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54 Cards in this Set

  • Front
  • Back
What bacterial structure protects against osmotic damage?
Peptidoglycan
What do techoic acid (in gram positives) and Lipid A (in gram negatives) induce?
TNF-alpha and IL-1
Where at beta-lactamases found in bacteria?
They are found in the periplasm of gram negatives.
What structure protects bacteria from phagocytosis?
Capsule
What bacterial structure contains a variety of genes for antibiotic resistance, enzymes, and toxins?
Plasmids
What bacteria contain no cell wall?
Mycoplasma.
Contains sterols
Which bacteria contains mycolic acid in their cell walls?
Mycobacteria
What bugs do not gram stain well?
Treponema
Rickettsia
Mycobacteria
Mycoplasma
Legionella
Chlamydia

These Rascals May Microscopically Lack Color
What bug requires chocolate agar with factors V(NAD+) and X(hematin)?
H. influenza
What bug requires Lowenstein-Jensen agar?
Mycobacterium TB
What is MacConkey's agar used for?
They are used for lactose-fermenting enterics.
Fermentation produces acid, which turns the plate pink.
What is grown on Sabouraud's agar?
Fungi
What bugs are obligate aerobes?
Nocardia
Pseudomonas A.
Mycobacteria
Bacillus

Nagging Pests Must Breathe
What bugs are obligate anaerobes?
Clostridia
Bacteroides
Actinomyces

Can't Breathe Air
What bugs are obligate intracellulars?
Rickettsia
Chlamydia

These bugs have to go in because is Really Cold.
Which bugs are encapsulated?
Klebsiella pneumo
Salmonella
Strep. pneumo
H. Influenza
Neisseria

Kapsules Shield SHiN
What bugs are urease-positive?
Ureaplasma
Proteus
Klebsiella
H. pylori
What bug uses Protein A and what does Protein A do?
Staph. a
Binds Fc region and prevent opsonization and phagocytosis
What superantigens are associated with Staph. a?
TSST-1 superantigen- toxic shock syndrome
Exfoliatin- scalded skin syndrome
Enterotoxins
What superantigens are associated with Strep. pyogenes?
Scarlet fever-erythrogenic toxin causes toxic shock-like syndrome.
What does the Corynebacterium diptheriae do?
Inactivate elongation factor (E2F); causes pharyngitis and "pseudomembranes" in throat.
How does the Vibrio toxin work?
Activates Gs which activates adenylyl cyclase which increases Cl- pumping out of the cell (with Na+). Causes rice water diarrhea.
This toxin causes floppy babies?
C. botulinum
How does the tetanus toxin work?
Blocks release of GABA, causes lockjaw.
What is the only gram positive bacterium with an endotoxin?
Listeria monocytogenes
In what phase of the bacterial growth curve are spores formed?
Stationary phase.
Nutrient depletion slows growth.
What test is used to determine if a bug has a capsule?
Quellung test. The cell SWELLS
Explain the mechanism of resistance in MRSA.
Resistance to beta-lactams is due to altered penicillin-binding proteins.
Which bug infects prostetic devices and iv catheters?
Staph Epidermitis (subacute endocarditis)
What gram positive bug is responsible for dental caries?
Viridans group streptococcus
What causes pneumonia, meningitis, and sepsis in babies?
Group B strep
Strep Agalactiae
What bug causes pharyngitis, cellulitis, and impetigo?
Strep pyogenes (Group A strep)
Strep bovis seems to be associated with what malignancy?
Colon cancer
Which bug produces an alpha toxin (lecithinase) that can cause gas gangrene and hemolysis?
C. perfringens
What bug infects skin and superficial nerves? Hint: acid fast
Mycobacterium leprae causes Hansen's disease.
What bugs are resistant to penicillin G?
Gram negative bugs. Vanco as well.
What bug is known for causing Epiglottitis?
Haemophilus influenzae.
Also causes, meningitis, otitis media, and pneumonia.
What bug causes Pontiac fever?
Legionella
Rx:erythromycin
Treatment of Pseudomonas?
Aminoglycoside + ticarcillin or piperacillin
What bug causes pneumonia in alcohols and diabetics when aspirated? Hint: red currant jelly
Klebsiella
Also causes nosocomial UTIs
Symptoms of which enterobacteria may be prolonged with antibiotic treatment?
Salmonella
What question-marked shaped bacteria is associated with water contaminated with animal urine?
Leptospira
(causes jaundice, photophobia, conjunctivitis)
Lyme disease presentations.
Bell's palsy
Arthritis
Kardiac block
Erythema migrans

BAKE a key Lyme pie.
What bug and disease is associated with bacillary angiomatosis in immunocompromised patients (often confused with Kaposi's)?
Bartonella causes Cat Scratch fever.
What causes undulant fevers?
Brucella (unpasteurized dairy)
Which bug, transmitted from pet feces (puppies) often mimics Crohn's or appendicitis?
Yersinia enterolitica
What bug causes cellulitis from cat or dog bites/scratches?
Pasteurella multocida
Gray vaginal discharge
Fishy smell
Clue cells
Gardneralla vaginalis

"I don't have a Clue why I smell Fish in the Vagina Garden"
What is the classic triad for Rickettsial infections?
Headache
Fever
Rash
What Rickettsial bug is atypical and transmitted by aerosol, and causes pneumonia?
Coxiella
What antigens are use in the testing for Rickettsia in the Weil-Felix reaction.
Proteus antigens.
Remember Coxiella is negative.
What bugs or viruses cause rashes on soles and palms?
Rocky Mountain Spotted fever
Syphillis
Coxsackie A (hand,foot mouth)
What Chlamydial serotypes cause blindness in Africa?
ABC

Africa/Blindness/Chronic infection
What bug is the classic cause of atypical "walking" pneumonia?
Mycoplasma pneumoniae
(frequent outbreaks in military and prisons)