MICROBIOLOGY Flashcards
Capsule can be used for
Serotype by swelling
To demonstrate capsule, grow the culture on media containing
- milk
* serum
The Quellung test depends on the antigenic specificity of the
capsule
Dark staining granules
Metachromatic
Organisms that vary in size and shape
Pleomorphic
In the bacterial growth cycle, growth ceases because nutrients are exhausted or toxic metabolic products have accumulated in the
Stationary/Plateau Phase
Bacteria form spores
- Clostridium
* Bacillus
Bacteria that grow in the absence of athmospheric (free) oxygen and obtain oxygen from oxygen containing compounds
Anaerobes
The temperature at which bacteria grow best
Optimum
A slimy colony on blood agar medium indicates which of the following characteristics may be present?
Organism has a capsule
On blood agar plates a small zone of alpha-hemolysis surrounded by zone beta hemolysis after refrigeration
Alpha-prime
When using fractional sterilization the sequence
Heating (kill vegetative bacteria)
Incubation (spores germinate)
Heating (kills remaining vegetative bacteria)
Most effective method of sterilization
Autoclave
Used for quality control for the dry heat oven
Bacillus subtilis
Filters can give 100% sterility
Millipore (0.22um)
Media that cannot be heated can be sterilized by
Filtration
Which of the following is not a disinfectant?
70% alcohol
Iodophors are composed of
Iodine and Detergent
Quarternary ammonium disinfectants are easily inactivated by
Organic Material
Term that describes a process or treatment that renders a medical device, instrument or environment surface to handle
Decontamination
Gram positive bacteria stain
Purple
The mordant used in the Ziehl-Neelsen acid fast stain
Heat
Smear for an acid fast stain fixed
Slide warmer at 65C for 2 hours
Acid fast bacteria appear what color microscopically
Red
Acid fast organism in tissue are best stained by
Kinyoun
In the Ziehl-Neelsen staining mtd, the decolorizer
Alcohol + HCl
An exmaple of negative stain
India Ink stain
NOT gram negative
Peptococcus
NOT an anaerobe
Campylobacter
If a patient is taking antimicrobials, which can neutralize the antimicrobials
Thiol broth
From a bronchial washing, organisms are seen on a Gram stain, but no growth occurs aerobically and anaerobically. This most likely due to
Inhibition by antibiotic therapy
Use to remove antimicrobials before culturing
Antimicrobial Removal Device
Sodium Polyanethol sulfonate may be used as an anticoagulant in blood cultures because it
- Prevents phagocytosis
* Neutralizes the bactericidal effect of human serum
Most abundant normal flora in throat culture
Alpha hemolytic Streptococcus
Most common pathogen in throat culture
Group A Streptococcus
Why must blood agar plates for throat cultures can be incubated aerobically and anaerobically when beta hemolytic streptococci are suspected
Some may produce beta hemolysis under aerobic conditions
Nasopharyngeal swabs are recommended for the detection of carriers such as
Haemophilus influenzae
Neisseria
Bordetella pertussis
Todd- Hewitt broth is recommended for
Culture of beta-hemolytic streptococci for fluorescence microscopy
Phenylethyl alcohol is used in media to
Inhibit gram negative bacteria
Why is a first morning urine specimen preferred for urine cultures
Specimen is more concentrated
what indicates vaginal or urethral contamination of urine
Many squamous epithelial cells
In the pour-plate mtd for colony counts, how does the amount of agar added affect the dilution
Dilution is not affected
Smears of CSF are usually stained with
Gram stain
India ink stain
Smears of CSF are prepared from
CSF sediment
Test for bacterial antigen on cultures isolated from CSF is more sensitive and faster
Latex agglutination tests
Staphylococcal protein A coated with antiserum is used in which of the serological test on CSF
Coagglutination test
NOT cause of venereal disease
Staphylococcus aureus
Using sheep blood agar plates eliminates beta hemolytic
Hemophilus
A positive tube coagulase test is observed for
clotting of plasma
Type of plasma is used for the tube coagulase test
Rabbit
Some citrate positive organism cause a false positive tube coagulase test because the organism uses the citrate
and releases Calcium
A nonhemolytic, catalase positive, coagulase negative, gram possitive coccus
Staphylococcus epidermidis
Preferred mtd of differentiating S.aureus from S. epidermidis
Coagulase test
Staphylococci that cause of UTI in young females
S. saphrophyticus
S. aureus can be isolated from stool cultures by the use of
Medium with 7.5% salt concentration
Most common cause of bacterial food poisoning in the US
Staphylococcus aureus
Gram positive cocci that ferment glucose
Staphylococci
Produced by beta hemolytic streptococci, is oxygen stable and non antigenic
Streptolysin S
Cultures for beta hemolytic streptococci must include
Anaerobic incubation to detect hemolysis in all strains
Destroyed by oxygen
Streptolysin O
Group A beta hemolytic streptococci
Bacitracin Susceptible
Streptococcus pneumoniae
Optochin susceptible
Alpha hemolytic streptococci
Optochin resistant
Group B, beta hemolytic streptococci
Hippurate hydrolysis positive
CAMP test positive
Enterococcus
Bile esculin positive
Whenever a biochemical test is substituted for a serological test is reported
As “presumptive” with the name of the biochemical test
CAMP is a factor produced by group B beta-hemolytic streptococci that
Enlarges the zone of lysis formed by staphylococcal beta-hemolysin
A positive Quellung test is
From capsular swelling due to an antigen-antibody reaction
Serological test used for a confirmatory test for streptococci
Phadebac test
Fluorescent antibody test
Lancefield precipitin test
When performing a bacitracin differentiation test for group A beta hemolytic streptococci, use disks that have how many units?
0.02-0.04 units
Group A streptococci
“strep throat”
Scarlet fever
Group B streptococci
Major pathogen of the newborn
Alpha hemolytic streptococci
Subacute bacteria Endocarditis
What do optochin and bacitracin tests have in common
Growth inhibition is a positive result
Bile esculin test is used to differentiate
Group D streptococci from other strep
Hippurate hydrolysis is used to differentiate
Group A from Group B streptococci
A bacitracin resistant, hippurate hydrolysis positive, bile esculin positive, beta hemolytic Streptococcus that grows in 6.5% NaCl
Enterococcus
Pneumococci that are resistant to penicillin should be tested for
Production of beta lactamase
Gram negative, coffee bean shaped diplococci with adjacent sides flattened
Neisseria
Diagnosis of gonorrhea in males can be made from
Positive urethral smear
Symptoms
History
Specimens may be appropriate for culturing Neisseria gonorrhea
Eyes
Rectum
Oral cavity
Medium choice for culturing gonococci and meningococci
Modified Thayer Martin
Differentiates Thayer Martin medium from Modified Thayer Martin medium
Trimethoprim lactate
Thayer Martin medium is basically an
Enriched chocolate agar
Color of a positive oxidase test
Dark Purple
Genera that are oxidase positive
Moraxella
Aeromonas
Neisseria
Techniques that can be used when performing the oxidase test
Put a drop of reagent on the colony
Rub colony on a filter paper strip and add a drop of reagent
Rub the colony on a piece of filter paper containing the reagent
What do “PPNG” gonococci produce
Penicillinase-producing gonococci
Methods for testing for the production of beta lactamase
Chromogenic cephalosphorin mtd
Acidometric mtd
Iodometric mtd
Positive reaction for the beta lactamase chromogenic cephalosphorin mtd
Color change
An oxidase positive, gram neg coccus from a throat culture
Neissseria
A fastidious, oxidase positive, gram negative coccus from rectal swab
Neisseria gonorrhea
Neisseria meningitidis degrades what sugars
Glucose
Maltose
Which of the following test can give a presumptive identification of Branhamella catarrhalis if the isolate is a gram neg diplococcus that is oxidase positive and isolated from middle ear fluid
Beta lactamase test
Why should beta lactamase tests be performed with growth from primary isolation media
Plasmid coding for the enzyme may be lost in subculturing
Purpose of potassium tellurite in tellurite medium
Inhibits the normal flora