Strep Manual Flashcards

1
Q

Certain streptococci will destroy the red blood cells in the medium completely and form a clear zone around the colonies.

These are beta-hernolytic streptococci, as typified by pathogenic_______

A

S. pyogenes.

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2
Q

Other streptococci cause incomplete destruction of the blood cells, and their colonies are surrounded by an olive green or brown discoloration of the medium. These are alpha-hernolytic streptococci. They include____ and _____, the agent of bacterial lobar pneumonia.

A

S. mitis and S. pneumoniae

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3
Q

A final group, the non-hemolytic streptococci, cause no hemolysis of red blood cells.______, the organism in yogurt, is a member of the group.

A

S. lactis

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4
Q

In addition to hemolysis, S. pyogenes can be distinguished from viridians streptococci by means of the______ sensitivity test.

In this test, a filter paper disk impregnated with______ is applied to the surface of a blood agar plate that has been previously streaked with the bacteria to be identified.

The appearance of a zone of inhibition surrounding the disk is a positive test for______. An absence of a zone of inhibition suggests non-Group A bacteria.

A

bacitracin

0.04 units of bacitracin

Group A streptococci

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5
Q

______is also resistant to SXT disks, which contain a mixture of 1.25 urn____ and 27.75 ug of______.

______are inhibited by these agents.

A

S. pyogenes

trimethoprim

sulfamethoxazole

Viridians streptococci

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6
Q

Group B streptococci can be distinguished from other beta-hemolytic streptococci by their production of a substance called the_______

A

CAMP factor.

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7
Q

CAMP is an acronym for the names of the investigators (________) who first described the factor.

This factor is a peptide that acts together with the beta-hemolysin produced by some strains of S. aureus, enhancing the effect of the latter on a sheep blood agar plate.

A

Christie, Atkins, and Munch-Petersen

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8
Q

Group D streptococci and enterococci can be differentiated from other streptococci by using________.

A

bile esculin agar slants

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9
Q

Group D streptococci grow readily on the bile esculin agar and hydrolyze the esculin imparting a_______ to the medium.

This reaction denotes their bile tolerance, ability to hydrolyze esculin, and constitutes a positive reaction.

Gram-positive bacteria (other than group D streptococci anc enterococci) are inhibited by the bile salts.

A

dark brown color

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10
Q

If a beta-hemolytic species of Streptococcus has been isolated, evidence for its grouping may be obtained by performing a_______.

______test for alpha-hemolytic colonies.

For gamma-hemolytic streptococci, perform______.

A

bacitracin disk sensitivity test

Perform Optochin

esculin hydrolysis test

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11
Q

Aseptically apply a disk containing 0.04 units of bacitracin to a heavily streaked area, and incubate the plate as above.

The presence of a clear ring around the disk indicates that the streptococci have been killed by the antibiotic and that they are probably______ known as_____. The absence of a ring provides evidence that they belong to another group

A

Group A beta-hemolytic streptococci

Streptococcus pyogenes

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12
Q

is performed to presumptively identify group B streptococci. Lancefield serological typing test is performed to confirm identification.

A

CAMP test

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13
Q

Optochin (Taxo P) Test

Positive: Zone of inhibition is______ in diameter, with 6-mm disk.

Negative:_____

Equivocal: Any zone of inhibition_____ is questionable for pneumococci; the strain is identified as a pneumococcus only if it is bile-soluble.

A

14 mm or greater

No zone of inhibition

less than 14 mm

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14
Q

Bile Esculin Agar

Inoculate one to two colonies from an 18-24-hour culture onto the surface of the slant.

Incubate at 35C in ambient air for 48 hours.

Positive:______
Negative:_____

Perform Lancefield serological typing test to confirm identification.

A

blackening of the agar slant

no blackening of medium

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