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USMLE Step 1: Microbiology

Card Set Properties
Title: USMLE Step 1: Microbiology
Description: Microbio from First Aid 2007 and Clinical Microbio made ridiculously simple (incompletely though, as I don't have time to do the whole book, nor could I even hope to replicate its genius)
Number of Cards: 857
Author: FearlessRahul
Created: 2007-06-02
Tags: 1: 857 aid-microbiology-857 aid/mmrs bugs christina clinical fearlessrahul firat firstaid made micro1 microbes microbio microbiology microbiology=857 mrs plus ridic ridiculously simple step1 usmle usmle--1st
Private: No
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Flashcard list for: USMLE Step 1: Microbiologyreturn to card set home
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Question Answer Note/Hint
Function and chemical composition of bacterial structure: Peptidoglycan Function:
1. Rigid support
2. Protects against osmotic pressure

Chemical composition:
Sugar backbone with cross-linked peptide side chains
Function and chemical composition of bacterial structure: Cell wall/cell membrane Gram positives only

Function: Major surface antigen

Chemical composition: Teichoic acid, which induces TNF and IL-1
Function and chemical composition of bacterial structure: Outer membrane Gram negatives only

Function: Site of endotoxin (lipopolysaccharide) and major surface antigen

Chemical composition: Lipid A induces TNF and IL-1, and polysaccharide is the antigen
Function and chemical composition of bacterial structure: Plasma membrane Function: Site of oxidative and transport enzymes

Chemical composition: Lipoprotein bilayer
Function and chemical composition of bacterial structure: Ribosome Function: Protein synthesis

Chemical composition: 50S and 30S subunits
Function and chemical composition of bacterial structure: Periplasm Function: Space between the cytoplasmic membrane and outer membrane in gram-negative bacteria

Chemical composition: Contains many hydrolytic enzymes, including beta-lactamases
Function and chemical composition of bacterial structure: Capsule Function: Protects against phagocytosis

Chemical composition: Polysaccharide (except Bacillus anthracis which contains D-glutamate)
Function and chemical composition of bacterial structure: Pilus/fimbria Function: Mediates adherence of bacteria to cell surface; sex pilus forms attachment between 2 bacteria during conjugation

Chemical composition: Glycoprotein
Function and chemical composition of bacterial structure: Flagellum Function: Motility

Chemical composition: Protein
Function and chemical composition of bacterial structure: Spore Function: Provides resistance to dehydration, heat, and chemicals

Chemical composition: Keratin-like coat and dipicolinic acid
Function and chemical composition of bacterial structure: Plasmid Function: Contains a variety of genes for antibiotic resistance, enzymes, and toxins

Chemical composition: DNA
Function and chemical composition of bacterial structure: Glycocalyx Function: Mediates adherence to surfaces, especially foreign surfaces (eg indwelling catheters)

Chemical composition: Polysaccharide
Function of this structure: IgA proteases Function: Allow some organisms to colonize mucosal surfaces
Which bacteria have IgA proteases? 1. Streptococcus pneumoniae
2. Neisseria meningitidis
3. Neisseria gonorrheae
4. Hemophilus influenzae
Which bacterial substances induce cytokines, and which are they? Cytokines induced:
1. IL-1
2. TNF

Gram positive inducer: Teichoic acid

Gram negative inducer: Lipopolysaccharide (Endoxtoxin)
What does the capsule of Bacillus anthracis consist of? D-glutamate
What bacterial structure contains D-glutamate? Capsule of Bacillus anthracis
What are the main differences between gram negative and gram positive organisms? Peptidoglycan cell wall: Gram positive has thick. Gram negative has thin.

Flagellar basal body rings: Gram positive has two. Gram negative has four.

Outer antigen: Gram positive: Teichoic acid. Gram negative: Lipidpolysaccharide

Periplasmic space: Gram positive does not have. Gram negative has.

Porin channel: Gram positive does not have. Gram negative has.

Lysozyme and penicillin attack: Gram positive are sensitive. Gram negative are resistant.
What bacteria do not gram stain well? Mnemonic: These Rascals May Microscopically Lack Color

1. Treponema
2. Rickettsia
3. Mycobacteria
4. Mycoplasma
5. Legionella pneumophila
6. Chlamydia
Why does the following bug not gram stain well?: Treponema Too thin to be visualized
Why does the following bug not gram stain well?: Rickettsia Intracellular parasite
Why does the following bug not gram stain well?: Mycobacteria high-lipid-content cell wall
Why does the following bug not gram stain well?: Mycoplasma No cell wall
Why does the following bug not gram stain well?: Legionella pneumophila Primarily intracellular
Why does the following bug not gram stain well?: Chlamydia Intracellular parasite which lacks muramic acid in cell wall
How is the following bug visualized?: Treponema 1. Darkfield microscopy
2. Fluorescent antibody staining
3. silver stain
Why does the following bug not gram stain well?: Mycobacteria Acid fast for high lipid content cell wall
What are the stages of bacterial growth and what are their relative lengths? 1. Lag phase: x
2. Log phase: 1.5x
3. Stationary phase: 2.5x
4. Death phase: 4x
What happens in the following phase of bacterial growth, and where does it fall in the order?: Lag 1st phase: Metabolic activity without division
What happens in the following phase of bacterial growth, and where does it fall in the order?: Log 2nd phase: Rapid cell division
What happens in the following phase of bacterial growth, and where does it fall in the order?: Stationary 3rd phase: Nutrient depletion slows growth
What happens in the following phase of bacterial growth, and where does it fall in the order?: Death 4th phase: Prolonged nutrient depletion and buildup of waste products leads to death
Bacterial endotoxins and exotoxins: Source? Exotoxin: Certain species of gram positive and gram negative bacteria

Endotoxin: Cell wall of most gram-negative bacteria
Bacterial endotoxins and exotoxins: Secreted from cell? Exotoxin: Yes

Endotoxin: No
Bacterial endotoxins and exotoxins: Chemistry Exotoxin: Polypeptide

Endotoxin: Lipopolysaccharide
Bacterial endotoxins and exotoxins: Location of genes Exotoxin: Plasmid or bacteriophage

Endotoxin: Bacterial chromosome
Bacterial endotoxins and exotoxins: Toxicity (fatal dosage) Exotoxin: High (fatal dose on the order of 1 microgram)

Endotoxin: Low (fatal dose on the order of hundreds of micrograms)
Bacterial endotoxins and exotoxins: Clinical effects Exotoxin: Toxin specific

Endotoxin: Fever and shock
Bacterial endotoxins and exotoxins: Mode of action Exotoxin: Toxin specific

Endotoxin: Includes TNF and IL-1
Bacterial endotoxins and exotoxins: Antigenicity Exotoxin: Induces high-titer antibodies called antitoxins

Endotoxin: Poorly antigenic
Bacterial endotoxins and exotoxins: Vaccines Exotoxin: Toxoids used as vaccines

Endotoxin: No toxoids formed and no vaccine available
Bacterial endotoxins and exotoxins: Heat stability Exotoxin: Destroyed rapidly at 60 degrees celsius (except Staphylococcal enterotoxin)

Endotoxin: Stable at 100 degrees celsius for 1 hour
Bacterial endotoxins and exotoxins: Typical diseases Exotoxin: Tetanus, botulism, diphtheria

Endotoxin: Meningococcemia, sepsis by gram negative rods
Mechanism of superantigens 1. Bind directly to MHC II and T cell receptor
2. Large numbers of T cells are activated.
3. Stimulates release of IFN-gamma and IL-2
Mechanism of ADP ribosylating A-B toxins Interfere with host cell function

1. B (binding) component binds to a receptor on surface of host cell.
2. The toxin is endocytosed.
3. A (active) component attaches an ADP-ribosyl to a host cell protein.
4. That protein's function is altered.
List of bugs that release superantigens 1. Staphylococcus aureus
2. Streptococcus pyogenes
List of bugs that release ADP ribosylating A-B toxins 1. Corynebacterium diphtheriae
2. Vibrio cholerae
3. E. coli
4. Bordetella pertussis
What to know about exotoxins released by Staphylococcus aureus Superantigens
1. TSST-1 causes toxic shock syndrome (fever, rash, shock).
2. Enterotoxins cause food poisoning.
What to know about exotoxins released by Streptococcus pyogenes Scarlet fever (superantigen)
1. Erythrogenic
2. Causes toxic shock-like syndrome

Streptolysin O (hemolysin). The antigen for ASO antibody is found in rheumatic fever
What to know about exotoxins released by Corynebacterium diphtheriae ADP ribosylating A-B toxin (similar to Pseudomonas exotoxin A)

Encoded by beta-prophage

Disease: Pseudomembranous pharyngitis (grayish-white membrane) with lymphadenopathy

Mechanism:
Inactivates elongation
factor 2 (EF-2)

Mnemonic: ABCDEFG
ADP ribosylation
Beta-prophage
Corynebacterium
Diphtheriae
Elongation Factor 2
Granules (metachromatic)
With selected items:
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