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問題一覧
1
What is the Family of Staphylococcus?
Micrococcaceae
2
This family is consist of Gram positive cocci, arranged in tetrads, clusters
Micrococcaceae
3
Greek word 'Kokkus' means
berry
4
He was the first to see staphylococci in pus specimen in 1878.
Robert Koch
5
He named the bacteria as "staphylococcus" in 1881
Sir Alexander Ongston
6
Who first observed in pus in 1871?
Friedrich von Recklinghausen
7
Who first cultured in liquid media?
Louis Pasteur
8
He named S. aureus and S. albus in 1884
Rosenbach
9
Also known as golden yellow colonies
Staphylococcus aureus
10
Also known as white colonies
Staphylococcus albus
11
Also known as lemon yellow colonies
Staphylococcus citreus
12
What are the 4 genera of Micrococcaceae?
Planococcus, Micrococcus, Stomatococcus, Staphylococcus
13
Staphylococci are gram positive cocci which is classified into these 2 families:
Micrococcaceae, Streptococcaceae
14
Phylum of Staphylococci
Firmicutes
15
Large Gram positive cocci, usually arranged in tetrads or in pairs
Micrococcus
16
It causes honeymoon cystitis
Staphylococcus saprophyticus
17
True/False: Micrococcus is lysed with lysostaphin (sensitive).
False
18
True/False: Staphylococcus is lysed with lysostaphin (sensitive).
True
19
True/False: Micrococcus is resistant to antibiotic furazolidone.
True
20
True/False: Staphylococcus is not susceptible to antibiotic furazolidone.
False
21
True/False: Micrococcus is not susceptible to 0.04 U of bacitracin
False
22
True/False: Staphylococcus is resistant to 0.04 U of bacitracin.
True
23
True/False: Staphylococcus is microdase positive.
False
24
True/False: Micrococcus is Microdase positive
True
25
They only grow aerobically (strict aerobes).
Micrococcus
26
True/False: Staphylococcus is fermentative
True
27
True/False: Micrococcus utilize sugars oxidatively or not at all in the O/F test.
True
28
The exception in staphylococci because it is an obligate anaerobe
Staphylococcus saccharolyticus
29
They are Catalase-producing and facultatively anaerobic except for S. saccharolyticus.
Staphylococci
30
Staphylcocci have ___ species and ___ sub species.
32, 15
31
Staphylocci which is Coagulase positive
Staphylococcus aureus, Staphylococcus intermedius, Staphylococcus pseudointermedius, Staphylococcus hyicus, Staphylococcus delphini, Staphylococcus lutrae, Staphylococcus agnetis, Staphylococcus scheliferi(some strain)
32
Staphylocci which are Coagulase negative
S. epidermidis, S. hemolyticus, S. saprophyticus, S. hominis, S. capitis, S. schleiferi, S. simulans, S. warneri
33
It is the major structural component of the cell wall. It is important in the pathogenesis of staphylococcal infections.
The peptidoglycan layer
34
It is the other important of the cell wall aside the peptidoglycan layer.
Teichoic acid
35
A unique property of _________ is its ability to bind to the Fc part of all IgG molecules except IgG3.
Protein A
36
Where does S. aureus grow?
Ordinary media
37
It is an extensive exfoliative dermatitis that occurs primarily in newborns and previously healthy children.
Scalded skin syndrome
38
It is a rare but potentially fatal, multi-system disease that is characterized by a sudden onset of fever, chills, vomiting, diarrhea, musche aches, and rashes, and which rapidly progresses to hypotension and shock.
Toxic shock syndrome
39
It is a folliculitis affecting one or more hair follicles on the edge of the upper or lower eyelid.
Sty
40
It is an aggregation of infected furuncles. it may form large abscesses. It is a large are of redness, swelling and pain, punctuated by several sites of drainage pus.
Carbuncle
41
It is a very superficial skin infection common in children, usually produces blisters or sores on the face, neck, hands and diaper area. It is characterized by watery bristles, which become pustules and then honey colouted crust.
Impetigo
42
It refers to the inflammation of the bone
Osteomyelitis
43
How can bacteria get to the bone?
Via bloodstream, Following an injury
44
What are the diagnosis for Osteomyelitis
X-ray, MRI, Bone aspirates
45
Clinical features of Osteomyelitis
Pain, Swelling, Deformity, Defective healing, In some cases pus flow
46
Type of Coagulase
Cell-bound coagulase or clumping factor, Unbound or free coagulase
47
It coagulates the fibrinogen in the plasma. Promotes the formation of a fibrin layer around the staphylococci abscess thereby protecting the bacteria from phagocytosis.
Coagulase
48
It is bound to the cell wall and clots human, rabbit, or pig plasma by directly converting fibrinogen into fibrin.
Cell-bound coagulase or clumping factor
49
It is an extracellular enzyme that is not bound to the cell wall and causes clot formation when bacterial cells are incubated with plasma.
Unbound or free coagulase
50
It enhances invasion and survival in the tissue. Breaks down the hyaluronic acid that is present in the intracellular ground substances of connective tissues, resulting in the spread of bacteria.
Hyaluronidase (Spreading-factor enzyme)
51
What are the Enzymes and Toxins produced by Staphylococcus aureus?
Coagulase, Hyaluronidase, Staphylokinase, Lipase, Deoxyribonuclease(Dnase) and phosphatase, B-lactamase, Enterotoxin, Leukocidin, Hemolysin, Exfoliatin serotypes A and B, Toxic shock syndrome toxin, Protein A
52
It breaks down penicillin and other B-lactam drugs. More than 90% of clinical staphylococci isolates are penicillin-resistant as a result of enzyme production.
B-lactamase
53
It acts as neurotoxins that stimulate vomiting through the vagus nerve, produced by the majority of Staph. aureus isolates.
Enterotoxin (Heat-stable)
54
It attacks and kills white blood cells, pore forming exotoxin that suppresses phagocytosis and responsible for necrotizing skin and soft tissue infections.
Leukocidin/Panton-Valentine leukocidin (Cytolytic toxin)
55
What are the different types of Hemolysin?
Alpha-hemolysin, Beta-hemolysin, Delta-hemolysin, Gamma-hemolysin
56
It is less toxic than a and B-lysins, produced by all S.aureus strains that cause RBC injury in culture and produces edematous lesions.
Gamma-hemolysin
57
It destroys RBC and is associated with the Panton-Valentine leukocidin.
Delta-hemolycin
58
It is a serin protease that divides the intracellular bridges of the epidermidis and causes extensive sloughing of the epidermis to produce a burn-like effect on the patient.
Exfoliatin serotypes A and B (Superantigens)/ Epidermolytic toxins A and B
59
It is a chromosomal-mediated toxin and causes almost all cases of menstruation-associated TSS and it stimulates the production of a large amount of cytokines that are responsible for the symptoms.
Toxic shock syndrome toxin 1 (TSST-1)/ Enterotoxin F/Pyogenic exotoxin
60
What are the differential tests for Staphylococcus aureus?
Coagulase test, Mannitol fermentation test, Tellurite glycine agar, Polymyxin sensitivity test, Voges-Proskauer (VP) test, Deoxyribonuclease (Dnase) test
61
What is the Anticoagualant used for Coagulase test?
EDTA
62
What are the two method that can be used in Coagulase test?
Slide method, Tube method
63
What is the positive result for Tube method?
Clot or coagulation formation after one to four hours of incubation
64
Other slide coagulase Staphylococcus are:
S. lugdunensis, S. schleiferi
65
Other tube coagulase Staphylococcus are:
S. hyicus, S. intermedius, S. delphini, S. schleiferi subsp. coagulans
66
It is used to screen catalase positive colonies, detects cell bound coagulase or clumping factor.
Slide method
67
It is considered sensitive but definitive method, detects extracellular or free coagulase.
Tube method
68
What is the positive result for Mannitol fermentation test?
Yellow coloured S.aureus colonies
69
What is the pH indicator for Mannitol fermentation test?
Phenol red
70
It is used to differentiate the pathogenic staph. aureus From non-pathogenic ones
Mannitol fermentation test
71
Staphylococcus aureus is resitant to this test
Polymyxin sensitivity test