Micro Atchley Cases – Flashcards
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| 4 nose flora |
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| S. aureus S. epidermitis diptheroids streo |
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| 7 skin flora |
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| S. epi s. aureus diptheroids strep pseudomonas anaerobes candidia |
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| 3 SI flora |
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| lactobacilli strep bacteroides |
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| 5 LI flora |
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| 99%... bacteroides, fusobacteroim, enterococcus fecalis then... E. coli, lactobacillus |
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| 6 vagina flora |
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| lactobacillus E. coli GBS diptheroids candidia trichomonas |
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| 4 urethra flora |
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| S. epi strep GNR diptheroids |
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| 1 lung flora |
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| PJP |
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| 6 throat flora |
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| S. viridans S. pyogenes S. pneumo neisseria H. influenza S. epi |
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| 5 gingiva flora |
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| bacteroides actinomyces fusobacterium trichomonas entaoemba gingivalis |
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| 1 teeth flora |
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| S. viridans |
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| 4 mouth flora |
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| S. viridans Strep E. corrodenes candidia |
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| 4 common pathogens eye |
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| S. aureus HIB N gonorrhea C trachomatus |
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| 3 common pathogens sinus |
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| S. pneumo H. influenza M. cararrhalis |
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| 3 common pathogens URT |
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| S. pyogenes H. ineluenza B. pertussus |
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| 1 common pathogens GI |
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| H. pylori |
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| 8 causes of food poisoning |
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| camplobacter E. coli salmonella shigella C. difficile becillus aeromonas listeria Yersinia |
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| 5 common pathogens UTI |
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| E. coli P. mirabilis E. fecalis S. saphrophiticus P. aeruginosa |
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| 6 common pathogens STD |
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| C. trachomatis N. gonorrheae T. pallidum M. genitalium U. urealyticum H. ducreyi |
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| 3 common pathogens skin |
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| S. aureus S. pyogenes P. aeruginosa |
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| 3 common pathogens otitis media |
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| S. pneumo H. influenza M. catarrhalis |
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| 5 common pathogens meningitis |
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| S. pneumo N. meningitidis H. influenza GBS listeria |
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| 4 common pathogens HA pneumo |
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| P. aeruginosa NRSA K. pneumo actineobacteri |
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| 3 common pathogens CA pneumo |
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| S. pneumo atypical bacteria H. influenza |
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| 4 common pathogens for atypical pneumo |
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| mycoplasma, chalmydophila, legionalla TB - not atypical, fungal, mentally grouped only |
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| explain how to distinguish the staphs |
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| all gram positive cocci all catalase positive S. aureus is coagulase positive S. epi is novobiocin susceptible S. saphrophiticus is novobiocin resistant |
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| explain how to distinguish the streps |
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| all gram positive cocci all catalase negative a hemolytic - optochin sensitive S. pneumo - optochin resistant S. viridans, S. mutans, S. sanguis B hemolytic -Bacitracin sensitive GAS (S. pyogenes) -Bacitracin resistant GBS (S. aglactiae) Y hemolysis -6.5%NaCl positive E. fecalis -6.5%NaCl negative S. gallolyticus (S. bovis) - grows on Bile azide esculin agar |
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| explain how to distinguish the GPR |
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| acid fast positive: mycobacterium acid fast negative -spores: clostridium, bacillus -none: corynebactrium, listeria |
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| explain how to distinguish the GP filamentous |
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| acid fast positive: nocatdia acid gast negative: actinomyces |
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| what are the difficult to culture / atypical bacteria |
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| chalmydia/chalmydophlia mycoplasma ureaplasma legionella |
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| explain how to distinguish the GNDC |
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| glucose fermenting negative: moraxella catarrhalis glucose fermenting positive - maltose ferment positive: N. meningitidis - maltose ferment negative: N. gonorrhea |
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| what are the GN coccoid rods, how can one be distuinguished |
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| haemophius: needs X and V factors pasturella brucella bordatella pertussus |
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| what are the GN comma rods |
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| camplobacter jejuni vibro chlera |
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| explain how to distinguish the GNR |
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| lactose ferment positive: Klebsiella, E. coli, enterobacter lactose fermentnegative - oxidase negative: acinetobacter, proteus, salmonella, shigella - oxidase positive: helicobacter camplobacter, vibrio, PSEUDOMONAS |
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| what does moraxella cararrhalis ferment |
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| nothing |
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| what diseases does moraxella cararrhalis cause |
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| otitis media UTI |
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| what does N. lactamia ferment |
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| glucose, maltose, LACTOSE |
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| what does N. meningitidis ferment |
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| glucose, MALTOSE |
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| what does N. gonorrhea ferment |
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| GLUCOSE only |
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| what does E. coli ferment |
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| lactose |
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| what are the ways to identify P. aerguinosa |
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| non lactose fermenting oxidase positive |
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| what are the ways to identify S. saphrophyticus |
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| Novobiocin resistant catalase positive coagulase negative Non-mannitol fermenting |
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| what are the ways to identify S. epi |
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| novobiocin sensitive catalase positive coagulase negative |
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| how is syphilis identified |
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| RPR/VDRL positive |
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| what does herpes look like |
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| cluster of painful blisters |
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| what does ducrei look like |
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| soft cancer very painful |
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| what does chalmydia L1-3 cause, what are the symptoms |
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| lymphogranuloma venerium: nodes swell, erupt, form open sore |
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| what does chalmydia A-C cause |
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| trachoma |
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| what does chalmydia serotype D-K cause |
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| STI PID urethritis ectopic pregnancy neonatal conjunctivitis/pneumo |
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| how is chalmydia identified |
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| non-infectious reticular bodies in cells (infectious elementary bodies are invisible) |
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| how is gonorrhea diagnosed |
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| GNDC intracellular - in male (lactobacillus in female is too similar) nucleic acids in female |
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| symptoms of gonorrhea |
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| burning urination cream colored purulent discharge |
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| why wouldnt an antibiotic work for an STD |
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| they have a secondary infection |
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| what is a complication of gonorrhea |
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| septic arthritis |
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| cause of trichomonas |
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| sexual transmission, ping pong |
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| identification of trichomonas |
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| possible positive whiff test frothy green/yellow discharge strawberry cervic (punctuate microhemorrhages) wet prep: swimming pears |
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| identification of gardenerella vaginalis |
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| high pH (bacterial imbalance) fishy odor on whiff test clue/glittr cells |
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| identification of candidia |
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| white thick cottage cheese discharge hyphe on KOH |
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| locations of candidia |
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| oral and vaginal thrush diaper rash between fingers body folds - red |
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| identification of HSV |
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| tzank cells: multinucleated giant cells on wright gemisa stain |
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| cause of osteomyelitis in sickle cell, why |
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| salmonella: capillary occlusion due to intravascular sickling may devitalize the gut and infarct allowing salmonella to escape into bone |
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| 4 causes newborn meningitis |
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| listeria GBS rubella E. coli |
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| 5 causes adult meningitis |
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| S. pneumo N. meningitis H. influenza GBS listeria |
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| most likley cause of CAP |
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| S. pneumo |
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| most likley cause of HAP |
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| S. aureus/MRSA acineobacter P. aeruginosa |
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| most likley cause of BAP |
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| S. aureus/MRSA acineobacter P. aeruginosa |
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| HepB blood markers: vaccinated |
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| +anti-HBs |
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| HepB blood markers: resolved |
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| + anti-HBs + anti-HBc (IgG) |
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| HepB blood markers: chronic carrier (infectious and not) |
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| + HBsAg +/- HBeAg + anti-HBc (IgG) |
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| HepB blood markers: infected (acute resolving) |
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| + HBsAg + anti-HBs + anti-HBc (IgM) + anti-HBc (IgG) |
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| HepB blood markers: acute (early) |
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| + HBsAg + HBeAg + anti-HBc (IgM) + anti-HBc (IgG) |
