Microbiology Gram- Mac + Ox+ Bacilli – Flashcards

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question
What kind of infections are nonfermenters associated with?
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Gastroenteritis
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Who is at risk for infections due to nonfermenters?
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Immunocomprimised patients
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When is isolating B. cepacia from a respiratory specimen important?
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When you patient has CF, because it can be life threatening
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What is the predominate pulmonary pathogen in CF patients?
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P. aeruginosa
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B. cepacia
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Non motile and oxidase positive
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Does susceptibility testing have to be done on P. aeruginosa?
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Yes
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Mesophilic
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grows best between 25-40°C
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Meliodosis
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disease endemic to SE Asia
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Pyoverdin
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water soluble fluorescent pigment
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cystic fibrosis
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genetic syndrome characterized by chronic infection
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pyocyanin
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blue green pigment
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B. bronchiseptica
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normal respiratory flora, to differentiate it from others it is indole and urease positive and motile
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What medium is best used for Vibrio
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TCBS
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What test will diffentiate Plesiomonas from Shigella?
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Oxidase
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Does V. cholorae require salt for growth?
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No
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Wound infections in saltwater fishermen
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V. parahaemolyticus
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Halophilic
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salt loving
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Pandemic
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worldwide epidemic
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Cholera
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toxin mediated diarrheal disease
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Dysentery
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diarrhea producing blood and WBCs
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Cary-Blair
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transport medium
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TCBS agar
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selective agar for vibrio
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CIN agar
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selective agar for yersinia
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Common characteristics of Vibrio
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Gram negative bacilli, Grows on MacConkey, Glucose Fermenters, Oxidase Positive and Indole Positive
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Vibrio growth on Mac
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NLF
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Yellow on TCBS
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Sucrose positive, V. cholerae and V. alginolyticus
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Green on TCBS
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Sucrose negative, v. parahemolyticus and v. vulnificus
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Biochemical Tests
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indole postive, oxidase positive, NaCl positive
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Diseases of Vibrio cholerae
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Cholera and Gastroenteritis, septicemia, and would infections
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Toxin associated with Vibrio Cholerae
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subunit B to bind to receptor on cell membrane and subunit A to accumulate cAMP
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Environment of Vibrio parahemolyticus and Vibrio alginolyticus
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Lives in brackish or salt water
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Vibrio parahemolyticus and Vibrio alginolyticus associated with
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contaminated seafood
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Diseases of Vibrio parahemolyticus and Vibrio alginolyticus
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Gastroenteritis (V. parahemolyticus), Wound infections, septicemia, ear infections
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diseaes due to Vibrio vulnificus
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septicema
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Common characteristics of Aeromonas
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positive for gelatin, negative for everything else, Oxidase, indole positive
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diseases associated with Aeromonas
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Gastroenteritis, Wound infections, Septicemia
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disease of Aeromonas due to
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water associated, contaminated food
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Gram stain of Aeromonas
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straight rods
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Aeromonas on blood
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large round colonies, beta hemolysis
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Aeromonas on MAC
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can be LF or NLF
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Common Characteristics of Plesiomonas shigelloides
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negative for gelatin, seen in freshwater
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disease of Plesiomonas shigelloides
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gastroenteritis
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Gram stain of Plesiomonas shigelloides
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gram negative short rods, chains and filamentous forms
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Plesiomonas shigelloides on blood
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shiny, smooth, opaque, nonhemolytic
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Plesiomonas shigelloides on MAC
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can be LF or NLF
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Common Characteristics of Pseudomonas
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Gram negative rods, straight, skinny, Growth on Mac- NLF, glucose nonfermenter, Oxidase positive
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Pseudomonas Habitat
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water, respiratory tract, not normal flora
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transmission of Pseudomonas
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exposure, nosocomial
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Virulence factors of Pseudomonas Aeruginosa
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exotoxin A
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diseases of Pseudomonas Aeruginosa
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otitis media, folliculitis, osteomyelitis, septicemia, endocarditis, nosocomial infections, common in CF patients, respiratory tract infections
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Pseudomonas Aeruginosa on blood
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flat spreading colonies with serrated edges and metallic sheen, often beta hemolytic and produces a water soluble green pigment, with a grape-like odor, mucoid colonies
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Identification of Pseudomonas Aeruginosa
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Grows at 42° C, Positive for arginine, citrate and acetamide
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treatment for Pseudomonas Aeruginosa
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antipseudomonal beta lactams, Aminoglycosides, quinolones
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Disease of Burkholderia cepacia
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causes life-threatening disease in CF patients, UTI, RTI, sterile body site infections
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Cultivation of Burkholderia cepacia
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PC agar and OFPBL agar
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Identification of Burkholderia cepacia
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Lysine positive
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treatment of Burkholderia cepacia
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no definitive treatment
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Common Characteristics of Alcaligenes and Bordetella
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Gram negative rod, MacConkey +, Oxidase +, Glucose non-utilizers
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Habitat of Alcaligenes
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environment, soil, water, nosocomial
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diseases of Alcaligenes
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opportunistic, UTI, Bacteremia, pneumonia, wound infections
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gram stain of Alcaligenes
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medium to long straight rods
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Colony morphology of Alcaligenes
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on blood nonpigmented, on Mac NLF
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identification of Alcaligenes
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obligate aerobe, nitrate positive, indole, Esculin, gelatin negative
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Habitat of Bordetella
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normal respiratory flora
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diseases of Bordetella
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opportunistic pneumonia, Bacteremia, UTI
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gram stain of Bordetella
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variable coccobacillus to medium rods
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colony morphology of Bordetella
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on blood small, on Mac NLF
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identification of Bordetella
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obligate aerobe, indole, Urease positive, motile
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