Bordetella Flashcards

0
Q

False about Bordetella pertussis
A. Transmission by aerosolized droplets
B.Non-invasive to cells or tissue
C. May also affect other animals

A

C

It affects humans only

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1
Q
False about Bordetella
A. Strict anaerobe
B. Non motile
C. ferments glucose and lactose (no gas from both)
D. Resemble H. influenzae •
A

A

Strict aerobe

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2
Q

B pertussis grows small, hemolytic colonies on __

A

Bordet Gengou medium

It does not grow on BAP and MAC

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3
Q

Identify
• causes diseases in animals such as kennel cough in dogs and snuffles in rabbits
• occasionally causes respiratory disease

A

Bordetella bronchiseptica

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4
Q

Which is false?
A) B parapertussis & B bronchoseptica grow on SBP/MAC
B) B parapertussis & B bronchoseptica are urease positive
C) B pertussis & B bronchoseptica are oxidase positive; B parapertussis is oxidase negative
D) All three medically impt Bordetella species are non-motile

A

D

B bronchoseptica is motile

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5
Q

Preferred specimen for Bordetella diagnosis

A

saline nasal wash

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6
Q

Which does not happen in direct fluorescent antibody test?
A)FA reagent can be used to examine nasopharyngeal swab specimens B)false-positive and false-negative results may occur
C)most useful in identifying B pertussis

A

C

only useful after culture on solid media

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7
Q

Bordetella virulence genes, bvgA and bvgS. What does each one do?

A

• bvgS responds to environmental signals while bvgA is a transcriptional activator of the virulence genes

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8
Q

What is cell chorum?

A

organisms when they multiply in the body, if they have enough number they will secrete virulence

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9
Q

Enumerate Stages of whooping cough

A

Catarrhal
Paroxysmal
Convalescent

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10
Q

A.Profuse and mucoid rhinorrhea (runny nose) that persists for 1 to 2 weeks.
B.Nonspecific findings such as malaise, fever, sneezing, and anorexia may also be present.
C.The disease is most communicable at this stage, since it develops the whoop.

Which is false about catarrhal stage?

A

C

Whoop @ paroxysmal

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11
Q

False about paroxysmal stage
A.Appearance of a persistent cough with the characteristic “whoop” upon inhalation
B.This leads to rapid exhaustion and may be associated with vomiting, cyanosis, and convulsions
C.Runny nose also present

A

C

Sa catarrhal madalas yung runny nose.

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12
Q

In whooping cough, there is T Lymphocytosis. What is T lymphocytosis?

A

T Lymphocytes promoted/activated but impaired chemotaxis or do not proliferate

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13
Q

Identify the adhesin
• surface molecule
• rod-like protein that agglutinate erythrocytes.
• Mediates adhesion with an amino acid sequence (arginine, glycine, aspartic acid) present in host integrins, epithelial cells, and macrophages.

A

Filamentous hemagglutinin

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14
Q

Identify the virulence factor

  • Required for PERSISTENT tracheal colonization (involved in attachment)
  • Component of some acellular pertussis vaccines
  • Required for protective immunity to infection
A

Pili/fimbriae

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15
Q

The filamentous hemagglutinin and pertussis toxin are secreted proteins and are found inside of the B. pertussis cells.
T or F?

A

F. Outside dapat

16
Q

Identify the pertussis toxin

  • interferes with cellular signaling, chemotaxis, superoxide generation, and microbicidal function of immune effector cells
  • calmodulin-activated with adenylate cyclase and hemolysin activity
  • increase in CAMP –> imbalance of ions damages the cell
A

Adenylate cyclase toxin

17
Q

Identify the pertussis toxin

  • Heat-labile secreted toxin
  • Transglutaminase activity that acts on small GTPases of the Rho family
  • Induces localized necrosis
A

Dermonecrotic toxin

18
Q
  • Disaccharide-tetrapeptide monomeric by-product of peptidoglycan synthesis - Inhibits DNA sythesis in ciliated cells and is not regulated by bvg
  • Increased IL-1 and nitric oxide production

Identify the pertussis toxin

A

Tracheal cytotoxin

19
Q

Identify

  • Allows Bordetella to translocate effector proteins directly into host cells - Required for PERSISTENT tracheal colonization
  • Inhibits host immune response
  • Induces necrotic cell death
A

Type III secretion system

20
Q
False about lipooligosaccharide
A.Activate and induce TNF production in macrophages 
B.with repetitive O-antigen structure 
C.pyrogenic
D.mitogenic
A

B

lack of dapat

21
Q

Which is not a systemic effect of pertussis toxin?

  1. T cell Lymphocytosis with ↓ mitogenicity
  2. ↑ insulin secretion
  3. Histamine sensitization
  4. ↑ IgM production
A

4

IgE dapat

22
Q

ribosylation of G proteins inhibits _____

A

Signal transduction

23
Q

Identify
substances which prolong the exposure to the antigen; coats the antigen so it will not degrade easily, so it will persist; enhances immune response

A

Adjuvant

24
Q

A.B pertussis survives for long periods outside the human host.
B.There are no vectors.
C.Transmission is largely by the respiratory route from early cases and possibly via carriers.

Which is false?

A

A

Short period dapat

25
Q

The bacteria liberate the toxins and substances that irritate surface cells, causing _____ and ____

A

The bacteria liberate the toxins and substances that irritate surface cells, causing coughing and marked lymphocytosis.

26
Q

Obstruction of the smaller bronchioles by mucous plugs results in atelectasis and diminished oxygenation of the blood. This may lead to what clinical manifestation?

A

Convulsions in infants

27
Q

Effective antibiotic vs B pertussis

A

Erythromycin