Unit 2 Flashcards

1
Q

The next identification test performed on a clinical isolate of a gram cocci that is catalase-positive would most likely be the:

a. penicillin test.
b. PYR test.
c. oxidase test.
d. coagulase test.

A

coagulase test.

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2
Q

A beta-hemolytic, yellow, creamy, catalase positive, gram-positive cocci is coagulase-negative by the slide coagulase test. Which of the following is most appropriate action in identification of this organism?

a. Report a coagulase-negative Staphylococcus.
b. Report a coagulase-negative Staphylococcus aureus.
c. Reconfirm the hemolytic reaction on a fresh 24-hour culture.
d. Perform a tube coagulase test to confirm the slide test.

Explain your selection

A

Perform a tube coagulase test to confirm the slide test.

S. aureus has all of the characteristics above but is not coagulase negative. Coagulase negative staphylococci are also not beta-hemolytic. Further testing needs to be done.

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3
Q

Which organism is resistant to Novobiocin?

a. Staphylococcus epidermidis
b. Staphylococcus hominis
c. Staphylococcus saprophyticus
d. All of the above

A

Staphylococcus saprophyticus

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4
Q

Which of the following media does not contain a sulfur source as an H2S indicator?
a. MacConkey Agar

b. Hektoen agar
c. Salmonella/shigella agar
d. Xylose lysine deoxycholate (XLD) agar

A

MacConkey Agar

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5
Q

The organism resistant to novobiocin that is primarily isolated from a female patient is a recognized cause of:

a. Impetigo
b. Toxic shock syndrome
c. Urinary tract infection
d. Folliculitis

A

Urinary tract infection

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6
Q

A non-hemolytic, catalase negative, GPC is PYR positive. You should expect the isolate to be?

a. Bile esculin positive
b. Salt tolerant
c. Susceptible to Optochin
d. Both a and b

A

Both a and b

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7
Q

Streptococcus pneumonia can be differentiated best from the viridans groups of Streptococci by:

a. The type of hemolysis
b. PYR
c. Bile esculin test
d. Bile solubility

A

Bile solubility

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8
Q
A gram-positive cocci isolated from a blood culture has the following characteristics:
Optochin: Resistant
Bacitracin: Resistant
Bile esculin hydrolysis: negative
Hippurate hydrolysis: positive
Catalase: negative
This organism is most likely:
a. Staphylococcus aureus

b. Streptococcus pneumoniae
c. Streptococcus pyogenes (Group A)
d. Streptococcus agalactiae (Group B)

A

Streptococcus agalactiae (Group B)

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9
Q

A gamma-hemolytic streptococcus gives the following reactions: Bile esculin = black; Optochin = growth up to the disk, growth in 6.5% NaCl. The CLT should:

a. Report the isolate as Enterococcus
b. Report the isolate as non-enterococcus group D strep
c. Report the isolate as Strep bovis
d. Perform a bacitracin test

A

Report the isolate as Enterococcus

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10
Q

The bacterial species that can be described as soluble in bile, alpha hemolytic, a major cause of bacterial meningitis, and can have an antiphagocytic capsule is:

a. PYR positive
b. Susceptible to Optochin
c. Resistant to Optochin
d. Viridans strep

A

Susceptible to Optochin

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11
Q

The organism that is a common cause of Community acquired pneumonia is:

a. S. agalactiae
b. S. pyogenes
c. Enterococcus
d. S. pneumoniae

A

S. pneumoniae

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12
Q

development of acute glomerulonephritis may be encountered by patients infected with a bacteria that is:

a. Gamma hemolytic, PYR positive
b. Alpha hemolytic, susceptible to optochin
c. Beta hemolytic, susceptible to bacitracin
d. Beta hemolytic, resistant to bacitracin

A

Beta hemolytic, susceptible to bacitracin

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13
Q

A K/A reaction on TSI indicates that the organism is:

a. glucose fermenter; lactose fermenter
b. glucose fermenter; lactose non-fermenter
c. glucose non-fermenter; lactose fermenter
d. glucose non-fermenter; lactose non-fermenter

A

glucose fermenter; lactose non-fermenter

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14
Q

The K antigen of the Enterobacteriacede is:

a. heat labile
b. the somatic antigen
c. located on the flagellum
d. the antigen used to group Salmonella

A

heat labile

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15
Q

Which of the following bacteria are etiologic agents of foodborne gastroenteritis in the United States?

a. Shigella species
b. Salmonella species
c. Yersinia enterocolitica
d. Escherichia coli 0157:H7
e. All of the above are correct

A

All of the above are correct

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16
Q

Organisms that typically produce clear or green colonies on Hektoen agar are:

a. Shigella spp.
b. Klebsiella spp.
c. E. coli
d. Salmonella spp.

A

Shigella spp.

17
Q

The test that can differentiate Proteus mirabilis from Proteus vulgaris is:

a. PYR
b. Indole
c. Oxidase
d. Ornithine

A

Indole

18
Q

A 6- year old girl suffering from bloody diarhea is diagnosed with HUS. A stool is submitted for culture. What medium should be included to defect the organism associated with HUS?

a. SMAC
b. HE
c. CIN
d. SS

A

SMAC

19
Q

All Enterobacteriaceae are facultative anaerobes.
True
False

A

True

20
Q

Viridians streptococci are normal oral flora.
True
False

A

False

21
Q

E. coli is the most common cause of gram negative bacteremia and urinary tract and kidney infection
True
False

A

True