
Term
malignant malaria species
Definition
Plasmodium falciparum
Term
species infects small intestine epithelial cells. watery diarrhea for 4-7 days with multiple relapses over 3-4 months. Outbreaks seen in raspberries and sweet basil (not Cryptosporidium parvum)
Definition
Cyclospora cayetanensis
Term
Large roundworm. Eggs hatch in duodenum, larvae penetrate the intestine and migrate through the lungs. Adults live in small intestine Diagnose with eggs in stool or a passed adult
Definition
Ascaris lumbricoides
Term
Worm that penetrates intact bare feet. Larvae bore through intact skin.
Definition
Strongyloides stercoralis
Term
blood fluke species
Definition
Schistosoma
Term
can catch this in snail infested water. The cercaria penetrates intact skin
Definition
Schistosoma
Term
"pork tape worm"
Definition
Taenia solium
Term
"Guinea worm" - resides in leg - pulled out through ankle
Definition
Dracunculus medinensis
Term
"Botfly" - adult flies of this species deposit eggs where hosts will be exposed. Eggs hatch in response to body heat…gain entrance through nose or mouth, migrate to subcutaneous area and complete development in 30 days
Definition
Cuterebra
Term
Non flagellate parasites that can cause amoebic meningoencephalitis. Contact lens wearers are at risk of corneal infections. Resistant to chlorine
Definition
Acanthamoeba
Term
causes river blindness through inflammation in the eye. Endotoxin in bacteria from this worm causes inflammation in the eye
Definition
Oncocerca volvulus
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