Gram-Negative Cocci Diagnosis Quiz
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Questions and Answers

What is the primary medium used to culture a nasopharyngeal swab for diagnosing Neisseria meningitidis carriers?

  • Thayer-Martin medium (correct)
  • MacConkey agar
  • Chocolate agar
  • Blood agar

Gram-negative cocci can only appear in pairs.

False (B)

Name one serious infection caused by Gram-negative cocci.

Gonorrhea or meningitis

Gram-negative cocci typically appear as _____ shaped bacterial cells under the microscope.

<p>spherical</p> Signup and view all the answers

Match the following Gram-negative cocci with their associated disease:

<p>Neisseria gonorrhoeae = Gonorrhea Neisseria meningitidis = Meningitis Moraxella catarrhalis = Pneumonia</p> Signup and view all the answers

What characteristic staining property do Gram-negative cocci exhibit?

<p>They stain pink or red (D)</p> Signup and view all the answers

Gram-negative cocci can be found in various natural environments.

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

Which of the following is a key pathogenic Neisseria species responsible for gonorrhea?

<p>N.gonorrhoeae (D)</p> Signup and view all the answers

Neisseria species are typically Gram-positive cocci.

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

What is the shape commonly used to describe Neisseria species?

<p>coffee bean or kidney bean</p> Signup and view all the answers

Neisseria species require _______ media like blood agar for optimal growth.

<p>enriched</p> Signup and view all the answers

Match the Neisseria species with their disease association:

<p>N.gonorrhoeae = Gonorrhea N.meningitidis = Meningococcal disease</p> Signup and view all the answers

Which of the following is NOT a virulence factor of Neisseria species?

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

CSF used for microbiological analysis typically contains exclusively lymphocytes.

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

What is one method used to diagnose Neisseria meningitidis?

<p>Gram staining</p> Signup and view all the answers

CSF for protein and glucose analysis is collected in tube ______.

<p>2</p> Signup and view all the answers

Which of the following statements accurately describes gram-negative cocci?

<p>They require aerobic conditions for optimal growth. (A)</p> Signup and view all the answers

Gram-negative cocci appear pink or red when subjected to Gram staining.

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

Name one species of medically important gram-negative cocci.

<p>Neisseria</p> Signup and view all the answers

Gram-negative cocci typically grow well on __________ agar.

<p>blood</p> Signup and view all the answers

Which media is used specifically to isolate and differentiate specific Gram-negative cocci species?

<p>Thayer-Martin agar (B)</p> Signup and view all the answers

Oxidase test is performed to determine the ability of bacteria to ferment carbohydrates.

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

What incubation temperature range is typically required for gram-negative cocci?

<p>35-37°C</p> Signup and view all the answers

Which test is NOT typically performed to confirm the species identification of Neisseria?

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

Match the following gram-negative cocci species with their respective infections:

<p>N. gonorrhoeae = Gonorrhea N. meningitidis = Meningococcal disease M. catarrhalis = Respiratory infections A. baumannii = Multidrug-resistant infections</p> Signup and view all the answers

What color do gram-negative cocci appear when subjected to Gram staining?

<p>Pink or Red (B)</p> Signup and view all the answers

Gram-negative cocci require anaerobic conditions for optimal growth.

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

Name one pathogen related to the genus Neisseria.

<p>N. gonorrhoeae or N. meningitidis</p> Signup and view all the answers

Match the following biochemical tests with their purpose:

<p>Oxidase Test = Determines presence of cytochrome c oxidase Carbohydrate Utilization = Evaluates fermentation or oxidation of carbohydrates Antigen Detection = Provides rapid diagnosis of infections Antibody Detection = Measures immune response to specific bacteria</p> Signup and view all the answers

What is a key virulence factor of Neisseria species?

<p>Pili (A), Capsule (D)</p> Signup and view all the answers

Neisseria meningitidis can be diagnosed by collecting samples from the nasopharynx or cerebrospinal fluid.

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

What appearance do Neisseria species commonly exhibit under a microscope?

<p>Coffee bean or kidney bean shaped</p> Signup and view all the answers

Neisseria species require _______ media for optimal growth.

<p>enriched</p> Signup and view all the answers

Match the following Neisseria species with their associated diseases:

<p>N.gonorrhoeae = Gonorrhea N.meningitidis = Meningococcal disease</p> Signup and view all the answers

Which species is known to cause meningitis?

<p>Neisseria meningitidis (C)</p> Signup and view all the answers

Gram-negative cocci have a thick peptidoglycan layer in their cell wall.

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

Name one morphological feature of Gram-negative cocci.

<p>They appear in pairs (diplococci) or clusters.</p> Signup and view all the answers

Gram-negative cocci are often identified by their characteristic _______ appearance, resembling a coffee bean.

<p>bean-shaped</p> Signup and view all the answers

Match each Gram-negative cocci species with their associated infection:

<p>Neisseria gonorrhoeae = Gonorrhea Neisseria meningitidis = Meningitis Moraxella catarrhalis = Sinusitis Neisseria lactamica = Bacterial Meningitis</p> Signup and view all the answers

Flashcards

Gram-negative cocci staining

Gram-negative cocci appear pink or red when Gram-stained due to their thin peptidoglycan layer and outer membrane.

Gram-negative cocci morphology

Gram-negative cocci can appear as pairs (diplococci), tetrads, or irregular clusters.

Gram-negative cocci fastidiousness

Gram-negative cocci need special culture media and growth conditions to thrive.

Neisseria meningitidis diagnosis

Nasopharyngeal swab cultures for Neisseria meningitidis (meningitis) require Thayer-Martin medium.

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Gram-negative cocci clinical significance

Certain gram-negative cocci cause serious infections, especially in immunocompromised individuals.

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Neisseria gonorrhoeae

A gram-negative coccus that causes gonorrhea.

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Neisseria meningitidis

A gram-negative coccus that causes meningitis.

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Neisseria Species

A genus of bacteria known for their pathogenic role in causing infections like gonorrhea and meningococcal disease.

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Gram-negative diplococci

Neisseria bacteria are shaped like pairs of round cells, resembling coffee beans or kidney beans, and stain pink or red under a Gram stain.

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Fastidious Bacteria

Neisseria species require specific growth conditions, like enriched media, to thrive.

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Pili

Hair-like structures on the surface of Neisseria bacteria that help them attach to host cells.

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Outer Membrane Proteins

Proteins located on the outer membrane of Neisseria that aid in evading the host's immune system.

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Capsular Polysaccharide

A sugar-based coating surrounding some Neisseria species, providing protection against the host's immune system.

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CSF Collection

Cerebrospinal fluid (CSF) is collected through a spinal tap for diagnosing Neisseria meningitidis.

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Gram-negative cocci growth conditions

Gram-negative cocci need oxygen (aerobic) and often require enriched media like blood agar and chocolate agar to grow well.

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Gram-negative cocci incubation

Gram-negative cocci typically need to be grown at 35-37°C with 5-10% CO2 to thrive.

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Selective media for gram-negative cocci

Special media like Thayer-Martin agar helps isolate and differentiate certain species of gram-negative cocci.

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Oxidase test for Gram-negative cocci

This test checks for cytochrome c oxidase, an enzyme present in many Gram-negative cocci, including Neisseria and Moraxella.

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Carbohydrate utilization in Gram-negative cocci

This test looks at how a bacterium breaks down sugars.

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Serological tests for Gram-negative cocci

These tests detect either bacterial antigens or antibodies in a patient's blood to help diagnose infections.

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Gram-Negative Cocci

Spherical bacteria that stain pink or red with Gram stain, indicating a thin peptidoglycan layer and an outer membrane. They come in pairs, tetrads, or clusters.

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What makes Gram-negative cocci hard to grow?

These bacteria are fastidious, meaning they require specialized media and growth conditions in the lab.

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Where do Gram-negative cocci live?

They are widely distributed in nature and can colonize various sites in the human body.

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What are some examples of Gram-negative cocci infections?

Certain species can cause serious infections like gonorrhea (Neisseria gonorrhoeae) and meningitis (Neisseria meningitidis).

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What is a Thayer-Martin medium?

A specialized media used to culture Neisseria meningitidis from nasopharyngeal swabs.

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Gram-Negative Cocci Growth Requirements

Gram-negative cocci need oxygen (aerobic) and often require enriched media like blood agar and chocolate agar to grow well.

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Oxidase Test

Detects cytochrome c oxidase, an enzyme found in many gram-negative cocci, including Neisseria and Moraxella.

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Moraxella catarrhalis

An opportunistic pathogen that can cause respiratory infections, especially in immunocompromised individuals.

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Neisseria Species: Pathogens

Neisseria gonorrhoeae causes gonorrhea, while Neisseria meningitidis leads to meningococcal disease. These are important bacterial culprits of infections.

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Neisseria Morphology

Neisseria are Gram-negative diplococci, meaning they are pairs of round bacteria that stain pink/red. They have a characteristic 'coffee bean' or 'kidney bean' shape.

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Neisseria Growth Needs

Neisseria are picky eaters (fastidious), requiring specialized media like blood agar or chocolate agar to grow well.

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Neisseria Virulence Factors

Pili, outer membrane proteins, and capsular polysaccharides are key features that help Neisseria cause disease.

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CSF: First Tube Analysis

The first tube of CSF collected for microbiological analysis typically contains a high number of cells, mainly polymorphs (white blood cells).

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Study Notes

Gram-Negative Cocci: Medically Relevant Diagnosis

  • Gram-negative cocci are spherical bacteria that stain pink or red in Gram staining.
  • They have a thin peptidoglycan layer and an outer membrane.
  • They can appear in pairs (diplococci), tetrads, or irregular clusters.
  • This morphological variability helps in species identification.
  • Gram-negative cocci are fastidious and require specialized culture media and growth conditions for optimal growth in the laboratory.
  • Thayer-Martin medium is a selective medium used to cultivate Neisseria species.
  • Common species include Neisseria gonorrhoeae and Neisseria meningitidis, responsible for gonorrhea and meningitis, respectively.
  • Moraxella catarrhalis causes respiratory infections.
  • Acinetobacter baumannii produces multidrug-resistant infections.
  • Neisseria species are usually Gram-negative diplococci, often described as coffee bean-shaped.
  • Neisseria species are typically grown on enriched media like blood agar or chocolate agar and require 5-10% CO2.
  • Key pathogenic species include Neisseria gonorrhoeae which is the causative agent of gonorrhea and Neisseria meningitidis which is responsible for causing meningococcal disease.
  • Neisseria species are characterized by Pili, outer membrane proteins, and capsular polysaccharides.
  • Methods for diagnosing Neisseria meningitidis include sample collection from nasopharynx or cerebrospinal fluid (CSF), Gram staining to observe characteristic Gram-negative diplococci, and culture-based identification using selective media like modified Thayer-Martin agar and biochemical tests.
  • CSF for microbiological analysis typically includes numerous polymorphs.
  • Neisseria gonorrhoeae is identified through culture on Thayer-Martin medium to distinguish it from other bacteria which may show overgrowth when grown on chocolate agar.
  • The oxidase test identifies bacteria that produce cytochrome c oxidase, helping differentiate between Gram-negative groups. Oxidase-positive bacteria include Neisseria, Pseudomonas, and Vibrio.
  • Neisseria gonorrhoeae do not grow on blood agar.
  • Moraxella catarrhalis culture grows well on blood agar or chocolate agar, exhibiting smooth, grayish, and non-hemolytic colonies.
  • Moraxella catarrhalis is characterized by Gram-negative diplococci, with a 'coffee bean' morphology under the microscope.
  • Moraxella catarrhalis is identified using biochemical tests including catalase, oxidase, and DNase tests.
  • Gonorrhea is sexually transmitted.
  • The mode of transmission of Neisseria meningitidis is droplets.

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Test your knowledge about the medically relevant Gram-negative cocci. This quiz covers their identification, growth conditions, and the diseases they cause. Enhance your understanding of bacteria such as Neisseria and Moraxella through this focused assessment.

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