Microbiology & Parasitology Pre-Boards Exam (Psalm 94:18-19)

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Questions and Answers

The exchange of cellular DNA between two living bacterial cells that involves an intercellular bridge is which of the following processes?

  • Plasmidization
  • Conjugation (correct)
  • Transformation
  • Transduction

TRANSDUCTION is defined as which of the following?

  • An internal change in the original nucleotide sequence of a gene or genes within an organism's genome
  • The change of the bacterial genotypes through the exchange of DNA from one cell to another
  • The process by which genetic elements such as plasmids and transposons excise from one genomic location and insert into another
  • A mechanism that is mediated by viruses, by which DNA from two bacteria may come together in one cell, thus allowing for recombination (correct)

Standard precautions state:

  • Personal protective equipment is required for only direct patient contact
  • Infectious specimens must be labeled with the biohazard symbol
  • Handle only known HBV-positive or HIV-positive specimens as infectious
  • Blood and body fluid precautions must be observed for all patients' blood and body fluid specimens (correct)

The optimal time to collect blood cultures is:

<p>Shortly before the fever spikes (A)</p> Signup and view all the answers

The aseptic collection of blood cultures requires that the skin be cleansed with:

<p>70% alcohol and then 2% iodine or an iodophor (B)</p> Signup and view all the answers

When cleansing skin with alcohol and then iodine for collection of blood culture, the iodine (or iodophor) should remain intact on the skin for at least:

<p>60 seconds (C)</p> Signup and view all the answers

A listless 12-month-old boy with a fever of 103°F was taken to the emergency department. He had been diagnosed with an ear infection 3 days earlier. A spinal tap was performed, but only one tube of CSF was obtained from the lumbar puncture. The single tube of CSF should be submitted first to which department?

<p>Microbiology (B)</p> Signup and view all the answers

Media that contain dyes, antibiotics, or other chemical compounds that inhibit certain bacteria while allowing others to grow are called:

<p>Selective media (D)</p> Signup and view all the answers

Media that contain factors such as carbohydrates that give colonies of particular organisms distinctive characteristics are called:

<p>Differential media (C)</p> Signup and view all the answers

The amount of antibiotic used in disk diffusion susceptibility testing is standardized and constant. Once the disk is placed on the inoculated plate and makes contact, with the agar, the antibiotic in the disk begins to diffuse out. As it diffuses into the media, the concentration of antibiotic gets ___ the further it diffuses from the disk.

<p>Lower (A)</p> Signup and view all the answers

In disk diffusion testing, zone diameters are too large or too small with all antimicrobials:

<p>Check inoculum sizes (A)</p> Signup and view all the answers

Which of the following tests is most frequently used in the identification of Gardnerella vaginalis, Streptococcus agalactiae, Campylobacter jejuni, and Listeria monocytogenes?

<p>Hippurate hydrolysis test (B)</p> Signup and view all the answers

Brown or green color surrounding the colony:

<p>Alpha hemolysis (A)</p> Signup and view all the answers

Chocolate agar contains:

<p>Hemolyzed red blood cells (D)</p> Signup and view all the answers

The most common cause of bacterial food poisoning is:

<p>Staphylococcus aureus (D)</p> Signup and view all the answers

Which of the following bacteria should be considered important pathogens when reading gram-stained smears of soft tissue abscess?

<p>Staphylococcus aureus (D)</p> Signup and view all the answers

Resistance to which drug categorizes a strain of Staphylococcus aureus as methicillin-resistant Staphylococcus aureus (MRSA)?

<p>Oxacillin (A)</p> Signup and view all the answers

An isolate of Staphylococcus aureus was cultured from an ulcer obtained from the leg of a diabetic 79-year-old female patient. The organism showed resistance to methicillin. Additionally, this isolate should be tested for resistance or susceptibility to:

<p>Vancomycin (C)</p> Signup and view all the answers

Cultures of the posterior pharynx are most commonly submitted to the clinical laboratory for the detection of:

<p>Streptococcus pyogenes (D)</p> Signup and view all the answers

A child presented in August at the pediatric clinic with a superficial skin infection of the neck. The large, itchy lesions were cultured, and the diagnosis of IMPETIGO was made. One of the etiologic agents of this clinical condition is:

<p>Streptococcus pyogenes (D)</p> Signup and view all the answers

The organism most commonly associated with otitis media infections is associated with which of the following positive test results?

<p>Optochin (B)</p> Signup and view all the answers

Which organism is the most often recovered grampositive cocci (catalase negative) from a series of blood cultures obtained from individuals with endocarditis?

<p>Enterococcus faecalis (C)</p> Signup and view all the answers

Which group of tests, along with colonial morphology on primary media, aids most in the rapid identification of the Enterobacteriaceae?

<p>Indole, oxidase, MacConkey, and blood agar plates (D)</p> Signup and view all the answers

A positive indole reaction is characteristic of:

<p>Escherichia coli (A)</p> Signup and view all the answers

What two reagents must be added to determine if the bacterium is VP positive?

<p>Alpha-naphthol and 40% KOH (D)</p> Signup and view all the answers

A patient presents with diarrhea and abdominal cramping. The organism isolated from the stool culture is identified as Shigella dysenteriae (group A). The TSI reaction would have indicated:

<p>K/A (D)</p> Signup and view all the answers

Which of the following bacteria is able to hydrolyze urea via urease production, which results in an increase in urine pH that is toxic to kidney cells and stimulates the formation of kidney stones?

<p>Proteus (B)</p> Signup and view all the answers

Which biochemical tests should be performed in order to identify colorless colonies growing on MacConkey agar (swarming colonies on blood agar) from a catheterized urine specimen?

<p>Indole, phenylalanine deaminase, and urease (A)</p> Signup and view all the answers

The gram-negative bacillus that can be described as oxidase-negative, nitrate- positive, indole-negative, citrate-positive, methyl red-positive, urease-negative, and Hâ‚‚S-positive is most likely which of the following?

<p>Salmonella enteritidis (B)</p> Signup and view all the answers

An organism was inoculated in to a TSI tube and gave the following reactions:

  • Alkaline slant
  • Acid butt
  • Hâ‚‚S: not produced
  • Gas: not produced

The organism is most likely which of the following?

<p>Shigella sp. (B)</p> Signup and view all the answers

Which of the listed Pseudomonas spp. is associated with the following virulence factors: exotoxin A, endotoxins, proteolytic enzymes, antimicrobial resistance, and production of alginate?

<p>Pseudomonas aeruginosa (D)</p> Signup and view all the answers

Which group of tests best differentiates Helicobacter pylori from C. jejuni?

<p>Urease, nitrate, and hippurate hydrolysis (D)</p> Signup and view all the answers

Which Brucella species may require COâ‚‚ for growth, is urea positive in 2 hours, and is inhibited by thionine dye?

<p>Brucella abortus (A)</p> Signup and view all the answers

The use of 0.1% FUCHSIN substituted for safranin in the Gram-stain procedure may enhance the visibility of the organisms:

<p>Legionella spp. (D)</p> Signup and view all the answers

Specimen characteristics of an anaerobic infection include:

<p>Foul odor, presence of sulfur granules, and red fluorescence (D)</p> Signup and view all the answers

In a clinical specimen, the presence of sulfur granules strongly indicates the presence of which anaerobic bacterium?

<p>Actinomyces spp. (B)</p> Signup and view all the answers

Which gram-negative bacilli produce black pigment and brick red fluorescence when exposed to an ultraviolet light source?

<p>Porphyromonas and Prevotella (A)</p> Signup and view all the answers

Anaerobic gram-negative rods were recovered from the blood of a patient after gallbladder surgery. The bacteria grew well on agar containing 20% bile, but were resistant to kanamycin and vancomycin. What is the most likely identification?

<p>Bacteroides fragilis group (B)</p> Signup and view all the answers

Which is the specimen of choice for proof of food poisoning by Bacillus cereus?

<p>Food (D)</p> Signup and view all the answers

The ETHANOL SHOCK procedure is used to differentiate:

<p>Clostridium and Bacteroides spp. (C)</p> Signup and view all the answers

Egg yolk agar is used to detect which enzyme produced by Clostridium species?

<p>Lecithinase (A)</p> Signup and view all the answers

Identification of Clostridium tetani is based upon:

<p>Clinical findings (D)</p> Signup and view all the answers

Perhaps the most common cause of food poisoning is from ___, which produces toxin in the host after ingestion. Meats and gravies are typical foods associated with this type of food poisoning.

<p>Clostridium perfringens (C)</p> Signup and view all the answers

The classic form of foodborne botulism is characterized by the ingestion of:

<p>Preformed toxin in food (B)</p> Signup and view all the answers

Which mechanism is responsible for botulism in infants caused by Clostridium botulinum?

<p>Ingestion of spores in food or liquid (A)</p> Signup and view all the answers

Cycloserine-cefoxitin-fructose agar (CCFA) is used for the recovery of:

<p>Clostridium difficile (D)</p> Signup and view all the answers

Loeffler's agar slant is a special culture medium used to recover which organism?

<p>Corynebacterium diphtheriae (C)</p> Signup and view all the answers

A blood culture is positive for gram-positive bacilli that gave the following growth characteristics and biochemical reactions:

  • MacConkey agar = no growth
  • Hâ‚‚S on TSI = negative
  • Growth on blood agar = nonhemolytic
  • Catalase = positive
  • Nonmotile
  • No spore

These reactions are consistent with which of the following organisms?

<p>Corynebacterium spp. (D)</p> Signup and view all the answers

A skin lesion was opened and drained in surgery. The culture was positive for a gram-positive bacillus, which gave the following growth characteristics and biochemical reactions:

  • MacConkey agar = no growth
  • Hâ‚‚S on TSI = positive
  • Growth on blood agar = nonhemolytic
  • Catalase = negative
  • Nonmotile
  • No spores

These reactions are consistent with which of the following organisms?

<p>Erysipelothrix spp. (B)</p> Signup and view all the answers

Which of the following sets of tests provide the best differentiation of Erysipelothrix from Listeria monocytogenes?

<p>CAMP test, hydrogen sulfide production, esculin hydrolysis (C)</p> Signup and view all the answers

Neonatal meningitis is an uncommon but significant disease. Two important causes of this disease may be somewhat difficult to differentiate on preliminary observation. Which of the following sets of tests provide the best differentiation of Streptococcus agalactiae from Listeria monocytogenes?

<p>Gram-stained smear, catalase, and motility (B)</p> Signup and view all the answers

When 10% CYANOGEN BROMIDE and 4% aniline in 96% ethanol are added to a suspension of the culture, a CANARY YELLOW color indicates a positive reaction:

<p>Niacin test (C)</p> Signup and view all the answers

What substance added to the antigen in the RPR test allows for more macroscopically visible flocculation?

<p>Charcoal particles (A)</p> Signup and view all the answers

A patient report states the presence of serum antibodies to OspC. What disease does the patient most likely have?

<p>Lyme disease (C)</p> Signup and view all the answers

Traditional specimen for diagnosis of Chlamydia trachomatis infection in a male patient:

<p>Urethral swab (D)</p> Signup and view all the answers

Specimen for the Nucleic Acid Amplification Test (NAAT) for diagnosis of Chlamydia trachomatis infection:

<p>Urine (A)</p> Signup and view all the answers

Which of the following is the most sensitive method for the diagnosis of Chlamydia trachomatis?

<p>Nucleic acid amplification (C)</p> Signup and view all the answers

What are the optimal temperature and incubation time before a FUNGAL BLOOD CULTURE is reported as negative?

<p>30°C; 21 days (C)</p> Signup and view all the answers

A 2-month-old infant in good health was scheduled for a checkup at the pediatrician's office. After arriving for the appointment, the mother noted white patches on the baby's tongue and in his mouth. The baby constantly used a pacifier. What is the most likely organism causing the white patches?

<p>Candida albicans (B)</p> Signup and view all the answers

A young male patient with a fungus of the feet visited the podiatrist for relief from the itching. A culture was sent to the microbiology laboratory that grew after 8 days on Sabouraud dextrose agar. Colonies were powdery pink with concentric and radial folds, with the reverse side showing brownish-tan to red in color. Other observations were:

  • Hyphae = Septate
  • Macroconidia = Cigar shaped, thin walled with 1-6 cells
  • Microconidia = Round and clustered on branched conidiophores
  • Red pigment on cornmeal (1% dextrose) = Neg
  • In vitro hair perforation = +
  • Urease = +

The most likely identification is:

<p>Trichophyton mentagrophytes (A)</p> Signup and view all the answers

Which Aspergillus species, recovered from sputum or bronchial mucus, is the most common cause of pulmonary aspergillosis?

<p>A. fumigatus (C)</p> Signup and view all the answers

A rapidly growing hyaline mold began as a white colony but soon developed a black "pepper" effect on the agar surface. The older colony produced a black matte, making it resemble a dematiaceous mold. What is the most likely identification?

<p>Aspergillus niger (C)</p> Signup and view all the answers

The protein coat that surrounds the nucleic acid of a virion is called which of the following?

<p>Capsid (B)</p> Signup and view all the answers

The viral nucleocapsid always contains which of the following?

<p>Viral genome (A)</p> Signup and view all the answers

Specimens collected for virus isolation should be kept at:

<p>4 °C (C)</p> Signup and view all the answers

At what temperature should clinical specimen suspected of containing viruses be kept for transport that takes days?

<p>-70 °C (A)</p> Signup and view all the answers

A dehydrated 25-year-old male patient was admitted to the hospital with symptoms similar to those of chronic fatigue syndrome. Serological testing proved negative for recent streptococcal infection, Epstein-Barr virus, and hepatitis. Which of the following viral serological tests should help with a possible diagnosis?

<p>CMV (D)</p> Signup and view all the answers

Transcription is:

<p>Producing RNA from DNA (D)</p> Signup and view all the answers

The process of transferring the digested DNA out of a gel after electrophoresis and onto a nylon membrane is referred to as:

<p>Southern blotting (B)</p> Signup and view all the answers

The technique that uses fluorescent DNA probes to detect chromosomal abnormalities within cells in cytogenetic studies is referred to as:

<p>Fluorescence in situ hybridization (FISH) (A)</p> Signup and view all the answers

Stool specimens kept under refrigeration when preservatives are not available are suitable for:

<p>Antigen testing only (B)</p> Signup and view all the answers

The formalin-ether (ethyl acetate) concentration procedure for feces is used to demonstrate:

<p>Protozoan cysts and helminth eggs (B)</p> Signup and view all the answers

Trophozoites are characterized with progressive motility, hyaline, finger-like pseudopodia; motility may be rapid:

<p>Entamoeba histolytica (C)</p> Signup and view all the answers

Eye infections with Acanthamoeba spp. have most commonly been traced to:

<p>Use of contaminated lens care solutions (C)</p> Signup and view all the answers

Select the most sensitive recovery method for Acanthamoeba spp. from lens care solutions or corneal biopsies.

<p>The use of non-nutrient agar cultures seeded with Escherichia coli (C)</p> Signup and view all the answers

Which of the following is the best technique to identify Dientamoeba fragilis in stool?

<p>Trichrome-stained smear (B)</p> Signup and view all the answers

Organisms that should be considered in a waterborne outbreak of diarrheal disease include:

<p>Giardia lamblia and Cryptosporidium spp. (A)</p> Signup and view all the answers

Blood specimens for diagnosis of malaria are ideally collected:

<p>Before the next anticipated fever spike, at the onset of fever (B)</p> Signup and view all the answers

A regular periodicity of 72 HOURS is seen from the beginning of the erythrocytic cycle:

<p>Plasmodium malariae (B)</p> Signup and view all the answers

"CRESCENT" or "SAUSAGE" shaped gametocytes; may appear in "SHOWERS" with black pigment near chromatin dot, which is often central:

<p>Plasmodium falciparum (A)</p> Signup and view all the answers

Autofluorescence requires no stain and is recommended for the identification of:

<p>Cyclospora cayetanensis oocyst (D)</p> Signup and view all the answers

Oocysts of Cryptosporidium spp. can be detected in stool specimens using:

<p>Modified Ziehl-Neelsen acid-fast stain (A)</p> Signup and view all the answers

Microsporidial infections can be confirmed using:

<p>Light microscopy and modified trichrome stains (A)</p> Signup and view all the answers

Hermaphroditic, EXCEPT:

<p>S. intercalatum (C)</p> Signup and view all the answers

Nematode parasites that inhabit the large intestines:

  1. Ascaris lumbricoides
  2. Capillaria philippinensis
  3. Threadworm, hookworm
  4. Enterobius vermicularis
  5. Trichuris trichiura

<p>4 and 5 (C)</p> Signup and view all the answers

VISCERAL LARVA MIGRANS (VLM) and OCULAR LARVA MIGRANS (OLM) are caused by accidental ingestion of eggs of:

<p>Toxocara cati, Toxocara canis (D)</p> Signup and view all the answers

CREEPING ERUPTION or CUTANEOUS LARVA MIGRANS (CLM) is caused by skin penetration of infective larvae of:

<p>Ancylostoma braziliense, Ancylostoma caninum (C)</p> Signup and view all the answers

Ingestion of which of the following eggs will result in infection?

<p>Toxocara canis (C)</p> Signup and view all the answers

The nematode Loa loa is transmitted to humans by:

<p>Chrysops spp. (D)</p> Signup and view all the answers

The nematode Onchocerca volvulus is transmitted to humans by:

<p>Simulium spp. (B)</p> Signup and view all the answers

The infective life cycle stage of a fluke (except blood fluke) is the:

<p>Metacercariae (C)</p> Signup and view all the answers

Infection with Fasciolopsis buski may result from eating raw or undercooked:

<p>Aquatic vegetation (A)</p> Signup and view all the answers

Infection with Clonorchis or Opisthorchis may result from eating raw or undercooked:

<p>Freshwater fish (D)</p> Signup and view all the answers

The mode of transmission of schistosomal infection is by:

<p>Direct penetration of the skin by cercariae (B)</p> Signup and view all the answers

In infections with Taenia saginata, humans can serve as the:

<p>Definitive host (A)</p> Signup and view all the answers

In infections with Taenia solium, humans can serve as the:

<p>Either the definitive or the intermediate host (C)</p> Signup and view all the answers

Proglottids with 15 to 20 lateral branches in a dichotomous or tree-like arrangement:

<p>Taenia saginata (C)</p> Signup and view all the answers

Proglottids with 7 to 13 lateral branches in dendritic or finger-like arrangement:

<p>Taenia solium (D)</p> Signup and view all the answers

Eggs HAVE POLAR FILAMENTS present in the space between the oncospheres and the eggshell:

<p>Hymenolepis nana (A)</p> Signup and view all the answers

The eggs contain a six-hooked oncosphere with the ABSENCE OF POLAR FILAMENTS in the space between the oncosphere and the eggshell:

<p>Hymenolepis diminuta (B)</p> Signup and view all the answers

Flashcards

Conjugation

Cellular DNA transfer between living bacteria via an intercellular bridge.

Transduction

Virus-mediated transfer of DNA between bacteria, enabling recombination.

Standard Precautions

Blood and body fluid precautions for all patients.

Optimal Blood Culture Timing

Blood cultures should be collected shortly before fever spikes.

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Blood Culture Skin Cleansing

70% alcohol followed by 2% iodine or an iodophor solution.

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Iodine Contact Time

The iodine should remain on the skin for at least 60 seconds.

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CSF Tube Priority

Microbiology, to prioritize organism detection and identification.

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Selective Media

Media containing dyes, antibiotics, or chemicals to inhibit certain bacteria.

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Differential Media

Media containing factors that allow for differentiation colonies of organisms.

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Antibiotic Diffusion Gradient

The antibiotic concentration decreases as it diffuses away from the disk.

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Disk Diffusion QC

Verify inoculum sizes to ensure accurate results.

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Hippurate Hydrolysis Test

A test used in the identification of Gardnerella, Streptococcus, Campylobacter and Listeria.

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Alpha Hemolysis

Partial hemolysis; brown or green discoloration around colonies.

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Chocolate Agar

It contains hemolyzed or lysed red blood cells.

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Common Bacterial Food Poisoning

Staphylococcus aureus

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Soft Tissue Abscess Pathogen

Staphylococcus aureus

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MRSA Resistance Marker

Oxacillin

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MRSA Additional Testing

Vancomycin

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Pharyngitis Detection

Streptococcus pyogenes

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Impetigo Etiologic Agent

Streptococcus pyogenes

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Otitis Media Test Association

Optochin

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Endocarditis Common Gram-Positive

Enterococcus faecalis

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Enterobacteriaceae Identification

Indole, oxidase, MacConkey, and blood agar plates.

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Positive Indole Reaction

Escherichia coli

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VP Reagents

Alpha-naphthol and 40% KOH

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Shigella dysenteriae TSI

K/A

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Urease Positive Kidney Stones

Proteus

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MacConkey Agar Clear Colonies

Indole, phenylalanine deaminase, and urease

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Biochemical Reactions

Salmonella enteritidis

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Alkaline slant; Acid butt

Shigella sp.

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