front 1 The respiratory tract can be divided into 2 systems name them. | back 1 upper and lower respiratory tracts |
front 2 The upper respiratory tract consists of: | back 2 the nose and throat |
front 3 The lower respiratory consists of: | back 3 larynx, trachea, bronchial tubes and alveoli. |
front 4 The lower respiratory system is usually sterile because of the efficient functioning of the _____ ________. | back 4 ciliary escalator |
front 5 The upper respiratory tract is in contact with ___________ - air _________________. | back 5 the air we breathe
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front 6 The ______ is moist, warm environment allowing many ________ to establish residence. | back 6 throat
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front 7 Species of many different genera can be found residing in the throat: name them | back 7 Staphylococcus, Streptococcus, Neisseria, Haemophilus |
front 8 Despite the presence of potentially pathogenic bacteria in the URS the rate of infection is minimized by ______________. | back 8 microbial antagonism |
front 9 What is microbial antagonism? | back 9 Certain microorganisms of normal microbiota suppress the growth of other microorganisms through competition for nutrients and production of inhibitory substances. |
front 10 _________ are predominant organisms in the throat cultures and some species are the major cause of bacterial sore throat (acute pharyngitis). | back 10 Streptococcal species |
front 11 Streptococci are ___________ and catalase _________. | back 11 gram (+)
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front 12 Streptococcal species are identified by _______
| back 12 biochemical
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front 13 Hemolytic reactions are based on ___________ that are produced by streptococci while growing on blood- enriched agar. | back 13 hemolysins |
front 14 Blood agar is usually made from ________. | back 14 defibrinated sheep blood (5.%), sodium chloride (0.5%)to minimize spontaneous hemolysis and nutrient agar |
front 15 Three patterns of hemolysis can occur on blood agar: | back 15 1. Alphahemolysis- Green, cloudy zone around the colony. Partial destruction of the RBCs is due to bacteria-produced by hydrogen peroxide.
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front 16 _____ and _____ streptococci are usually _________. | back 16 Alpha-hemolytic and gamma-hemolytic streptococci
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front 17 _________ streptococci are usually pathogenic. | back 17 beta-hemolytic |
front 18 S. pneumoniae is a causative agent of pneumonia and cannot be differentiated from other alpha-hemolytic streptococci on blood agar. How do they identify it? | back 18 using optochin inhibition with an optochin disk. |
front 19 With optochin inhibition a zone of inhibition = to or > than ______ or larger indicated optochin sensitivity. | back 19 15mm |
front 20 Bile solubility is also used to distinguish S. pneumoniae from other hemolytic streptococci. The addition of bile salts activates an enzyme that destroys _________ and the cells ______- colonies will disappear after the addition of bile salts. The other alpha-hemolytic streptococci do not have this enzyme. | back 20 the cell walls and the cells lyse |
front 21 The streptococci can be antigenically classified into Lancefield's groups A through O by ________ in their cell walls. | back 21 antigens |
front 22 Over 90% of streptococcal infections are caused by _________ group ______ ______. | back 22 beta-hemolytic
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front 23 Beta-hemolytic group A streptococci are assigned to the species ______ _______. | back 23 S. pyogenes |
front 24 S. pyogenes is sensitive to the antibiotic _______; other streptococci are resistant to _______. | back 24 bacitracin
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front 25 Procedure for throat culture: | back 25 -swab throat with sterile swab on the golden arches
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front 26 Procedure for streptococcus: | back 26 -inoculate each 1/2 of blood red agar plate one side with S. pyogenes and other with S. pneumoniae
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front 27 Is blood agar selective or differential? | back 27 Blood agar is considered differential because it is used to distinguish pathogenic bacteria based on the effect of bacterial enzymes known as hemolysins which lyse red blood cells. Blood agar is mainly used clinically to detect the presence of Streptococcus pyogenes, the human pathogen which causes "strep throat". |
front 28 Is the Gram stain of significant importance in identifying the organisms studied in this exercise? | back 28 no because all streptococci are gram (+) and catalase negative they are differentiated by biochemical characteristics such as hemolysis and Lancefield's characterizations |
front 29 You have isolated gram-positive cocci from a throat culture that you cannot identify as staphylococci or streptococci. A test for one enzyme can be used to distinguish these bacteria quickly. What is the enzyme? | back 29 catalase
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