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Microbiology · USMLE Step 1 · Healthcare and Nursing

USMLE Microbiology: Virulence Factors and Toxins

Bacterial exotoxins, endotoxin, and other virulence factor mechanisms matched to the organism and disease effect they produce.

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37 basic cards for USMLE Step 1 Microbiology. Set 11 of 12 in USMLE Microbiology. It opens with "What is the mechanism of action of diphtheria toxin?" and "Which organism produces diphtheria toxin?". Study it alongside the other USMLE Step 1 sets below.

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What is the mechanism of action of diphtheria toxin?
Show answerADP-ribosylates elongation factor 2 (EF-2), halting host protein synthesis
Which organism produces diphtheria toxin?
Show answerCorynebacterium diphtheriae
What is the mechanism of action of cholera toxin?
Show answerADP-ribosylates Gs protein, locking adenylate cyclase on and raising cAMP, driving Cl- and water secretion
What is the mechanism of action of pertussis toxin?
Show answerADP-ribosylates Gi protein, disabling it and raising cAMP
What is the mechanism of E. coli heat-labile toxin (LT)?
Show answerADP-ribosylates Gs protein, increasing cAMP, the same mechanism as cholera toxin
What is the mechanism of E. coli heat-stable toxin (ST)?
Show answerActivates guanylate cyclase, increasing cGMP and decreasing resorption of NaCl and water
What is the mechanism of Pseudomonas aeruginosa exotoxin A?
Show answerADP-ribosylates EF-2, inhibiting protein synthesis
What is the mechanism of Shiga toxin?
Show answerRemoves an adenine from 28S rRNA, inactivating the 60S ribosomal subunit and halting protein synthesis
Which organism produces Shiga toxin?
Show answerShigella dysenteriae
What is the mechanism of tetanus toxin (tetanospasmin)?
Show answerCleaves SNARE proteins to block release of the inhibitory neurotransmitters GABA and glycine
What clinical effect does tetanus toxin produce?
Show answerSpastic paralysis
What is the mechanism of botulinum toxin?
Show answerCleaves SNARE proteins to block release of acetylcholine at the neuromuscular junction
What clinical effect does botulinum toxin produce?
Show answerFlaccid paralysis
What are the three components of anthrax toxin?
Show answerProtective antigen, edema factor, and lethal factor
What is the mechanism of anthrax edema factor?
Show answerMimics adenylate cyclase, raising cAMP

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