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Exam 5 Professor Flashcards
Flashcards from studymate
217
Biology
Undergraduate 3
04/09/2015

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Term
Describe the macroconidia associated with Epidermophyton?
Definition
"Beaver-tail" shape
Term
What is the recommended temperature & the length of time for incubating fungal cultures?
Definition
25-30; 4 weeks
Term
What is the preferred temperature for growing M. marinum, M. haemophilum & M. ulcerans
Definition
25-33
Term
What is the preferred temperature for growing M. tuberculosis?
Definition
35-37
Term
Which mycobacterial media are considered broth media?
Definition
7H9, 7H12, 7H13, & Dubos Tween albumin
Term
What is the rate of growth that catorgizes an organism as a "rapid grower"?
Definition
< 7 days
Term
Identify organisms considered to be "rapid growers"
Definition
M. fortuitum-chelonae-abscessus
Term
Identify the reagents used in the Ziehl-Neelson stain.
Definition
Heated carbolifuchsin, acid alcohol, & methylene blue
Term
Identify the following organism: narrow hyphae w/ septations & dichotomous branching; closed fist appearance
Definition
Aspergillus species
Term
Which mold can be acquired by inhalation and form a "fungus ball" in old lung cavities?
Definition
Aspergillus species, primarily fumigatus
Term
Which fungi are endemic in Arkansas?
Definition
Blastomyces & Histoplasma
Term
Identify the following organism: broad based budding yeast (figure 8) on KOH mount
Definition
Blastomyces dermatitidis
Term
Identify the following organism: germ tubes present
Definition
Candida albicans
Term
Identify the following organism: blastocondidia & pseudohyphae present on cornmeal
Definition
Candida species
Term
Identify the following organism: chlamydospores, blastocondidia & pseudohyphae present on cornmeal
Definition
Candidia albicans
Term
Identify the following organism: thick walled spherule w/ endospores on KOH & alternating arthroconidia on LPCB mount
Definition
Coccidioides immitis
Term
Which fungus is endemic in the American Southwest?
Definition
Coccidioides immitis
Term
Identify the following organism: capsule on India ink & black colonies on birdseed/niger seed agar (phenol oxidase present)
Definition
Cryptococcus neoformans
Term
Which yeast is an opportunistic organism isolated from AIDS patients?
Definition
Cryptococcus neoformans
Term
Which test has replaced the India ink mount on CSF?
Definition
Cryptococcus antigen test - more sensitive
Term
Identify the following organism: small, intracellular yeasts on Giemsa stain & tuberculate macroconidia/teardrop microconidia on LPCB mount
Definition
Histoplasma capsulatum
Term
Which fungus like to reside in bird & bat dung?
Definition
Histoplasma capsulatum
Term
Identify the dimorphoric fungi.
Definition
Histoplasma, Blastomyces, Coccidioides, Paracoccidiodes, & Sporothrix
Term
Identify the following organism: nonchromogen, slower grower, & most tests are =
Definition
M. avium complex
Term
What is the most commonly isolated mycobacteria species in the US?
Definition
M. avium complex
Term
Identify the following organism: slow grower, niacin & nitrate =, & T2H sensitive
Definition
M. bovis
Term
Identify the following organism: rapid grower, arylsulfatase +, & growth on special MAC
Definition
M. fortuitum-chelonae
Term
What disease does M. fortuitum-chelonae cause?
Definition
wound infections
Term
What disease does M. abscessus cause?
Definition
pulmonary infections
Term
Which organism is considered the tap water scotochromogen?
Definition
M. gordonae
Term
Identify the following organism: scotochromogen, nitrate = & Tween 80 +
Definition
M. gordonae
Term
Which organisms are considered nonchromogens?
Definition
M. haemophilum & M. avium complex
Term
Which organisms are considered photochromogens?
Definition
M. kansasii & M. marinum
Term
Which mycobacteria species can not be grown in lab media?
Definition
M. leprae
Term
How can M. leprae be grown?
Definition
nine-banded armadillo
Term
Which organisms are considered scotochromogens?
Definition
M. scrofulaceum & M. gordonae
Term
What is the ID for the following organism?
BACTEC bottle + NAP = GI 20
BACTEC bottle w/o NAP = GI 75
Definition
M. tuberculosis complex
Term
Identify the following organism: niacin & nitrate +, 68 C catalase =, & buff, rough colonies
Definition
M. tuberculosis (MTB)
Term
Identify the following organism: "spaghetti & meatballs" (yeast & hyphae) present on KOH mount
Definition
Malassezia furfur
Term
Identify the following organism: "mariners wheel" yeast on KOH mount
Definition
Paracoccidioides brasiliensis
Term
Identify the following organism: narrow hyphae w/ septations; open fist appearance
Definition
Penicillium species
Term
Identify the following organism: cigar-shaped yeast on KOH mount & "flowerette" arrangement on LPCB mount
Definition
Sporothrix schenckii
Term
Name a nonpathogenic AFB species.
Definition
M. gordonae
Term
Identify the functions of the reagents used in the fluorescent stain:
Auramine-o-rhodamine (AOR)
Acid alcohol (AA)
Potassium permanganate (PP)
Definition
AOR-stains, AA-decolorizer, & PP-quences background fluorescence
Term
What is the principle of the VersaTrek (formerly ESP Myco) system?
Definition
Measures pressure changes (manometric system)
Term
How do the interferon-gamma release assays differ from the TB skin test?
Definition
Measures release of interferon gamma by blood WBCs to MTB antigens
Term
What is the rate of growth that catorgizes an organism as a "slow grower"?
Definition
> 7 days
Term
Define aerial hyphae.
Definition
Above the surface - usually support reproductive structures
Term
Actinomycotic mycetoma are caused by ____________.
Definition
Actinomycetes, like Nocardia, Streptomyces, or Actinomadura
Term
Since Malassezia furfur requires fatty acids for growth, what is a practical means of culturing the organism?
Definition
Add olive oil to fungus medium
Term
What are the recommended collection procedures for isolating fungi from sputum?
Definition
AM sputum on 3 successive days
Term
Define endothrix.
Definition
Arthroconidia found inside hair shaft
Term
Define ectothrix.
Definition
Arthroconidia found outside of hair shaft
Term
Identify the reagents used in the fluorescent stain.
Definition
Auramine-o-rhodamine, acid alcohol, & potassium permanganate
Term
What is the principle of the Septi-Chek AFB system?
Definition
Biphasic medium
Term
What is the disease caused by Piedraia hortae?
Definition
Black piedra
Term
What is the purpose of using KOH?
Definition
Breaks down cellular material; thus allows the viewing of fungal elements
Term
Describe the appearance of a positive 68 catalase.
Definition
Bubbles
Term
Describe the appearance of MTB on LJ medium.
Definition
Buff, rough colonies
Term
Identify the reagents used in the Kinyoun stain.
Definition
Carbolfuchsin, acid alcohol, & methylene blue
Term
How should normally sterile body fluids be processed for mycobacteria?
Definition
Centrifuged & sediment used for stains & media
Term
Identify the functions of the reagents used in the Kinyoun & Ziehl-Neelson stains:
Carbolfuchsin (CF)
Acid alcohol (AA)
Methylene blue (MB)
Definition
CF (staining agent), AA (decolorizer), & MB (counterstain)
Term
Which disease causes "cauliflower-like lesions" usually found on extremities?
Definition
Chromoblastomycosis
Term
What are the recommended collection procedures for isolating mycobacteria from urine?
Definition
Collect AM specimens; 3-5 over several days; 5-10 mls
Term
What are the recommended collection procedures for isolating mycobacteria from sputum?
Definition
Collect AM sputum samples; 3-5 over several days; 5-10 mls
Term
Which tests are used to identify the dimorphic molds?
Definition
Conversion of yeast to mold form, exoantigens, & NA probes (method of choice)
Term
Define septate.
Definition
Crosswalls between fungal cells
Term
What is the best way to diagnose cryptococcal meningitis?
Definition
Cryto antigen + culture
Term
Describe how to perform an India ink mount.
Definition
CSF + India ink; coverslip & read
Term
Which fungi infect skin, hair, & nails?
Definition
Dermatophytes - Microsporum, Trichophyton & Epidermophyton
Term
What is the purpose of using the TB skin test and/or the interferon-gamma release assays?
Definition
Detect TB infection and disease
Term
Define pseudohyphae.
Definition
Filaments that are constricted at point of attachment - seen in some yeast
Term
Define vegetative hyphae.
Definition
Food-absorbing portion of the hyphae; grows into agar
Term
Define blastoconidia.
Definition
Found in yeast; produced by budding
Term
Eumycotic mycetoma are caused by ________.
Definition
Fungi
Term
What is the advantage of testing unknown AFB organisms again NAP in the BACTEC system?
Definition
Gives quick preliminary ID of MTB complex
Term
What is the preferred temperature for growing M. fortuitum-chelonae-abscessus?
Definition
Grows at 35-37 & at 25-33
Term
Which mycobacterial media are considered selective egg-based media?
Definition
Gruft modification of LJ & mycobactosel - LJ
Term
Define dematiaceous.
Definition
Hyphae & conidia appear black microscopically
Term
What are the required culture conditions when using Middlebrook media?
Definition
Incubate in CO2, protect from light, & hold for only 4 weeks
Term
Describe how to perform a chlamydospore test.
Definition
Inoculate cornmeal agar; coverslip & incubate; examine for chlamydospores
Term
How should granules be processed for organisms?
Definition
Inoculate on appropriate media
Term
Describe the macroconidia associated with Microphyton?
Definition
Large, spindle-shaped, rough & thick-walled
Term
Define macroconidia.
Definition
Large, usually multiseptate
Term
What disease does M. leprae cause?
Definition
Leprosy
Term
Define nonphotochromogen.
Definition
Light does not cause increase in pigment
Term
Define hyaline
Definition
Lightly pigmented mold (shades of blue & green) observed microscopically
Term
Define hyphae.
Definition
Long strands of cells (tubular filaments) that develop from spores
Term
Describe how to perform lactophenal aniline (cotton) blue (LPCB) mount.
Definition
LPCB added to slide; add organism & coverslip; examine microscopically
Term
What disease does M. scrofulaceum cause?
Definition
Lymphadenitis
Term
Define mycelium.
Definition
Many hyphae intertwined to form thick mat
Term
What is the principle of the BACTEC 460 system?
Definition
Measure 14CO2 production
Term
What is the principle of the MB/BacT system?
Definition
Measures CO2 production w/ CO2 sensor & colorimetric sensor
Term
What is the principle of the BACTEC 9000 system?
Definition
Measures O2 changes using a fluorescent sensor
Term
What type of special media is required to culture M. haemophilum?
Definition
Media w/ hemin, hemoglobin, or ferric ammonium citrate - CHOC, BAP, etc
Term
What media is recommended for isolation of Cryptococcus neoformans?
Definition
Media without cycloheximide
Term
Which mycobacterial media are considered nonselective agar-based media?
Definition
Middlebrook agar: 7H10 & & 7H11
Term
What is the recommended procedure for processing tissue for fungi?
Definition
Mince before inoculating media
Term
Which mycobacterial media are considered selective agar-based media?
Definition
Mitchison's selective 7H11 & mycobactosel-middlebrook 7H10
Term
Which clues help determine whether an isolate is clinically significant or a contaminant?
Definition
MO observed microscopically in specimen or repeatedly isolated
Term
What are the recommended collection procedures for isolating fungi from sputum?
Definition
AM sputum on 3 successive days
Term
Define endothrix.
Definition
Arthroconidia found inside hair shaft
Term
Define ectothrix.
Definition
Arthroconidia found outside of hair shaft
Term
Identify the reagents used in the fluorescent stain.
Definition
Auramine-o-rhodamine, acid alcohol, & potassium permanganate
Term
What is the principle of the Septi-Chek AFB system?
Definition
Biphasic medium
Term
What is the disease caused by Piedraia hortae?
Definition
Black piedra
Term
What is the purpose of using KOH?
Definition
Breaks down cellular material; thus allows the viewing of fungal elements
Term
Describe the appearance of a positive 68 catalase.
Definition
Bubbles
Term
Describe the appearance of MTB on LJ medium.
Definition
Buff, rough colonies
Term
Identify the reagents used in the Kinyoun stain.
Definition
Carbolfuchsin, acid alcohol, & methylene blue
Term
How should normally sterile body fluids be processed for mycobacteria?
Definition
Centrifuged & sediment used for stains & media
Term
Identify the functions of the reagents used in the Kinyoun & Ziehl-Neelson stains:
Carbolfuchsin (CF)
Acid alcohol (AA)
Methylene blue (MB)
Definition
CF (staining agent), AA (decolorizer), & MB (counterstain)
Term
Which disease causes "cauliflower-like lesions" usually found on extremities?
Definition
Chromoblastomycosis
Term
What are the recommended collection procedures for isolating mycobacteria from urine?
Definition
Collect AM specimens; 3-5 over several days; 5-10 mls
Term
What are the recommended collection procedures for isolating mycobacteria from sputum?
Definition
Collect AM sputum samples; 3-5 over several days; 5-10 mls
Term
Which tests are used to identify the dimorphic molds?
Definition
Conversion of yeast to mold form, exoantigens, & NA probes (method of choice)
Term
Define septate.
Definition
Crosswalls between fungal cells
Term
What is the best way to diagnose cryptococcal meningitis?
Definition
Cryto antigen + culture
Term
Describe how to perform an India ink mount.
Definition
CSF + India ink; coverslip & read
Term
Which fungi infect skin, hair, & nails?
Definition
Dermatophytes - Microsporum, Trichophyton & Epidermophyton
Term
What is the purpose of using the TB skin test and/or the interferon-gamma release assays?
Definition
Detect TB infection and disease
Term
Define pseudohyphae.
Definition
Filaments that are constricted at point of attachment - seen in some yeast
Term
Define vegetative hyphae.
Definition
Food-absorbing portion of the hyphae; grows into agar
Term
Define blastoconidia.
Definition
Found in yeast; produced by budding
Term
Eumycotic mycetoma are caused by ________.
Definition
Fungi
Term
What is the advantage of testing unknown AFB organisms again NAP in the BACTEC system?
Definition
Gives quick preliminary ID of MTB complex
Term
What is the preferred temperature for growing M. fortuitum-chelonae-abscessus?
Definition
Grows at 35-37 & at 25-33
Term
Which mycobacterial media are considered selective egg-based media?
Definition
Gruft modification of LJ & mycobactosel - LJ
Term
Define dematiaceous.
Definition
Hyphae & conidia appear black microscopically
Term
What are the required culture conditions when using Middlebrook media?
Definition
Incubate in CO2, protect from light, & hold for only 4 weeks
Term
Describe how to perform a chlamydospore test.
Definition
Inoculate cornmeal agar; coverslip & incubate; examine for chlamydospores
Term
How should granules be processed for organisms?
Definition
Inoculate on appropriate media
Term
Describe the macroconidia associated with Microphyton?
Definition
Large, spindle-shaped, rough & thick-walled
Term
Define macroconidia.
Definition
Large, usually multiseptate
Term
What disease does M. leprae cause?
Definition
Leprosy
Term
Define nonphotochromogen.
Definition
Light does not cause increase in pigment
Term
Define hyaline
Definition
Lightly pigmented mold (shades of blue & green) observed microscopically
Term
Define hyphae.
Definition
Long strands of cells (tubular filaments) that develop from spores
Term
Describe how to perform lactophenal aniline (cotton) blue (LPCB) mount.
Definition
LPCB added to slide; add organism & coverslip; examine microscopically
Term
What disease does M. scrofulaceum cause?
Definition
Lymphadenitis
Term
Define mycelium.
Definition
Many hyphae intertwined to form thick mat
Term
What is the principle of the BACTEC 460 system?
Definition
Measure 14CO2 production
Term
What is the principle of the MB/BacT system?
Definition
Measures CO2 production w/ CO2 sensor & colorimetric sensor
Term
What is the principle of the BACTEC 9000 system?
Definition
Measures O2 changes using a fluorescent sensor
Term
What type of special media is required to culture M. haemophilum?
Definition
Media w/ hemin, hemoglobin, or ferric ammonium citrate - CHOC, BAP, etc
Term
What media is recommended for isolation of Cryptococcus neoformans?
Definition
Media without cycloheximide
Term
Which mycobacterial media are considered nonselective agar-based media?
Definition
Middlebrook agar: 7H10 & & 7H11
Term
What is the recommended procedure for processing tissue for fungi?
Definition
Mince before inoculating media
Term
Which mycobacterial media are considered selective agar-based media?
Definition
Mitchison's selective 7H11 & mycobactosel-middlebrook 7H10
Term
Which clues help determine whether an isolate is clinically significant or a contaminant?
Definition
MO observed microscopically in specimen or repeatedly isolated
Term
What is the ID for the following organism?
BACTEC bottle + NAP = GI 85
BACTEC bottle w/o NAP = GI 80
Definition
Mycobacteria other than tuberculosis (MOTT)
Term
Why is the use of three or more drugs recommended to treat mycobacterial infections?
Definition
Mycobacteria readily become resistant when treated with single drug
Term
What reagents are used in the most common decontamination procedure?
Definition
N-acetyl-l-cystaine (NALC) & 2% NaOH
Term
Define nonseptate.
Definition
No crosswalls between cells
Term
What diseases are caused Nocardia?
Definition
Nocardiosis (pulmonary) & mycetoma (granules present)
Term
Define conidia.
Definition
Nonmotile, asexual reproductive structures - also known as spores
Term
Describe how to perform a germ tube test.
Definition
Organism + plasma; incubate; examine for tube-like structure
Term
What is the usual appearance of Nocardia on the modified acid-fast stain?
Definition
Partially acid fast
Term
While examining a Gram stain smear from a brain abscess, the MT sees Gram-positive branching rods. Before contacting the doctor, the technologist should ______________.
Definition
Perform a modified AF stain
Term
Which mycobacterial media are considered nonselective egg-based media?
Definition
Petragnani, American thoracic society (ATS), & Lowenstein-Jensen (LJ)
Term
Define scotochromogen.
Definition
Pigment in dark (= amount of pigment whether light-exposed or left in dark)
Term
Define photochromogen.
Definition
Pigment production upon exposure to light
Term
What is the disease caused by Pneumocystis jiroveci?
Definition
Pneumonia
Term
What disease does M. kansasii cause?
Definition
Pulmonary
Term
What is the ID for the following organism?
BACTEC bottle + NAP = GI 85
BACTEC bottle w/o NAP = GI 80
Definition
Mycobacteria other than tuberculosis (MOTT)
Term
Why is the use of three or more drugs recommended to treat mycobacterial infections?
Definition
Mycobacteria readily become resistant when treated with single drug
Term
What reagents are used in the most common decontamination procedure?
Definition
N-acetyl-l-cystaine (NALC) & 2% NaOH
Term
Define nonseptate.
Definition
No crosswalls between cells
Term
What diseases are caused Nocardia?
Definition
Nocardiosis (pulmonary) & mycetoma (granules present)
Term
Define conidia.
Definition
Nonmotile, asexual reproductive structures - also known as spores
Term
Describe how to perform a germ tube test.
Definition
Organism + plasma; incubate; examine for tube-like structure
Term
What is the usual appearance of Nocardia on the modified acid-fast stain?
Definition
Partially acid fast
Term
While examining a Gram stain smear from a brain abscess, the MT sees Gram-positive branching rods. Before contacting the doctor, the technologist should ______________.
Definition
Perform a modified AF stain
Term
Which mycobacterial media are considered nonselective egg-based media?
Definition
Petragnani, American thoracic society (ATS), & Lowenstein-Jensen (LJ)
Term
Define scotochromogen.
Definition
Pigment in dark (= amount of pigment whether light-exposed or left in dark)
Term
Define photochromogen.
Definition
Pigment production upon exposure to light
Term
What is the disease caused by Pneumocystis jiroveci?
Definition
Pneumonia
Term
What disease does M. kansasii cause?
Definition
Pulmonary
Term
What disease does M. avium complex cause?
Definition
Pulmonary - disseminates in immunocompromised patients
Term
Describe the appearance of a positive Tween 80 test.
Definition
Red
Term
Describe the appearance of a positive arylsulfatase.
Definition
Red
Term
Describe a positive Kinyoun/Ziehl Neelson stain.
Definition
Red rods against a blue background
Term
Positive & negative stain controls are run along with the patient slides. What is the appropriate procedure if the controls slides are not correct?
Definition
Restain & read the QC slides & patients slides before reporting any results
Term
Define chlamydospores.
Definition
Round, thick-walled resistant spores
Term
Define flavus.
Definition
Septate hyphae in hair
Term
Which body site is normally affected by M. haemophilum infections?
Definition
Skin & can disseminate in AIDS patients
Term
Define microconidia.
Definition
Small, unicellular spores
Term
Describe the macroconidia associated with Trichophyton?
Definition
Smooth & pencil thin
Term
The natural reservoir for Blastomyces dermatitidis is thought to be __________.
Definition
Soil/wood
Term
Describe how to perform a KOH mount.
Definition
Specimen + 10% KOH; coverslip & heat gently; read after 10-15 minutes
Term
Describe how to perform the calcofluor white stain.
Definition
Specimen + KOH + calcofluor white; examine w/ fluorescent microscope
Term
Which specimens should be decontaminated for mycobacteria isolation?
Definition
Specimens with normal flora
Term
Define arthroconidia.
Definition
Spores formed directly from the hyphae by framentation at septation points
Term
Which disease is known as the Rose gardener's disease?
Definition
Sporotrichosis
Term
Define conidiophore.
Definition
Stalk on which conidia develop
Term
When performing mycobacterial susceptibility testing, the number of colonies on test quadrants is compared with control quadrant. If the test growth is < 1% of the control growth, the organisms is _________; if greater or =, _________.
Definition
Susceptible (> 99% inhibition); resistant (< 99% inhibition)
Term
What disease does M. marinum cause?
Definition
Swimming pool granuloma
Term
What disease does M. bovis cause?
Definition
TB
Term
What disease does M. tuberculosis cause?
Definition
TB (more likely in HIV & elderly)
Term
Why are stains (such as the Giemsa stain) used to detect Histoplasma rather than the KOH mount?
Definition
The organism is too small to see using a KOH mount.
Term
What is the advantage of using the scotch tape method rather than the tease mount for identifying fungi?
Definition
The spore arrangements are better preserved when using the scotch tape method
Term
The names of diseases caused by dermatophyes are usually referred to as _____ (meaning ringworm).
Definition
Tinea
Term
What is the disease caused by Hortaea werneckii?
Definition
Tinea niger
Term
What is the disease caused by Malassezia furfur?
Definition
Tinea versicolor or pityriasis versicolor - causes superficial skin lesions
Term
What is the purpose of using the Kinyoun/Ziehl-Neelson stain?
Definition
Typically used to confirm a positive fluorochrome stain
Term
What disease does M. ulcerans cause?
Definition
Ulcer
Term
What is the recommended collection procedure for isolating fungi from urine?
Definition
Use AM urine
Term
What is the best way to diagnose Pneumocystis jiroveci?
Definition
Use of stains, such as Giemsa & GMS
Term
What is the purpose of using the fluorescent stain?
Definition
Used by most labs as screening stain
Term
How are subcutaneous mycoses acquired?
Definition
Usually inoculated into skin thru trauma splinter/thorn
Term
How are dimorphic fungi acquired?
Definition
Usually thru inhalation of spores
Term
Identify the following organism: structures resembling "copper pennies" on KOH mount
Definition
Variety of fungi that cause chromoblastomycosis
Term
What is the disease caused by Trichosporon beigelii?
Definition
White piedra
Term
What is the definition of dimorphic fungi?
Definition
Yeast at 37 (or in tissue) & mold at RT
Term
What is the color of a positive niacin test?
Definition
Yellow
Term
Describe a positive fluorescent stain.
Definition
Yellow to orange fluorescence against a black background
Term
Identify the following organism: nonseptate hyphae w/ broad, irregular, ribbon-like appearance
Definition
Zygomycetes (Rhizopus, Mucor & Absidia)
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