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46 Cards in this Set

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Streptococcus pyrogenes



Disease

Pharyngitis


Skin infections

S. pyrogenes



How many diseases?

2



List

Pharyngitis


Skin infections

S. pyrogenes



2 diseases

Pharyngitis


Skin infections



Does it cause other diseases?

Y

S. pyrogenes



other diseases


Cause

Host response to infection



Name of this type of diseases?

S. pyrogenes sequelae

S. pyrogenes



Other diseases


Caused by host response to infection



Name of this type of diseases?

S. pyrogenes sequelae



Occur due to host response to infection



Presence of bacteria?

Absence (cleared)

S. pyrogenes sequelae



bacteria?

Absence (cleared)

S. pyrogenes sequelae



Occur due to host response to infection, after bacteria have been cleared



Diseases?

Acute rheumatic fever



Glomerulonephritis

S. pyrogenes sequelae



How many diseases there are?

2



List

Acute rheumatoid fever



Glomerulonephritis

S. pyrogenes sequelae



Diseases


_______________


Glomerulonephritis

Acute rheumatoid fever



Inflammation of the ______(organ)


After ________ (disease)


Abs or cell-mediated response cross-reacting with cardiac tissue.

heart


Pharyngitis

S. pyrogenes


sequelae



Disease: acute rheumatoid fever



Inflammation of the ____


After ________


Abs or cell mediated response cross reacting with _____ tissue.

____________ of the heart


_______ pharyngitis


____ or ______ response cross-reacting with cardiac tissue.

Inflammation of the heart


After pharyngitis


Abs or cell mediated response cross-reacting with cardiac tissue

S. pyrogenes sequelae



Disease


Acute rheumatic fever


____________

Glomerulonephritis



______ dysfunction


After _____ or ______ ______


Ab-strep Ag complexes deposited in glomeruli of _____

Kidney


Pharyngitis or skin infections


kidney

S. pyrogenes sequelae



Glomerulonephritis



________ dysfunction


After ________ or _______


Ab-strep ag complexes deposited in glomeruli of ______

Glomerulonephritis



Kidney _______


______ pharyngitis or skin infections


Ab-Strep Ag _____ deposited in ______ of kidney

Kidney dysfunction


after pharyngitis or skin infections



Ab-strep ag complexes deposited in glomeruli of kidney

S. pyrogenes sequelae



Why immunodiagnosis is needed?

___________ is needed because bacteria is likely to have been cleared

Immunodiagnosis

S. pyrogenes sequelae



Immunogiagnosis is needed because bacteria is ____ to have been ______

____________ is needed because _____ is likely to have been cleared.

Immunodiagnosis is needed because bacteria is likely to have been cleared.

Abs used to identify/indicate S. pyrogenes infection



General name

Anti-streptococcal Abs



How many there are?

3

3 Anti-Streptococcal Abs



List

ASO (Full name)


Anti-Dnase B


Anti-hyaluronidase

Anti-strepolysin O

3 Anti-Streptococcal Abs



List



_______


Anti-Dnase B


Anti-hyaluronidase

ASO



How many methods there are?

2

ASO



Full name


How many methods there are?

Anti-streptolysin O



2 methods



List

Current


Traditional

ASO



2 methods



List

________ (Principle)


Traditional

Latex agglutination

ASO



Current method



Principle

Latex agglutination



Name of the method

Nephelometry

ASO



Current method: _________


Principle: Latex agglutination

Nephelometry



Advantages

Automated


Rapid

ASO



Current method: Nephelometry


Principle: latex agglutination



Advantages

Nephelometry



Automated


Rapid



Measurement?

Quantitative

ASO



Current method: Nephelometry



Measurement?

Quantitative

ASO



Current method: nephelometry



Procedure

Pt serum


+


Purified recombinant streptolysin



Product?

Immune complexes

ASO



Current method: nephelometry



Immune complexes vs. light scatter

+


Immune complexes increase light scatter, and the amount can be _____

measured

ASO testing



Current method


____________

Traditional method



Procedure

Diluted Pt serum+reagent streptolysin O



Incubate



+ Human type O RBCs added



Incubate



Observation

ASO testing



Traditional method



Procedure

Diluted Pt. serum+ Reagent Streptolysin O



Incubate


+ Human Type O RBCs


Incuabte



Observation, description?

Hemolysis: (-)ASO



No hemolysis: (+) ASO

ASO testing



What is determined?

Titer



Def.

Reciprocal of highest dilution with no hemolysis

Rickettsia



Diseases



How many there are?

3



List

Rocky Mt. spotted fever



Endemic and epidemic typhus

Rickettsia



3 diseases



List

Rocky Mt. Spotted fever



Endemic and epidemic typhus

Rickettsia



3 diseases



_______________


Endmeic typhus


Epidemic typhus

Rocky Mt. spotted fever



Pathogen

R. rickettsil

Rickettsia



3 diseases



Rocky Mt. Spotted fever


______________


Epidemic typhus

Endemic Typhus



Pathogen

R. typhi

Rickettsia



3 diseases



Rocky Mt. Spotted fever


Endemic Typhus


_____________

Epidemic typhus



Pathogen

R. felis

Rickettsia diagnosis



Types of test


How many there are?

2



List

Current


Traditional method

Rickettsia diagnosis



2 types of test



List

Current


Traditional method

Rickettsia diagnosis



_____________


Traditional method

Current method



Test?

IFA test

Rickettsia diagnosis



Current method


Test

IFA test



______ standard



Gold standard

Rickettsia diagnosis



Current method: IFA test


_______ standard

IFA test


Gold _______

standard

Rickettsia diagnosis



Current method: IFA test


Gold standard



Reagent?

IFA test


Whole bacterium



Specificity?

Organism-specific

Rickettsia diagnosis



IFA test



Specificity

Organism-specific



IFA test



Procedure

Bacterium fixed on slide


+


Pt. serum (Ab?)


+


Flourescently labeled Anti-Ig



Observation

Rickettsia diagnosis



IFA test



What is in question?

Ab



IFA test


Procedure

Bacterium fixed on slide


+


Pt. serum


+


Flourescently labeled Anti-Ig



Observation

Rickttsia diagnosis


IFA test



Bacterium fixed on slide


+


Pt. serum

___________

Observation


and


results

Flouresence: + Ab


No flouresence: - Ab

Rickettsia Diagnosis



Current method


_____________

Traditional method



Name

Weil-Felix test

Rickettsia diagnosis



Traditional method



Name

Weil-Felix test



What is being detected?

Agglutination

Rickettsia diagnosis



Traditional method: Weil-Felix test



What is being detected?

Agglutination caused by what?

Cross rxn between



anti-Rickettsia Abs in the Pt. serum


and


reagent Proteus species Ag

Rickettsia diagnosis



Traditional method: Weil-Felix test



Agglutination is caused by __________ between anti-Rickettsia Abs in Pt. serum and reagent Proteus species antigens.

___________ is caused by cross reactivity between _____________________ in _____ and _______________.

Agglutination is caused by cross reactivity between anti-rickettsia Abs in pt. serum


and


reagent proteus species antigens