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84 Cards in this Set

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(T/F) The outer membrane for G+ and the cell membrane for G- act as major surface antigens.
FALSE: they DO act a major surface antigens BUT the outer mb
for G- and the cell membrane for G+
2. Are endotoxins heat stable?
yes, stable at 100C for 1 hr.
3. Are endotoxins secreted from cells?
No
4. Are endotoxins used as antigens in vaccines?
No they don't produce protective immune response
5. Are exotoxins heat stable?
no, destroyed rapidly at 60C (exception: Staphylococcal enterotoxin)
6. Are exotoxins secreted from cells?
Yes
7. Are exotoxins used as antigens in vaccines?
Yes, TOXOIDS are used as vaccines
14. Does endotoxin induce and antigenic response?
no, not well
15. Does exotoxin induce and antigenic response?
Yes, induces high-titer antibodies called antitoxins
18. How are the pathogenic Neisseria species differentiated?
on the basis of sugar fermentation Maltose
19. How are the species of Streptococcus primarily differentiated?
on the basis of their HEMOLYTIC capabilities & Lancefield Ag
20. List the four phases of the bacterial growth curve.
Lag phase - log (exponential) phase - stationary phase - death phase
23. Name 2 bacteria that use IgA protease to colonize mucosal surfaces.
S. pneumoniae & Neisseria
22. Name 2 G- rods which are lactose nonfermenters and Oxidase(-)?
Shigella, Salmonella
25. Name four genus of bacteria that are G+ rods.
1) Clostridium (an anaerobe) 2) Coynebacterium 3) Listeria 4) Bacillus
27. Name three diseases caused by exotoxins.
Tetanus - botulism – diptheria
28. Name 2 G- bacteria species that make exotoxins.
E coli
Vibrio Cholera
Teichoic acid induces what two cytokines?
TNF and IL-1
What are the effects of erythrogenic toxin?
it is a superantigen - it causes rash of Scarlet fever
What are the effects of streptolysin O?
it is a hemolysin - it is the antigen for ASO-antibody found in rheumatic fever
What are the effects of the exotoxin secreted by Bacillus anthracis? (1)
edema
What are the effects of the exotoxin secreted by Clostridium botulinum?
blocks release of acetylcholine: causes anticholenergic
symptoms, CNS "flaccid" paralysis; baby seen as failing to thrive
What are the effects of the exotoxin secreted by Clostridium perfringens?
alpha toxin is a lecithinase - causes gas gangrene - get a double zone of hemolysis on blood agar
What are the effects of the exotoxin secreted by Clostridium tetani?
blocks release of the inhibitory NT glycine; causes 'lockjaw'
What are the effects of the exotoxin secreted by Corynebacterium diphtheria? (3)
1) inactivates EF-2 by ADP ribosylation 2) attack heart 3)'pseudomembrane' in throat
What are the effects of the exotoxin secreted by Staph. aureus?
superantigen; induces IL-1 and IL-2 synthesis in Toxic Shock Syndrome; also causes food poisoning
What are the effects of the exotoxin secreted by Vibro cholerae? (3)
Stimulates adenylate cyclase by ADP ribosylation of G protein - increases pumping of Cl- and H2O into gut - causes voluminous rice-water diarrhea
What are the general clinical effects of endotoxin?(2)
fever, shock
What are two exotoxins secreted by Strep. pyogenes?
Erythrogenic toxin and streptolysin O
What are two species of Gram (-) cocci and how are they differentiated?
1) Neisseria memingitidis: maltose fermenter 2) Neisseria gonorrhoeae: maltose NONfementer
What culture requirements do Lactose-fermenting enterics have?
MacConkey's agar (make pink colonies)
What culture requirements does C. diphtheriae have?
Tellurite agar
What culture requirements does N. gonorrhea have?
Thayer-Martin (VCN) media
What is the chemical composition of endotoxin?
LPS
What is the major function of the capsule?
antiphagocytic
What is the function of a glycocalix?
mediates adherence to surfaces, especially foreign surfaces (i.e. catheters)
What is the primary test to subcatergorize G- rods?
are they Lactose Fermenters?
What is the unique chemical component of Gram + cell membranes?
Teichoic acid
What test distinguishes Staph. and Strep?
Staph. are Catalase (+) and are in clusters - Strep. are Catalase (-) and are in chains
Where are the spores of Clostridium botulinum found?
canned food - honey
Which has a higher toxicity: exotoxin or endotoxin?
EXOTOXIN: fatal dose is ~1ug! (for endotoxin, fatal dose is hundreds of micrograms)
Following primary infection with TB, under what conditions would the lesion likely progress to lung disease?
HIV, malnutrition. This progressive lung disease can rarely lead to death.
How are Mycobacteria visualized in the lab?
acid-fast stain =Ziehl-Neelson
How is Shigella spread?
food, fingers, feces, and flies'
Is Bacillus anthracis G+ or G-? What is its morphology?
It is a G+, spore-forming rod
Name 2 symptoms of diphtheria.
pseudomembraneous pharyngitis (grayish white membrane) - lymphadenopathy
Name two non-lactose fermenting bacteria that invade intestinal mucosa and can cause bloody diarrhea.
Salmonella & shigella
T/F Enterobacteriaceae are oxidase negative and are glucose fermenters.
TRUE Use NH4
T/F: S. aureus food poisoning is due to the ingestion of bacteria that rapidly secrete toxin once they enter the GI tract.
FALSE: rapid onset of S. aureus food poisoning is due to injestion of PREFORMED toxin
What bacteria are G+, spore-forming, anaerobic bacilli?
Clostridia
What bacteria causes a malignant pustule (painless ulcer); black skin lesions that are vesicular papules covered by a black eschar?
Bacillus anthracis
What bacteria exhibits a 'tumbling' motility, is found in unpasteurized milk, and causes meningitis in newborns?
Listeria monocytogenes
What bacteria is catalase(-) and bacitracin-resistant?
Strep. agalactiae
What bacteria is catalase(-) and bacitracin-sensitive?
Strep. pyogenes
What bacteria is catalase+ and coagulase+?
Staph. aureus
What bacteria produces alpha-toxin, a hemolytic lecithinase that causes myonecrosis or gas gangrene?
Clostridium perfringens
What causes tetanus? (give bacteria and disease process)
Clostridium tetani: exotoxin produced blocks glycine release (inhibitory NT) from Renshaw cells in spinal cord
What disease is caused by Clostridium botulinum? What pathophys. does it cause?
Botulism: associated with contaminated canned food, produces a preformed, heat-labile toxin that inhibits ACh release---> flaccid paralysis.
What diseases can be caused by Staph. aureus?
Inflammatory disease: skin infections, organ abcess, pneumonia - Toxin-mediated disease: Toxic Shock Syn., scalded skin syndrome (exfoliative toxin), rapid onset food poisoning (enterotoxins)
What does catalase do?
it degrades H2O2, an antimicrobial product of PMNs.
What family of bacteria uses the O-, K-, and H-antigen nomenclature?
Enterobacteriaceae
What general type of bacteria are normal flora in GI tract but pathogenic elsewhere?
Anaerobes
What general type of bacteria grow pink colonies on MacConkey's agar?
Lactose-fermenting enteric bacteria
What is a lab diagnosis of diphtheria based on?
G+ rods with metachromatic granules; grows on tellurite agar. (Coryne=club shaped)
What is a major difference between Salmonella and Shigella observable in the lab?
Salmonella are motile; Shigella are nonmotile
What is a positive Quellung reaction?
if encapsulated bug is present, capsule SWELLS when specific anticapsular antisera are added.
What is the common site of infection for Mycobacterium tuberculosis?
the apicies of the lung (which have the highest PO2)
What is the toxin responsible for TSS is Staph. aureus?
TSST-1; it is a superantigen that binds to class II MHC and T-cell receptors---> polyclonal T-cell activation
What species is associated with food poisoning in meats, mayonnaise, and custard?
Staphylococcus aureus (this food poisoining usu. starts quickly and ends quickly)
What species is associated with food poisoning in poultry, meat, and eggs?
Salmonella
What species is associated with food poisoning in reheated meat dishes?
Clostridium perfringens
What species is associated with food poisoning in reheated rice?
Bacillus cereus ('Food poisoning from reheated rice? Be serious!')
What species is associated with food poisoning in undercooked meat and unpasteurized juices?
E. coli 0157-H7
What virulence factor of Staph. aureus binds Fc-IgG, inhibiting complement fixation and phagocytosis?
Protein A
What virulence factor of Strep. pyogenes also serves as an antigen to which the host makes antibodies?
M-protein
Which has an animal reservoir? (Salmonella or Shigella)
Salmonella: poultry, meat, eggs
Which is more virulent? (Salmonella or Shigella)
Shigella (10^1 organisms vs. Salmonella 10^5 organisms)
Which is motile? (Salmonella or Shigella)
Salmonella (think: salmon swim)
Why are anaerobes susceptible to oxygen?
they lack catalase and/or oxidase and are susceptible to oxidative damage
Why does TB usually infect the upper lobes of the lung?
M.tuberculosis is an aerobe; there is more oxygen at the apicies
T/F Cholera toxin is a bacteriophage.
T
TCBS Medium has an alkalotic pH. What kind of sugar does it ferment & what color are the colonies?
Sucrose. Yellow/ORANGE
Bacteria makes gas below the skin. Name bacteria & disease.
Clostridium. Sort tissue infection
Two distinct zones of hemolysis are produced on a blood agar. What is the bacteria/disease?
C. perferingens