WEX 3A – Microbiology – Flashcards
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Describe the differences in symptoms between Pontiac fever and Legionnaire's disease. |
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Pontiac fever is an influenza-like illness without pneumonia and Legionnaire's disease is a severe pneumonia |
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Which species of Nocardia typically causes chronic pulmonary disease? |
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Nocardia asteroides |
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Which species of Rickettsiae causes Rocky Mountain spotted fever? |
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Rickettsiae rickettsii |
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Which organism causes urethritis? |
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Ureaplasma (Mycoplasma) urealyticum |
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Eating raw or poorly cooked meat from what kind of animal can transmit Francisella tularensis? |
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Rabbit |
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What is the common name of the disease caused by Streptobacillus moniliformis and Spirillum minus? |
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Rate bite fever |
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What disease/condition is caused by Legionella pneumophilia? |
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Pontiac fever |
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What disease/condition is caused by Ehrlichia spp.? |
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HME/HGE/Sennetsu fever |
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What disease/condition is caused by Rickettsia rickettsii? |
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Rocky Mountain spotted fever |
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What disease/condition is caused by Mycoplasma pneumoniae? |
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Primary atypical pneumonia |
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What disease/condition is caused by Nocardia asteroides? |
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TB-like pulmonary disease or actinomycotic mycetoma |
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What disease/condition is caused by Rickettsia akari? |
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Rickettsialpox |
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What disease/condition is caused by Bartonella quintana? |
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Trench fever |
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What disease/condition is caused by Francisella tularensis? |
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Rabbit fever |
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What disease/condition is caused by Ureaplasma urealyticum? |
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Non-gonococcal/chlamydial urethritis |
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What disease/condition is caused by Rickettsia prowazekii? |
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Epidemic typhus Brill-Zinsser disease |
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What disease/condition is caused by Coxiella burnetii? |
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Q fever |
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What disease/condition is caused by Orientia tsutsugamushi? |
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Scrub typhus |
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What disease/condition is caused by Rickettsia typhi? |
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Endemic typhus Murine typus |
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What disease/condition is caused by Brucella spp.? |
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Malta fever |
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What disease/condition is caused by Streptobacillus/Spirillum? |
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Rat bite fever |
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What is the animal host for Rickettsiae akari? |
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House mouse |
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What is the animal host for Rickettsiae prowazekii? |
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Flying squirrel |
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What is the animal host for Brucella melitensis? |
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Goat |
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What is the animal host for Brucella abortus? |
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Cattle |
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What is the animal host for Brucella suis? |
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Swine |
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What is the animal host for Brucella canis? |
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Canine |
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What is the animal host for Brucella ovis? |
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Sheep |
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What is the animal host for Francisella tularensis? |
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Rabbit |
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What is the animal host for Streptobacillus moniliformis? |
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Rat |
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What is the animal host for Bartonella henselae? |
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Cat |
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What is the vector for Rickettsia prowazekii? |
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Human Body Louse |
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What is the vector for Rickettsia typhi? |
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Fleas |
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What is the vector for Rickettsia rickettsii? |
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Ixodid ticks |
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What is the vector for Rickettsia akari? |
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Mites |
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What is the vector for Orientia tsutsugamushi? |
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Chiggers |
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What is the vector for Coxiella burnetii? |
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Ixodid ticks |
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What is the vector for Bartonella quintana? |
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Body Louse |
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What is the vector for Ehrilichia chaffeensis? |
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Lone star tick |
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What is the vector for Human Granulocytic Ehrlichia? |
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Deer tick |
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What is the vector for Ehrlichia sennetsu? |
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Presumed tick |
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What are health care associated infections? |
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Infections that occur within a hospital or hospital like setting |
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Name two sources of the infecting agent. |
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Exogenous Endogenous |
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What types of patient care problems account for the majority of health care associated infections? |
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Problems in patient care practices e.g. improper handwashing, surgical preparation, and laundering procedures |
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How are infection control practices enforced? |
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Through the Joint Commission on the Accrediation of Healthcare Organizations |
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Define healthcare associated infection. |
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Infections that occur within a hospital or hospital like setting |
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Identify the three major "links" in the chain for healthcare associated infections. |
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Agent - the infection itself Transmission - the mode of infection Host- the codition of host prior to infection |
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What is an antigen? |
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A specific "foreign" substance, which stimulates an immune response |
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What is an antibody? |
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Composed of glycoprotein produced in response to specific antigen stimulation |
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What is an epitope? |
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the specific part of the immunogen that specifies the antibody to be produced |
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Where are the different types of MHC molecules found? |
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On the surface of tissue and blood cells that identifies a specific individual |
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What is an Antigen Presenting Cell? |
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A cell that processes an antigen in a way that antigenic determinants are presented on the cell surface in concert with class II MHC molecules for interaction with appropriate T-cell receptors |
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Define chemotaxis |
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A chemical attraction of phagocytic cells to the site of antigenic stimulation |
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Define complement |
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A complex series of serum proteins, which interact in a cascade fashion to enhance certain antigen-antibody reactions |
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What is the difference between constitutive and induced response? |
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Constitutive response is A nonspecific response which is continuously expressed without any regulation. Induced response is a specific response to a "foreign" substance |
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What cells are involved in the cell mediated immunity system? |
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Antigen-Presenting-Cells T-lymphocytes Natural Killer cells |
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Which cells are involved in the humoral immune system? |
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Helper T-lymphocytes B-lymphocytes |
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Which immunoglobulin can cross the placenta? |
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IgG |
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Which immunoglobulin is the largest molecule? |
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IgM |
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Which immunoglobulins activate complement? |
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IgG |
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Which immunoglobulin is produced in the greatest concentration? |
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IgG |
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Which immunoglobulin is the major immunoglobulin of allergic reactions? |
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IgE |
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Which immunoglobulin is produced first in sequence from plasma cells? |
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IgM |
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Which immunoglobulin provides major protection during primary response...secondary response? |
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IgM...IgG |
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List three types of disorders of the immune system |
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Immunodeficiency diseases Autoimmune disorders Hypersensitivity |
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List examples of Type I IgE mediated hypersensitivity |
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Systemic anaphylaxis Hay fever Asthma Hives Food allergies Exzema |
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List examples of Type III immune complex mediated hypersensitivity |
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Systemic lupus erythematosus Rheumatoid arthritis Post-streptococcal glomerulonephritis |
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What are the three types of infection caused by fungi? |
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Superficial/Cutaneous Subcutaneous Systemic |
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What is another term for yeasts? |
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Blastoconidia |
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When reading a 10% KOH prep, what do you look for? |
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Fungal elements |
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If processing is delayed on a sputum specimen, what, if anything, should be done until processing occurs? |
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Refrigerate |
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What polymer is a major component of the fungal cell wall? |
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N-acetyl glucosamine |
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True/False Fungi contain chlorophyll |
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FALSE |
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Describe the basic characteristics of yeast. |
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Oval or spherical, single cells that rarely form filaments |
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What environmental condition allows a dimorph to grow as either a yeast or mold? |
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Temperature |
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What are the phyla of the Kingdom Fungi? |
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Phylum Zygomycota Phylum Ascomycota Phylum Basidiomycota Phylum Fungi Imperfecti |
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What is a conidium? |
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An asexual reproductive unit |
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What are 4 routine media for fungi? |
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Sabourand Dextrose Agar (SDA) Sabouraud Dextrose Agar (SDA) with antibiotics (Mycosel) Brain Heart Infusion Agar (BHIA) Inhibitory Mold Agar (IMA) |
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What are the typical temperature requirements for culturing fungi and how rapidly do they grow? |
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Room Temperature Rapid growers - Less than one week Slow growers - 1-6 weeks |
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Which cell type of fungi? |
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Eucaryotic |
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What are two special media used for fungal growth and the purpose of each. |
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Potato Dextrose Agar (PDA) - enhances sporulation and pigment production Corn Meal Agar - starvation media used for microscopic observation of chlamydospore production in yeasts |
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What is another term for yeast cells? |
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Blastoconidia |
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What are five reagents and stains used for fungal identification? |
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1) KOH with Glycerol 2) Calcofluor modification of the KOH mount 3) Lactophenol Cotton Blue 4) India ink 5) Methenamine silver nitrate stain |
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What are 8 specimen sources for fungal infections? |
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1) Abscess 2) Blood Culture 3) Sputum 4) CSF 5) Urine 6) Biopsy 7) Skin and nails 8) Hair |