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16 Cards in this Set

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A-56. What are the si/sx of "Strep throat"?
-Acute sore throat
-Malaise, fever (39-40C)
-Yellow exudate on tonsils
-May need bact. culture to distinguish from viral pharyngitis
A-56. What are the two a-hemolytic streptococci what what do they cause?
-S. pneumococcus: (classic lobar pneumonia)

- S. viridans: endocarditis
A-56. What are some differences b/t N. meningococcus and N. gonococcus?
-N. men: has capsule, ferments maltose, tx with PCN G

-N. gon: has pilus, not ferment maltose, tx resist PCN - use ceftriaxone
A-56.What are the two spore forming, G+ bacilli, and are they aero/anaerobic?
Aerobic: Bacillus

Anaerobic: Clostridium
A-56. C. perfringens produces two toxins. What are they and what do they cause?
Alpha toxin: gas gangrene

Enterotoxin: food poisoning (reheated meat stews)
A-56. What are the clinical features of Shigella?
-Dysenteriae
-Flexneri, boydii, sonnei (mild)
-Watery diarrhea followed by fever, bloody stools, and cramping
A-56. What is associated with Community and Hospital acquired Klebsiella?
-Comm: indisting. from classic lobar pneumo, "currant" jelly sputum

-Hosp: UTI, resp tract infec, wound infections (very resistant)
A-56. Differentiate b/t the diarrhea of V. cholera, V. parahaemolyticus, and C. jejuni?
-V. cholera: non bloody rice-watery

-V. parahaemolyticus: diarrhea from raw seafood like sushi

-C. jejuni: water, foul smelling which may become bloddy
A-56. What are the key features of the Brucella spp?
-Undulating fever

-B. abortus - cattle
-B. melitensis - goats/sheep
-B. suis (hogs)

-Tx: Streptomycin/Tetracycline
A-56. Pertussus toxin is associted with __________ and causes_________. What is its tx?
Bordetella

Whooping Cough

Erythromycin
A-56. What are the obligated aerobes?
M. tuberculosis
Pseudomonas aeruginosa
Nocardia

"M,N,Olbi, P"
A-56. Whats the common cause of diarrhea in children, adults, and travlers?
Children: rotavirus

Adults: Camplobacter

Travelers: E. coli, Shigella, Salmonella
A-56. Staph species produce Enterotoxin AF, TSS Toxin, Exfoliatin, and Alpha toxin. What do they cause?
Enter. AF: diarrhea

TSS Toxin: anaphylaxis

Exfoliatin: scalded skin (hands/feet)

Alpha Toxin: tissue necrosis
A-56.C & C tuberculoid and lepromatous leprosy.
TL: granulomas and skin test +ve

LL: nodular skin lesions and skin test -ve
A-56. The Pertussis toxin and Cholera toxin both stimulate adenylate cyclase, however, cholera activates______ and pertussus inhibits______?
Gs
Gi
A-56. What bacteria causes Lump Jaw, how do you get it, and how does it present?
-Actinomyces

-Following a tooth extraction

-Inflammatory sinues > discharge to surface

Tx: PCN and surgical drainage