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First Aid: Microbiology 1

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Question
Answer
What component is unique to gram positive cell walls?   Techoic acid  
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What component is unique to gram negative cell walls?   Lipopolysaccharide (LPS); Endotoxin  
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Treponema do not gram stain well, so what method would be used to visualize this bacteria?   Darkfield microscopy and fluorescent antibody staining  
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Mycobacteria do not gram stain well so what method is used to visualize them?   Acid fast  
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Legionella do not gram stain well so what method is used to visualize them?   Silver stain  
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What is more fatal, exotoxin or endotoxin?   exotoxin  
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What induces high-titer antibodies and is used in vaccines, exotoxin or endotoxin?   exotoxin  
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Which is NOT secreted from the cell, exotoxin or endotoxin?   endotoxin  
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Binds directly to MHC-II and T-cell receptor activating T cells to release IFN-gamma and IL-2   Superantigens; TSST-1  
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Responsible for toxic shock syndrome?   TSST-1 released by Staph. aureus; Strep. pyogenes can also cause toxic shock-like symptoms  
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Most common cause of meningitis, otitis media (children), pneumonia, and sinusitis   Streptococcus pneumonia; "MOPS"  
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ADP-ribosylating toxin of this organism inactivates EF-2 leading to pseudomembranous pharyngitis?   Corynebacterium diptheriae (Pseudomonas also inactivate EF-2 but more closely related to burn victims not pharyngitis)  
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ADP ribosylating toxin of these organism leads to G protein stimulation of adenylyl cyclase. B component has a preference for intestinal epithelium.   Vibrio cholerae; E. coli has a heat labile toxin that works in a similar manner to cause watery diarrhea  
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This organisms heat stable toxin stimulates guanylate cyclase (instead of adenylate cyclase like its heat labile counterpart)   E. coli  
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ADP ribosylating toxin stimulates adenylate cyclase to cause whooping cough?   Bordetella pertussis  
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The alpha-toxin of this organism causes gas gangrene and double zone of hemolysis on blood agar.   Clostridium perfringens  
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Toxin of this organism blocks the release of inhibitory neurotransmitter glycine?   C. tetani; causes "lockjaw"  
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Toxin of this organism blocks the release of acetylcholine?   C. botulinum; causes flaccid paralysis "floppy baby"  
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Toxin of this organism kills enterocytes resulting in pseudomembranous colitis?   C. difficile, often secondary to the antibiotic clindamycin or ampicillin  
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This toxin cleaves host cell rRNA?   Shiga toxin produced by shigella (also produced by some strains of E. coli)  
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The toxin of this organism is a hemolysin?   streptolysin O of S. pyogenes(Beta hemolytic)  
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Endotoxin activates release of what factors from macrophages?   IL-1 (fever), TNF (fever, hemorrhagic tissue necrosis), NO (hypotension)  
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Endotoxin activates which members of the complement pathway?   C3a and C5a  
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Endotoxin activates what factor to cause DIC?   Hageman factor  
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How would you differentiate between N. meningitidis and N. gonorrhoeae (lab test)?   Meningitidis ferments maltose and gonorrhoeae does not  
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How would you differentiate between the cocci staphylococcus and streptococcus?   Staph is catalase positive and strep is catalase negative  
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What are 3 common gram positive rods?   Clostridium, listeria, bacillus, corynebacterium  
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This coccoid rod requires chocolate agar with factor V and X for isolation.   Haemophilus influenzae  
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This obligate aerobe requires a Lowenstein-Jensen agar for isolation?   M. tuberculosis  
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PAS positive macrophages are found in this disease.   Whipple's disease  
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This organism is identified by india ink.   Cryptococcus neoformans  
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This two organisms are difficult to gram stain because they can't make their own ATP.   Rickettsia and chlamydia, intracellular organisms  
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How would you distinguish strep pneumonia from viridans streptococci?   Both are catalase negative (strep) and alpha hemolytic; pneumo is optochin sensitive and viridans is optochin resistant  
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Ingestion of this gram positive cocci's preformed toxin is a common cause of food poisening.   Staphylococcus aureus  
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This organisms of normal flora can cause subacute endocarditis?   Viridans streptococci (often as dental procedure sequelae)  
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This organism of normal flora can infect prosthetic devices, catheters, and contaminate blood cultures.   Staphylococcus epidermidis  
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This gram positive, spore forming bacilli produces an alpha toxin that can cause myonecrosis, gas gangrene, or hemolysis.   C. perfringens  
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Gram positive, spore forming bacilli that can cause painless ulceration on skin contact or progressive pulmonary problems on inhalation.   Bacillus anthracis  
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Treatment for gram-positive rods forming long branching filaments resembling fungi.   Actinomyces israelii and Nocardia asteroides; SNAP (Sulfa for Nocordia, Actinomyces use Penicillin)  
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The outer membrane layer of these organisms inhibit entry of penicillin G and vancomycin.   Gram negative bugs; some may however be susceptible to derivatives of penicillin G such as ampicillin  
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