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13 Cards in this Set

  • Front
  • Back
What do you do if you suspect infection w/ any of these organisms?
Report to health authorities immediately!
What are the top 4 Category A bioterrorism agents?
anthrax, plague, tularemia, small pox
T or F. Inhalation anthrax (aka woolsorter's disease) can be transmitted person to person.
false
Anthrax. What is general...
a. incubation time,
b. initial symptoms,
c. appearance on CXR?
a. incubation: 1-43 days
b. initial symptoms (2-5d): fever, cough, myalgia, malaise
c. CXR: widened mediastinum
Gram +, aerobic, spore-forming, catalase + rod. Presumptive identification?
bacillus anthracis
A rabbit-tamer presents to you w/ abrupt onset of fever, chills, HA, myalgia and non-productive cough. Respiratory specimen Gram stain reveals tiny, poorly staining negative coccobacilli that grows best on cysteine heart agar. Diagnosis?
Francisella tularensis
What are the three clinical types of the plague?
– bubonic (infected lymph nodes)
– septicemic (blood-borne organisms)
– pneumonic (transmissible by aerosol; deadliest)
T or F. plague can be transmitted person to person.
TRUE. pneumonic (aerosol) form
Pt. presents w/ severe dyspnea, cyanosis, and other symptoms suggestive of pneumonia. Respiratory specimen reveals a small gram negative coccobacillus, Wayson stain shows safety-pin cells, specimen hangs on the walls of BHI broth. Diagnosis?
Yersinia pestis (the plague)
What is the most potent lethal substance known to man?
botulinum toxin
An unprofessional veggie-canner presents w/ blurry/double vision, difficulty swallowing/talking, decreased salivation, flaccid paralysis in limbs bilaterally. Based on clinical presentation, what's your diagnosis?
botulism
What is the most common mode of transmission for brucellosis?
ingestion
Pt. presents w/ undulating fever, profuse sweating, malaise, headache and muscle/back pain. Blood specimen gram stain reveals a faintly gram-neg. coccobacilli that is urease and catalase positive. Growth on SBA media reveals fastidious organism. Diagnosis?
Brucellosis (any of the brucella species... this is category B bioterrorism agent)