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For clinicals in Microbiology dept: Genus M through Salmonella

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Answer
What 3 species of important pathogenic bacteria fall under the genus "Mycobacterium?"   1) Mycobacterium leprae 2) Mycobacterium tuberculosis 3) Mycobacterium ulcerans  
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Is Mycobacterium gram neg or gram pos?   Neither. Mycobacterium are acid fast organisms.  
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What kind of stains can be used to see Mycobacterium under the microscope if they can't be gram stained?   Fite's stain, Ziehl-Neelsen stain, and Kinyoun stain.  
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Mycobacterium appear how under a microscope?   Mycobacterium long, slender rods.  
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Are Mycobacterium encapsulated or unencapsulated?   Mycobacterium are unencapsulated.  
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How would you describe the motility of Mycobacterium?   Mycobacterium are nonmotile.  
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How could you classify the respiration of Mycobacterium?   Mycobacterium are aerobic.  
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Are Mycobacterium extracellular or intracellular?   Mycobacterium are extracellular.  
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What kind of growth media would be used to grow Mycobacterium tuberculosis in the lab?   Mycobacterium tuberculosis would grow on Lowenstein-Jensen agar.  
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How is Mycobacterium leprae transmitted?   Prolonged human contact. Spread through exudates from skin lesions to abrasions of other person.  
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What disease is caused by Mycobacterium leprae?   Leprosy, also called Hansen's disease.  
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How do you treat Mycobacterium leprae in its tuberculoid form?   Dapsone and rifampin.  
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How do you treat Mycobacterium leprae in its lepromatous form?   Clofazimine.  
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How do you prevent Mycobacterium leprae, or leprosy?   BCG vaccine is somewhat effective. Not a guarantee.  
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In its lepromatous form, Mycobacterium leprae can be identified using __ __ staining from __ __.   acid fast staining from skin scrapings.  
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How is Mycobacterium tuberculosis transmitted?   Droplet contact.  
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What disease is caused by Mycobacterium tuberculosis?   Tuberculosis (Also called TB or consumption). Duh.  
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Treatment of Mycobacterium tuberculosis is complex. For the first 2 months, you take what 4 drugs in combination?   1) Isoniazic 2) Rifampicin 3) Pyranzinamide 4) Ethambutol  
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How do you treat Mycobacterium tuberculosis during the last 4 months?   Give 1) Isoniazid 2) Rifampicin  
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How do you prevent infection by Mycobacterium tuberculosis?   1) BCG vaccine 2) Isoniazid  
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How do you see Mycobacterium tuberculosis under the microscope?   Ziehl-Neelsen stain. Remember, Mycobacterium are acid fast and do not gram stain.  
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How do you diagnose Mycobacterium tuberculosis in the lab?   1) Stain with Ziehl-Neelsen stain 2) Hybridization probes for DNA succeeded by PCR 3) Culture on Lowenstein-Jensen agar.  
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What important species of bacteria fall under the genus "Mycoplasma?"   Mycoplasma pneumoniae.  
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Mycoplasma lack a __ __ and are therefore unaffected by antibiotics that target cell wall synthesis.   cell wall  
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How does Mycoplasma pneumoniae look under a microscope?   Mycoplasma pneumoniae look plastic, pleomorphic.  
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Are Mycoplasma pneumoniae encapsulated or unencapsulated?   Mycoplasma pneumoniae is encapsulated.  
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How do you categorize the respiration of Mycoplasma?   Mycoplasma are mostly facultative anaerobes. Mycoplasma pneumoniae is strictly aerobic, however.  
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Is Mycoplasma pneumoniae extracellular or intracellular?   Mycoplasma pneumoniae is extracellular.  
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Mycoplasma is a frequent lab __ or cultures.   contaminant  
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How do you categorize the respiration of Mycoplasma pneumoniae?   Mycoplasma pneumoniae is strictly aerobic.  
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How is Mycoplasma pneumoniae transmitted?   1) Human flora 2) Droplet contact.  
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What disease is caused by Mycoplasma pneumoniae?   Mycoplasma pneumonia. Easy.  
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How do you treat Mycoplasma pneumoniae?   1) Doxycycline 2) Erythromycin.  
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How do you diagnose Mycoplasma pneumoniae in the lab?   1) Serological tests like complement fixation 2) DNA probes on sputum.  
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What important pathogens fall under the genus "Neisseria?"   1) Neisseria gonorrhoeae 2) Neisseria meningitidis  
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Is Neisseria gram neg or gram pos?   Neisseria is gram neg.  
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What does a Neisseria microbe look like under the microscope?   Neisseria is a kidney bean shaped diploccoci.  
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Is Neisseria encapsulated or unencapsulated?   It can be either.  
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Is Neisseria motile or non-motile?   Neisseria is non-motile.  
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How would you classify the respiration of Neisseria?   Neisseria is aerobic.  
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What growth media is used for Neisseria?   Thayer-Martin agar.  
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Gonococcus is __ __ while Neisseria meningitidis is __.   facultative intracellular and N. meningitidis extracellular.  
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How is Neisseria gonorrhoeae transmitted?   1) Sexually 2) Vertical in birth.  
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What diseases are caused by Neisseria gonorrhoeae?   1) Gonorrhea 2) Ophthalmia neonatorum 3) Septic arthritis  
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How do you treat uncomplicated gonorrhea?   1) Ceftriaxone 2) Tetracycline 3) Spectinmoycin  
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How do you treat someone with ophthalmia neonatorum?   Tetracycline OR Erythromycin into the eyes.  
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How do you prevent Neisseria gonorrhoeae?   1) Safe sex 2) Tetracycline OR Erythromycin into eyes of newborns at risk.  
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Neisseria gonorrhoeae can be seen in the __ from urethral exudates.   neutrophils  
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How would you diagnost Neisseria gonorrhoeae in the lab?   1) Find gram-neg diplococci in neutrophils from urethral exudates 2) Oxidase test on Thayer-Martin agar 3) Fermentation of glucose BUT NOT maltose.  
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Neisseria meningitidis is spread how?   Respiratory droplets.  
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What diseases are caused by Neisseria meningitidis?   1) Meningococcal disease 2) Waterhouse-Friderichsen syndrome  
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How is Neisseria meningitidis treated?   1) Penicillin G 2) Cefotaxime 3) Ceftriaxone  
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How do you prevent Neisseria meningitidis?   1) Rifampin 2) Vaccine - NmVac4-A/C/Y/W-135  
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How do you diagnose Neisseria meningitidis in the lab?   1) Microscropy showing gram-neg diplococci, often with PMNs 2) Culture on CHOC agar 3) Give pos osidase test and fermentation of glucose and maltose in 5% CO2 in air.  
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What important pathogenic species falls under the genus of "Pseudomonas?"   Pseudomonas aeruginosa.  
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Is Pseudomonas aeruginosa gram neg or gram pos?   Pseudomonas aeruginosa gram neg.  
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How does Pseudomonas aeruginosa look under the microscope?   Rods.  
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Is Pseudomonas aeruginosa encapsulated or unencapsulated?   Pseudomonas aeruginosa is encapsulated.  
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Is Pseudomonas aeruginosa motile or non-motile?   Pseudomonas aeruginosa is motile.  
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How would you classify the respiration of Pseudomonas aeruginosa?   Pseudomonas aeruginosa is an obligate aerobe.  
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What sort of growth medium would you use to culture Pseudomonas aeruginosa?   MacConkey agar.  
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Is Pseudomonas aeruginosa extracellular or intracellular?   Pseudomonas aeruginosa is extracellular.  
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How is Pseudomonas aeruginosa transmitted?   1) Infects damaged tissues 2) Infects people with reduced immunity.  
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What sort of disease can be caused by Pseudomonas aeruginosa?   Pseudomonas infection. Duh.  
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How do you treat Pseudomonas aeruginosa?   Aminoglycoside and anti-pseudomonal B-lactam.  
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How do you treat Pseudomonas aeruginosa?   1) Topical silver sulfadiazine for burn wounds. NO VACCINE.  
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How do you diagnose Pseudomonas aeruginosa in the lab?   1) Colorless colonies on MacConkey agar 2) Production of pyocyanine and fluorescein 3) Pos oxidase test, no lactose fermentation.  
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What important species of pathogen falls under the genus "Rickettsia?"   Rickettsia rickettsii.  
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Rickettsia rickettsii is gram-neg or gram-pos?   Rickettsia rickettsii is gram-neg, but stains poorly.  
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What is the shape of Rickettsia rickettsii?   Coccobacillary; small, rod-like.  
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Is Rickettsia rickettsii encapsulated or unencapsulated?   Neither. Slime/microcapsule.  
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Is Rickettsia rickettsii motile or non-motile?   Rickettsia rickettsii is non-motile.  
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How do you classify the respiration of Rickettsia rickettsii?   Rickettsia rickettsii is aerobic.  
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What sort of growth medium would be used with Rickettsia rickettsii?   Brain heart infusion broth and Eagle's minimal essential medium. Rarely cultured.  
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Is Rickettsia rickettsii intracellular or extracellular?   Obligate intracellular.  
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How is Rickettsia rickettsii spread?   Bite of infected wood or dog tick.  
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What disease can you catch from an infection of Rickettsia rickettsii?   Rocky mountain spotted fever.  
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How do you treat Rickettsia rickettsii?   1) Doxycycline 2) Chloramphenicol  
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How do you prevent infection by Rickettsia rickettsii?   1) Vector control 2) Remove attached ticks promptly  
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How do you diagnose Rickettsia rickettsii in the lab?   1) Serology 2) Immunofluorescence against Rickettsia antigens.  
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What important species of pathogens fall under the genus "Salmonella?"   1) Salmonella typhi 2) Salmonella typhimurium  
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Is Salmonella gram-neg or gram-pos?   Salmonella is gram-neg.  
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What is the shape of Salmonella?   Bacilli.  
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Is Salmonella encapsulated or unencapsulated?   Salmonella is encapsulated.  
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Is Salmonella motile or non-motile?   Salmonella is normally motile.  
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How would you classify the respiration of Salmonella?   Salmonella is a facultative anaerobe.  
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What growth medium should be used with Salmonella?   MacConkey agar.  
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Is Salmonella intracellular or extracellular pathogen?   Salmonella is a facultative intracellular pathogen.  
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How is Salmonella typhi spread?   Human to human, fecal-oral through food or water.  
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What disease is caused by Salmonella typhi?   Typhoid fever type salmonellosis. Causes dysentery and colitis.  
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How do you treat Salmonella typhi?   1) Ceftriaxone 2) Fluoroquinolones, like ciprofloxacin.  
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How do you prevent Salmonella typhi?   1) Ty21a and ViCPS vaccines 2) Hygiene and food prep.  
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Salmonella typhi can be isolated from ?   1) blood 2) feces 3) bone marrow 4) urine 5) rose spots on skin  
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How do you diagnose Salmonella typhi in the lab?   1) Colorless, non-lactose fermenting colonies on MacConkey agar 2) Serology for antibodies against O antigen.  
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How is Salmonella typhimurium transmitted?   1) Fecal-oral 2) Food contaminated by fowl, eggs, pets, other animals.  
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What diseases are caused by Salmonella typhimurium?   Salmonellosis with gastroenteritis and enterocolitis.  
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How do you treat Salmonella typhimurium?   1) Fluid and electrolyte replacement for severe diarrhea 2) Antibiotics in immunocompromised patients.  
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How do you prevent Salmonella typhimurium?   1) Proper sewage disposal 2) Food prep 3) Good personal hygiene.  
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How do you diagnost Salmonella typhimurium in the lab?   Colorless colonies on MacConkey agar.  
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