Fungal Infections Quiz
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Questions and Answers

What is a common serological test used for fungal infections?

  • Latex agglutination (correct)
  • Polymerase Chain Reaction (PCR)
  • Acid-fast staining
  • Gram staining

What is a common stain used in histopathology to visualize fungi in tissue samples?

  • Gomori methenamine silver (GMS) stain (correct)
  • Ziehl-Neelsen stain
  • Gram stain
  • Wright stain

What is the optimal temperature for culturing pathogenic fungi?

  • 42 degrees C only
  • Both 25 degrees C and 37 degrees C (correct)
  • 37 degrees C only
  • 25 degrees C only

Which of the following is NOT a reason for adding cyclohexamide, penicillin, or streptomycin to Sabouraud dextrose agar?

<p>To enhance fungal growth (D)</p> Signup and view all the answers

What type of mycoses is caused by Malassezia furfur?

<p>Superficial mycoses (B)</p> Signup and view all the answers

Which of the following is a characteristic of the Sabouraud dextrose agar used for fungal culture?

<p>Slightly alkaline pH (D)</p> Signup and view all the answers

Which of the following fungal infections is classified as cutaneous?

<p>Dermatophytosis (B)</p> Signup and view all the answers

What is the primary reason why serology is not always reliable for diagnosing fungal infections?

<p>Fungi are poor antigens (A)</p> Signup and view all the answers

Which of the following fungal species is NOT associated with mycetoma?

<p>Wangiella dermatitidis (B)</p> Signup and view all the answers

What is the characteristic "Medlar bodies" associated with?

<p>Chromoblastomycosis (A)</p> Signup and view all the answers

Which fungal species is known to cause skin lesions after contact with a cat?

<p>Microsporum canis (D)</p> Signup and view all the answers

Which of the following is NOT a clinical manifestation of chromoblastomycosis?

<p>Draining sinus tracts (B)</p> Signup and view all the answers

Which of the following fungal species is associated with tinea unguium?

<p>Trichophyton rubrum (A)</p> Signup and view all the answers

Based on the provided information, which of these fungal species is associated with Tinea capitis?

<p>Microsporum audouinii (D)</p> Signup and view all the answers

Which of the following is NOT a typical characteristic of mycetoma?

<p>Copper-colored lesions (B)</p> Signup and view all the answers

What image type is associated with Malassezia furfur?

<p>Microscopic Morphology (C)</p> Signup and view all the answers

What is the preferred growth temperature for the yeast form of Candida albicans?

<p>37°C (C)</p> Signup and view all the answers

What is the term used for the new budding cells that form on hyphae?

<p>Blastospores (D)</p> Signup and view all the answers

What is the function of the septum in Candida albicans?

<p>To separate daughter cells from the mother cell (A)</p> Signup and view all the answers

What is the primary reason why Sabouraud's agar is commonly used for fungal cultures?

<p>It inhibits the growth of bacteria. (A)</p> Signup and view all the answers

What is the significance of the threshold volume in Candida albicans hypha formation?

<p>It indicates when a germ tube will develop into a hypha. (B)</p> Signup and view all the answers

Which of these is NOT a commonly used method for diagnosing fungal infections?

<p>Serological tests (A)</p> Signup and view all the answers

Which of the following statements about Candida albicans is TRUE?

<p>The conversion to the yeast form is essential for pathogenicity. (D)</p> Signup and view all the answers

What type of microscopy is used to visualize the unstained Candida albicans cells in the provided text?

<p>Phase Contrast Microscopy (D)</p> Signup and view all the answers

Which of the following fungi is NOT responsible for causing a systemic fungal disease?

<p>Candida (D)</p> Signup and view all the answers

What is the primary cell type involved in the formation of granulomas in response to fungal infections?

<p>Macrophages (B)</p> Signup and view all the answers

Which of the following is NOT a typical characteristic of the fungal cell wall that contributes to the differences between bacterial and fungal infections?

<p>Presence of peptidoglycan (C)</p> Signup and view all the answers

Which of these is true regarding the use of skin tests for assessing fungal exposure?

<p>A positive skin test indicates past exposure to the fungal antigen, but doesn't necessarily mean current infection. (C)</p> Signup and view all the answers

Which of the following environmental factors is MOST favorable for mold growth as compared to bacteria?

<p>Dry environments (D)</p> Signup and view all the answers

Which of the following is NOT an example of a fungal disease that typically presents with acute suppuration characterized by the presence of neutrophils?

<p>Histoplasmosis (B), Coccidioidomycosis (C)</p> Signup and view all the answers

Which of the following fungi is specifically mentioned as having a characteristic that limits its ability to infect the scalp during puberty?

<p>Trichophyton (D)</p> Signup and view all the answers

Why are molds often involved in the spoilage of fruits, grains, vegetables and jams?

<p>Molds are more resistant to these environments, unlike bacteria. (D)</p> Signup and view all the answers

Which of the following is NOT mentioned as a clinical presentation of Microsporum canis infection?

<p>Tinea pedis (B)</p> Signup and view all the answers

What is the most likely cause of the tinea pedis described in the content?

<p>Epidermophyton floccosum (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of Epidermophyton floccosum?

<p>Hyphae in tissue are visible with KOH preparation (B)</p> Signup and view all the answers

What is the likely source of infection for the young boy with numerous, circular scaling lesions?

<p>Contact with a cat (A)</p> Signup and view all the answers

Based on the information provided, which of the following statements is TRUE?

<p><em>Scytalidium dimidiatum</em> causes both dermatomycosis and tinea pedis. (A)</p> Signup and view all the answers

Which of the following is NOT a common location for tinea cruris infections?

<p>Scalp (B), Fingernails (C)</p> Signup and view all the answers

What type of fungal infection would you suspect based on the following characteristics: infection of the hair shaft surface, presence of mycelium and spores on the hair shaft, and the absence of macroconidia?

<p>Ectothrix (A)</p> Signup and view all the answers

How are subcutaneous mycoses typically acquired?

<p>Introduction of soil or decaying vegetation into subcutaneous tissue (D)</p> Signup and view all the answers

Which fungal species is commonly associated with tinea unguium, an infection of the fingernails?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary diagnostic tool for identifying the specific dermatophyte species causing a fungal infection?

<p>Microscopic examination of skin or hair scrapings (B)</p> Signup and view all the answers

Which of the following characterizes the growth pattern of subcutaneous mycoses?

<p>Slow and localized (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of endothrix infections?

<p>Presence of macroconidia in skin scrapings (D)</p> Signup and view all the answers

What method is typically used to collect samples for the diagnosis of fungal infections of the skin and nails?

<p>Scraping (A)</p> Signup and view all the answers

Flashcards

Fungi in Food Production

Fungi are essential in making bread, cheese, wine, and beer.

Spoilage due to Fungi

Fungi can spoil fruits, grains, and jams due to their tolerance for drier and acidic conditions.

Granulomas

Granulomas are immune responses that form in systemic fungal infections.

Cell-mediated Immunity

Cell-mediated immunity is key in forming granulomas against fungi.

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Hypersensitivity Skin Test

A positive skin test indicates past exposure to fungal antigens but not current infection.

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Candida as Normal Flora

Candida is commonly found as part of the normal human skin flora.

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Intact Skin Defense

Intact skin acts as a barrier against certain fungi like Candida and dermatophytes.

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Effects of Fatty Acids

Fatty acids present in skin limit the growth of dermatophytes.

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Mycelium

The saprophytic form of fungi observed in nature or culture at 25ºC.

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Candida albicans

A dimorphic fungus that can exist as unicellular yeast or filamentous fungus.

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Budding yeast cells

Cells that reproduce by forming daughter cells from mother cells, seen in C.albicans.

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Hypha formation

The process of a yeast cell developing into a filamentous structure under specific conditions.

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Germ tube

An early structure formed by a mother yeast cell that will develop into a hypha.

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Hyphal cells

Cells of fungi that have extended into hyphae, often seen after several hours in inducing medium.

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Sabouraud's agar

Traditional medium containing glucose and beef extract used to grow fungi at pH 5.0.

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Skin scrapings diagnosis

A method to examine skin samples for dermatophytes under a microscope.

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Epidermophyton sp

A fungus causing skin infections, analyzed from lesion scrapings.

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Microsporum sp

Fungi that cause ringworm; identified from scrapings.

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Trichophyton sp

Fungi responsible for various dermatophyte infections, found in lesions.

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Tinea cruris

Commonly known as jock itch, a fungal infection in the groin area.

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Tinea pedis

Also known as athlete's foot, a fungal infection in the feet.

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Tinea unguium

A fungal infection affecting the nails, resulting in discoloration.

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Ectothrix

Infection on the outer surface of hair shafts caused by fungi.

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Endothrix

Infection inside the hair shaft, can cause hair damage.

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Serology

A diagnostic method that detects antibodies in the blood.

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Latex Agglutination

A serological test that detects IgM antibodies using latex beads.

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Double Immunodiffusion

A test that usually detects IgG antibodies through a gel diffusion method.

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Gomori Methenamine Silver (GMS) Stain

A staining technique used to visualize fungi in biopsy samples.

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Culture

A method of growing pathogenic fungi on specific media for identification.

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Sabouraud Dextrose Agar

A culture medium used for growing fungi, typically slightly acidic.

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Superficial Mycoses

Fungal infections that affect the outer layers of the skin.

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Dermatophytosis

A skin infection caused by dermatophyte fungi, commonly known as ringworm.

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Microsporum canis

A fungus causing Tinea corporis, often from cats.

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Tinea corporis

A skin infection characterized by circular scaling lesions.

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Epidermophyton floccosum

A fungus that causes Tinea cruris and Tinea pedis.

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Clavate conidia

Smooth-walled, thick-walled conidia found in Epidermophyton.

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Fonsecaea pedrosoi

A fungus causing chromoblastomycosis with warty nodules.

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Madurella mycetomatis

A fungus causing black grain mycetoma with subcutaneous nodules.

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Tinea capitis

A fungal infection of the scalp commonly caused by Microsporum audouinii.

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Malassezia furfur

A yeast that can cause fungemia and tinea versicolor.

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Onychomycosis

A fungal nail infection commonly due to Trichophyton rubrum.

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Pseudallescheria boydii

A fungus associated with draining sinus tracts and fungal granules.

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Study Notes

Mycology (I) - Introduction

  • Mycology is the study of fungi
  • Fungi are eukaryotic organisms, unlike bacteria which are prokaryotic
  • Fungi lack chlorophyll and have cell walls
  • Fungi are filamentous and produce spores
  • Most fungi are obligate or facultative aerobes, meaning they need oxygen to thrive, but some can survive with or without it
  • There are estimated to be between 100,000 to 200,000 species of fungi.
  • Approximately 300 species are pathogenic to humans.
  • Mycoses refer to fungal infections in humans.

Fungal Cell Structure

  • Cell Wall: Primarily composed of chitin, not peptidoglycan like bacteria. This makes fungi resistant to some antibiotics like penicillin.
  • N-acetylglucosamine: A component of chitin, a structural polysaccharide in fungal cell walls.
  • β-glucan: A major polysaccharide in fungal cell walls. The target of the antifungal drug caspofungin.
  • Cell Membrane: Contains ergosterol, unlike human cells which have cholesterol. This difference in membrane sterols is the basis for the selective action of some antifungal drugs, such as amphotericin B and azole drugs (e.g., fluconazole and ketoconazole).

Fungal Morphology

  • Yeasts: Unicellular, reproduce asexually by budding
  • Molds: Multicellular, filamentous structures called hyphae
  • Hyphae: Grow by extending their tips. Some hyphae have cross-walls (septate hyphae), while others don't (nonseptate or coenocytic hyphae).
  • Mycelium: A mass of hyphae
  • Dimorphic fungi : Exist in two forms (yeast and mold) depending on environmental conditions (temperature).

Fungal Reproduction

  • Some fungi reproduce sexually forming spores like zygospores, basidiospores, and ascospores.
  • The classification of fungi is based on their sexual spores. Fungi that do not form sexual spores may be termed "imperfect".
  • Common asexual modes of reproduction in fungi are conidia (asexual spores), arthrospores, chlamydospores, blastospores, and sporangiospores.

Fungal Toxins and Allergies

  • Mycotoxicoses: Caused by ingested toxins from fungi (e.g., Amanita mushrooms).
  • Amanitin, phalloidin are potent hepatotoxins.
  • Amanitin inhibits RNA polymerase, preventing mRNA synthesis.
  • Ergotism: caused by Claviceps purpurea, which produces alkaloids like ergotamine and lysergic acid diethylamide (LSD)
  • Aflatoxins: produced by Aspergillus flavus. They damage liver and are suspected to cause hepatic carcinoma in humans.
  • Allergies to fungal spores (e.g., Aspergillus) manifest as asthma, eosinophilia, and skin reactions.

Pathogenesis of Fungal Infections

  • Granulomas: A common tissue response to fungal infections, especially in major systemic fungal diseases.
  • Cell-mediated immune response is involved in granuloma formation.
  • Acute suppuration may also occur in some fungal diseases (e.g., aspergillosis, sporotrichosis)

Fungal Classification

  • Ascomycota: Sexual reproduction in a sac called an ascus
  • Basidiomycota: Sexual reproduction in a sac called a basidium
  • Zygomycota: Sexual reproduction with gametes and asexual reproduction resulting in zygospores
  • Mitosporic Fungi (Fungi Imperfecti): No recognizable form of sexual reproduction and include many pathogenic species.

Clinical Classification of Mycoses

  • Superficial: Infections confined to outer layers of skin, hair, or nails (example: pityriasis versicolor)
  • Cutaneous: Infections involving skin, hair, and nails (example: dermatophytosis)
  • Subcutaneous: Infections confined to subcutaneous tissues (example: sporotrichosis)
  • Systemic: Infections affecting internal organs (example: histoplasmosis)
  • Opportunistic: Infections in immunocompromised individuals (example: candidiasis)

Diagnostic Methods

  • Skin scrapings
  • Skin testing (dermal hypersensitivity)
  • Serology (latex agglutination, double immunodiffusion)
  • Direct fluorescent microscopy
  • Biopsy and histopathology
  • Culture (Sabouraud dextrose agar)

Fungal Growth and Isolation

  • Fungi grow readily on simple sources of nitrogen and carbohydrates.
  • Sabourad's agar is a common medium for cultivating fungi due to its low support of bacterial growth.

Epidemiology and Control of Fungal Infections

  • Transmission of dermatophytes is often through direct contact with infected skin or hair.
  • Control of fungal infections involves proper hygiene, sterilization, and prompt treatment of affected individuals.

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Mycology (I) Lecture Notes PDF

Description

Test your knowledge about fungal infections with this comprehensive quiz. Covering serological tests, culture methods, and specific fungal diseases, this quiz will challenge your understanding of mycology and its clinical applications. Perfect for students in health sciences or microbiology.

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