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Kaplan Qbank USMLE



Author9 Posts
  #1

1. Vignette of tuboovarian abscess—cervical swab demonstrates gram –ve intracellular diplococci.laparoscopy done and drained, sample obtained was examined: gram negative rods also found
with diplococci.

What organism is it most likely:
bacteroides, Chlamydia, myco tbc, treponema

2. Mechanism of vancomycin resistance:

plasmid mediated,chromosomal mediated, substitution
of AA in a polypeptide?



  #2

1.- Chlamydia
2.-Plasmid mediated


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  #3

Plz tell me if i m wrong

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Great works are performed not by strength, but by perseverance.

  #4

1. N. Gonorrhea and Chlamydia inf ( they both co-exist) but gram Negative Rods indicate Bacteriodes.

2. substitution of AA in a polypeptide its the replacement of D-Ala by D-Lactate in the bacteria terminal chain.


Edited by new_n_lost on 06/05/07 - 12:38 PM

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  #5

1.bacterioides
2.D-ala D-ala-------->D-ala D-lactate

  #6

nod
BACTEROIDS
vancomycin resistance--change terminal D-ala to D-lactate,vancomycine can't recognise bag-doesn't work

  #7

its abscess buddy...abscess in an area where OXYGEN is not likely to reach n if it reaches it is taken up by neisseria

anyway...

the point is bacteroides ...the most common bacteria in COLON.... also present in 60% of women as a normal flora...
soooo....bacteroides...

  #8

the other organism likely to be there should be microaerophlic streptococcie...
anyway...
chlamydia with neisseria usually CO EXIST...but abscess formation isnt a featuer of chlamydia....

  #9

vanc resistance isnt HIGH LEVEL as yet so its plasmid mediated...easy to rmember







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