Gram (-)

Question 1

Neisseria Gonococci

Answer 1

• ferments glucose
• no polysaccaride capsule, no maltose, no vaccine
• pelvic inflammatory disease, Fitz-hugh-curtiss
• ceftriaxone

Question 2

Neisseria Meningococci

Answer 2

• yes capsule, yes maltose, yes vaccine
• Waterhouse Friderchsen syndrome
• ceftriaxone

Question 3

Haemophilus Influenzae

Answer 3

• epiglottitis, meninigitis, otitis media, pneumonia

- treat with amoxicillin or ceftriaxone

Question 4

Legionella

Answer 4

• water source
• no person to person
• treat with macrolide

Question 5

Pseudomonas

Answer 5

• aerobic
• osteomyelitis, pneumonia, spesis, UTI, etc…
• common in burn victims

Question 6

EIEC

Answer 6

invasive dysentery (Invades)

Question 7

ETEC

Answer 7

travelers diarrhea (watery) (Travelers)

Question 8

EPEC

Answer 8

• no toxin

- diarrhea in kids

Question 9

EHEC

Answer 9

• shiga like toxin
• hemolytic uremic syndrome
• O157:H7

Question 10

Klebsiella

Answer 10

• dark red currant jelly suptum

- consider in alcoholics, diabetics, pneumonia

Question 11

Campy jejuni

Answer 11

• bloody diarrhea in children

- unpasteurized milk

Question 12

Salmonella

Answer 12

• typhoid fever (rose spots on abdomen, constipation, pain)
• fluoroquinolone, ceftriaxone
• monocyte immune response

Question 13

Shigella

Answer 13

• intracellular
• bloody diarrhea
• small infectious dose

Question 14

Vibrio cholerae

Answer 14

• rice water diarrhea
• seafood poisoning
• grows in alkaline media

Question 15

Lyme Disease

Answer 15

• Borrelia bugdorferi
• “Lime pie in the FACE”
• Facial palsy, Arthritis, Cardiac block, Erythema chronicum

Question 16

Syphillis

Answer 16

1: painless chancre
2: macopapular rash, condylomata
3: gummas, aorititis, pupils not reactive to light

Question 17

Chlamydiae

Answer 17

• intracellular
• Elementary body:infectious
• Reticulate body: replication
• treat with azithromycin