MICRO by MR. BIRAQUIT Flashcards
An 8 year old boy develops a severe sore throat. On examination, a grayish white exudate is seen on the tonsils and pharynx. The differential diagnosis includes group A streptococcal infection and severe adenovirus infection. The possible cause of the boy’s pharyngitis is most likely:
A. A catalase (-), gram (+) coccus that grows in chain
B. A single stranded positive sense RNA virus
C. A catalase (+), gram (+) coccus that grows in clusters
D. A catalase (-), gram (+) bacillus
A catalase (-), gram (+) coccus that grows in chain
A primary mechanism responsible for the pathogenesis of the boy’s disease is:
A. A net increase in intracellular cyclic adenosine monophosphate
B. Action of M protein
C. Action of IgA1 protease
D. Action of enterotoxin A
Action of M protein
Significant yellow colonies isolated from primary culture of a urine sample were subcultured on Mannitol Salt Agar (MSA). Colonies on MSA are shown in the picture. What is the most likely isolate?
What test can be used to confirm the identification of the isolated organism?
If S. aureus or S. saprophyticus were suspected to be isolated from the sample, what test can be used to differentiate the two organism?
S. aureus
Coagulase test
A 40 year old woman develops severe headache and fever. A brain scan shows a ring-enhancing lesion of the left hemisphere. During surgery, a brain abscess is found. Culture of the abscess fluid grows a catalase (-), gram (+) coccus that on gram stain is in pairs and chains. The organism is B-hemolytic and forms very small colonies. It agglutinates with group B antisera. The organism most likely:
A. Streptococcus pyogenes
B. Enterococcus faecalis
C. Streptococcus agalactiae
D. Streptococcus anginosus group
Streptococcus agalactiae
Enterococci can be distinguished from noneterococcal group D on the basis of which of the following characteristics?
A. y-hemolysis
B. Esculin hydrolysis
C. Growth in 6.5% NaCl
D. Growth in the presence of Bile
Growth in 6.5% NaCl
A 22-year-old woman who works in a plant nursery presents with a history of fever and cough for 2 months. Over this period of time she has lost 5 kg. Chest radiography shows bilateral upper lobe infiltrates with cavities. Her sputum smear shows acid-fast bacilli. The likely means by which the patient acquired her infection is
A. Sexual activity
B. Ingesting the microorganisms in her food
C. Holding onto contaminated handrails when she takes public transportation.
D. Handling potting soil
E. Breathing aerosolized droplets containing the
microorganism
Breathing aerosolized droplets containing the microorganism
Lysostaphin susceptibility is a test used to
differentiate:
A. Staphylococcus spp. from Streptococcus spp.
B. Staphylococcus spp. from Enterococcus spp.
C. Staphylococcus spp. from Micrococcus spp.
D. Streptococcus spp. from Micrococcus
Staphylococcus spp. from Micrococcus spp.
The blood bank reports that samples of banked blood stored at refrigerator temperature have become contaminated with nonfermentative gram-negative bacilli. The organisms known to be implicated in such cases are:
A. Alcaligenes faecalis and Alcaligenes odorans
B. Acinetobacter calcoaceticus and
Acinetobacter iwoffi
C. Pseudomonas fluorescens and Pseudomonas putida
D. Burkholderia cepacia and Pseudomonas stutzeri
E. Burkholderia mallei and Aggregatibacter aphrophilus
Pseudomonas fluorescens and Pseudomonas putida
Characteristically, species from the genus
enterococcus are:
A. Unable to grow in 6.5% NaCl
B. Bile esculin positive
C. Sensitive to Penicillin
D. Sodium hippurate negative
Bile esculin positive
Alpha-hemolytic streptococci recovered from a wound were found to be Penicillin resistant. The organism shows the following reactions:
BILE ESCULIN (+);
6.5% NaCl (+);
PYR (+);
SXT (Resistant).
What is the most likely identification?
A. Group B streptococcus
B. Streptococcus bovis
C. Streptococcus pneumoniae
D. Enterococcus faecalis
E. Streptococcus anginosus
Enterococcus faecalis
An enterococcus isolated from multiple blood
cultures in a patient with endocarditis should be:
A. Screened for high level Aminoglycoside
resistance
B. Checked for tolerance
C. Assayed for serum antimicrobial activity
D. Tested for beta-lactamase production
E. Tested with capsular swelling test.
Screened for high level Aminoglycoside
resistance
The Quellung test is used to identify which
Streptococcus spp.?
A. Streptococcus pyogenes
B. Streptococcus agalactiae
C. Streptococcus sanguis
D. Streptococcus pneumoniae
Streptococcus pneumoniae
Nutritionally variant Streptococci (NVS) require specific thiol compounds, cysteine or the active form of Vitamin B6. Which of the following supplies these requirements?
A. Bacitracin disk test
B. Staphylococcal cross-streak
C. CAMP test
D. Bile solubility test
E. Cysteine tryptic agar
Staphylococcal cross-streak
A sputum sample from a patient with pneumonia
produced many colonies of gram-negative
diplococci on chocolate agar that were also
present in fewer numbers on Modified Thayer Martin medium after 48 hours. Biochemical reactions results are:
CATALASE (+);
OXIDASE (+);
DNASE (+);
GLUCOSE (0);
MALTOSE (0);
SUCROSE (0);
FRUCTOSE (0).
What is the most likely
identification?
A. Moraxella catarrhalis
B. Neisseria sicca
C. Neisseria flavescens
D. Pnatoea agglomerans
E. Hemophilus influenzae
Moraxella catarrhalis
Which of the following is the specimen of choice
for detecting Rotavirus?
A. Throat swab
B. Bronchoalveolar wash
C. Feces sample
D. Urine sample
Feces sample
Germ tube formation is seen with which two
yeasts?
A. Candida albicans and Candida tropicalis
B. Candida albicans and Candida parapsilosis
C. Candida albicans and Candida glabrata
D. Candida albicans and Candida dubliniensis
Candida albicans and Candida dubliniensis
Which of the following correctly describes
Staphylococci?
A. Susceptible to 0.04 units Bacitracin
B. Produces oxidase enzyme
C. Susceptible to furazolidone
D. Can not ferment mannitol
E. Resistant to Lysostaphin
Can not ferment mannitol
An organism is a late or slow lactose fermenter
possesses:
A. Beta-galactosidase and lactose permease
B. Beta-galactosidase only
C. Lactose permease only
D. Neither beta-galactosidase nor lactose
permease
Beta-galactosidase only
An isolate of E.coli recovered from stool of a
patient with severe bloody diarrhea should be tested for what sugar before sending to a
reference laboratory for serotyping?
A. Sorbitol
B. Mannitol
C. Raffinose
D. Sucrose
E. Inositol
Sorbitol
Which of the following organisms is often
confused with Salmonella spp. biochemically
and on plated media?
A. Escherichia coli
B. Enterobacter cloacae
C. Citrobacter freundii
D. Shigella dysenteriae
E. Morganella morganii
Citrobacter freundii
A Staphylococcus produced a fibrin clot in
the tube coagulase test, but not in the slide
coagulase test. This organism:
A. Produces only free coagulase and is most
likely S.aureus
B. Produces only bound coagulase and is
most likely S.aureus
C. Is most likely S.epidermidis because of
the negative slide test
D. Is most likely S.epidermidis since the
slide test is unrealible
Produces only free coagulase and is most
likely S.aureus
Bacitracin A disks (0.04 units) are used for
the presumptive identification of which
group of beta-hemolytic Streptococcus?
A. Group A
B. Group B
C. Group C
D. Group D
E. Group F
Group A
A small, gram-negative coccobacillus recovered from CSF of a 2-year old child gave the following results:
X disk (+) Glucose (+)
V disk (+) Sucrose (-)
Indole (+) Lactose (-)
Urease (+) Hemolysis (-)
Which is most likely identification?
A. Hemophylus parainfluenzae
B. Hemophylus ducreyi
C. Hemophilus influenzae
D. Hemophilus aphrophilus
Hemophilus influenzae
Which is not a characteristic of Vibrio
cholerae?
A. Motile with single polar flagellum
B. Oxidase negative
C. Ferments glucose and sucrose
D. Positive string test
E. Resistant to bile salts
Oxidase negative