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MICROBIOLOGY IN
USMLE 1
IMG. Leslie Millán
Studying test prep
Copyright to Leslie Millán
General Index in Bacteriology Studying section
1. Bacterial taxonomy
2. Bacterial structures or morphology
3. Stains
4. Diagnostics
5. Bacterial genetics
6. Immunity and Mechanism of action of bacteria
7. Antimicrobians, mechanism of action of antibacterial drugs
Evolution of microorganisms
Bacterias
 Microbial nomenclature- naming
microorganisms
 Taxonomy- classifying living things
 Identification- discovering and recording
the traits of organisms so they can be
named and classified
Bacterias
 Bacterias are unicellular microorganisms that live in the environment and in all living
entities
BACTERIAL FORMS
MORPHOLOGY
Kaplan medical 2018
Bacterial structure of the cell wall and membrane
Kaplan medical 2018
Morphology of Bacterias
Coccus
Pleomorphic
Bacillus or rods
Spiral
Branching filaments
TOXINS
Toxins may aid in invasiveness, damage cells, inhibit cellular processes, or
trigger immune response and damage.
 Structural Toxins• Endotoxin (lipopolysaccharide LPS), EXOTOXINS
-Peptidoglycan
-Teichoic Acids
Bacterial growth and death
Kaplan medical 2018
Endospore
 Bacillus
 Clostridium
Kaplan medical 2018
Stains
 GRAM
 FAST ACID
 India Ink
 Silv er stain
 GIEMSA
 Ziehl Neelsen
DIAGNOSTIC METHODS
 Rapid
 Conventional
Or
Direct detect Ag or pathogen
Undirect : Detect Abs or subproducts like
ELISA
 Rapid are the diagnostics made in 24h
like smears, frotis
 reactive Abs to Ag
 Or Ag detection to Specific pathogen
Conventional are all procedures that take
more tan 24h to diagnose an infection and
include: culturing, some PCR, antibiotic
susceptibility and resistance.
Genetics
PLASMIDS
Genetics
Microbial Genetics – General
Microbiologyopen.oregonstate.education
TRASLATION
TRANSDUCTION
Microbial Genetics – General Microbiologyopen.oregonstate.education
RECOMBINATION
Microbial Genetics – General Microbiologyopen.oregonstate.education
MUTATIONS
 Silent: no change in amino acids to conform
a protein.
 Missense: Different amino acid in protein
product.
 Nonsense: Stop codon, no protein
synthesis.
IMMUNITY
IMMUNE RESPONSE
iMMUNITY
HYPERSENTIVITY
https://images.app.goo.gl/CYesgEg4tqZyUHho7
Mechanism of action of antibiotics
Kaplan medical 2018

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Microbiology in usmle 1 microbiology 1

Editor's Notes

  1. NOTE: To change the image on this slide, select the picture and delete it. Then click the Pictures icon in the placeholder to insert your own image.
  2. THE BACTERIAL STRUCTURE HAS IN MOST CASES, PEPTIDOGLYCAN, AND A CYTOPLASMIC MEMBRANE, THAT FIX THE STRUCTURE, GIVE RESISTANCE AND ALLOW INTERCHANGE WITH THE EXTERIOR DURING DIFFERENT PROCESS. AS YOU CAN SEE, MOST BACTERIAS CAN BE GRAM POSITIVE AND GRAM NEGATIVE DEPENDING ON THE GRAM STAIN.
  3. LPS is part of gram-negative outer membrane– Tox i c p o r t i o n i s l i p i d A: generally not released (and toxic) until death of cell (exception: N. meningitidis, which over-produces outer mem-brane fragments)–LPS is heat stable and not strongly immunogenic, so can not be converted to a toxoid –LPS is primary virulence factor in Gram negative septic shock–Mechanism: LPS activates macrophages, leading to release of TNF-alpha, IL-1, and IL-6. IL-1 is a major mediator of fever. Macrophage activation and products lead to tissue damage. Damage to the endothelium from bradykinin-induced vasodilation leads to shock. Coagulation (DIC) is mediated through the activation of Hageman factor.
  4. On first exposure to an allergen in a susceptible individual, antigen-presenting cells process and present allergen epitopes with major histocompatibility complex (MHC) II to T helper cells. B cells also process and present the same allergen epitope to TH2 cells, which release cytokines IL-4 and IL-13 to stimulate proliferation and differentiation into IgE-secreting plasma cells. The IgE molecules bind to mast cells with their Fc region, sensitizing the mast cells for activation with subsequent exposure to the allergen. With each subsequent exposure, the allergen cross-links IgE molecules on the mast cells, activating the mast cells and causing the release of preformed chemical mediators from granules (degranulation), as well as newly formed chemical mediators that collectively cause the signs and symptoms of type I hypersensitivity reactions. 25