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New FA Micro 8

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Question
Answer
salmonella or shigella: motile and can disseminate hematogenously?   salmonella  
salmonella or shigella: which is more virulent?   shigella  
salmonella or shigella: symptoms may be prolonged with antibiotic treatments   salmonella  
salmonella or shigella: animal reservoir   salmonella  
this is usually transmitted from pet feces, contaminated milk, or pork; outbreaks common in daycare centers   yersinia enterocolitica  
this can mimic Crohn's or appendicitis & can disseminate to produce lymphadenitis   yersinia enterocolitica  
arthritis can develop with yersinia infection in patients with what?   HLA-B27  
vibrio parahaemolyticus and v. vulnificus   contaminated seafood  
reheated rice   B. cereus  
meats, mayonase, custard   s. aureus  
reheated meat dishes   c. perfringens  
undercooked meat   e. coli 0157:H7  
poultry, meat, eggs   salmonella  
bloody diarrhea; comma or S-shaped organisms   campylobacter  
is campylobacter motile?   yes  
e. coli producing shiga-like toxin; can cause HUS   enterohemorrhagic  
day-care outbreaks, pseudoappendicitis   yersinia  
protazoan causing bloody diarrhea   entamoeba histolytica  
protaozoa causing watery diarrhea   giardia, cryptosporidium (in immunocompromised)  
treatment for legionella?   erythromycin  
UTI - urine with alkaline pH   proteus - very motile - able to break down urea  
pneumonia in CF   pseudomonas  
wound and burn infections   pseudomonas  
treatment for pseudomonas?   amnoglycoside plus extended-spectrum penicillin (piperacillin, ticarcillin)  
aerobic gram-negative rod; oxidase positive, non-lactose fermenting; pyocyanin pigment   pseudomonas  
hot tub folliculitis   pseudomonas  
pneumonia, sepsis, UTI, drug use and diabetic osteomyelitis   pseudomonas  
cellulitis from animal bite, cats, dogs   pasteurella  
dairy products, contact with animals   brucella  
ghon complex   TB granulomas (Ghon focus) with lobar and perihilar LN involvement; reflects primary infection or exposure  
mycobacterium scrofulaceum   cervical lymphadenitis in kids  
mycobacterium kansasii   pulmonary TB-like symptoms  
acid-fast bacillus that likes cold temperatures and cannot be grown in vitro   mycobacterium leprae  
reservoir for m. leprae in U.S.?   armadillos  
what does m. leprae infect?   skin and superficial nerves  
treatment for leprosy?   long-term oral dapsone - toxicity is hemolysis and methemoglobinemia  
which type of Hanson's diseaseiis worse?   lepromatous worse than tuberculoid  
the chlamydial petidoglycan wall is unusual in that it lacks what?   muramic acid  
treatment for chlamydia?   erythromycin or tetracycline  
cytoplasmic inclusions seen on Giemsa or fluorescent antibody-stained smear   chlamydia  
infection of liver capsule with RUQ pain; associated with chlamydial or gonococcal infection   Fitz-Hugh-Curtis syndrome  
how do the reticulate bodies of chlamydia replicate?   binary fission  
types A, B, and C of chlamydia   Africa/Blindness/Chronic infection  
types D-K of chlamydia   urethritis/PID, ectopic pregnancy, neonatal pneumonia or conjunctivitis  
types L1, L2, and L3 of chlamydia   lymphogranuloma venereum (acute lymphadenitis - positive Frei test)  
treatment for neonate after passage through chlamydia-infected birth canal?   erythromycin eye drops  
most common STD in U.S.?   chlamydia  
only spirochete that can be visualized using analine dyes (Wright's or Giemsa stan) in light microscopy   borrelia  
shepherd's crook-shaped spirochete   leptospira  
Wal's disease   fatal from of leptospira infection - jaundice, bleeding, renal failure, skeletal muscle necrosis  
treatment for Borrelia recurrentis?   doxycycline, erythromycin  
treatment for Lyme disease?   doxycycline  
what causes yaws?   tremonema pertenue - tropical infection that is not an STD, although VDRL test is positive  
what are important reservoirs for ixodes? what is required for tick life cycle?   mice; deer  
signs of tertiary syphilis?   broad-based ataxia; positive Romberg; Charcot joints; stroke without hypertension  
congenital syphilis?   saber shins, saddle nose, deafness  
primary syphilis?   painless chancre  
secondary syphilis?   disseminated isease with constitutional symptoms, maculopapular rash (palms and soles), condylomata lata  
VDRL positive, FTA positive?   active infection  
VDRL positive, FTA negative?   probably false positive  
VDRL negative, FTA positive?   successfully treated  
VDRL false positives?   Viruses (mono, hepatitis), Drugs, Rheumatic fever, Rheumatic arthritis, SLE, leprosy  


   


 

 

 
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Created by: Asclepius on 2008-10-14




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