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Staphylococci, streptococci KROK

Total questions: 22

Worksheet time: 13mins

Name
Class
Date
1.

In a patient with purulent complication of an open hip fracture, the doctor diagnosed with sepsis on clinical grounds. What research methodology will the bacteriologist use to confirm the diagnosis?

a)

Selection of pure culture from blood.

b)

Isolation of pure culture from the wound.

c)

Detection of antibodies to staphylococcal toxins.

d)

Microscopy of a blood preparation.

e)

Research of the patient's immune status.

2.

What drug is appropriate to prescribe a pregnant woman for specific prevention of postnatal staphylococcal infection?

a)

Staphylococcal toxoid.

b)

Staphylococcal vaccine inactivated.

c)

Live (attenuated) staphylococcal vaccine.

d)

Staphylococcal bacteriophage.

e)

Ampicillin.

3.

An elderly man recovered from the flu, but did not consult a doctor. The diagnosis of the transferred disease the virologist confirmed on the basis of the result of serological examination. A few days after the recovery, the patient was taken to a hospital with fever, cough and a lot of purulent sputum. At radiography of the patient in the lungs, the doctor found numerous abscesses. During the sputum study, the bacteriologist identified coagulase-positive bacteria that were capable of synthesizing DNAase. What kind of bacteria did the bacteriologist find?

a)

Staphylococcus aureus.

b)

Streptococcus pyogenes.

c)

Clostridium perfringens.

d)

Clostridium septicum.

e)

Staphylococcus intermedius.

4.

A 20-year-old patient developed a complication of postoperative wound after purulent appendicitis. From the pus that was taken from the wound, the bacteriologist prepared a micropreparation and found a large number of leukocytes and gram-positive bacteria. What microorganism caused the purulence of the postoperative wound?

a)

Staphylococcus aureus.

b)

Tetrakok.

c)

Streptococcus.

d)

Gonococcus.

e)

Meningococcus.

5.

A 15-year-old female patient complained to a dermatologist about the frequent formation of furuncle. Within a few months, 1-2 boils were formed on the face and neck of the patient; The patient underwent courses of vitamin and antibiotic therapy, applied topical treatment, adhered to a diet (excluded meals containing carbohydrates from the diet). The treatment did not give a positive effect. What microorganism caused the formation of boils?

a)

Enterococcus.

b)

Staphylococcus aureus.

c)

Escherichia coli.

d)

Streptococcus.

6.

The hospital was hospitalized for a child diagnosed with staphylococcal sepsis. In what nutrient medium does a bacteriologist sow the blood of a sick child to isolate the pathogen?

a)

Meat-peptone agar.

b)

Ploskirev's culture medium

c)

Sugar broth.

d)

Bychina culture medium

e)

Yolk-salt agar.

7.

What drug is not used for immunotherapy for staphylococcal diseases?

a)

Antistaphylococcal plasma.

b)

Antistaphylococcal horse serum.

c)

Antistaphylococcal immunoglobulin.

d)

Staphylococcal γ (gamma) is a globulin.

e)

Staphylococcal toxoid.

8.

The medical council discusses the appointment of antibiotics to a patient with a septic condition. When prescribing an antibiotic to a patient, what is the property of the pathogen to take into account before receiving the results of sensitivity to antibacterial drugs?

a)

The ability of the bacterium to capsule formation.

b)

Bacteria to Gram staining.

c)

Acid resistance of bacteria.

d)

The presence of aggression factors in the bacterium.

e)

The ability of bacteria to spore formation.

9.

During the examination of the medical staff of the surgical department of the nasopharynx of the operating nurse, the bacteriologist isolated gram-positive cocci. In the micro-preparation microorganisms were placed in the form of grapes of grapes, on the yolk-salt agar formed colonies S-forms with turbidity and under anaerobic conditions were fermented with acid-forming mannitol. Which test will confirm that it is Staphylococcus aureus?

a)

Plasma coagulase test.

b)

Catalase test.

c)

The urease test.

d)

Penicillinase test.

e)

Cystinase test.

10.

The doctor diagnosed with pleuropneumonia in a child recovering from measles. The disease was caused by opportunistic Staphylococcus epidermidis. Name the form of infection.

a)

Secondary infection.

b)

Superinfection.

c)

Reinfection.

d)

Persistent infection.

e)

Hospital infection.

11.

The patient with open fracture of the lower leg was hospitalized in the trauma unit. The wound in the patient was swollen. During the bacteriological study, the pus revealed that the bacteriologist had identified the microbial association of staphylococcus and Escherichia coli. What is the form of infection?

a)

Mixed infection (mix).

b)

Secondary infection.

c)

Primary infection.

d)

Endogenous infection.

e)

Superinfection.

12.

A 25-year-old woman suffering from streptococcal pyoderma developed sepsis. To confirm the streptococcal etiology of sepsis, the patient took 10 ml of blood from the patient. The test material was sown by a bacteriologist in bile broth and cultured for six weeks in a thermostat at t = 37 ° C, but did not show signs of growth of the pathogen. What mistake did the bacteriologist make?

a)

The pathogen is not cultivated in the selected nutrient medium.

b)

The bacteriologist has chosen the wrong diagnostic method.

c)

The bacteriologist needed to investigate other material.

d)

The doctor took insufficient amount of material for the study.

e)

The bacteriologist did not create anaerobic conditions for the cultivation of the pathogen.

13.

The therapist was addressed by a woman complaining of sore throat, fever, general weakness. The doctor noted hyperemia of the throat, plaque on the throat of white, which was easily removed with a spatula. During microscopy of the drug from the throat, the bacteriologist found gram positive cocci that were placed in chains. What method of laboratory diagnostics did the bacteriologist use to determine the etiology of the disease?

a)

Bacteriological.

b)

Serological.

c)

Biological.

d)

Bacterioscopic.

e)

Express method (fluorescence microscopy).

14.

In a 6-year-old child, the disease, which was caused by hemolytic streptococcus, began with acute catarrh of the throat and tonsils, which spread to the mucous membrane of the mouth, tongue ("raspberry tongue"). On the surface of the tonsils, the doctor found areas of necrosis extending to the soft palate and throat. In areas where the necrotic material was discarded, ulcers were formed. The doctor noted an increase in the cervical lymph nodes and a spotty rash of bright red color. The rash is absent in the area of ​​the nasolabial triangle. What is the diagnosis of the doctor of the sick child?

a)

Measles.

b)

Angina.(tonsils)

c)

Scarlet fever.

d)

Diphtheria.

e)

Meningococcal nasopharyngitis.

15.

The doctor gave the patient a preliminary diagnosis of "sepsis" and ordered a bacteriological examination of the blood. The bacteriologist studied the material to sowed on blood agar and sugar broth. On the blood agar, small, transparent, circular colonies grew, surrounded by a zone of hemolysis, and in the sugar broth, the bacteriologist noted the benthic growth of the bacteria. In a micropreparation made from sugar broth, a bacteriologist found gram-positive cocci that were placed in chains. What microorganisms did the bacteriologist find in the patient's blood?

a)

Sarzines

b)

Micrococci.

c)

Streptococci.

d)

Staphylococci.

e)

Tetrakoki.

16.

The boy, who is ill with chronic tonsillitis, from a material from the mucous membrane of the oropharynx, a bacteriologist isolated the culture of cocci. In the Gram-stained micropreparation, the bacteria were placed in chains. What bacteria are inherent in such features of morphology?

a)

Streptococcus.

b)

Staphylococcus aureus.

c)

Escherichia.

d)

Clostridia.

e)

Vibrion.

17.

Due to suspected scarlet fever, a doctor in a sick child took a study of mucus from the throat and nose. The test material bacteriologist sowed on YSA (yolk-salt agar). Small transparent colonies with a rainbow circle grew on this nutrient medium. On the MPA the colonies were golden in color. The reaction to plasmocoagulase is positive. Bacteria produced necro-, hemo- and enterotoxins. Is dedicated culture a causative agent of scarlet fever?

Yes, it's streptococcus

a)

No, it's not streptococcus

b)

No, it's meningococcus.

c)

No, it's a micrococcus.

d)

No, it's enterococci.

18.

Material from a patient with suspected scarlet fever bacteriologist found gram-positive bacteria of spherical shape, which were placed in the form of chains. Describe the main cultural properties of the causative agent?

a)

The pathogen is fastidious to nutrient media.

b)

The selective environment is the Endo environment.

c)

The pathogen forms large colorless colonies.

d)

Bacteria are cultured only under anaerobic conditions.

e)

The bacteria give a diffuse turbidity to the meat-peptone broth.

19.

On which nutrient media does the bacteriologist sow clinical material to produce streptococci?

a)

Blood MPA.

b)

MPB.

c)

Yolk-salt agar.

d)

MPA.

20.

In the sputum of the patient, who had been previously diagnosed with pneumonia by a doctor, a bacteriologist found gram-positive, prolonged-shaped diplococci with pointed ends. Name the type of bacterium that the bacteriologist found in the sputum.

a)

Streptococcus pneumoniae.

b)

Staphylococcus aureus.

c)

Klebsiella pneumoniae.

d)

Neisseria meningitidis.

e)

Neisseria gonorrhoeae.

21.

In a 14-year-old patient, the doctor diagnosed with chronic tonsillitis in the stage of decompensation. The need for tonsillectomy is being addressed. Which laboratory test will confirm the need for surgery?

a)

Detection of streptococcal antigens in the urine by ELISA.

b)

High titer of antibodies to streptococcal toxins.

c)

Increasing the titer of antibodies to streptococcal toxins in the dynamics of the survey.

d)

Increased leukocyte count.

e)

Isolation of pure culture of hemolytic streptococcus.

22.

Рatient diagnosed with " croupous pneumonia" in lumps of pus with sputum, the bacteriologist found gram-positive diphthococci of the lanceolate form, which were surrounded by a capsule. What diagnostic method did the bacteriologist use?

a)

Bacterioscopic.

b)

Express method.

c)

Bacteriological.

d)

Biological.

e)

Serological.