aaMicro Gen Patho Q&A (1)

37
MICROBIOLOGY AND GEN. PATHOLOGY Q&A Gianina Camille S. Gamboa, DMD

Transcript of aaMicro Gen Patho Q&A (1)

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 1/37

MICROBIOLOGY AND

GEN. PATHOLOGY

Q&A

Gianina Camille S. Gamboa, DMD

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 2/37

Endospores are characteristic of

the genera:

a. Clostridium and Mycobacterium

b. Streptococcus and Escherichia

c. Clostridium and Bacillusd. Chlamydia and Bacillus

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 3/37

n o ox ns are elipopolysaccharide component of

the cell wall ofa. Gram positive bacteria

b. Gram negative bacteria

c. Both gram positive and gramnegative bacteria

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 4/37

Properties of Exotoxins and

Endotoxins

Property Exotoxin Endotoxin

Organism Gram positive and

gram negative

Gram negative

Composition Proteins Lipopolysaccharid

e

Released by the

organism

Yes No

Toxoids (vaccines) Yes No

Degree of toxicity Very potent Less potent

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 5/37

 A fungal infection that may develop inpeople who have poorly controlled

diabetes is called:

a.  Aspergillosis

b. Mucormycosis

c. Coccidiomycosis

d. Blastomycosis

e. Cryptomycosis

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 6/37

Susceptible Populations

Mucormycosis Diabetic ketoacidosis,

burrns, lukemia

Cryptococcosis AIDS Aspergillosis AIDS, Organ transplant

patients

(Immunosuppressed)

Candidiasis Long term steroidtreatment

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 7/37

 A bacteriophage:

a. Is a bacterium that phagocytoses other

organisms

b. Is a bacterium that becomes

phagocytosed by other organisms

c. Is a virus that infects bacteria

d.

Is a fragment of DNA

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 8/37

Which group of viruses possesses anRNA genome that does not function as

a positive or negative sense molecule

but acts as a template for theproduction of viral DNA

a. Coronavirus

b. Picornavirusc. Retrovirus

d. Togavirus

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 9/37

Nice to know:

RNA VIRUSES DNA VIRUSES

Transcription occurs in

the cytoplasm exceptfor:

•RETROVIRUSES

•INFLUENZA

Transcription occurs in

the nucleus except for:•POXVIRUSES

Transcription involves

an RNA-DEPENDENT

RNA POLYMERASE

except

Transcription involves a

HOST-CELL

DEPENDENT RNA

POLYMERASE

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 10/37

Which virus possesses the capability for

antigenic shifts allowing it to cause

epidemics?

a. Mumps

b. Measles

c. Influenzad. Epstein-Barr

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 11/37

REYE’S SYNDROME 

Serious complication of an influenza B

infection

 Acute pathologic condition affecting the

CNS and liver

 Associated with children given aspirin to

treat the infection

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 12/37

e ery rogen c exo ox nproduced by Streptococcus

pyogenes causes:a. Gas gangrene

b. Bacterial dysentery

c. Scarlet fever

d. Tetanus

e. Food poisoning

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 13/37

The Zeihl-Neilssen stain may be

performed on any clinical specimen but

is most commonly used to detect the

presence of which bacteria?a. Escherichia coli

b. Treponema Pallidum

c. Clostridium botulinum

d. Mycobacteruim tuberculosis

e. Streptococcus pneumoniae

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 14/37

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 15/37

 Acute osteomyelitis is usuallypolymicrobial in nature but

statistically, the one most

frequently encountered is:a.  Actinomyces

b. Streptococcus

c. Staphylococcus

d. Bacteroides

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 16/37

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 17/37

rep ococca n ec on o euterus following delivery is known

as

a. Yaws

b. Dengue

c. Scarlet fever

d. Puerperal fever

e. Relapsing fever

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 18/37

Which infection when acquired during

pregnancy may cause congenital

abnormalities, mental retardation, heart

abnormalities and, encephalitis?

a. Rubella

b. Gonorrheac. Rubeola

d. Varicella

e. Herpes

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 19/37

The etiology of Herpangina is:

a. Coxsackie A

b. Coxsackie B

c. Idiopathic

d. Varicella

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 20/37

Histamine release within the body

causes all of the following except:

a. Increased capillary permeability

b.

Increased gastric acid secretionc. Bronchiolar constriction

d.  A rise in blood pressure

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 21/37

The thymus and parathyroid glandsare missing or underdeveloped in

children with:

a.   Sjogren’s Syndrome

b. DiGeorge Syndrome

c. Shy-Drager Syndromed. Peutz-Jeghers Syndrome

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 22/37

In Klinefelter’s syndrome, a male

has:

a. One X chromosome and one Y

chromosome

b. Two X chromosomes and one Ychromosome

c. One X chromosome and two Y

chromosomesd. Two X chromosomes and two Y

chromosomes

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 23/37

Chromosomal Abberations

Klinefelter’s 

Syndrome

XXY

Down’s Syndrome  Trisomy 21

Edward’s Syndrome  Trisomy 18

Patau Syndrome Trisomy 13

Turner’s Syndrome  X0

c o e o ow ng oes no

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 24/37

c o e o ow ng oes nomake up part of the Sjogren’s 

triad?a. Rheumatoid arthritis

b. Xerostomia

c. Cranial Nerve VIII deafnessd. Keratoconjuctivitis sicca

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 25/37

Which disease is characterized by

a deficiency in hexosaminidase A?

a.   Gaucher’s 

b. Neimann-Pick

c.

Tay-Sach’s d. Pompe

e. Von Gierke

f. Mc Ardle

Heart failure cells are lung

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 26/37

Heart failure cells are lungmacrophages which contain pigment

granules known as:

a. Bilirubin

b. Melanin

c. Hemosiderrind. Hematin

e. Porphyrin

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 27/37

Which substances are known as

anaphylatoxins?

a. C5-C9

b. C3b

c. C3ad. LTD4

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 28/37

LTC4 , LTD4, LTE4 Slow reacting

substances of

anaphylaxisC3b Opsonization

C5b-C9 Membrane attack

complexC3a, C4a, C5a Anaphylatoxins

ema u w ow pro e n

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 29/37

ema u w ow pro e ncontent and a specific gravity of

<1.012

a. Transudate

b. Exudate

c. Serous effusion

d. Purulent exudate

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 30/37

 ______ are groups of molecules

synthesized in the liver and released

into the circulation in response to an

acute inflammation.

a. Cytochrome P450

b. Vit. K- dependent clotting factorsc. Hepatoglobulin

d. Hemagluttinin

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 31/37

What is a manifestation of bleedingcharacterized by extravasation into

the skin or mucous membranes?

a. Hemoptysis

b. Hematemesis

c. Petechiaed. Purpura

e. Hematoma

f. Ecchymosis

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 32/37

Hemoptysis Coughing up of blood

Hematemesis Vomiting of blood

Petechiae (1-2 mm) Small red or purple spots

caused by minor

hemorrhage secondary to

capillary breakagePurpura (3 – 10 mm) Red or purple discolorations

underneath the skin

secondary to vasculitis or

vit. C deficiency,Ecchymoses (greater than 1

cm)

Subcutaneous purpura

larger than 1 cm, Escape of

blood into the tissues from

ruptured blood vessels

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 33/37

Which of the following representslesions of tertiary syphilis? (all that

apply)a. Chancre

b. Mucous Patch

c. Gumma

d. Tabes Dorsalis

e. Paresis

f. Saddle nose

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 34/37

Leukemia is a group of bonemarrow diseases involving an

uncontrolled increase in:a. Erythrocytes

b. Platelets

c. Plasma Cellsd. Leukocytes

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 35/37

Epithelioid cells are derived from

macrophages and are important in the

development of:

a. Initial inflammation

b. Granulomatous inflammation

c.  Acute inflammationd. Chronic inflammation

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 36/37

The most common type of

malignant melanoma is:

a. Superficial spreadingb. Lentigo maligna

c.  Acral lentiginous

d. nodular

8/12/2019 aaMicro Gen Patho Q&A (1)

http://slidepdf.com/reader/full/aamicro-gen-patho-qa-1 37/37

Characteristic cells of herpetic

lesions are known as:

a. Negri bodies

b. Lipschutz bodies

c. Lisch nodulesd. Reed-Sternberg cells