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95 Cards in this Set

  • Front
  • Back
Which pathogen is the primary causative agent for dental caries (tooth decay)?
Streptococcus mutans is the primary causative agent for which condition?
Which pathogen is the primary causative agent for gingivitis?
Porphyromonas gingivalis is the primary causative agent for which condition?
Your patient has abrupt onset of fever, painful bleeding gums, and a foul mouth odor. What do you suspect?
Trench mouth has what major features?
What are the causative organisms of trench mouth?
Spirochetes (Treponema) and anaerobic bacteria together cause what condition?

Note that T. pallidum causes syphillis- not this.
What is the most common cause of diarrhea in the US?
Campylobacter is the most common cause of what in the US?
What are the most likely infections to occur as a result of failure of basic public health sanitary measures?
Salmonella typhi and Vibrio Cholerae are the most likely infections to occur in what situation?
What is the most common cause of traveller's diarrhea?
ETEC is the most common cause of what type of diarrhea?
What is the most likely source of infection in the case of traveller's diarrhea? Give an example.
Ingestion of uncooked or incompletely cooked foods is the most likely source of what type of diarrhea?

Salads with raw vegetables- ETEC
What is the most likely cause of food poisoning?
Improper food handling procedures, specifically improper storage temperatures, are the most important contributing factor in what illness?
What are the three most likely pathogens responsible for food poisoning?
Salmonella, C. perfringens, and S. aureus are the most common cause of what illness?
What are the most common organisms responsible for hospital associated diarrhea in infants?
E. Coli and Rotavirus are the most common pathogens responsible for hospital associated diarrhea in what population?
What is the most common organism responsible for hospital associated diarrhea in patients on antibiotics?
C. difficile is the most common pathogen responsible for hospital associated diarrhea in what population?
Which forms of hepatitis are bloodbourne?
Hepatitis B, C, D, and G are transmitted via what route?
Microscopic pathology of a liver with hepatitis would show what?
Panlobular infiltration w/ mononuclear cells
Hepatic cell necrosis
Kupffer cell hyperplasia
Cholestasis

What's wrong with this patient?
Smaller volume stools with blood and pus are commonly associated with what type of diarrhea?
Dysentery causes what type of diarrhea?
The proximal small intestines will produce what type of diarrhea when infected?
Watery diarrhea is usually due to an attack of what part of the intestines?
The distal small intestines will produce what type of diarrhea when infected?
Mild and late appearing diarrhea is commonly associated with Enteric Fever, which is generally due to invasion and penetration of what part of the intestines?
What is the most common cause of diarrhea in children under 2 years of age?
Rotavirus is the most common cause of diarrhea in what population?
Travelling to freakin anywhere puts you at risk for infection by which pathogen?

Asia
Africa
Middle East
Gulf Coast of LA/TX
South or Central America
Vibrio Cholerae should be expected in travellers visiting which areas of the globe?
A patient is probably suffering from intoxication (rather than infection) when what feature is present?
When symptoms appear abruptly, the patient is more likely to be suffering from _____, rather than _____.
Wars, armies, crowds, and movement are often associated with epidemics of what pathogen?
Shigella epidemics are generally associated with what factors?
What is the most common cause of waterbourne epidemics in the US?
Giardia
Cryptosporidium
E. Coli O157:H7

These are the three most common culprits of what?
What are the signs of hepatic regeneration?
Multinucleated cells with mitotic figures and rosette or pseudoacinar formation are generally indicative of what?
What are the signs of hepatic cell damage?
Cell dropout, ballooning, and acidophilic degeneration forming apoptotic (AKA Councilman) bodies are generally indicative of what?
What type of hepatitis is associated with mental hospitals and day cares?
Hep A generally affects which populations?
Which type of hepatitis is associated with increased bilirubin and aminotransferase?
Hep A generally shows what lab values?
Which type of hepatitis is associated with dark urine and clay colored stools?
Hep A generally shows what type of excretions?
Which type of hepatitis is associated with puritis?
Hep A can cause cholestatic hepatitis which has what unusual symptom?
Which type of hepatitis is treated only with supportive therapy and avoidance of alcohol and acetominophen?
Hep A has what treatment?
When can you give immune serum globulin for HAV infection?
What substance can be administered after exposure but before symptoms appear (during incubation period)?
Which gene of the HBV genome transactivates transcription of cellular and viral genes? It also binds p53, which leads to cancer.
HBV's X-gene has what association with cancer?
Which HBV gene is responsible for nucleocapsid proteins (HBeAg, HBcAg)?
HBV's C-gene is responsible for what?
Which HBV gene is responsible for the major envelope protein HBsAg? What combinations make the large and middle proteins?
HBV's S-gene is responsible for what?

preS1 + preS2 + S = ?
preS2 + S = ?
What is the BEST method for diagnosing HBV?
Detection of IgM Ab to HBcAg with or without HBsAg in serum is the ____ diagnostic tool for which hepatitis?
Polyarteritis nodosa is most likely associated with what type of hepatitis, and what is the pathology?
Small and medium sized arterioles can develop deposits of HBsAg, Ig's, and complements in what immune-complex mediated damage often associated with Hep B?
Which type of hepatitis is treated with interferon-alpha, lamivudin (RT-), and adefovir (NA)? NO STEROIDS!
Hep B is treated with what medications?
Which type of hepatitis is treated with interferon-alpha and ribavirin? NO STEROIDS!
Hep C is treated with what medications?
Which type of hepatitis is diagnosed by detection of RNA via PCR? Results for both Ag and Ab can be negative.
Hep C is diagnosed on what basis?
Which forms of hepatitis have vaccinations?
Hepatitis A and B are the only forms with what?
Flaviviridae member
Hep C and Hep G family
Calcivirus member
Hep E family
Hepadnevirus member
Hep B family
Picornavirus member
Hep A family
Which forms of hepatitis virus have an envelope? Which do not?
Hep B, C, and G are ____.

Hep A and E are ____.

Envelope?
All types of Hep virus have what type of genome? Which is the exception with a partially incomplete dsDNA?
All types of hep virus have ssRNA, except Hep B, which has what type of genome?
Which type of hepatitis is associated with rash and arthritis?
Hep B has what unique symptoms?
Which type of hepatitis is associated with anicterus and an increased or normal ALT?
Hep C has what unique symptoms?
Which form of hepatitis has a protein RNA complex combined with Ag and surrounded by HBsAg?
Hep D has what virulence factor?
What is the function of HBsAg for Hep D?
What part of Hep B helps Hep D assemble its protein coat?
What's on your differential for watery diarrhea (Hartley)?
EPEC
ETEC
viral
(EAEC)

This differential goes along with what type of diarrhea (Hartley)?
What's on your differential for bloody diarrhea (Hartley)?
EHEC
Shigella/EIEC
(EAEC)

This differential goes along with what type of diarrhea (Hartley)?
What's on your differential for watery and mucousy diarrhea (Hartley)?
EPEC

This differential goes along with what type of diarrhea (Hartley)?
What's on your differential for diarrhea with recent travel (Hartley)?
ETEC*
EAEC
Rotavirus

This differential goes along with what type of diarrhea (Hartley)?
What's on your differential for diarrhea of 6d duration (Hartley)?
EAEC
(ETEC, Shigella)

This differential goes along with what type of diarrhea (Hartley)?
What's on your differential for diarrhea with recent meal of beef?
EHEC

This differential goes along with what type of diarrhea (Hartley)?
Which E. coli has the potential to cause HUS? What do you do?
EHEC infected patients should be monitored for renal failure due to the increased risk of what?
What is the reservoir for EIEC?
Humans are the primary reservoir for what type of E. coli?
How does EIEC spread to neighboring cells?
Which form of E. coli spreads to neighboring cells via actin tails?
Which E. coli stacks itself like bricks?
EAEC is distributed in what fashion along the large intestines?
What factor makes a diagnosis of EHEC?
O157 seropositive and a culture that fails to ferment sorbitol is diagnostic of which type of E. coli?
Which type of E. coli is associated with improperly cooked food?
EHEC is transmitted most commonly through what means?
Adult asymptomatic cattle are the primary reservoir for what type of E. coli?
EHEC has what primary reservoir?
Which E. coli often co-infects with EAEC and Campylobacter?
ETEC often co-infects with what other pathogens?
What is the most common cause of traveller's diarrhea according to Hartley?
ETEC is the most common cause of what according to Hartley?
What type of E. coli would produce the following symptoms?

Watery diarrhea
Cramps
Vomitting
Malaise
Fever
ETEC produces what symptoms?
What type of E. coli would produce the following symptoms?

Fever
Vomitting
Watery Diarrhea
(possible mucous)
EPEC produces what symptoms?
What type of E. coli would produce the following symptoms?

Bloody diarrhea
(no pus)
Abd cramps
Fever
HUS risk
EHEC produces what symptoms?
What type of E. coli would produce the following symptoms?

Fever
Abd cramps
Blood AND pus in feces
Watery diarrhea
(dysentery/inflamm colitis poss)
EIEC produces what symptoms?
What type of E. coli would produce the following symptoms?

Watery diarrhea
(sometimes blood/mucous)
Abd cramps
Protracted course >14d
EAEC produces what symptoms?
Which form of E. coli induces uptake by M-cells and ruptures macrophages/endocytotic vesicles?
EIEC has what type of virulence?
Which form of E. coli has a small toxin (ST) and a heat labile (LT) toxin?
ETEC has what type of virulence?
Which form of E. coli has toxicity when Tir binds intimin (injection) and Tir associates with spectrin and actinin (pedestal/tight adherance)?
EPEC has what type of virulence?
Which form of E. coli has an A toxin which cleaves 1 adenine residue from 28s rRNA to stop host protein synthesis? It's B protein has a receptor on TNF-a treated glomerular microvascular endothelial cells?
EHEC has what type of virulence?
Which form of E. coli has toxins ShET1, EAST1, and Pet serine protease?
EAEC has what type of virulence?
What is the most common cause of gastritis/gastric ulcer/duodenal ulcer?
H. pylori is the most common cause of what conditions?
What gene and its associated pathogen cause an increased risk of gastric adenocarcinoma or MALT lymphoma?
The CagA gene of H. pylori is associated with an increased risk of what types of cancer?
What is the MOA of cholera toxin (CT) of Vibrio cholerae?
Which toxin locks G protein in its activated state? What is the pathogen?
What is the treatment for V. cholerae?
In addition to tetracycline, replacement of fluids (isotonic saline, hypertonic bicarb/K) is the treatment for which pathogen?
What is the MOA for cytolethal distending toxin of Campylobacter jejuni?
Which toxin arrests cell division (not the cause of diarrhea) and what pathogen is it associated with?
Which pathogen is B-lactam resistant, and therefore treated with macrolides (eryth) or fluroquinolones?
What is the treatment for Campylobacter jejuni?
What is the basis of diagnosis of Salmonella typhi?
Growth on Hektoen agar with no lactose and with H2S production is indicative of what pathogen?
What is the cause of diarrhea in Salmonella enterica?
Increased vascular permeability is the main cause of diarrhea for which pathogen?
How does Salmonella typhi survive within macrophages?
Inhibition of the oxidative burst (thus inhibiting apoptosis) allows survival of which pathogen in what host cells?
Faint rash or rose spots on the abdomen is associated with what pathogen?
Salmonella typhi presents with what type of skin rash?
Vibrio cholera produces what quality of stool?
Rice water stool is associated with which pathogen?
If you ate at a large gathering where meat was precooked and heated in bulk, you are at risk of infection with which pathogen?
Clostridium perfringens is generally transmitted via what means?
If you ate salty meat, custard pastry, potatoe salad, or ice cream, you are at most risk for infection by which pathogen?
S. aureus is often found in what foods?
If you ate home canned vegetables, you are at highest risk for infection by what pathogen?
Clostridium botulinum is often found in what foods?
What is the virulence of S. aureus?
Enterotoxins A-E are associated with what pathogen?
Giardia lambdia is most frequently transmitted in what environment?
Day care centers or drinking water from Mt Charleston are associated with what pathogen?
Flask shaped ulcers are associated with what pathogen?
Entamoeba histolytica causes what type of ulcers?
The oocytes of which pathogen are NOT infective?
Cyclospora Cayetanensis has what non-infective phase of the life cycle?
Peritonitis or liver abscesses can be seen with what pathogen?
Entamoeba histolytica can have what systemic manifestations?
A ventral sucking disc is part of which organism?
Giardia Lambdia has what anatomic feature to help it grab on?
If you ate Guatemalan raspberries or tropical fruits, you risk infection by which pathogen?
Cyclospora Cayetanensis is transmitted via what foods?