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Staphylococcus Part 1
  • MAHATHIR ALPHA

  • 問題数 80 • 11/15/2023

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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