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USMLE- Micro
Microbiology
63
Medical
Professional
05/19/2013

Additional Medical Flashcards

 


 

Cards

Term
HIV genome
Definition

replication regulators: tat, rev

3 Structural genes: gag, pol, env

gag-nucelcapsid proteins - p24, p7

pol- reverse transcriptase

env- envelope glycoproteins- gp160 -> gp120, gp41

gp120- BINDS to membrane proteins of host CD4 T cells

gp41- FUSION with target cell membrane

Term
C. Trachomatis
Definition
Intracellular pathogen; Has cell wall but NO peptidoglycan; Not visible on Gram stain; Does have genes for peptidoglycan syn but does not have peptidoglycan in cell wall. Drugs that target cell wall are NOT effective (ceftriaxone); tx: Azithromycin
Term
Sign of HIV infection
Definition

Recent infection with:

Viral Esophagitis & Pneumocystis pneumonia

Term
Vibrio cholerae
Definition

Gram-, Oxdase+, comma-shape, Grows in Alkaline media

MOA: activates Gs -> Inc cAMP -> NaCl go out of cell -> draw water out of cell -> rice-water diarrhea

stool microscopy: mucous & epithelial cells

Term
Campylobacter jejuni
Definition

major cause of BLOODY diarrhea in children

G-, Oxidase+, Comma-shape, like 42C (hot)

can cause: Guillain Barre syndrome

Term

Live attenuated Viral Vaccines

cell-mediated immunity

Definition
Smallpox, Yellow fever, Chicken pox (VZV), Sabin's polio virus (secretory IgA-intestine/oral), MMR, Intranasal flu
Term

Killed/Inactivated Viral vaccines

Humoral immunity only

Definition
Cholera, Rabies, Influenza(IM), Salk Polio(IM), HAV
Term
Legionella pneumophilia
Definition

Cruise ships, hotel stay, contaminated water

High fever with bradycardia; Headache & confusion; Watery diarrhea, Hyponatremia, Sputum G stain has Neutrophile but no/few microbes

Term
Lung abscesses
Definition

Usually from Aspiration

Alcoholics, Seizures (psych pts), loss of consciousness

Fusobacterium, Bacteriodes, Peptostreptococcus

Term
Koilocyte
Definition

immature squamous cell with dense, irregular staining cytoplasm and perinuclear clearing resulting in halo. undulating nuclear membrane & pyknotic (condensed chromatin)

HPV- dsDNA non-enveloped, icosahedral

Term
Primaquine
Definition

Kills latent Hypnotrozites that lay latent in liver cells

malaria

completely eradicates malaria infection & latent malaria too

Term

Encapsulated Bacteria

High risk for infection in asplenic pts

Definition

Positive Quelling rxn: capsular swelling

Even Some Killers Have Pretty Nice CapsuleSSb: E.Coli, Strep pneumo, Klebsiella, H.influenzae, Pseudomonas, N.meningitidis, Cryptococcus neoformans, Salmonella, Group B Strep

Term
H. influenzae
Definition

caused by H. influenzae type b

immunogenic capsule made of ribose-ribitol-phosphate (PRP)

immunizations against polysaccharide capsule

Term
C. diff
Definition

Enterotoxin- Toxin A: mucosal inflammation; neutrophil chemoattractant; causes diarrhea

Cytotoxin- Toxin B: disrupts actin polymerization, disrupts cytoskeleton

Term
Congenital toxoplasmosis Sx
Definition

Hydrocephalus, Intracranial calcifications, chorioretinitis (white-yellow chorio-retinal lesions)

in-utero transplacental transmission during first 6 mos

Term
Where is rRNA, mRNA, tRNA & ribosomes made?
Definition

rRNA- nucleolous

mRNA & tRNA- nucleoplasm

ribosomes- nucleus

Term

Autoantibodies - FA235

Know all of these!!!

Definition
Term
Selective IgA deficiency
Definition

pts have circulating Ab to IgA. Can become symptomatic if receive blood transfusion - anaphylaxis

often have recurrent sinopulmonary infections/diarrhea

Term
ETEC virulence factors
Definition
Heat labile toxins, heat stable toxins, Type 1 pii
Term

E. Coli that cause UTI

virulence factors

Definition

P pili

UTI = pee pee = p pili

Term
Struvite Kidney stone (Mg, Ammonium, Phosphate)
Definition
proteus mirabilis infection
Term
Staph Epidermidis
Definition

infection from blood catheter

G+, Catalase+, white colonies on Mannitol salt agar, Gamma-hemolytic on sheep blood agar

Term
Antibiotics that can cause C. diff infections:
Definition
Clindamycin & Ampicillin
Term
C. diff treatment
Definition

Metronidazole or Vancomycin

these do not cause C. diff infection

Term
Chronic renal transplant rejection
Definition
intimal fibrosis in the vessels with fibrosis and tubular atrophy in renal interstitium
Term
Group A Strep = Strep pyogenes
Definition
Gram+, Cocci, Catalase-, B-hemolysis, Bacitracin sensitive
Term
Group B strep = S. agalactiae
Definition
Gram+, Cocci, Catalase-, B-hemolysis, Bacitracin resistant
Term
Strep pneumo
Definition
Gram+, Cocci, Catalase-, a-hemolysis, capsule (+quelling), Bile soluble (do NOT grow in bile), Optochin sensitive
Term
Strep viridans (S. mutans)
Definition
Gram+, Cocci, Catalase-, a-hemolysis (green), No capsule, Optochin resistant, Insoluble in bile (grows in bile)
Term
Gram+, Rods/bacilli
Definition
Clostridium (anaerobe), Listeria, Bacillus (aerobe)
Term
N. meningitidis
Definition
Gram- (pink), cocci, Maltose fermenter, Bean shaped
Term
N. gonorrhea
Definition
Gram- (pink), cocci, Maltose Non-fermenter, Bean -shaped; tx: Cetriaxone
Term
Vibrio chloerae
Definition
Gram- (pink), Oxidase+, comma shaped, grows in ALKALINE media
Term
Campylobacter jejuni
Definition
Gram- (pink), Oxidase+, comma shaped, Grows at 42deg
Term
Klebsiella/E.coli
Definition
Gram-, Rods, Fast Lactose fermenter
Term
Shigella, Salmonella, Proteus
Definition
Gram-, Rods, Lactose Non-fermenter, Oxidase-
Term
Pseudomonas
Definition
Gram-, Rods, Lactose Non-fermenter, Oxidase+
Term
Bordatella pertussis & H. Influenzae
Definition

Gram-, Coccoid rods

H. influenzae- requires factors 5 & 10

Term
IL-1 does what
Definition
endogenous pyrogen, stimulates T cells to secrete IL-2, chemotactic activity of neutrophils and monocytes, inc expression of ICAMs on endothelial cells, activates macrophages
Term
IL-3
Definition

stimulates stem cells to produce hematopoietic cells

multilineage colony-stimulating factor (CSF)

Term
IL-4
Definition
prod by Th2 cells & mast cells, induces cells to express MHC2 Ag, stimulates B cell proliferation, helps Ig class swtiching to IgG & IgE
Term
IL-5
Definition
class switching to IgA and eosinophil growth and activation
Term
Listeria
Definition
Gram+, Pleomorphic rod, motile at room temp, unpasteurized milk
Term
Monospot Test
Definition
EBV; checks if pt's RBC agglutinate with Sheep/horse/goat/animal Ab; If they do not agglutinate then its negative
Term
Mononucleosis like Sx with Neg Heterophile tests (Neg monospot test)
Definition

CMV (HHV-6), Toxoplasmosis

Fever, myalgia, malasie, +/-splenomegaly

Term
Rifampin
Definition
MOA: attacks rRNA polymerase, Revs up cytochrome p450 (inducer), Red secretions
Term
where is rRNA, tRNA, mRNA, ribosome syn in cell?
Definition

rRNA- syn in nucleolous

tRNA, mRNA - syn in nucleoplasm

ribosome- syn in nucleus

Term
Bordatella (anthracis or pertussis)
Definition
Black eschar; herd animals (llamas, sheep), edema factor EXOtoxin: Extracellular adenylate cyclase- enters eukaryotic cells and causes INC in cAMP --> causing neutrophil dysfunction --> edema!
Term
Urethritis infections
Definition
1. Gonorrhea or 2. Chlamydia. Best to treat for both; Gonorrhea-Ceftriaxone; Chlamydia-Azithromycin
Term
CD14
Definition
surface marker for Monocyte and Macrophages
Term
Lyme Disease
Definition

Hikers, outdoors

Borrelia burgdorferi; Ixodes tick; NE USA

BAKE a Key LYME pie: Bell's palsy, Arthritis, Kardiac block (AV block), Erythema migrans

tx: ceftriaxone or Doxycycline

Term
Acute effects after glucocorticoid administration:
Definition

Inc neutrophil ct- bc "demargination" of neutrophils previously attached to the vessel wall

Dec lymphocyte, monocyte, basophil, eosinophil

Term
Yellow Fever Virus
Definition
Flavi Virus; Sx: Fever, BLACK vomit, Jaundice
Term
Giardia lamblia
Definition

Tx: Metronidazole

fat-thick-bulky stools, campers

Term
bacteria that ccan undergo Transformation and what is transformation
Definition

Strep Pneumo, H. Influenzae, N. meningitidis

 uptake and expression of chromosomal fragments from the environment when neighboring bacteria die or lyse.

so, non-virulent bacteria are capable of acquiring the genetic matierial for a capsule and gain virulence.

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