Microbiology and Parasitology Quiz

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Questions and Answers

What routine laboratory testing is performed for Treponema pallidum?

  • Acid-fast staining
  • Culturing
  • Gram staining
  • Serological analysis (correct)

Which spirochetes are often detected in the hematology laboratory before clinical suspicion arises?

  • Campylobacter spp.
  • Leptospira spp.
  • Treponema spp. (correct)
  • Borrelia spp. (correct)

Which organism is the causative agent of Lyme disease?

  • Neisseria meningitidis
  • Treponema pallidum
  • Borrelia burgdorferi (correct)
  • Babesia microti

What is the most commonly used diagnostic method for identifying Lyme disease?

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

The manganous chloride–urea test is used to identify which organism?

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

Which organism is described as a gram-positive, beaded organism that showed partial acid-fast staining?

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

What colony characteristics are expected from an organism recovered from a patient with leukemia, according to the provided description?

<p>Orange, glabrous, waxy colonies (C)</p> Signup and view all the answers

A direct smear from a nasopharyngeal swab showed various letter shapes. This indicates what potential issue?

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

What is the most probable identification of a lactose-negative isolate that tested positive for indole, urease, ornithine decarboxylase, and phenylalanine deaminase?

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

Which agar is the medium of choice for the isolation of Yersinia strains from stool specimens?

<p>Hektoen enteric agar (C)</p> Signup and view all the answers

Which single test is best for separating Klebsiella oxytoca from K.pneumoniae?

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

Which organism is sometimes mistaken for Salmonella and will agglutinate in Salmonella polyvalent antiserum?

<p>C.freundii strains (C)</p> Signup and view all the answers

Which of the following organisms found in normal fecal flora may be mistaken biochemically for the genus Yersinia?

<p>Proteus spp. (A)</p> Signup and view all the answers

What could be inferred from a bloody stool cultured after severe diarrhea that shows little normal flora with many non-lactose fermenting colonies on MacConkey agar?

<p>The infection could be caused by Shigella. (B)</p> Signup and view all the answers

Which medium would show many blue-green colonies indicative of specific bacterial growth in a stool culture?

<p>Hektoen enteric agar (B)</p> Signup and view all the answers

Which stool culture result suggests no growth on Campylobacter blood agar?

<p>Presence of Yersinia. (D)</p> Signup and view all the answers

Which organism is oxidase positive, motile with polar monotrichous flagella, and grows at 42°C?

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

What test distinguishes Alcaligenes faecalis from Bordetella bronchiseptica?

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

Which organism is associated with immunodeficiency syndromes and melioidosis?

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

How can Chryseobacterium spp. be distinguished from Acinetobacter spp.?

<p>Oxidase and OF (glucose) (D)</p> Signup and view all the answers

What color are colonies of Pseudomonas stutzeri typically described as?

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

Which Haemophilus species is generally associated with endocarditis?

<p>H.aphrophilus (A)</p> Signup and view all the answers

Which organism would typically be resistant to drying out when removed from the agar?

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

Haemophilus species that require the V factor (NAD) are easily recovered on which primary agar plate?

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

Which of the following statements is true regarding the motility of Pseudomonas stutzeri?

<p>It has polar monotrichous flagella. (B)</p> Signup and view all the answers

Which Haemophilus species is difficult to isolate from genital ulcers and swollen lymph nodes?

<p>H.ducreyi (C)</p> Signup and view all the answers

What product is responsible for satellite growth of Haemophilus spp. around colonies of Staphylococcus and Neisseria spp. on sheep blood agar?

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

What characteristic helps identify a gram-negative coccobacillus recovered from CSF of an immunosuppressed patient?

<p>Growth on chocolate agar (D)</p> Signup and view all the answers

Which plates should be used to identify Haemophilus haemolyticus and Haemophilus parahaemolyticus?

<p>Sheep blood agar and chocolate agar (C)</p> Signup and view all the answers

Which characteristic is associated with strains of Haemophilus influenzae that are resistant to ampicillin?

<p>Production of β-lactamase enzymes (D)</p> Signup and view all the answers

What is the glucose reaction typically shown by a small, gram-negative coccobacillus from CSF that is indole positive?

<p>Glucose = + (acid) (A)</p> Signup and view all the answers

Which Haemophilus species can grow on the same plates as other fastidious organisms like Staphylococcus and Neisseria?

<p>H.aphrophilus (C)</p> Signup and view all the answers

Which organism is most likely responsible for the gram-negative S-shaped rod that oxidizes glucose and xylose and grows at 42°C?

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

Which of the following tests is NOT typically used to identify Campylobacter species?

<p>Methyl Red test (D)</p> Signup and view all the answers

What atmospheric condition is necessary for isolating Campylobacter spp. from specimens inoculated onto Campy-selective agar?

<p>5% O2, 10% CO2, and 85% N2 (C)</p> Signup and view all the answers

Which organism is likely susceptible to nalidixic acid based on the biochemical tests given?

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

Which of the following is a common infection associated with the genus that comprises small gram-negative coccobacilli?

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

What biochemical test would indicate a positive result for Campylobacter jejuni?

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

Which of the following organisms is resistant to cephalothin, as indicated by the biochemical tests shown?

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

Which organism is identified as a gram-negative bacteria that displays a negative grape odor?

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

What characteristic is most indicative of Bacillus spp. when examining a blood agar culture?

<p>Large, raised, β-hemolytic colonies (D)</p> Signup and view all the answers

Which test can effectively differentiate Bacillus anthracis from Bacillus cereus?

<p>Motility and β-hemolysis on a blood agar plate (C)</p> Signup and view all the answers

For the identification of food poisoning caused by Bacillus cereus, which specimen is considered the most appropriate?

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

What is the most likely identification of a non–spore-forming, slender gram-positive rod forming palisades and chains?

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

Given a culture result of catalase negative and H2S/TSI positive, which organism is most likely identified?

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

What would be an expected result of Bacillus cereus on a glucose test?

<p>Fermentation with gas production (C)</p> Signup and view all the answers

What is a characteristic feature of Pseudomonas spp. on blood agar?

<p>Frosted glass appearance with hemolysis (A)</p> Signup and view all the answers

Which of the following is NOT a typical feature of Corynebacterium spp.?

<p>Gram-negative staining (B)</p> Signup and view all the answers

Flashcards

Borrelia

A genus of spirochetes that can cause Lyme disease.

Lyme Disease Diagnosis

The most common method for detecting Lyme disease is a blood test.

Treponema pallidum

A corkscrew-shaped bacteria that causes syphilis.

Syphilis Diagnosis

The most common method for diagnosing syphilis is a blood test.

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Leptospira spp.

A spirochete that can be detected in blood samples, often before a doctor suspects leptospirosis.

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Rhodococcus spp.

A bacterium that produces orange, waxy colonies and is often detected in sputum of patients with leukemia.

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Mycoplasma

A genus of bacteria that includes Mycoplasma pneumoniae, which can cause respiratory infections.

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Ureaplasma urealyticum

A bacterium that produces urease, commonly used for identification in the laboratory.

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What is the most probable identification of a gram-negative rod from a catheterized urine sample with these characteristics?

A gram-negative rod that is lactose-negative, indole positive, urease positive, ornithine decarboxylase positive, phenylalanine deaminase positive, and H2S negative.

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Which test best differentiates Klebsiella oxytoca from K. pneumoniae?

The indole test is used to differentiate Klebsiella oxytoca from K. pneumoniae. K. oxytoca is indole positive, while K. pneumoniae is indole negative.

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Which intestinal bacteria can be mistaken for Yersinia biochemically?

Certain organisms in the normal fecal flora, such as Proteus spp., can mimic the biochemical profile of Yersinia.

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What is the recommended medium for isolating Yersinia from stool samples?

Yersinia strains are typically isolated from stool specimens on selective media such as Hektoen enteric agar. This medium inhibits the growth of most other intestinal bacteria while allowing Yersinia to grow and produce characteristic colonies.

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Which organism can be wrongly identified as Salmonella due to agglutination with Salmonella antiserum?

Certain strains of Citrobacter freundii can sometimes be mistaken for Salmonella due to their ability to react with Salmonella polyvalent antiserum. This can cause false-positive results in agglutination tests meant to identify Salmonella.

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What organism is likely responsible for a bloody stool culture with these characteristics?

A bloody stool culture with non-lactose fermenting colonies on MacConkey agar and blue-green colonies on Hektoen enteric agar, but no growth on Campylobacter blood agar or C. difficile agar suggests the presence of Shigella spp.

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β-hemolysis

A test used to differentiate between different species of bacteria based on their ability to hemolyze red blood cells on blood agar.

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Catalase test

A test where a small amount of hydrogen peroxide is added to a bacterial colony. If the colony produces bubbles, it is positive for catalase.

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CAMP test

A test that differentiates Streptococcus species based on their ability to hemolyze red blood cells on blood agar in the presence of Staphylococcus aureus.

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TSI agar

A type of bacterial culture media that contains a high concentration of glucose and a small amount of other sugars. This media is used to determine what sugars the bacteria can ferment.

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H2S/TSI agar

A type of bacterial culture media that contains a high concentration of sulfur. This media is used to determine if the bacteria can produce hydrogen sulfide. H2S production is indicated by a black precipitate in the media.

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Bacillus cereus

A gram-positive, spore-forming rod that is often associated with food poisoning and can produce the toxin cereulide.

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Bacterial identification

The process of identifying bacteria based on their characteristics, including shape, size, and staining properties. This process is important for determining the cause of an infection.

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Bacillus spp.

A group of gram-positive, spore-forming rods that can be found in the environment. Some species are associated with food poisoning, while others are used in the production of antibiotics.

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Campylobacter jejuni

A gram-negative, oxidase-positive, S-shaped rod that grows at 42°C, ferments glucose and xylose, is catalase-positive, motile, and hydrolyzes hippurate.

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What atmospheric condition is needed to recover Campylobacter spp?

The optimal atmospheric condition for culturing Campylobacter spp. is a microaerophilic environment with reduced oxygen levels.

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Stenotrophomonas maltophilia

Stenotrophomonas maltophilia is a gram-negative bacterium that is oxidase-positive, catalase-positive, and grows at 42°C, but it is less likely to be the cause of the infection described in the question.

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Burkholderia pseudomallei

Burkholderia pseudomallei is a gram-negative bacterium that is oxidase-positive and catalase-positive, but typically does not grow at 42°C.

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Pseudomonas aeruginosa

Pseudomonas aeruginosa is a gram-negative bacterium that is oxidase-positive, catalase-positive, and typically grows at 42°C, but it is not known to ferment glucose and xylose.

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Acinetobacter spp.

Acinetobacter spp. are gram-negative, oxidase-negative, and typically produce a characteristic 'mucus' like colony appearance, differing from the given characteristics.

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What genus of small gram-negative coccobacilli is associated with animals and may cause endocarditis, bacteremia and wound infections?

Actinobacillus is a genus of small, gram-negative coccobacilli that is typically oxidase-positive and catalase-positive and is commonly found in animals. It can cause endocarditis, bacteremia, wound and dental infections in humans.

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What tests can be used to differentiate between various bacterial species?

Tests such as DNase and VP, Indole and Lysine decarboxylase, or Growth on MacConkey and blood agar can be used to differentiate between various bacterial species.

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Which Haemophilus species is associated with endocarditis?

Haemophilus species commonly associated with endocarditis.

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What agar is best for growing Haemophilus species needing NAD (V factor)?

Haemophilus species that require NAD (V factor) are easily grown on chocolate agar due to the presence of lysed red blood cells, which release NAD.

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Why do Haemophilus species show satellite growth around Staphylococcus and Neisseria on sheep blood agar?

Haemophilus species that require the V factor (NAD) can grow around colonies of Staphylococcus or Neisseria species on sheep blood agar due to the release of NAD by these bacteria.

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Which agar plates are used to identify Haemophilus haemolyticus and Haemophilus parahaemolyticus?

Haemophilus haemolyticus and Haemophilus parahaemolyticus can be identified using a combination of sheep blood agar and chocolate agar.

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Which Haemophilus species is hard to isolate from genital ulcers?

Haemophilus ducreyi is known to be difficult to isolate from genital ulcers and swollen lymph nodes.

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What makes some Haemophilus influenzae strains resistant to ampicillin?

Certain strains of Haemophilus influenzae are resistant to ampicillin due to their ability to produce β-lactamase enzymes, which inactivate the antibiotic.

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What bacterial species is indicated by these characteristics: small, gram-negative coccobacillus, positive for Indole, Glucose, and X factor requirement - found in CSF?

A small, gram-negative coccobacillus recovered from cerebrospinal fluid (CSF) that tests positive for Indole, Glucose, and X factor requirement is likely Haemophilus influenzae.

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How can Haemophilus influenzae be differentiated from other species?

Haemophilus influenzae can be differentiated from other species by its requirement for X factor (hematin) and V factor (NAD).

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What is the organism described?

A nonfermenting bacterium that is oxidase positive, motile with polar monotrichous flagella, grows at 42°C, and produces dry, wrinkled or smooth, buff to light brown colonies that are difficult to remove from agar.

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What type of bacteria is associated with melioidosis?

These bacteria are associated with immunodeficiency syndromes and melioidosis, a glanders-like disease in Southeast Asia and northern Australia.

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How can Alcaligenes faecalis be distinguished from Bordetella bronchiseptica?

Alcaligenes faecalis, formerly known as A. odorans, can be differentiated from Bordetella bronchiseptica by a rapid urease test.

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How can Chryseobacterium spp. be distinguished from Acinetobacter spp.?

Chryseobacterium isolates are readily distinguished from Acinetobacter spp. by their oxidase activity and ability to grow on MacConkey agar.

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What is the most likely organism recovered from CSF of an immunosuppressed patient on chocolate agar?

A gram-negative coccobacillus isolated from the CSF of an immunosuppressed patient on chocolate agar is most likely Chryseobacterium meningosepticum.

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What is the typical environment for Burkholderia pseudomallei?

Burkholderia pseudomallei typically grows in moist soils, especially in tropical regions.

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What is a notable characteristic of Pseudomonas aeruginosa?

Pseudomonas aeruginosa is a well-known opportunistic pathogen, commonly associated with wound infections and hospital-acquired infections.

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What is the key difference between Acinetobacter spp. and Chryseobacterium spp.?

Acinetobacter spp. are typically oxidase-negative, making them distinguishable from Chryseobacterium spp. which are oxidase positive.

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Study Notes

Microbiology and Parasitology Review Questions

  • Enterobacteriaceae: Gram-negative rods that ferment glucose and reduce nitrate to nitrite. They are oxidase negative.
  • Gram-negative rods: Biochemically, Enterobacteriaceae are gram-negative rods.
  • Glucose Fermentation: Enterobacteriaceae ferment glucose.
  • Nitrate Reduction: Enterobacteriaceae reduce nitrate to nitrite.
  • Oxidase: Enterobacteriaceae are oxidase negative.
  • Indophenol Oxidase: Some Enterobacteriaceae produce indophenol oxidase.
  • Nitrogen Gas Production: Some Enterobacteriaceae ferment lactose and reduce nitrite to nitrogen gas.
  • Lactose Fermentation: Enterobacteriaceae can ferment lactose and produce, indophenol oxidase.
  • Ortho-nitrophenyl-β-galactopyranoside (ONPG) test: Used to differentiate Salmonella spp. from Pseudomonas spp., Shigella spp. from some strains of Escherichia coli, Klebsiella spp. from Enterobacter spp., and Proteus vulgaris from Salmonella spp.
  • Voges-Proskauer (VP) test: Detects acetoin in glucose fermentation.
  • Methyl Red (MR) test pH: Positive at pH 4.5, 5.0, 6.0, and 6.5.
  • Simmons citrate test: A blue color indicates a positive test.
  • Urease Production: Ammonia forms as a result of urease production.
  • Indole Production: p-Dimethylaminobenzaldehyde (PDAB) is used to detect indole production.
  • Decarboxylation: Lysine, ornithine, and arginine decarboxylation forms ammonia, urea, CO2, and amines, respectively.
  • Lysine Iron Agar (LIA): A purple slant and blackened butt indicate Proteus spp.
  • Alkaline Products: Putrescine is an alkaline amine product of arginine decarboxylase, phenylalanine deaminase, ornithine decarboxylase and lysine decarboxylase.
  • Phenylalanine Dehydrogenase: A positive reaction with Phenylalanine dehydrogenase indicates Enterobacter spp., Escherichia spp., and Klebsiella spp.
  • Shigella, Serratia: Known enteric pathogens causing diarrhea and are considered enteric pathogens.
  • Bacterial genera and their characteristic tests: Various tests (phenylalanine deaminase, motility, urease, etc.) are used to differentiate various bacterial genera.
  • Gram-negative non-fermentative bacilli: Tests such as catalase, decarboxylation of arginine, and growth on blood agar are used to differentiate and identify them.

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