WEX 3A – Microbiology – Flashcards

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question
Describe the differences in symptoms between Pontiac fever and Legionnaire's disease.
answer
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
question
What are 8 specimen sources for fungal infections?
answer
1) Abscess
2) Blood Culture
3) Sputum
4) CSF
5) Urine
6) Biopsy
7) Skin and nails
8) Hair
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