AFB Testing Specimen Quality Control
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Questions and Answers

A researcher is studying a newly discovered bacterium that thrives in extremely alkaline environments (pH 10-12). What type of organism is this bacterium, and what specific adaptation would you expect to see in its cell membrane composition to maintain stability in such conditions?

The bacterium is an alkaliphile. The cell membrane would likely contain a higher proportion of negatively charged lipids to help stabilize the membrane by attracting protons and resisting the high pH environment.

A clinical sample is suspected of containing a bacterium capable of producing a biofilm. Describe two distinct advantages that biofilm formation provides to bacteria within a host environment.

Biofilm formation enhances bacterial survival by increasing resistance to antibiotics and protecting bacteria from the host’s immune defenses.

A researcher is investigating a bacterial species that exhibits resistance to multiple antibiotics. Describe two different mechanisms, at the molecular level, that bacteria use to develop resistance to antibiotics.

Bacteria can develop antibiotic resistance through enzymatic degradation of the antibiotic or by altering the antibiotic target site through mutations.

In a microbiology lab, a student performs a Gram stain on a sputum sample from a patient with suspected pneumonia. The student observes predominantly Gram-negative bacteria and numerous neutrophils. Describe the structural difference of the cell wall between Gram-positive and Gram-negative bacteria that accounts for the differential staining.

<p>Gram-positive bacteria have a thick peptidoglycan layer, while Gram-negative bacteria have a thin peptidoglycan layer surrounded by an outer membrane containing lipopolysaccharide (LPS).</p> Signup and view all the answers

A microbiologist is analyzing bacterial growth in a batch culture. Initially, the bacterial population doubles every 20 minutes. However, after several hours, the growth rate slows significantly. Explain two reasons why the growth rate slows down in the later stages of bacterial growth in a closed batch culture.

<p>The growth rate slows down due to depletion of essential nutrients and accumulation of toxic metabolic waste products.</p> Signup and view all the answers

A research team discovers a new bacterial species in a deep-sea hydrothermal vent. Describe two adaptations you would expect to find in this bacterium that allow it to survive in such a high-pressure and extreme-temperature environment.

<p>The bacterium likely has modified membrane lipids with higher saturation to maintain membrane fluidity at high temperatures and specialized proteins that are stabilized by chaperones to prevent denaturation under high pressure.</p> Signup and view all the answers

A patient develops a severe infection after undergoing surgery. The isolated bacteria are found to produce endotoxins. Explain how endotoxins contribute to the pathophysiology of the infection.

<p>Endotoxins, such as lipopolysaccharide (LPS), stimulate a strong immune response, leading to excessive cytokine release, systemic inflammation, fever, and potentially septic shock.</p> Signup and view all the answers

A public health laboratory is investigating an outbreak of food poisoning linked to contaminated produce. The bacteria are suspected to produce a potent exotoxin. Compare and contrast exotoxins and endotoxins in terms of their origin, chemical nature, and toxicity.

<p>Exotoxins are produced and secreted by bacteria, are protein-based, and are highly toxic in small amounts. Endotoxins are part of the bacterial cell wall, lipopolysaccharide-based, released upon cell lysis, and are less toxic, requiring higher concentrations to cause effects.</p> Signup and view all the answers

A microbiologist is studying a bacterial species that is able to use different carbon sources for growth. Describe two mechanisms that bacteria use to regulate gene expression in response to varying carbon sources in their environment.

<p>Bacteria use catabolite repression, where the preferred carbon source (e.g., glucose) inhibits the expression of genes required for the metabolism of other carbon sources, and induction, where the presence of a specific carbon source (e.g., lactose) induces the expression of genes necessary for its utilization.</p> Signup and view all the answers

You are examining a Gram-stained smear of a patient's sputum sample to assess its suitability for Acid-Fast Bacilli (AFB) testing. What microscopic observations regarding the quantity of pus cells and epithelial cells would indicate a good-quality sputum specimen appropriate for AFB analysis?

<p>A good-quality sputum specimen for AFB testing should have many pus cells (neutrophils) and very few epithelial cells. The presence of numerous epithelial cells suggests saliva contamination, which makes the specimen unsuitable.</p> Signup and view all the answers

Flashcards

AFB Smear Quality

Numerous pus cells, indicating an active infection or inflammation, and minimal epithelial cells, suggesting a deep sample with less contamination from surface cells.

Study Notes

  • In a bacteriology lab, AFB (acid-fast bacilli) testing requests are received
  • Gram staining is performed to ensure specimen quality before AFB testing
  • Medical technologists should observe pus cells and epithelial cells microscopically
  • The goal is to determine if the specimen is of good quality and suitable for AFB testing

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Description

This lesson covers the quality control measures for specimens received for Acid-Fast Bacilli (AFB) testing in a bacteriology lab. It involves Gram staining and microscopic observation of pus cells and epithelial cells. The aim is to determine the suitability of the specimen for AFB testing.

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