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36 Cards in this Set

  • Front
  • Back
Laryngitis and Tonsilitis involve what? (3)
1) S. pneumoniae
2) S. pyogenes
3) viruses
Sinusitis involves what?
Many Types of Bacteria
Epiglottitis involves what?
H. influenzae
Streptococcal Pharyngitis:
1) AKA
2) Caused by
3) Resistant to
3) Steptokinases does what
4) Styptolysins are what
1) Soar throat
2) Steptococcus pyrogenes
3) Phagocytosis because the M protein on its surface helps it resist neutrophils
4) Lyse clots
5) cytotoxic
Steptococcus pyogenes has what hemolysis?
Beta
Diphtheria:
1) Caused by
2) What kind of bacteria
3) Diptheria membrane contains (3)
4) Diptheria's toxin spreads
5) Prevent by
6) Grows
1) Corynebacterium diptheriae
2) G+ rod
3) fibrin, dead tissue, and bacteria
4) to other tissues in the body and stops protein synthesis
5) DTaP
6) on membrane in the pharanyx
Otitis Media:
1) symptoms
2) Infects what % of children prior to age 3
3) what % of office visitis of pediatricians
4) This bacteria causes 35% of case
5) This bacteria causes 20-30% of cases
6) Treated with
7) incidence of what reduced by vaccine?
1) ear ache due to infection of ear drum with bacteria growing behind it
2) 85% 3) 50%
4) Streptococcus pneumoniae
5) Haemophilus influenzae
6) Broad spectrum antibiotics (25% of prescriptions)
7) S. pneumoniae
Common Cold:
1) Causes 50% of cases and has 100 serotypes
2) Causes 30% of cases and has 60 serotypes
3) Causes 15-20% of cases and has 3 Serotypes
1) Rhinovirus
2) AdenoViruses
3) Coronoviruses
Coronaviruses:
1) What about the immune response
2) What is it also known for?
1) Poor immune response, you can get infected by the same one over and over again
2) Known for SARS in Quanton China from a bat and if you are over 75 years old you had a 50% mortality rate
What keeps the lower respiratory system sterile?
Ciliary escalator
Pertussis:
1) AKA?
2) Caused by?
3) Morphology?
4) Causes what kind of toxin?
5) Treated with?
1) Whooping Cough
2) Bordetella Petussis
3) G- coccobacillus capsule
4) Tracheal cytotoxin, cell wall damaged ciliated cells and destroys tracheal Cells
5) DTaP
Pertussis Toxin:
1) Inhibits what
2) How many micrograms to kill a 200lb person
3) What about the antitoxin?
1) Protein Synthesis
2) 10
3) Must be administered rapidly if you suspect whooping cough
Pertussis:
1) Stage 1?
2) Stage 2?
3) Stage 3?
1) Catarrhal stage (inflammation of mucous membranes with free flowing discharge) like common cold
2) Paroxysmal stage: violent coughing siges can cause hemorrage in the brain
3) Convalescence stage
Tuberculosis:
1) Caused by?
2) What about the rods
3) What about M. Bovis
4) What about M.Avium-intracellulare complex
1) Mycobacterium Tuberculosis
2) Acid-fast rod transmitted from human to human
2) causes <1% U.S. cases, not transmitted from human to human
3) Infects people with late stage HIV infection
Treatment of TB:
1) What 4 Antibiotics
2) What about the doses?
1) Isoniazid, ethambutol, pyrazinadmide, rifampin
2) 130 doeses effective vs active, drug Susceptible TB
What is Multidrug-resistant TB (MDR TB)?
Is TB that is resistant to at least 2 of the best anti-TB drugs, isoniazid and rifampicin. These drugs are considered first-line drugs and are used to treat all persons with TB
What is Extensively drug resistant TB (XDR TB)?
TB which is resistant to isoniazid and rifampin, plus any fluoroquinolone and at least one of three isecond-line drugs (i.e. amikacin, kanamycin, or capreomycin).
Pneumomococcal Pneumonia:
1) Microbial disease?
2) Morphology?
3) Common at?
4) What about its sudden onset?
5) What about human resistance?
1) Microbial disease of bronchial tubes and lungs
2) G+, encapsulated, chain of diplococci
3) Old and young, malnourished, smokers, viral infection, immunosuppresed
4) Sporadic, mostly winter, 5-25% healthy carries
5) High resistance it is usually an opportunist
Pneumomococcal Pneumonia:
6) Immunized with?
7) Diagnoses with?
8) What kind of hemolysis?
9) Drug of Choice?
6) Pneumovax 23
7) Cultering bacteria
8) Alpha
9) Penicillin
Mycoplasmal Pneumonia (PAP):
1) AKA?
2) Caused by?
3) Morphology
4) Size?
5) Common in?
1) Atypical pneumonia and walking pneumonia
2) Mycoplasma pneumoniae
3) Pleomorphic, wall-less bacteria
4) one of the smalled (.2u)
5) Children and young adults (3-35)
Mycoplasmal Pheumonia (PAP):
1) Primary?
2) Atypical?
3) Resembles what?
4) What about blood invasion
5) Is it fatal?
6) What kind of colony appearance?
1) Occurs in previously healthy people
2) organism different from typical penumococcus and symptoms differ
3) viralpneumoniae-fever, fatigue, dry hacking cough
4) This is none
5) rarely
6) fried egg
Seasonal Influenza:
1) Symptoms?
2) Mortality?
3) Treatment that clocks Attachment?
4) Treatment that blocks Uncoating?
1) Chilld, fever, headache, muscle aches ( no intestinal symptoms)
2) 1% due to secondary bacterial infections
3) Zanamivir (relenza) and Tamiflue (Ostleamivir)
4) Symmetrel and Rimantadine
Seasonal Influenza:
1) Vaccine for?
2) What about its symetries?
3) What about its segments?
1) High risk indivuals
2) Symetric when grown in lab and Asymetric when in humans
3) Has 8 segments of RNA, and each segment is surrounded by a protein coat that contain genetic information
Influenza Virus:
1) Type A?
2) Type B?
3) Type C?
4) Vaccine?
5) Hamagglutinin H Spike is used for?
6) Neuraminidase N Spike is used for?
1) Causes most epidemics
2) Moderate local Outbreaks
3) Mild Disease
4) 2 type A and 1 type B that have purified H and N spike protein
5) Attachment to host cells
6) Release virus from cell
Type A Influenza Virus:
1) H1N1, 1918
2) H2N2, 1957
3) H3N2, 1968
4) H1N1, 1977
5) H1N1, 2009
1) Spanish
2) Asian
3) Hong Kong
4) Russian
5) California
H1N1 California 2009:
1) Live attenuated virus is given?
2) Infection of H and N spike is given to?
1) Introveniously (2-29)
2) those older of young
Influenze Antigenic Drift:
1) What is it?
2) Results in?
3) Allows virus to?
4) 2 examples?
1) mutation in gene encoding H or N spike
2) Various Type A Strains
3) avoid mucosal IgA antibodies
4) H1N1 Wisconsin and New Caedonia
Influenza Antigenic Shift:
1) What is it?
2) Due to?
3) Arises from?
1) New H or N Spike appears
2) genetic reassortment between duck strain and human stain infecting same pig cell
3) A cell infected with a current human strain along with an avine virus and their segment mix so the virus comes out with a new virus the human population has never seen before
Pertussis:
1) AKA?
2) Caused by?
3) Morphology?
4) Causes what kind of toxin?
5) Treated with?
1) Whooping Cough
2) Bordetella Petussis
3) G- coccobacillus capsule
4) Tracheal cytotoxin, cell wall damaged ciliated cells and destroys tracheal Cells
5) DTaP
Pertussis Toxin:
1) Inhibits what
2) How many micrograms to kill a 200lb person
3) What about the antitoxin?
1) Protein Synthesis
2) 10
3) Must be administered rapidly if you suspect whooping cough
Pertussis:
1) Stage 1?
2) Stage 2?
3) Stage 3?
1) Catarrhal stage (inflammation of mucous membranes with free flowing discharge) like common cold
2) Paroxysmal stage: violent coughing siges can cause hemorrage in the brain
3) Convalescence stage
Viral Pneumonia:
1) Complication of?
2) What is suspected if no cause is determined?
1) Influenze, measles, chickenpox
2) Viral Etiology
Respiratory Syncytial Virus (RSV):
1) Called This because?
2) Commin in?
3) Causes cell?
1) lung cells have been infected and the virus spreads to other cells and their membrains fuse to where it looks like you have a giant cell
2) Infants, 4500 annual death
3) Fusion (syncytium)
Respiratory Syncytial Virus (RSV):
1) Symptoms?
2) Diagnosis by?
3) treatment with?
1) Coughing
2) serologic test for viruses and antibodies
3) Ribavirin, it is the general antibiral agent for RNA viruses; used to treat ebola- it is dissolved in water and put uner heat and is inhaled by infant
Pneumocystis Pneumonia:
1) Caused by?
2) It is a what?
3) Occurs in?
4) Treatment?
1) Pneumocystis carinii
2) Fungus
3) New infects infants and immunosupporessed individuals
4) Timethoprim-sulfaethoxazole which inhibits the synthesis of folic acid
Influenza vaccines:
1) A/Brisbane/59/2007
2) A/Brisbane/10/2007
3) B/Brisbane/60/2008
4) new pandemic strain is?
5) New pandemic strain is related to?
1) H1N1-like
2) H3N2-like
3) Like antigens
4) 2009 influenza A H1N1
5) A/California/07/2009