Microbiology and Disinfection Quiz
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Questions and Answers

Which disinfectant is considered the best for spills?

  • 70% Ethyl Alcohol
  • Formaldehyde
  • Sodium Hypochlorite (Clorox) (correct)
  • Iodine/Iodophor
  • Which antiseptic is known for containing iodine and is often used in medical settings?

  • Povidone Iodine (correct)
  • Hydrogen Peroxide
  • Glutaraldehyde
  • 1% Silver Nitrate
  • What is the primary use of 1% Silver Nitrate in medical practice?

  • Cleansing wounds
  • Preventing gonococcal ophthalmia neonatorum (correct)
  • Disinfecting hard surfaces
  • Cold sterilization of instruments
  • Which of the following is a cold sterilant used for lensed instruments?

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

    During which phase of the bacterial growth curve does cell reproduction equal the rate of cell death?

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

    What is the main characteristic of differential stains in microbiology?

    <p>Use of more than one dye (B)</p> Signup and view all the answers

    Why is 70% Ethyl Alcohol classified as non-sporocidal?

    <p>It does not eliminate bacterial spores. (C)</p> Signup and view all the answers

    Which disinfectant is specifically noted for not being effective against spores?

    <p>Phenol (Carbolic Acid) (A)</p> Signup and view all the answers

    What is the primary form of reproduction for bacteria?

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

    Which morphological arrangement describes bacteria that form in chains?

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

    What structural component of Gram-positive bacteria contributes to their virulence?

    <p>Peptidoglycan (B), Teichoic acid (D)</p> Signup and view all the answers

    Which of the following bacteria is known to have a capsule that acts as a virulence factor?

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

    What is the defining characteristic of endospores in bacteria?

    <p>Highly resistant structures (B)</p> Signup and view all the answers

    Which type of pili is primarily used for bacterial conjugation?

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

    What is the function of metachromatic granules in bacteria?

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

    Which bacterial morphology is characterized by cells appearing like a cuboidal packet?

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

    What is the major virulence factor of Group A streptococci?

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

    Which test would you perform to identify Streptococcus agalactiae in the laboratory?

    <p>Hippurate Hydrolysis Test (B), CAMP test (C)</p> Signup and view all the answers

    What is the significance of Streptolysin O in Streptococcus pyogenes?

    <p>It is an antigenic toxin that is oxygen-labile and causes subsurface hemolysis. (B)</p> Signup and view all the answers

    Which identification test is used to differentiate Group D Enterococcus from non-enterococcus streptococci?

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

    What type of hemolysis is exhibited by Group B streptococci?

    <p>Beta-hemolytic (D)</p> Signup and view all the answers

    Which statement accurately describes Streptococcus dysagalactiae?

    <p>It is a source of streptokinase and is beta-hemolytic. (B)</p> Signup and view all the answers

    What is the main clinical manifestation associated with erythrogenic toxin produced by Group A streptococci?

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

    What characteristic test results would you expect from Enterococcus species?

    <p>Bile esculin positive and 6.5% NaCl positive (B)</p> Signup and view all the answers

    What color do colonies of E. coli O157:H7 appear on Sorbitol MacConkey agar?

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

    Which media is specifically designed for the detection of Salmonella and Shigella?

    <p>Salmonella Shigella agar (D)</p> Signup and view all the answers

    What characteristic do H2S positive colonies exhibit on Hektoen Enteric agar?

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

    Which of the following statements about Xylose lysine deoxycholate (XLD) agar is false?

    <p>It is used to detect E. coli O157:H7. (C)</p> Signup and view all the answers

    What is the appearance of Salmonella colonies on Salmonella Shigella agar?

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

    What inhibits normal gastrointestinal flora on Hektoen Enteric agar?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is true about non-O157 serotypes on Sorbitol MacConkey agar?

    <p>They can also be pathogenic. (B)</p> Signup and view all the answers

    What distinguishes colorless colonies from red colonies in Xylose lysine deoxycholate agar?

    <p>Colorless colonies indicate Shigella. (D)</p> Signup and view all the answers

    Which of the following tests can differentiate Enterococcus from non-Enterococcus species?

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

    What is the primary antibiotic of choice for treating Streptococcus pneumoniae infections?

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

    What type of colony morphology is associated with young colonies of Streptococcus pneumoniae on Blood Agar Plate (BAP)?

    <p>Shiny dome-shaped (A)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of Streptococcus pneumoniae?

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

    What is a common laboratory diagnosis method for investigating Streptococcus pneumoniae?

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

    Which viridans streptococci is commonly associated with dental carries?

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

    Which of the following statements about the viridans streptococci is TRUE?

    <p>They are generally optochin resistant. (D)</p> Signup and view all the answers

    Which of the following tests shows a positive result for Group A streptococci?

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

    What is the primary purpose of Modified Thayer Martin medium?

    <p>To isolate Neisseria gonorrhoeae and Neisseria meningitidis (B)</p> Signup and view all the answers

    Which swab type is an excellent substitute for cotton tipped swabs when testing Neisseria?

    <p>Calcium alginate tipped swab (A)</p> Signup and view all the answers

    What type of environment is required for the incubation of NYC medium?

    <p>Increased CO2 levels (B)</p> Signup and view all the answers

    Which statement about JEMBEC plates is accurate?

    <p>They contain a Neisseria selective medium. (D)</p> Signup and view all the answers

    Which medium is specifically mentioned for the transport and growth of Neisseria?

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

    What is the main reason for using antibiotics in GC LECT medium?

    <p>To inhibit both Gram-negative and Gram-positive bacteria (D)</p> Signup and view all the answers

    Which characteristic is specific to the polyester tipped swab?

    <p>Good for both bacteria and viruses (B)</p> Signup and view all the answers

    Which bacteria requires an incubation environment of 10%–15% CO2?

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

    Flashcards

    What is bacteria?

    A minute, unicellular organism that reproduces by binary fission. It is a prokaryotic cell due to the absence of a nuclear membrane.

    What is bacterial arrangement?

    The arrangement of bacteria is determined by the plane of division and the position taken after cell division.

    What is a capsule in bacteria?

    A slimy layer that surrounds some bacteria, making them more resistant to phagocytosis. It's a virulence factor.

    What is the function of the bacterial cell wall?

    The cell wall provides shape, protects against phagocytosis, and contributes to virulence. It can be either gram-positive or gram-negative.

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    What are metachromatic granules?

    The presence of metachromatic granules indicates accumulated food reserves. They are commonly seen in Corynebacterium diphtheriae and Mycobacteria.

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    What are spores/endospores?

    Highly resistant structures that enable bacteria to survive harsh conditions like heat, dryness, and nutrient deprivation.

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    What are pili/fimbriae?

    Hair-like structures that contribute to bacterial adherence. Some bacteria have specialized sex pili for transferring genetic material through conjugation.

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    What is bacterial morphology?

    This refers to the shape of a bacterium. Common shapes include coccus (spherical), bacillus (rod-shaped), and spirillum (spiral).

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    Sodium Hypochlorite (Bleach)

    A disinfectant commonly used for spills, effectively killing most bacteria and viruses. It is a powerful oxidizer.

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    Iodine/Iodophor

    An antiseptic agent frequently used for wound care. It is effective against a wide range of microbes.

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    70% Ethyl Alcohol

    A disinfectant that eliminates microbes by disrupting their cell membranes. It doesn't effectively kill spores.

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    Hydrogen Peroxide

    A disinfectant typically used for wound cleansing. It breaks down into water and oxygen, removing dead tissue and debris.

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    Formaldehyde

    A disinfectant used as a preservative. It can effectively kill bacteria, but its use is not recommended for bacterial cultures, as it can interfere with growth.

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    Stationary Phase (Bacterial Growth)

    A disinfectant used in the stationary phase, to kill microbes while maintaining sterility.

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    Gram Stain

    A specialized staining technique that distinguishes bacteria with thick cell walls containing teichoic acid, which retain the crystal violet-iodine complex after decolorization.

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    Acid-Fast Stain

    A specialized staining technique that distinguishes bacteria with a high lipid content in their cell wall, which retains the primary stain after decolorization.

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    What is Sorbitol MacConkey (SMAC) agar?

    A type of culture medium used to isolate E. coli O157:H7. E. coli O157:H7 does not ferment sorbitol, resulting in colorless colonies.

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    What is HE agar?

    A selective and differential medium used to isolate Salmonella and Shigella in stool samples. It contains bile salts, bromothymol blue, and acid fuchsin, which inhibit the growth of normal gut flora.

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    What is XLD agar?

    A selective and differential medium used to isolate Salmonella and Shigella in stool samples. It contains deoxycholate, which inhibits the growth of many gram-negative rods and gram-positive bacteria.

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    What is SS agar?

    A selective and differential medium used to isolate Salmonella and Shigella in stool samples. It contains brilliant green and bile salts, which inhibit the growth of other enteric bacteria.

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    What are non-lactose fermenters (NLF)?

    Non-lactose fermenters (NLF) are bacteria that do not metabolize lactose, leading to a colorless appearance on media like SS agar.

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    What is hydrogen sulfide (H2S) production?

    Hydrogen sulfide (H2S) is a gas produced by some bacteria, such as Salmonella, which reacts with iron salts in culture media, forming a black precipitate.

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    What are lactose fermenters (LF)?

    Lactose fermenting (LF) bacteria are capable of metabolizing lactose, resulting in a pink color on media like MacConkey agar.

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    How do culture media help differentiate bacteria?

    On some culture media, the color of bacterial colonies can indicate specific characteristics, such as the presence or absences of enzymes like lactase or the production of gases like H2S.

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    Modified Thayer Martin (MTM) Medium

    A selective medium used to isolate Neisseria gonorrhoeae and Neisseria meningitidis. It contains antibiotics like vancomycin, colistin, nystatin, and trimethoprim (TMP) to inhibit the growth of normal genital flora. It requires incubation in increased CO2.

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    Martin Lewis Medium

    A selective medium similar to MTM, but it uses different antibiotics to inhibit the growth of yeast more effectively. It also requires incubation in increased CO2.

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    New York City (NYC) Medium

    A selective medium designed to isolate Neisseria gonorrhoeae. It contains antibiotics to suppress other bacterial growth. It requires incubation in increased CO2. Can also grow genital mycoplasmas.

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    JEMBEC Plates

    A media system including selective media and a CO2-generating tablet within a resealable bag. This convenient system is designed for transporting and growing Neisseria gonorrhoeae. It eliminates the need for transferring the specimen to a culture plate.

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    CIN Agar

    A selective medium for isolating Yersinia species. It contains CIN (cefsulodin, irgasan, novobiocin) to suppress the growth of other bacteria.

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    Loeffler Medium

    A non-selective medium that supports the growth of a wide range of bacteria, often used for the isolation of Corynebacterium species.

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    Cystine Tellurite Agar

    A selective medium for isolating Corynebacterium diphtheriae. It contains tellurite, which inhibits many other bacteria and gives the colonies of C. diphtheriae a characteristic dark grey or black color.

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    Alkaline Peptone Water

    A broth medium used for the isolation and enrichment of Vibrio cholerae. It contains alkaline peptone and provides an environment conducive to the growth of cholera bacteria.

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    What is M protein?

    A major virulence factor of Streptococcus pyogenes (Group A streptococci), this protein resists phagocytosis, making it difficult for the immune system to engulf and eliminate the bacteria.

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    What is Streptolysin S (SLS)?

    Streptolysin S (SLS) is a non-antigenic toxin produced by Group A streptococci. It is oxygen-stable, meaning it can survive in the presence of oxygen, and causes surface hemolysis.

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    What is Streptolysin O (SLO)?

    Streptolysin O (SLO) is an antigenic toxin produced by Group A streptococci. It is oxygen-labile, meaning it is unstable in the presence of oxygen and causes subsurface hemolysis (destruction of red blood cells).

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    What is the Erythrogenic Toxin?

    A toxin produced by Group A streptococci, responsible for the characteristic rash of scarlet fever. It's also known as erythrogenic toxin.

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    What is Hyaluronidase?

    A spreading factor produced by Group A streptococci, it helps the bacteria spread by breaking down hyaluronic acid, a component of connective tissue.

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    What is Streptokinase?

    An enzyme produced by some bacteria, including Group A and C streptococci, that dissolves blood clots. It helps the bacteria spread by breaking down fibrin, the protein that makes up blood clots.

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    What is the Dick's test?

    A skin test used to diagnose scarlet fever. It involves injecting a small amount of erythrogenic toxin into the skin and observing for a reaction.

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    What is the Schultz-Charlton reaction?

    A phenomenon observed during the diagnosis of scarlet fever. Injecting antitoxin into the skin causes the rash to fade away. This confirms the presence of erythrogenic toxin.

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    Enterococci

    A group of gram-positive bacteria that are commonly found in the gut and can cause infections, often in hospitals.

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    PYR Test

    A test used to differentiate Enterococcus from other gram-positive bacteria. A positive result indicates the presence of the enzyme pyruvate-pyruvate lyase, which breaks down pyrrolidonylarylamidase (PYR) producing a red color.

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    Streptococcus pneumoniae

    A type of Streptococcus that is responsible for a wide range of infections, including pneumonia, meningitis, and otitis media.

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    Optochin Sensitivity Test

    A test used to presumptively identify Streptococcus pneumoniae based on its susceptibility to optochin, a chemical agent that inhibits its growth.

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    Bile Solubility Test

    A test used to identify Streptococcus pneumoniae by observing its lysis (dissolving) in the presence of bile salts.

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    Viridans Streptococci

    Another group of Streptococcus bacteria found in the mouth, upper respiratory tract, and other parts of the body. They are often non-pathogenic but can cause infections if they enter the bloodstream.

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    Streptococcus mutans

    A Streptococcus species that commonly causes dental caries (cavities).

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    Group B Streptococcus

    A type of Streptococcus known for its resistance to bacitracin and SXT, and its positive CAMP test.

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    Study Notes

    Bacteria Basics

    • Bacteria are minute, single-celled organisms that reproduce through binary fission.
    • They are prokaryotes, lacking a nuclear membrane.
    • Bacteria possess both DNA and RNA.

    Bacterial Morphology

    • Arrangement: Bacterial arrangement is influenced by the plane of cell division.
    • Pairs (diplococci, diplobacilli)
    • Chains (streptococci, streptobacilli)
    • Clusters (staphylococci)
    • Groups of four (tetrads)
    • Groups of eight (cuboidal)
    • Irregular arrangements (C. diphtheriae).
    • Capsule: A slimy layer surrounding some bacteria, offering anti-phagocytic protection (e.g., Cryptococcus neoformans, Streptococcus pneumoniae).
    • Cell Wall: Provides shape and protects the bacteria from phagocytosis.
    • Gram-positive cell wall: Composed of peptidoglycan and teichoic acid
    • Gram-negative cell wall: Includes peptidoglycan, lipopolysaccharide (LPS), an outer membrane, and porin proteins.
    • Nucleus (nucleoid): Lacks a nuclear membrane, containing chromatin bodies (DNA).
    • Flagella: Thread-like appendages for motility; classified by arrangement (monotrichous, lophotrichous, peritrichous, amphitrichous, atrichous).
    • Pili/Fimbriae: Hair-like structures for attachment. Some (sex pili) facilitate conjugation.
    • Shape: Bacteria can be bacilli (rods), cocci (spheres), spiral (spirilla and spirochetes), and pleomorphic (variable shapes).
    • Size: Size varies, with some bacteria being measured in micrometers (e.g. Bacillus anthracis, Haemophilus).

    Bacterial Physiology

    • Oxygen requirement: Bacteria require different levels of oxygen to survive

    • Obligate aerobes: Require oxygen to survive.

    • Microaerophiles: Require low levels of oxygen.

    • Obligate anaerobes: Cannot tolerate oxygen.

    • Facultative anaerobes: Can survive with or without oxygen.

    • Aerotolerant anaerobes: Can tolerate oxygen but do not use it for energy production.

    • Nutritional requirements: Autotrophs use inorganic compounds, while heterotrophs use organic compounds.

    • Temperature requirements: Bacteria thrive in specific temperature ranges:

    • Psychrophiles (cold-loving)

    • Mesophiles (moderate-temperature loving)

    • Thermophiles (heat-loving)

    • pH requirements: Bacteria have preferences for specific pH levels:

    • Acidophiles (acidic)

    • Neutrophiles (neutral)

    • Alkaliphiles (alkaline)

    Sterilization

    • Methods:Various ways to kill microorganisms
    • Moist heat (autoclaving, boiling, tyndallization, inspissation).
    • Dry heat (hot air oven, incineration, cremation)
    • Gas (ethylene oxide)
    • Radiation (gamma rays, UV light)
    • Filtration

    Disinfection

    • Disinfection removes potentially harmful microorganisms from non-living surfaces.
    • Methods include using chemicals (Sodium hypochlorite, Iodine, Alcohol, Hydrogen peroxide, Formaldehyde, Glutaraldehyde, Phenol, Lysol, Quaternary ammonium compounds).

    Biosafety Cabinets

    • Cabinets provide various levels of protection for personnel and the work environment.
    • Classes of biosafety cabinets (Class I, Class II, Class III) offer different levels of protection according to the hazard level of microorganisms.

    Culture Media

    • Culture media provide the necessary nutrients for bacterial growth.
    • Based on physical state: liquid, semi-solid, solid, biphasic
    • Based on function: nutritive, enrichment, selective, differential.

    Hemolytic Reactions on Sheep Blood Agar

    • Hemolysis Reactions are observed on Sheep Blood Agar (SBA).
    • Alpha hemolysis: Partial lysis of red blood cells with a greenish zone around the colony.
    • Beta hemolysis: Complete lysis of red blood cells with a clear zone around the colony.
    • Gamma or non-hemolytic: No visible changes in the surrounding red blood cells.

    Staining Procedures

    • Simple Stains: Using a single dye to visualize bacteria.
    • Differential Stains: Using multiple dyes to distinguish different cell types (e.g., Gram stain, Acid-fast stain).
    • Gram stain differentiates bacteria based on cell wall structure.
    • Acid-fast stain distinguishes bacteria with waxy mycolic acids in their cell walls.

    Biochemical Identification of Bacteria

    • Biochemical tests are used to identify bacteria based on specific metabolic activities.
    • Examples include: Catalase, Coagulase, PYR, Bile Solubility, Hippurate Hydrolysis and Oxidase tests.

    Antimicrobials Susceptibility Test

    • Methods for evaluating a bacterial culture's sensitivity to various drugs.
    • Examples include Disk-diffusion test and Dilution Tests

    Collection and Transport of Specimens

    • Correct specimen collection and transportation methods are vital for accurate microbiological diagnosis.
    • Proper handling reduces contamination and ensures accurate bacterial identification.
    • Various specimen types and appropriate transport media are presented.

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    Test your knowledge on microbiology and disinfection practices with this quiz. Topics covered include disinfectants, antiseptics, bacterial growth phases, and more. Perfect for students in healthcare and microbiology courses.

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