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74 Cards in this Set

  • Front
  • Back
What is the dominant normal flora of the skin?
Staphylococcus epidermidis
What is the dominant normal flora of the nose?
S. epidermidis; colonized by S. aureus
What is the dominant normal flora of the oropharynx?
Viridans group streptococci
What is the dominant normal flora of dental plaques?
Streptococcus mutans
What is the dominant normal flora of the colon?
Bacteroides fragilis > E. coli
What is the dominant normal flora of the vagina?
Lactobacillus, colonized by E. coli and group B strep
What bacteria is usually found in contaminated seafood?
Vibrio parahaemolyticus and Vibrio vulnificus
What bacteria is found in reheated rice?
Bacillus cereus
What bacteria is found in meats, mayonnaise, and custard? What causes the sickness?
S. aureus. preformed toxin causes sickness
What bacteria can be found in reheated meat dishes?
Clostridium perfingens
What bacteria can be found in improperly canned foods (bulging cans)?
Clostridium botulinum
What kind of diarrhea does the Norwalk virus produce?
Watery diarrhea
What shape is Campylobacter and what type of diarrhea does it produce?
Comma or S-shaped; Bloody diarrhea
What are the three most common causes of diarrhea in the world?
Campylobavter, ETEC, and Rotavirus
What is Traveler's diarrhea caused by and what toxins does it produce?
Enterotoxigenic E. Coli (ETEC); ST and LT toxins
What causes gas gangrene and what type of diarrhea does it cuasE?
Clostridium perfringens; watery diarrhea
What are the most common causes of pneumonia in neonates?
Group B strept, E.coli
What are the most common causes of pneumonia in children (4 wks-18 yrs)?
Viruses (RSV), Mycoplasma, Chlamydia pneumoniae, Streptococcus pneumonia. Runts May Cause Sputum
What are the most common causes of nosocomial pneumonia?
Staphylococcus, enteric gram-negative rods
What is the most common cause of pneumonia in alcoholic/IV drug users?
S. pneumoniae, Klebsiella, Staphylococcus
What is the most common cause of pneumonia in cystic fibrosis patients?
Pseudomonas
What is the most common cause of pneumonia postviral?
Staphylococcus, H. influenzaef
What are the most common causes of atypical pneumonia?
Mycoplasma, Legionella, Chlamydia (C. Pneumoniae and C. Psittaci)
What are the viral cause of meningitis?
Enteroviruses (esp. coxsackievirus), HSV, HIV, West Nile virus, VZV
What causes meningitis in HIV?
Cryptococcus, CMV, toxoplasmosis (brain abscess), JC virus (PML)
What shape is Campylobacter and what type of diarrhea does it produce?
Comma or S-shaped; Bloody diarrhea
What are the three most common causes of diarrhea in the world?
Campylobavter, ETEC, and Rotavirus
What is Traveler's diarrhea caused by and what toxins does it produce?
Enterotoxigenic E. Coli (ETEC); ST and LT toxins
What causes gas gangrene and what type of diarrhea does it cuasE?
Clostridium perfringens; watery diarrhea
What are the most common causes of pneumonia in neonates?
Group B strept, E.coli
What are the most common causes of pneumonia in children (4 wks-18 yrs)?
Viruses (RSV), Mycoplasma, Chlamydia pneumoniae, Streptococcus pneumonia. Runts May Cause Sputum
What are the most common causes of nosocomial pneumonia?
Staphylococcus, enteric gram-negative rods
What is the most common cause of pneumonia in alcoholic/IV drug users?
S. pneumoniae, Klebsiella, Staphylococcus
What is the most common cause of pneumonia in cystic fibrosis patients?
Pseudomonas
What is the most common cause of pneumonia postviral?
Staphylococcus, H. influenzaef
What are the most common causes of atypical pneumonia?
Mycoplasma, Legionella, Chlamydia (C. Pneumoniae and C. Psittaci)
What are the viral cause of meningitis?
Enteroviruses (esp. coxsackievirus), HSV, HIV, West Nile virus, VZV
What causes meningitis in HIV?
Cryptococcus, CMV, toxoplasmosis (brain abscess), JC virus (PML)
What are the CSF findings in bacterial meningitis?
Inc. pressure, Inc. PMNs, Inc. protein, Dec. sugar
What are the CSF findings in fungal/TB meningitis?
Inc. pressure, Inc. lymphocytes, Inc. protein, Dec. sugar
What are the CSF findings in viral meningitis?
Normal/inc pressure, Inc lymphocytes, Normal/inc protein, Normal sugar
What is the most common cause of osteomyelitis?
S. aureus
What is the most common cause of osteomyelitis in drug addicts and diabetics?
Pseudomonas aeruginosa
What is the most common cause of osteomyelitis in sickle cell disease pts?
Salmonella
What is the most common cause of osteomyelitis in prostetic replacement pts?
S. Aureus and S. epidermidis
What is the most common cause of osteomyelitis in the vertebra? What is another name for this disease?
Mycobacterium tuberculosis - Pott's disease
What is the most common cause of osteomyelitis in cat and dog bites or scratches?
Pasteurella multocida
What is the most common cause of Urinary tract infections (ambulatory)?
E. coli (50-80%)
What is the 2nd most common cause of UTI in young, sexually active, ambulatory women?
Staphylococcus saprophyticus
What organisms are responsible mainly for nosocomial UTIs?
E. coli, Proteus, Klebsiella, Serratia, Pseudomonas
What are predisposing factors to UTIs?
Flow obstruction, kidney surgery, catheterization, gynecologic abnormalities, diabetes, and pregnancy
What UTI bug produces a red pigment and is often nosocomial and drug resistant?
Serratia marcescens
What UTI bug colonies show metallic sheen on EMB agar? What is EMB agar?
EMB agar: eosin methylene blue. E. Coli
What are three significant features of Enterobacter clocae?
Often nosocomial and drug resistant. Common UTI bug
What UTI bug has a large mucoid capsule and viscous colonies?
Klebsiella pneumoniae
What UTI bug has motility that causes "swarming" on agar?
Proteus mirabilis
Where does Proteus mirabilis fall in the Gram negative lab flowchart?
Rod; Oxidase negative. With Salmonella and Shigella
What UTI bug produces urease and is associated with struvite stones?
Proteus mirabilis
What does a positive leukocyte esterase int he urine show?
UTI is bacterial
What does a positive nitrite test in the urine show?
UTI is gram negative
Name the ToRCHeS infections. What is their significance?
Toxoplasma gondii, Rubella, CMV, HIV, HSV type 2, Syphilis; Transmitted in utero or during vaginal birth
What are other important congenital infections that are not ToRCHeS infections?
Listeria, E. coli, and group B strept
Classic triad present in neonate toxoplasma gondii infection
Chorioretinitis, intracranial calcifications, and hydrocephalus
What are the clinical manifestations of neonatal rubella infection?
Deafness, cataracts, heart defects (PDA, pulmonary artery stenosis), microcephaly, and mental retardation
What neonatal infection presents with petechial rash, intracranial calcifications, mental retardation, hepatosplenomegaly, microcephaly, jaundice but 90% are asymptomatic at birth?
CMV
HIV neonatal infection presents with
Hepatosplenomegaly, neurologic abnormalities, frequent infections.
HSV type 2 neonatal infection presents with and is transmitted by
Encephalitis, conjunctivitis, vesicular skin lesions. Often asymptomatic at birth. Most infections transmitted during birth through an infected maternal genital tract
How do Chlamydia trachomatis and Neisseria gonorrheae differ in presentation?
C. trachomatis: subacute, often undiagnosed. N. gonorrhea: acute, high fever
What is the chandelier sign?
Cervical motion tenderness
What complications can PID lead to?
Salpingitis, endometritis, hydrosalpinx, and tubo-ovarian abscess
What complication can PID lead to involving the liver?
Fitz-Hugh-Curtis syndrome: infection of the liver capsule and "violin string" adhesions of parietal peritoneum to liver
Respiratory therapy equipment exposure and burns are risk factors for what bacterial infection
Pseudomonas aeruginosa
Branching rods in an oral infection are indicative of
Actinomyces israelii
Traumatic open wound can lead to
Clostridium perfringes infection