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Questions and Answers

Mecanismul de actiune a toxinei difterice este:

  • Fagocitoza
  • Blocheaza sinteza acidului maleic
  • Microbiocenozele (microbiomul uman, flora normala)
  • Ribozilarea si inactivarea factoului de elongare EF2 (correct)
  • Distruge membrana plasmatica (correct)

Variabilitatea:

  • Este un process intalnit foarte frecvent doar la virusuri, niciodata nu se intalnesc la populatiile bacteriene
  • Este un process neintalnit, foarte rar intalnit in cadrul unei populatii microbiene
  • E
  • D
  • Repricata modificarile de genotip la nivelul molecular observate prin modificarea caracterelor fenotipice ale microorganismelor (correct)

In coloratia Ziehl/Neelson:

  • Mycobacterium va avea culoarea rosie (correct)
  • Mycobacterium va avea culoarea albastra
  • E. Coli va avea culoare rosie
  • Stafilococul aureu va avea culoarea galbena
  • Klebsiella va avea culoarea albastra (correct)

Principalii factori de patogenitate bacterieni, cu ajutorul carora produce infectii sunt:

<p>Formarea de biofilme, inclusive pe suprafata unor dispositive medicale (B), Capsula care inhiba fagocitoza (D), Posibilitatea de a produce toxine (E)</p> Signup and view all the answers

Rezistenta la beta-lactamine se poate instala prin:

<p>Modificarea tintei de actiune (A), Producerea de beta-lactamaze (C), Modificarea permeabilitatii bacteriilor (D), Inactivarea tintei de actiune (E)</p> Signup and view all the answers

Intr-un frotiu efectuat din secretie uretrala, colorat cu albastru de metilen, se evidentiaza coci sub forma de boaba de cafea (reniformi) asezati in diplo, intra+extracellular, precizati despre ce bacterie este vorba:

<p>Gonococul (D), Neisseria gonorrhoae (E)</p> Signup and view all the answers

Conjugarea prin pilii de sex:

<p>Permite transferul de material genetic plasmidic si cromozomial (B), Se realizeaza prin plasmide conjugate F, R (D), Este intalnita doar la bacteriile Gram negative (E)</p> Signup and view all the answers

O bacterie lizogenizata:

<p>Produce factori de patogenitate care se transmit la descendenti (B), Primeste o noua informatie genetica, cu ajutorul careia poate produce endotoxine (C), Poate cauza liza altei bacterii cu care intra in contact (D)</p> Signup and view all the answers

Factori de crestere:

<p>Se aditioneaza medilor de cultura minimale (B), Sunt vitamin bacteriene (D), Nu pot fi sintetizati de bacterii auxotrofe (C)</p> Signup and view all the answers

O tulpina de pneumococ necapsulata poate sa devina patogena in urmatoarele conditii:

<p>Daca sufera un process de transformare in peretele unor tulpini capsulate (E), Daca este infectata cu bacteriofagul beta-toxic (A)</p> Signup and view all the answers

*Citoplasma bacteriilor este diferita de citoplasma celulara eucariota. Care dintre urmatoarele diferente de la acest nivel are importanta terapeutica?

<p>Stuctura capsulei (E)</p> Signup and view all the answers

Mutatia:

<p>Poate duce la rezistenta bacteriei fata de diferite antibiotic (A), Are un caracter spontan (B), Apare brusc (C), Este o modificare a secventei de nucleotide (D)</p> Signup and view all the answers

Sporii bacterieni se caracterizeaza prin:

<p>Sunt distrusi prin autoclavare (E), Au mai multe invelisuri (A)</p> Signup and view all the answers

Membrana externa:

<p>Este prezenta la Salmonella typhi (A), Se gaseste la bacteriile Gram negative (E), Are rol in transfer de material genetic (C)</p> Signup and view all the answers

Care dintre urmatoarele antibiotice sunt active pe bacilli gram negative:

<p>Ceftriaxona (cefalosporina de generatia a III-a) (B), Gentamicina (C), Ciproflaxicina (E)</p> Signup and view all the answers

Glicocalixul bacterian se caracterizeaza prin urmatoarele proprietati:

<p>Permite aderarea bacteriilor de diferite suprafete (B), Intervene in producerea cariei dentare (E)</p> Signup and view all the answers

Care dintre urmatoarele bacterii are capsula de natura polizaharidica:

<p>Pneumococul (B), Klebsiella (C)</p> Signup and view all the answers

In cazul unui pacient diagnosticat cu o infectie severa cu staphylococcus aureus meticilin rezistent (MRSA), veti opta pentru urmatoarele antibiotice:

<p>Cefalosporine de generatia a V-a (C), Vancomicina (A), Linezolid (B)</p> Signup and view all the answers

Plasmidele R au proprietatile:

<p>Se pot transmite de la E. Coli la bacilul dizenteric (Shigella liceuteriae) (B), Se transmit epidemic in populatiile bacteriene (C), Se transmite pe verticala la descendenti (D), Prin plasmidele R se poate transmite rezistenta concomitant la mai multe antibiotice (E)</p> Signup and view all the answers

Care dintre urmatoarele structure chimice sunt prezente in peretele celular al bacteriilor Gram poitive, dar lipsesc in peretele celular al bacterilor Gram negative?

<p>Acizi teichoici (C), Peptidoglicani in multe straturi (aproximativ 40) (E)</p> Signup and view all the answers

*Antibiotice din familia aminoglicozide:

<p>Inhiba sinteza proteinelor, avand ca tinta subunitatea ribozomala 30S (E)</p> Signup and view all the answers

  • Care dintre urmatoarele structure bacteriene sunt factori de patogenitate implicate in colonizarea mucoaselor (intestinala, urinara, uretrala, etc.) si initierea unei infectii:

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

Care dintre urmatoarele antibiotic pot fi utilizate in tratamentul tuberculozei?

<p>Izoniazida (A), Rifampicina (D), Etanbutol (E)</p> Signup and view all the answers

Bacteriile strict aerobe:

<p>Au enzime de tipul catalazei si superoxide dismutazei (C), Folosesc oxigenul molecular ca acceptor final de electroni (D)</p> Signup and view all the answers

Transductia:

<p>Este un proces de transfer de material genetic (A), Transductia generalizata permite transferul oricarei gene din ADN-ul celulei donatoare (E)</p> Signup and view all the answers

In perioada exponentiala (log) a curbei de crestere a unei populatii bacteriene, bacteriile:

<p>Sunt sensibilie la actiunea agentilor (C), Au sinteze proteice intense (E)</p> Signup and view all the answers

Care pot fi antibioticele utilizate pentru tratamentul unui pacient cu pneumonie produsa de mycoplasma pneumonie:

<p>Macrolide (ex: eritromicina) (B), Tetracicline (D)</p> Signup and view all the answers

  1. Intr-un frotiu efectuat din secretie uretrala, colorat cu albastru de metilen, se evidentiaza coci sub forma de boaba de cafea (reniformi) asezati in diplo, intra+extracellular, precizati despre ce bacterie este vorba:

<p>Gonococul (D), Neisseria gonorrhoae (@)</p> Signup and view all the answers

  1. 0 pacienta in varsta de 48 de ani se prezinta la camera de garda cu simptome de infectie urinara (dureri abdominale joase, senzatie de usturime la mictiune, disurie, urinari frecvente, poliurie). La examenul microscopic realizat din urina se observa frecvente leucocite (20-25 / camp microscopic) si foarte multe bacterii (bacilli Gram-negativ). Inainte de initierea terapiei cu antibiotic, pacienta dezvolta brusc febra, frisoane, urmate in scurt timp de hipotensiune si hipoventilatie. Aceste manifestari sugereaza eliberarea urmatoarelor componente bacteriene responsabile de starea pacientei

<p>Pilii comuni (B), Lipopolizaharidul (@)</p> Signup and view all the answers

31.*Barbat in varsta de 35 de ani spitalizat in urma unei operatii de apendicectomie, prezinta o suprainfectie purulenta Ja nivelul plagii chirurgicale. Bacteria izolata prezinta o cultura cu miros aromat. In frotiul colorat Gram efectuat din cultura pura. Care din urmatoarele afirmatii sunt adevarate? ?? *

<p>Este pseudomonas aeurignosa (C)</p> Signup and view all the answers

Pe o placa de cultura pe care a fost insamantata o cultura bacteriana s-a observant dezvoltarea acesteia nu numai pe traiectul de insamantare ci si pe zonele adiacente acestuia, avand aspectul de valuri. Acest component se datoreaza:

<p>Prezenta cililor (A), Unor structure tubulare lungi cu structura proteica (flagelara) (C), Faptului ca bacteria este mobile (D)</p> Signup and view all the answers

Plasmidele R au proprietatile:

<p>Se transmit epidemic in populatiile bacteriene (A), Se pot transmite de la E. Coli la bacilul dizenteric (Shigella liceuteriae) (B), Prin plasmidele R se poate transmite rezistenta concomitant la mai multe antibiotice (D), Se transmite pe verticala la descendenti (@)</p> Signup and view all the answers

Flashcards

Beta-lactam resistance mechanisms

Resistance to beta-lactams can occur through bacterial production of molecules blocking bactoprenol recycling, acetyl-transferases that modify beta-lactams, modification of the target of action, inactivation by beta-lactamases, or modification of bacterial permeability.

Bacteriocins

Bacteriocins are plasmid-encoded substances, produced by bacteria, that have a lethal effect on other bacteria and play a role in bacterial antagonism, helping maintain normal microbiocenoses.

Mobile genetic elements

Mobile elements can carry antibiotic resistance genes, transpose within or between replicons, possess transposase genes, but do not have autonomous replication and are not always episomal.

Tetanus bacteria ID

Suggestive of Tetanus, Gram-positive spore-forming bacilli with a 'tennis racket' appearance indicates a bacterium from the genus Clostridium, where spores are a form of resistance destroyed at 120°C in 30 minutes at 1 atm.

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Bacteria always beta-lactam resistant

Treponema pallidum and Mycoplasma pneumoniae are always resistant to beta-lactams.

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Bacterial glycocalyx

Bacterial glycocalyx allows specific adhesion to epithelial cells, contributes to dental caries, and can be involved in the transfer of resistance plasmids.

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Gram-negative cell wall

The cell wall in Gram-negative bacteria contains a reduced proportion of peptidoglycan and represents the bacterial endotoxin (antigen O).

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Probable etiologic agent of pneumonia

Gram-negative, encapsulated, lactose-positive bacillus forming mucous colonies indicates Klebsiella pneumoniae.

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Conjugation via sex pili

Conjugation through sex pili occurs in Gram-negative bacteria and allows the transfer of plasmid genetic material between HFR and F- bacteria via conjugative plasmids.

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Ordinary pili properties

Ordinary pili give bacteria the ability to adhere to surfaces and contain pilins in their structure.

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Meningitis bacteria ID

Gram-negative diplococci resembling 'coffee beans', located intra- and extracellularly in CSF (Cerebrospinal fluid), suggests Neisseria meningitidis.

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Nonspecific body defenses

Nonspecific defenses include phagocytosis, microbiocenoses, inflammation, and the integrity of integuments and mucous membranes.

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Mutation properties

Mutation has a spontaneous character and its frequency increases with mutagenic factors; it may or may not change bacterial properties.

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Gonorrhea bacteria ID

Reniform diplococci (coffee bean shape) in urethral secretion indicates Neisseria gonorrhoeae.

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Bacterial exotoxin characteristics

Bacterial exotoxins can be transformed into toxoids, induce the production of antitoxins, and are of a protein nature.

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Bacterial genetic components

Bacterial genetic material is represented by plasmids R, 'col' plasmids, transposons and bacteriophages.

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Tetracycline mechanism

Tetracyclines inhibit protein synthesis by targeting the 30S ribosomal subunit.

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Bacterial growth curve: Log phase

In the log phase, bacteria are young and metabolically active.

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Antibiotics targeting cell wall

Ampicillin, Penicillin and Meticilina act on the bacterial cell wall.

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Bacteria in incorrectly sterilized canned vegetables

Canned vegetables that are incorrectly sterilized under anaerobic conditions favor the development of Clostridium botulinum.

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Strictly anaerobic bacteria property

Strictly anaerobic bacteria find molecular oxygen toxic and obtain energy through fermentation.

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Pseudomonas aeruginosa characteristics

Pseudomonas aeruginosa is Gram-negative, motile, strictly aerobic, produces a green pigment, and has an aromatic odor.

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Mycobacterium tuberculosis

The bacterium has a large amount of lipids (mycolic acid) in the cell wall.

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Bacterial pathogenicity factors

Main bacterial pathogenicity factors include the capsule which inhibits phagocytosis, capacity to produce toxins, formation of biofilms.

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Aminoglycosides site of action

Aminoglycosides' target site is the ribosome.

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Plasmid ability

Plasmids can be transferred to other bacteria by conjugation.

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Bacterial properties

The bacterial of medical importance are called mesophiles and are carbonheterotrole.

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Defences include

Nonspecific defenses include phagocytosis, microbiocenoses, integrity of integuments and mucous membranes and inflammation.

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Mutation and changes the..

Mutation has a spontaneous character and its frequency increases with mutagenic factors; it changes bacterial properties.

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Disease meningitis

CSF must be inoculated into a culture broth immediately The bacteria is mai probabil from the Neisseria meningitidis

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Study Notes

Mechanism of Action of Diphtheria Toxin

  • Diphtheria toxin's mechanism of action involves the ribosylation and inactivation of elongation factor EF2.

Variability in Microbial Populations

  • Variability involves repeated changes in the genotype at the molecular level.
  • These changes are shown through a change in the phenotypic characteristics of microorganisms.

Ziehl-Neelsen Staining

  • Mycobacterium species, when stained with Ziehl-Neelsen, appears red.

Key Factors of Bacterial Pathogenicity

  • Bacterial pathogenicity factors include the capsule, which inhibits phagocytosis.
  • Another factor is the bacterium’s capacity to produce toxins.
  • Forming biofilms is another key attribute, including on medical devices.

Mechanisms of Resistance to Beta-Lactam Antibiotics

  • Resistance can occur via modification of the antibiotic's target.
  • Resistance can also occur through the production of beta-lactamases.
  • Modification of bacterial permeability can also cause resistance.

Microscopic Identification of Gonorrhea

  • A urethral secretion smear stained with methylene blue shows diplococci.
  • The diplocci appear as coffee bean-shaped, positioned both inside and outside the cells.
  • This is indicative of Neisseria gonorrhoeae (gonococcus).

Bacterial Conjugation via Sex Pili

  • Conjugation occurs via F and R conjugative plasmids.
  • This allows the transfer of plasmidic and chromosomal genetic material.

Clinical Signs of Infection

  • Fever, chills, hypotension, and hypoventilation can suggest the release of bacterial components.
  • These manifestations are common signs of infection.
  • Lipopolysaccharide release due to the presence of gram-negative bacilli can cause severe symptoms.

Lysogenized Bacteria

  • A lysogenized bacterium produces pathogenicity factors passed to descendants.
  • It receives new genetic information allowing endotoxin production.

Bacterial Growth Requirements

  • Growth factors are added to minimal culture media.
  • Auxotrophic bacteria cannot synthesize them.

Pneumococcal Pathogenicity

  • A non-encapsulated pneumococcus strain can become pathogenic if transformed by encapsulated strains.

Identifying Aromatic Bacteria

  • Pseudomonas aeruginosa is a bacteria that emanates an aromatic odor
  • A gram stain of Pseudomonas aeruginosa wil show gram negative under microscopy

Bacterial Growth Patterns on Culture Plates

  • The propagation of a bacterial culture beyond the streak indicates flagella is active.

Key Differences between Bacterial and Eukaryotic Cytoplasm

  • The structure and involvement of ribosomes in protein synthesis is a marked difference

Bacterial Mutation

  • Mutations can result in bacterial resistance to various antibiotics.
  • Mutations involve alterations in the nucleotide sequence.
  • These occur spontaneously.

Bacterial Spores

  • Bacterial spores are characterized by multiple layers.
  • Spores are not actively metabolic
  • Spores are resistant to boiling, but can be destroyed by steam autoclaving
  • Spores are for multiplying bacteria

Composition and Role of the Outer Membrane

  • The outer membrane is found in Gram-negative bacteria.
  • The external membrane is lipopolysaccharide in nature

Antibiotics Active Against Gram-Negative Bacilli

  • Ceftriaxone, a third-generation cephalosporin, is effective against Gram-negative bacilli.
  • Ciprofloxacin is also effective against Gram-negative bacilli

Characteristics of Bacterial Glycocalyx

  • Bacterial glycocalyx facilitates bacterial adhesion to surfaces.

Polysaccharide Capsules in Bacteria

  • Streptococcus pneumoniae (pneumococcus) produces a capsule of polysaccharide nature.

Treating MRSA (Methicillin-Resistant Staphylococcus Aureus)

  • Vancomycin can be used
  • Linezolid can be used

Properties of R Plasmids

  • R plasmids can transfer resistance to multiple antibiotics simultaneously.

Cell Wall Structure in Gram-Positive Bacteria

  • Teichoic acids are present in Gram-positive bacteria's cell walls.
  • However these are absent in Gram-negative bacteria.
  • Gram-positive bacteria possess peptidoglycans in many layers

Action of Aminoglycoside Antibiotics

  • Aminoglycoside antibiotics inhibit protein synthesis.
  • They target the 30S ribosomal subunit.

Bacterial Structures for Colonization and Infection

  • Bacterial pili (fimbriae) act as pathogenicity factors.
  • These are involved in the colonization of mucosal surfaces and initial stages of infection.

Antibiotics for Tuberculosis Treatment

  • Isoniazid, rifampicin, and ethambutol are used in tuberculosis treatment.

Obligate Aerobic Bacteria

  • Obligate aerobes cannot develop without oxygen.
  • Strict aerobes use molecular oxygen as the final electron acceptor.
  • They have catalase and superoxide dismutase enzymes.

Transduction in Bacteria

  • Transduction constitutes the transfer of genetic material
  • Generalized transduction allows for the transfer of any gene from the donor cell's DNA.

What happens during the exponential phase of bacterial growth?

  • During the exponential or log growth phase of bacteria a high degree of sensitivity to agents is observed

Appropriate use of Antibiotics

  • Macrolides are suited to treat pneumonia due to mycoplasma

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