Exam 20: The Gram-Negative Bacilli of Medical Importance

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Distinguish the four different pathogenic strains of E.coli with regard to: a) names of the strains, b) virulence factors, and c) symptoms.

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a) The four different pathogenic strains of E. coli are:
1) Enterotoxigenic E. coli (ETEC)
2) Enteropathogenic E. coli (EPEC)
3) Enterohemorrhagic E. coli (EHEC)
4) Enteroaggregative E. coli (EAEC)

b) Virulence factors:
1) ETEC produces heat-labile and heat-stable enterotoxins, which cause diarrhea.
2) EPEC uses a type III secretion system to inject effector proteins into host cells, leading to the formation of attaching and effacing lesions on the intestinal epithelium.
3) EHEC produces Shiga toxins, which can cause bloody diarrhea and hemolytic uremic syndrome.
4) EAEC produces aggregative adherence fimbriae, which allow the bacteria to adhere to the intestinal mucosa and form biofilms.

c) Symptoms:
1) ETEC causes watery diarrhea, abdominal cramps, and nausea.
2) EPEC can cause watery diarrhea in infants and young children.
3) EHEC can cause bloody diarrhea, abdominal cramps, and in severe cases, hemolytic uremic syndrome.
4) EAEC can cause persistent diarrhea, especially in young children and immunocompromised individuals.

All of the following are correct about salmonelloses except

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E

Plague is a quarantinable disease.

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Klebsiella has a large _____ that contributes to its ability to cause chronic lung infections.

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Although this bacteria is typically found in soil and water, burn wound patients are susceptible to ___infection.

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Pertussis has the following characteristics, except:

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Up to 70% of travel-associated gastrointestinal diseases are caused by

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Which of the following is normal oral and nasopharyngeal flora but is involved in infective endocarditis in adults who have underlying congenital or rheumatic heart disease?

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Fever, vomiting, stiff neck, and neurological impairment are symptoms associated with _____.

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Which of the following species was once considered so benign that microbiologists used it to trace movements of air currents in hospitals and over cities?

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Describe the characteristics of the Enterobacteriaceae and discuss the difference between the coliforms and noncoliforms in the family.

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Pseudomonas aeruginosa is

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The IMViC series of biochemical tests are used to identify the Enterobacteriaceae.

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Which disease involves transmission by aerosolized water from whirlpool spas, air conditioners, cooling towers, and supermarket vegetable misters?

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Plague includes:

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Which is incorrect about Yersinia pestis?

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Which is not associated with tularemia?

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A paroxysmal cough is associated with Legionnaires' disease.

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Brucellosis is

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Compare and contrast shigellosis and salmonellosis.

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