Podcast
Questions and Answers
What is the primary purpose of microarrays in medical diagnostics?
What is the primary purpose of microarrays in medical diagnostics?
- To detect a wide range of infectious agents (correct)
- To replace traditional laboratory tests
- To isolate and purify nucleic acids
- To provide treatment options for patients
Which step involves the matching of gene sequences to the chip?
Which step involves the matching of gene sequences to the chip?
- Detection
- Result Validation
- Sample Preparation
- Hybridization (correct)
How are patient samples processed before they interact with microarray chips?
How are patient samples processed before they interact with microarray chips?
- They are filtered to remove impurities
- They undergo a drying process
- They are immediately analyzed by the computer program
- They are incubated with labeled gene sequences (correct)
What impact do diagnostic tests have on health care decisions?
What impact do diagnostic tests have on health care decisions?
What percentage of US health care costs is spent on diagnostic tests?
What percentage of US health care costs is spent on diagnostic tests?
What is the primary purpose of Polymerase Chain Reaction (PCR) in diagnosing microorganisms?
What is the primary purpose of Polymerase Chain Reaction (PCR) in diagnosing microorganisms?
Which method utilizes random primers to identify specific microbes from a mixed population?
Which method utilizes random primers to identify specific microbes from a mixed population?
How does Hybridization identify specific microbes?
How does Hybridization identify specific microbes?
What is the role of Fluorescent in situ Hybridization (FISH) in microbial identification?
What is the role of Fluorescent in situ Hybridization (FISH) in microbial identification?
What does ribotyping analyze for microbial identification?
What does ribotyping analyze for microbial identification?
What is the significance of specificity in immunological tests?
What is the significance of specificity in immunological tests?
Which biological fluids can modern serological tests analyze?
Which biological fluids can modern serological tests analyze?
What is the main feature that allows modern serological tests to determine unknowns?
What is the main feature that allows modern serological tests to determine unknowns?
What is the primary difference between agglutination and precipitation reactions?
What is the primary difference between agglutination and precipitation reactions?
What type of antigens are primarily involved in agglutination reactions?
What type of antigens are primarily involved in agglutination reactions?
What is the purpose of the Western blot test in the context of HIV detection?
What is the purpose of the Western blot test in the context of HIV detection?
Which method is used to visualize the antigen-antibody reactions in a Western blot?
Which method is used to visualize the antigen-antibody reactions in a Western blot?
How are titers determined in serological testing?
How are titers determined in serological testing?
What indicates a positive result in the RPR test?
What indicates a positive result in the RPR test?
In the context of immunodiffusion, what is the result of double diffusion (Ouchterlony)?
In the context of immunodiffusion, what is the result of double diffusion (Ouchterlony)?
What characteristic distinguishes precipitation reactions from agglutination reactions?
What characteristic distinguishes precipitation reactions from agglutination reactions?
What is a critical feature of the Western blot test that contributes to its high accuracy?
What is a critical feature of the Western blot test that contributes to its high accuracy?
Which of the following is NOT typically done during a precipitation reaction?
Which of the following is NOT typically done during a precipitation reaction?
What is the primary use of Western blotting in immunological testing?
What is the primary use of Western blotting in immunological testing?
In radioimmunoassay (RIA), what is primarily measured to determine the amount of antigen or antibody?
In radioimmunoassay (RIA), what is primarily measured to determine the amount of antigen or antibody?
What does a direct ELISA determine?
What does a direct ELISA determine?
How are antigen-antibody complexes visualized in immunofluorescence testing?
How are antigen-antibody complexes visualized in immunofluorescence testing?
What type of sample is used in the indirect ELISA method?
What type of sample is used in the indirect ELISA method?
What kind of reaction does the tuberculin test elicit in vivo?
What kind of reaction does the tuberculin test elicit in vivo?
Which component is NOT part of the ELISA testing method?
Which component is NOT part of the ELISA testing method?
What does the term 'immunofluorescence' refer to?
What does the term 'immunofluorescence' refer to?
What is the significance of using a verification test like Western blotting for HIV screening?
What is the significance of using a verification test like Western blotting for HIV screening?
What innovation drives the breakthrough methodologies in immunological testing?
What innovation drives the breakthrough methodologies in immunological testing?
Which laboratory technique is primarily used for identifying predominant biochemical reactions in bacteria?
Which laboratory technique is primarily used for identifying predominant biochemical reactions in bacteria?
What is the purpose of differential media in the isolation of pathogens?
What is the purpose of differential media in the isolation of pathogens?
Which of the following specimens requires a sterile transport swab for collection?
Which of the following specimens requires a sterile transport swab for collection?
Which of the following biochemical tests assesses the ability of bacteria to ferment carbohydrates?
Which of the following biochemical tests assesses the ability of bacteria to ferment carbohydrates?
In diagnosing infections like Haemophilus influenzae, what molecular technique is commonly employed?
In diagnosing infections like Haemophilus influenzae, what molecular technique is commonly employed?
What is the initial step in the laboratory techniques used for pathogen identification?
What is the initial step in the laboratory techniques used for pathogen identification?
Which characterization is NOT a part of evaluating a pure culture?
Which characterization is NOT a part of evaluating a pure culture?
What is the main outcome of a phage typing test?
What is the main outcome of a phage typing test?
Which of the following isolates is best tested using Salmonella/Shigella agar?
Which of the following isolates is best tested using Salmonella/Shigella agar?
Which test would likely result in a color change to indicate a metabolic reaction?
Which test would likely result in a color change to indicate a metabolic reaction?
Flashcards
PCR (Polymerase Chain Reaction)
PCR (Polymerase Chain Reaction)
A method to quickly copy many DNA or RNA molecules, making tiny amounts detectable.
RAPD (Random Amplified Polymorphic DNA)
RAPD (Random Amplified Polymorphic DNA)
A technique using random primers to identify unknown microbes from a sample with many different microbes.
Hybridization
Hybridization
Using probes to match up with specific genetic material to identify microbes.
FISH (Fluorescent in situ Hybridization)
FISH (Fluorescent in situ Hybridization)
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Pulse-Field Gel Electrophoresis
Pulse-Field Gel Electrophoresis
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Ribotyping (rRNA Analysis)
Ribotyping (rRNA Analysis)
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Specificity (in testing)
Specificity (in testing)
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Sensitivity (in testing)
Sensitivity (in testing)
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Microarray
Microarray
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Sample Preparation
Sample Preparation
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Detection
Detection
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Patient Outcomes
Patient Outcomes
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Agglutination
Agglutination
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Precipitation
Precipitation
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Western Blot
Western Blot
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RPR (Rapid Plasma Reagin)
RPR (Rapid Plasma Reagin)
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Ouchterlony Double Diffusion
Ouchterlony Double Diffusion
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Line of Identity (Ouchterlony)
Line of Identity (Ouchterlony)
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Line of Non-Identity (Ouchterlony)
Line of Non-Identity (Ouchterlony)
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Line of Partial Identity (Ouchterlony)
Line of Partial Identity (Ouchterlony)
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Titer
Titer
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Precipitation Reactions
Precipitation Reactions
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Phenotypic Identification
Phenotypic Identification
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Immunologic Identification
Immunologic Identification
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Genetic Identification
Genetic Identification
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Differential Media
Differential Media
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Pure Culture
Pure Culture
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Biochemical Testing
Biochemical Testing
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Carbohydrate Fermentation
Carbohydrate Fermentation
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Phage Typing
Phage Typing
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Salmonella/Shigella (SS) Agar
Salmonella/Shigella (SS) Agar
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Nucleic Acid Amplification (PCR)
Nucleic Acid Amplification (PCR)
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Radioimmunoassay (RIA)
Radioimmunoassay (RIA)
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Immunofluorescence Testing
Immunofluorescence Testing
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What is Direct ELISA?
What is Direct ELISA?
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Indirect ELISA
Indirect ELISA
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What is the Tuberculin Test?
What is the Tuberculin Test?
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Breakthrough Immunological Testing
Breakthrough Immunological Testing
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What does a positive result in an Immunofluorescence test mean?
What does a positive result in an Immunofluorescence test mean?
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Study Notes
Miscellaneous Tests
- Makes it possible to identify a microbe by analyzing segments of its genetic material
- Probes: small fragments of DNA or RNA known to be complementary to specific sequences in the nucleic acid from a microbe
- Base pairing of the probe to the nucleic acid can provide evidence of the microbe's identity
Hybridisation: Probing for Identity
- Application of fluorescently labeled probes to intact cells within a patient specimen or environmental sample
- Used to locate "glowing cells" and determine the identity of a specific microbe
- Often used to confirm a diagnosis or identify the components of a biofilm
Ribotyping: rRNA Analysis
- One of the most viable indicators of evolutionary relatedness is comparison of 16S ribosomal RNA
- Component of the 30S subunit of bacterial and archaeal ribosomes
- Highly conserved across species and evolutionary time
- Ribotyping is perfectly suited for bacterial identification and diagnosis of infection
- rRNA is isolated, sequenced, and analyzed from cultured cells
Immunological Methods
- In vitro diagnostic testing of serum
- Based on the concept that antibodies have extreme specificity for antigens
- Visualizing this interaction provides a powerful tool for detecting, identifying, and quantifying antibodies or antigens
- An unknown antibody can be detected using a known antigen or an unknown antigen can be detected using a known antibody
- Modern serological methods can test:
- Urine
- Cerebrospinal fluid
- Whole tissues
- Saliva
General Features of Immune Testing
-
- Specificity:
- The property of a test to focus on only a certain antibody or antigen
- Does not react with unrelated or distantly related antigens.
-
- Sensitivity:
- The detection of even minute quantities of antibodies or antigens in a specimen
- Reflects the degree to which a test will detect every positive person.
Polymerase chain reaction (PCR)
- Used in many nucleic acid tests
- Results in the production of numerous copies of DNA or RNA molecules within hours
- Can amplify minute quantities of nucleic acids in a sample, greatly improving the sensitivity of diagnostic tests
- Can be performed on bacteria, viruses, protozoa, and fungi
Random amplified polymorphic DNA (RAPD)
- Used in cases where the microbial populations are relatively unknown
- Employs primers of random sequences in an attempt to pick a microbial needle out of a haystack
Pulse-Field Gel Electrophoresis
- Since the DNA fragments are large, PFGE requires long changes ("pulses") in the direction of the electrical field to tease them apart
Microarrays
- Absorbent plates or "chips" that contain gene sequences from thousands of infectious agents
- Selected based on the syndrome being investigated
- Can be made to contain bacterial, viral, and fungal genes in a single test
- Patient samples or nucleic acids isolated from them are incubated with labeled gene sequences
- Matching sequences hybridize to the chip
- The fluorescent label is detected by a computer program
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