Clinical Bacteriology Quiz
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Questions and Answers

What type of stain is NOT typically used for biopsy specimens?

  • Hemotoxin stain (correct)
  • Warthin-Starry stain
  • Silver stain
  • Giemsa stain
  • Which culture media is specifically used to isolate non-fermentative gram-negative bacilli?

  • Chocolate agar
  • MacConkey agar
  • Saline agar
  • Brucella agar (correct)
  • Which of the following characteristics is TRUE about non-fermentative gram-negative bacilli?

  • They produce acid in TSI agar slant.
  • They are typically found as normal flora in humans.
  • They are fermentative and oxidase-negative.
  • They are often acquired through contaminated food or water. (correct)
  • Which virulence factor is associated with non-fermentative gram-negative bacilli?

    <p>Capsule</p> Signup and view all the answers

    What pigment is produced by Pseudomonas aeruginosa?

    <p>Pyocyanin</p> Signup and view all the answers

    Which statement about the biochemical test results of non-fermentative gram-negative bacilli is FALSE?

    <p>They produce acid in OF media.</p> Signup and view all the answers

    Non-fermentative gram-negative bacilli are associated with which environment?

    <p>Contaminated hospital devices</p> Signup and view all the answers

    Which of the following odors is associated with non-fermentative gram-negative bacilli cultures?

    <p>Fruity 'grape-like' odor</p> Signup and view all the answers

    What type of test shows a positive result for Burkholderia cepacia?

    <p>Catalase</p> Signup and view all the answers

    Which characteristic of Burkholderia cepacia colonies on BAP is noted?

    <p>Gummy texture</p> Signup and view all the answers

    What is the optimum growth temperature range for Burkholderia cepacia?

    <p>30° to 35°C</p> Signup and view all the answers

    On which type of agar does Burkholderia cepacia grow well?

    <p>MacConkey agar</p> Signup and view all the answers

    What type of biochemical reaction does Burkholderia cepacia display?

    <p>Non-motile and aerobic</p> Signup and view all the answers

    Which related infection is NOT typically associated with Burkholderia cepacia?

    <p>Gastroenteritis</p> Signup and view all the answers

    What is a common medium for culturing Burkholderia cepacia?

    <p>BAP</p> Signup and view all the answers

    Which of the following traits is associated with Burkholderia cepacia colonies on MacConkey agar?

    <p>Non-fluorescing yellow colonies</p> Signup and view all the answers

    What color is the pigment produced by Pseudomonas aeruginosa on cetrimide agar?

    <p>Bluish-green</p> Signup and view all the answers

    Which of the following statements correctly describes the respiratory characteristics of Acinetobacter?

    <p>It is aerobic and motile with polar flagella.</p> Signup and view all the answers

    What type of infections can Burkholderia cause?

    <p>Endocarditis and bacteremia</p> Signup and view all the answers

    Which test is used for identifying bacterial susceptibility to specific bacteriophages?

    <p>Phage typing</p> Signup and view all the answers

    What distinguishes P. montelli from P. putida?

    <p>Ability to oxidize xylose</p> Signup and view all the answers

    What is the appearance of mucoid colonies produced by P. aeruginosa commonly associated with?

    <p>Cystic fibrosis</p> Signup and view all the answers

    Which characteristic is NOT associated with Burkholderia?

    <p>Non-motile</p> Signup and view all the answers

    Which medium enhances the pigment production of P. aeruginosa?

    <p>Cetrimide agar</p> Signup and view all the answers

    What characteristic pigmentation is associated with Alcaligenes faecalis colonies when cultured?

    <p>Violet pigment</p> Signup and view all the answers

    Which of the following environments is Alcaligenes faecalis NOT typically isolated from?

    <p>Deserts</p> Signup and view all the answers

    Which test result would indicate a non-lactose fermenting organism?

    <p>Colorless colonies on Mac Conkey agar</p> Signup and view all the answers

    What is a distinctive feature of the culture of Alcaligenes faecalis on blood agar plates?

    <p>Feather-edged non-pigmented colonies</p> Signup and view all the answers

    What type of conditions do Haemophilus species require for growth?

    <p>Microaerophilic conditions</p> Signup and view all the answers

    Which statement about Haemophilus type b is true?

    <p>It can be prevented by vaccination.</p> Signup and view all the answers

    What is a biochemical feature of Oligella?

    <p>It grows well in 6.5% NaCl.</p> Signup and view all the answers

    What describes the microscopic appearance of Alcaligenes faecalis?

    <p>Curved Gram-negative bacilli</p> Signup and view all the answers

    What type of medium is used to determine the oxidative and fermentative metabolism of certain bacteria?

    <p>Hugh and Leifson medium</p> Signup and view all the answers

    Which clinical condition is primarily associated with Pseudomonas infections?

    <p>Lung infections in cystic fibrosis patients</p> Signup and view all the answers

    What is the result of the TSI reaction for Pseudomonas species as stated in the content?

    <p>K/K; H2S (-)</p> Signup and view all the answers

    Which biochemical test result indicates Pseudomonas as oxidase positive?

    <p>Oxidase (+)</p> Signup and view all the answers

    What type of bacteria are Pseudomonas species classified as based on their metabolism?

    <p>Obligate aerobes</p> Signup and view all the answers

    At what temperature can Pseudomonas species grow, according to the properties mentioned?

    <p>42°C</p> Signup and view all the answers

    Which of the following characteristics is NOT associated with Pseudomonas species?

    <p>Spore forming</p> Signup and view all the answers

    Which of these infections is caused by Pseudomonas species as mentioned in the content?

    <p>Hot tub or Jacuzzi syndrome</p> Signup and view all the answers

    Study Notes

    Staining Techniques for Biopsy Specimens

    • Warthin-Starry, Silver stain, and Giemsa stain are commonly used staining techniques for biopsy specimens.

    Culture Media for Bacteriology

    • Common culture media include CAP (Chocolate Agar Plate), MTM (Modified Thayer-Martin), Skirrow agar, 5% sheep's blood agar, and Brucella agar.

    Non-Fermentative Gram-Negative Bacilli

    • Opportunistic pathogens found primarily in the environment; not part of human normal flora.
    • Acquired through ingestion of contaminated food, water, or exposure to medical devices.
    • Capable of surviving chlorhexidine and quaternary ammonium compounds.

    Characteristics and Isolation

    • Isolated from sources such as nebulizers, dialysate, saline, soil, and hospital surfaces.
    • Exhibit fruity odors reminiscent of grapes or corn tortillas.
    • Biochemical characteristics include motility (excluding B. mallei), oxidase-positive, and non-lactose fermenters (NLF).

    Pigments Produced

    • Pyoverdin: Yellow-green or yellow-brown.
    • Pyocyanin: Blue, produced exclusively by P. aeruginosa.
    • Pyorubin: Red pigment.
    • Pyomelanin: Brown or black pigment.

    Clinical Significance

    • Pseudomonas species are predominant non-fermenters; responsible for nosocomial respiratory tract infections and Gram-negative bacillary bacteremia.
    • Can cause ecthyma gangrenosum, swimmer's ear, and pulmonary infections in cystic fibrosis.

    Biochemical Testing

    • TSI: Reaction typically K/K or K/N; H2S negative.
    • Oxidative-Fermentative (OF) medium shows yellow in open tube (oxidizer) and green/blue-green in closed tube (non-oxidizer).

    Distinguishing Characteristics of Pseudomonas

    • Obligate aerobes, non-spore formers with polar flagella.
    • Grow well on MacConkey agar; commonly isolated as straight, slender Gram-negative rods.
    • Morphological characteristics include spreading and flat colonies with bluish-green pigmentation.

    Burkholderia

    • Includes species such as B. cepacia, B. pseudomallei, and B. mallei, which are non-fermenting, primarily isolated from hospital equipment and irrigation fluids.
    • Biochemical tests show catalase positive, oxidase negative reactions, and poor growth on some media.

    Alcaligenes fecalis and Other Non-Fermentative Bacilli

    • Alcaligenes fecalis is an obligate aerobe with peritrichous flagella; grows on MacConkey agar.
    • Other non-fermenters include Flavobacterium, Spiribacterium, and Achromobacter.

    Haemophilus Genus

    • Derives its name from Greek words meaning "blood lover", existing primarily in the upper respiratory tract.
    • Comprised of typeable strains (capsular serotypes a-f, particularly H. influenzae type b linked to severe infections).

    Conclusion

    • Understanding these key attributes enables effective identification and treatment of infections caused by non-fermentative Gram-negative bacilli and related pathogens.

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    Description

    Test your knowledge on various staining techniques for biopsy specimens, including Warthin-Starry and Giemsa stains. Dive into culture media like CAP and Brucella agar, essential for identifying non-fermentative Gram-negative bacteria. This quiz is based on the Bacteriology Handbook for Medical Technologists.

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