Brandon Micro – Flashcards

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Viral Causes of Encephalitis?
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HSV-1, HSV-2, Rabies, ARBOVIRUSES!
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Protozoa that cause encephalitis?
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Toxoplasmosis, T. Brucei (African Sleeping Sickness)
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Causes of Neonatal Meningitis?
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Strep Agalactiae, Listeria Monocytogenes, E. Coli
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Causes of meningitis (around 6 months to 6 years of age)?
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Strep Pneumoniae, Neisseria Meningitidis, Haemophilus Influenzae
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Causes of meningitis (6 years to 60 years of age)?
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Neisseria Mening., Poliovirus, Strep Pneumoniae
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Causes of Aseptic Meningitis?
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Coxsackie virus, Mumps Virus, Poliovirus
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Fungal cause of meningitis?
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Crytococcus Neoformans
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4 diseases that result in pathology of axons/synapses?
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C. Tetani, C. Botulinum, M. Leprae, Poliovirus
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CSF profile for types of meningitis:

 

1. Bacterial?

2. Viral?

3. Fungi?

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1. Bacterial--> HIGH protein, LOW glucose, Presence of PMN's, Increased Pressure

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2. Viral--> Slightly elevated protein, normal glucose, Presence of lymphocytes, normal pressure

 

3. Fungal--> Elevated protein, decreased glucose, presence of lymphocytes, increase in pressure

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One main cause of neonatal septic shock?
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Strep Agalactiae
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Causes of septic shock?
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E. Coli, Kleb. Pneumonia, Proteus Mirabilis, Pseudo. Aeruginosa, B. Fragilis, Staph Aureus, Strep Pyogenes
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Cause of Rheumatic Heart Disease?
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Quit playing games with my heart, it's Strep Pyogenes.
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Viral Cause of Myocarditis?
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Coxsackievirus Type B
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Protozoa that causes myocarditis?
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T. Cruzi (Chaga's Disease)
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Bacterial causes of myocarditis?
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Staph Aureus, E. Faecalis, C. Diphtheriae, Borrelia Burgdorferi (Lyme Disease)
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Native valve (as opposed to a prosthetic valve) endocarditis can be caused by?
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Strep Viridans, Strep Bovis, Strep Pyogenes, E. Faecalis, Strep Aureus, Strep Epidermidis
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Endocarditis (often tricuspid valve) usually due to IV drug use.....

 

Which bacteria are involved?

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Staph Aureus, Streps, E. Faecalis, Pseudo Aeruginosa
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Fungal cause of tricuspid valve endocarditis? (also because of IV drug use)
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Candida Albicans
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ACUTE endocarditis of a prosthetic valve?
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Strep epidermidis, staph aureus, candida albicans
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Subacute endocarditis?
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Strep (viridans, bovis, e. faecalis)
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Bacterial causes of pharyngitis/laryngitis?
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Strep pyogenes, Moraxella catarrhalis, Neisseria gonorrhoeae, C. diphtheriae
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Viral causes of pharyngitis/laryngitis?
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Common cold viruses, adenovirus, RSV
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Bacterial cause of Otitis Externa?
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Pseudo Aeruoginosa
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Causes of Otitis Media?
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Strep Pneumoniae, H. Influenza Type B, Moraxella Cat

 

Strep Agalactiae--Neonates

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What causes epiglottitis?
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Haemophilus Influenzae Type B
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Bacterial Cause of Croup?

 

 

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Mycoplasma Pneumoniae aka "Walking Pneumonia"
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Viral causes of Croup?
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Parainfluenza, Influenza, RSV
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What are the four main causes of sinusitis?
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Strep pneumoniae, H. Influenzae Type B, Moraxella Cat, Staph Aureus
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Causes of Rhinitis?
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Rhinovirus, Coronavirus, Influenza C, Coxsackieviruses, Parinfluenza Virus

 

Basically,

 

Common colds, yo

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Bacterial causes of community-acquired pneumoniae?

 

(Hint:  There's a lot of them haha)

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Mycoplasma Pneumoniae, Strep Pneumoniae, H. Influenzae Type B, Chlamydia Pneumoniae, Legionella Pneumophilia, Moraxella Cat, Staph Aureus, Nocardia, Mycobacterium TB, C. Psittaci
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Viral Causes of community acquired pneumonia?

 

(Hint:  There's not a lot of them)

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Influenza Virus, RSV
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These guys are weird and cause atypical pneumonia?
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Mycoplasma pneumonia, Legionella Pneumophilia, Chlamydia Pneumoniae, Coxiella Burnetti
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HIV-associated Pneumoniae?
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due to Pneumocystis Jirovecii, Mycobacterium TB
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What causes dental caries?
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Strep Mutans
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Other than Hep A, B, C, D, E...what viral disease causes hepatitis?
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YELLOW FEVER... (yellow, like jaundice, like Big Bird)
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Other Liver infections...

What causes...

 

Liver abscesses?

 

Hepatosplenomegaly due to a protozoa?

 

Helminth causing portal hypertension, esophageal varices, heptosplenomegaly, etc?

 

 

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Liver abscesses--> E. Histolytica

 

Hepato due to protozoa--> Visceral Leishmaniasis

 

Helminth---> Schistosoma

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Biliary Tract Infection caused by THIS bacteria?
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E. Faecalis
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Stomach Ulcers
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H. Pylori
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Common causes of food poisoning....

 

1.  <6 hours of incubation?

 

2. <10 hours of incubation?

 

 

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1. Usually Staph Aureus!!!.... but B. Cereus can also cause vomiting during this period

 

2. B. Cereus causes diarrhea during this period

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Causes of inflammation OR bloody diarrhea (primarily occuring in the large intestine or ileum)?  
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Bacterial: Shigella, Salmonella Typhi (may spread), C. Jejuni, EHEC, EIEC, Yersinia Enterocolitica (may spread), C. difficile

 

Protozoa: E. Histolytica

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Small intestine infections resulting in watery like diarrhea?
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Vibrio cholerae, ETEC (traveler's diarrhea), C. Perfinges, B. Cereus, S. Aureus

Viral: Rotavirus, Norwalk Virus (EXPLOSIVE), Adenovirus

 

Protozoa: G. Lamblia (fatty, stinky), C. Parvum

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What can cause glomerulonephritis?
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Strep Pyogenes
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STDs, cause urethritis...
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N. gonorrhoeae, Chlamydia trachomatis, HSV
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Uncomplicated UTI's?
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E. coli, Staph Saprophyticus
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Complicated UTI's..

 

(pyelonephritis, cystitis, urethritis... due to a catheter, calculi, other obstruction)

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E. Coli, E. Faecalis, P. aeruginosa, Klebsiella Pneumoniae, Proteus Mirabilis
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Causes of Pelvic Inflammatory Disease?
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N. gonorrhoeae, Chlamydia trachomatis
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Vulvovaginitis caused by?
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C. Albicans, T. Vaginalis
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Epididymitis caused by?
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N. gonorrhoeae, C. Trachomatis
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Orchitis caused by?
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MUMPS

 

(not Mumphress and Sons, nor Mumphrey's McGee)

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Nongonococcal urethritis caused by?
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Chlamydia, Ureaplasma Urealyticum, Trachomonas Vaginalis, HSV-2
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Proctitis caused by?
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Chlamydia, gonorrhoeae, HSV-1,2, Treponema Pallidum
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Some major causes of Proctocolitis/Enterocolitis?
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C. jejuni, E. histiolytica
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Causes of PAINFUL cutaneous lesions of the genitals?
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HSV-2 (vesicles), Haemophilus ducreyi (chancroid)
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Type of lesion associated with syphillis?
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Indurated lesion that is NOT painful
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Lymphogranuloma venereums caused by?
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Chlamydia Trachomatis!!
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Warts caused by?

 

(Hint: 2 Diseases...)

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HPV and Molluscum Contagiosum

 

(MC is a Pox-virus)

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Vaginal Candida albicans vs Trachomonas Vaginalis...
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CA: itchy, white/clumped discharge

 

T. Vaginalis: itchy, yellowish discharge

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3 main causes of osteomyelitis?
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Staph Aureus, Salmonella Typhi, P. Multicoda (via cat/dog bites)
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What causes septic arthritis?
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N. gonorrhoeae, Staph Aureus, H. Influenzae
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What two things cause necrotizing fasciitis?
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Strep pyogenes, c. perfringens
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What causes achy breaky muscles?
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c. perfringes, staph aureus, T. Spiralis, T. Solium, Coxsackievirus B, Dengue Fever Virus
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What can cause cellulitis?
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Strep Pyogenes, Staph Aureus, Pseudomonas Aeruginosa, Past. Multocida
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What can cause vesicles on the skin?
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VZV, Smallpox, HSV-1,2, Coxsackie A
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What causes erysipelas?

 

(voice in the background:  what the heck is erysipelas?....) I don't know either, I'm going to google it right now

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Strep Pyogenes
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Viral causes of rash?
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VZV- dermatomal, "dew on a rose petal"

HSV 1,2- vesicular, mouth/eye/genitals

Coxsackie A- herpangia (hand-foot-mouth)

Smallpox- macules first on head, then extremities  (pus, then crust)

Molloscum Contagiosum- small pink, central dimple on trunk

Rubella- maculopapular begins on face, then to extrem's

Measles- starts at head, then to feet

HHV-6--> roseola (rash on trunk in babies)

Parvo Virus B19--> "slapped cheek" appearance

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Bacterial Causes of rash?
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Strep Pyogenes- scarlet fever, on trunk then outwards

R. Ricketsii- Rocky Mt Spotted, first on palms/soles, then to trunk

R. Prowazekii- epidemic typhus..begins on trunk then spreads outward BUT spares the palms, soles, face

B Burdorferi- lyme disease- erythema chronicum migrans spreading annular red lesion surrounding clear bite mark

T. Pallidum- (secondary syphillis) maculopapular rash on palms and soles

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Cutaneous lesion of anthrax looks like...
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Ulcerous lesion with blackened necrotic eschar
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Cutaneous lesion of F. Tularensis looks like...
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papule forms and develops into ulcer with black base...ULCEROGLANDULAR (there is a swollen lymph node associated as well)
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Cutaneous lesion of Yersinia Pestis looks like?
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"Ay, Boo-boo!!"  Not really, just a Buboe
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Cutaneous lesion of A israelli looks like?
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"Sinus tracts" form through skin, muscle, bone, organs
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S. Schenckii, cutaneously, causes?
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Ulcerating nodules
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This fungal infection causes inflammation, itchiness, pustules, and causes the skin to be scaley...a "Dermatophyte"
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What is ringworm, Mr. Trebek?
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Protozoan that causes cutaneous or mucosal ulcers...
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Leishmaniasis
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Cholera toxin (vibrio cholera) and LT toxin of E. Coli mechanism?
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AB Toxin

 

B binds receptors on gut epithelium, A ADP ribosylates Gs, keeps adenylate cyclase active, increases cAMP

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Pertussis Toxin mechanism?
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AB toxin BUT also cytotoxic toxins can kill respiratory epithelial cells
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Diphtheria toxin mechanism?
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AB

 

B binds cell surface receptor, A ADP ribosylates EF-2 and inhibits protein synthesis

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Pseudomonas Aeruginosa toxin mechanism?
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Very similar to diphtheria's toxin (A ADP ribosylates EF-2 and inhibits protein synthesis)
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Shiga toxin (Shigella and E. Coli) mechanism
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binds 60S ribosome and inhibits protein synthesis
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C. Tetani's toxin mechanism?
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Tetanospasmin...

 

cleaves synaptobrevin, blocks vesicle formation and release of inhibitory neurotransmitters GABA and glycine

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C. Botulinum toxin's mechanism?
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Botulinum toxin

 

cleaves synaptobrevin, blocks vesicle formation and release of Ach

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Anthrax toxin mechanism?
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3 proteins: PA, EF, LF

 

these work together to cause dermal necrosis

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Staph Aureus's TSST-1 induces release of these cytokines..
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Il-1 and TNF
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What is an important exotoxin of Strep Pyogenes?
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Erythrogenic Toxin
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Types of Hepatitis that can cause heptocellular carcincoma and cirrhosis?
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Hep B, C, D...NOT A or E!!
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Diagnosis of Hep A?

 

Hep C?

 

Hep D?

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A- anti-HAV IgM, IgG (these confer immunity)

 

C-  anti-HCV (does NOT confer immunity)

 

D- anti- HDV (does NOT confer immunity)

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Hep B:


Acute Infection?

 

Chronic Infection?

 

Convalescence?

 

Immunized?

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Acute- HBsAg, Anti-HBcAg IgM

 

Chronic- HBsAg, Anti-HBcAg IgG

 

Convalescent- Anti-HBsAg, Anti-HBcAg IgG

 

Immunity- Anti-HBsAg only

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Which opportunistic infections are seen when a person has a CD4 T cell count of <200 cells/micro-l
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C. Neoformans (meningitis), C immitis (pneumonia), P Jirovecii (pneumonia), C Parvum (diarrhea), T Gondii (encephalitis)
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In AIDS, when the CD4 T cell count gets below 50 cells/micro-l, you will see these extremely rare opportunistic infections...
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M. avium intracellulare (lung, liver, bone infection), CMV (retinitis, esophagitis, colitis), H capsulatum (pneumonia)
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Basic features of Hep A:
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picorna, +ssRNA, no envelope

 

oral-fecal

 

short incubation time (2-8 weeks)

 

There is a vaccine

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Basic features of Hep B:
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Hepadnaviridae, dbsDNA, lipid envelope

 

transmitted via blood, sexual contact

 

long incuation time

 

treat- interferon

 

vaccine- YES, HbsAg

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Basic Features of Hep C
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Flavi, (+)ssRNA, lipid envelope

 

blood, sexual contact transmission

 

long incubation time (2-24 weeks)

 

Treat- Interferon

 

NO vaccine

 

 

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