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Gram Stain - CMP

Total questions: 44

Worksheet time: 1hrs 28mins

Name
Class
Date
1.

What color does Safranin make the cell and as well what type of bacteria stains this color?

a)

Pink

b)

Purple

c)

Gram +

d)

Gram -

2.

Which of these is the first step in gram staining?

a)

Wash with decolorizing agent

b)

Apply gram iodine

c)

Apply crystal violet

d)

Apply safranin

3.

What is the type of bacteria in the photo?

a)

Gram Positive

b)

Cocci in chains

c)

Cocci in clusters

d)

Strep Pyogenes - Group A Strep

4.

What is the bacteria in this photo?

a)

Gram Negative

b)

Gram Positive

c)

Cocci in Clusters

d)

Rods

e)

Staph Aureus

5.

What is the bacteria in this photo?

a)

Gram negative

b)

Rods

c)

Cocci in clusters

d)

Escherichia Coli

e)

Gram Positive

6.

What is the bacteria in this picture?

a)

Gram positive

b)

Gram negative

c)

Cocci

d)

Neisseria Gonorrhoeae

e)

Escherichia COli

7.

Which is the bodies first barrier against bacteria?

a)

Immune system

b)

Nose Hair

c)

Skin

d)

Normal flora in the body

8.

Which of these bacteria is most commonly found inside the ear & epidermis?

a)

Staphylococcus

b)

Corynebacterium

c)

Streptococci

d)

Pseudomonas aeruginosa

9.

You have a 8 year old come in to your office with a positive tug test and tragus sign. You are trying to remember what drug to prescribe, but you are trying to remember what you learned back in PA school. What is the MOST common pathologic organism causing this?

a)

Staphylococcus aureus

b)

Streptococci pyogenes

c)

Corynebacterium

d)

Pseudomonas aeruginosa

10.

You walk into the first day of your ER rotation and you see a patient that comes in from EMS with a nail sticking in the bottom of their shoe. After the nails is pulle dout and the shoe is taken off, you observe that the foot definitely has an infection. You remember that this is a scenario that is always tested on the PANCE, so you know MOST LIKELY what organism it is. What is it?

a)

Pseudomonas

b)

Streptococci

c)

Staphyloccous

d)

E. coli

11.

Select all the predisposing conditions to bacterial skin infections.

a)

Diabetes

b)

Immunosuppresion

c)

Poor circulation

d)

Medications

e)

Damage to the skin

12.

What are the most common pathogens for community acquired pneumonia?

a)

Streptococcus pyogenes

b)

Streptococcus pneumoniae

c)

Pseudomonas aeruginosa

d)

Haemophilus influenzae

13.

You have a patient walk in complaining of brown, scaly skin patches. You end up diagnosing them with erythrasma. What is the most common pathogen that causes this?

a)

Streptococcus pneumoniae

b)

Pseudomonas aeruginosa

c)

Corynebacterium minutissimum

d)

Haemophilus ducreyi

14.

A patient come in saying that a dog bit them a day ago and now their hand looks very infected. What is the most common pathogen causing the infection and what type?

a)

Pasteurella multocida

b)

Rod

c)

Coccobacilli

d)

Pseudomonas aeruginosa

15.

A young men comes into your office and he has just tested positive for a STD and he has been crying a lot more than normal. You diagnose him with Chancroid. What is the most likely pathogen and what type?

a)

Haemophilus ducreyi

b)

Gram Positive

c)

Gram Negative

d)

Rod

e)

Bartonella henselae

16.

You just diagnose someone with cat scratch fever, select all the answers that are true about the most common pathogen?

a)

Bartonella henselae

b)

Pasteurella multocida

c)

Gram Negative

d)

Gram Positive

e)

Rod

17.

You have a patient with a bulleye lesion and went hiking a couple days ago. You remember back to that SIM you did in PA school and diagnose her. What is the most likely pathogen that causes this disease?

a)

Vibrio vulnificus

b)

Bartonella henselae

c)

Borrelia burgdorferi

d)

Haemophilus ducreyi

18.

What type of bacteria is Borrelia burgdorferi? Select all that are true.

a)

Gram Negative

b)

Gram Positive

c)

Rod

d)

Spirochete

e)

Coccobacilli

19.

You have a patient come in with a history of hiking a couple days prior and a spotted rash that is on the wrists and the patient has a headache and high fever. You know that this disease can be lethal if not treated, how will the most common pathogen stain?

a)

Gram Negative

b)

Gram Positive

c)

It wont stain

d)

lol pitonzo has not taught us that yet

20.

Check all the organisms that wont stain well or at allon a gram stain?

a)

Rickettsia ricketsii

b)

Treponema pallidum

c)

Trypanosoma cruzi

d)

Mycobacterium marinum

21.

Which of these organisms cause Syphilis?

a)

Treponema pallidum

b)

Trypanosoma cruzi

c)

Group B Strep

d)

Pseudomonas aeruginosa

22.

You just diagnosed your patient with necrotizing fasciitis, what is the most common pathogen?

a)

Group B Strep

b)

Group A Strep

c)

H. flu

d)

Neisseria Meningitidis

23.

You have a patient come in with golden crusts on their face, you are suspicious of impetigo, what is the most common pathogen that causes this?

a)

Staph aureus

b)

Strep pyogenes

c)

Group B Strep

d)

Neisseria meningitidis

24.

You have a 50 year old come in with positive meningeal signs, what is the most common pathogen causing this?

a)

Strep agalactiae (Group B)

b)

Strep pneumoniae

c)

Neisseria Meningitidis

d)

Staphylococcus aureus

25.

Pick the pairs that match currently for Meningitis.

a)

<1 month; Group B Strep agalactiae

b)

1 month - 18 yrs; Neisseria Meningitidis

c)

<1 month; Neisseria Meningitidis

d)

>18 years; Strep pneumoniae

e)

>18 years; Group B Strep agalactiae

26.

Select all the problems where the most common pathogen is Staphylococcus aureus?

a)

Impetigo

b)

Soft Tissue Abscess

c)

Folliculitis

d)

Toxic shock syndrome

e)

Hot tub folliculitis

27.

Your patient comes in and they have just gotten a rash that she thinks is associated with how much time she spent in her new hot tub yesterday. What is true about what she has?

a)

The most common pathogen causing this is pseudomonas aeruginosa

b)

She will need to start an antibiotic

c)

This is a very serious condition

d)

It will resolve in 7-10 days by itself

28.

What condition is causing this and most common pathogen causing it?

a)

Cellultis

b)

Group A Strep

c)

Erysipelas

d)

Staph aureus

29.

What is causing this condition and what is the most common pathogen?

a)

Erysipelas

b)

Cellulitis

c)

Group A Strep

d)

Group B Strep

30.

You see this on your patient and remember seeing this on Professor Crain's slide in CMP. What is this and what is the most common pathogen?

a)

Lymphangitis

b)

Group A Strep

c)

Corynebacterium minutissimum

d)

Cellulitis

31.

Ugh your poor patient has orbital cellulitis, what is the first thing you will do for them?

a)

They will be fine, tell them to rest

b)

Prescribe oral antibiotic

c)

Admit and IV antibiotics

d)

hehe tbh idk what to do

32.

What is the condition pictured?

a)

Abscess

b)

Hidradenitis Suppurativa

c)

Cellulitis

d)

MRSA

33.

Your patient comes in and says that they think they got bit by a spider and then show you this on their foot. What do you think is actually the culprit?

a)

MRSA

b)

The patient is prob right, a spider

c)

Strep pneumoniae

d)

Pseudomonas aeruginosa

34.

What is the most common treatment for Hidradenitis Suppurativa?

a)

Topical Clindamycin

b)

Oral Clindamycin

c)

IV antibiotics depending on the gram stain

d)

It will go away on its own

35.

What does a wood lamp exam do?

a)

Uses UV light to detect bacterial or fungal skin infections

b)

Uses UV light to detect ONLY bacterial skin infections

c)

Uses UV light to detect ONLY fungal infections

d)

Uses normal lighting to examine the skin under a microscope

36.

Your patient comes in with this on their scalp. What is the most likely diagnosis and treatment?

a)

Tinea Capitis

b)

Tinea guchera

c)

Antifungal that are recommended to be taken with a high fatty meal

d)

Antifungal that need to be taken on a non fat diet

37.

Your patient comes in and has this discoloration under their armpits and this is what it looks like under Wood lamp exam, what is your most likely diagnosis and pathogen?

a)

Erythrasma

b)

Staph aureus

c)

Corynebacterium minutissimum

d)

Cellulitis

38.

How many negative TB sputum cultures do you need before you can leave the hospital?

a)

1

b)

2

c)

3

d)

4

e)

5

39.

What do you think is going on with this patient?

a)

Pityriasis rosea

b)

Pityriasis versicolor

c)

Erythrasma

d)

Tinea Capitis

40.

Which of the following can be used to assess patients with lower respiratory tract infections?

a)

Sputum Culture

b)

Culture from the nose

c)

Culture from the pharynx

41.

What test will you use for a patient with suspected TB on their sputum?

a)

Gram staining

b)

Acid-fast smear

c)

Serology

d)

PCR

42.

What is the GOLD STANDARD test for active TB, even though it takes MANY weeks?

a)

Acid-fast culture

b)

Acid-fast smear

c)

Gram staining

d)

PCR testing

43.

Select all the labs you would do if you suspect a skin infection.

a)

Gram stain

b)

Would culture and sensitivity before antibiotics are administrered

c)

CBC

d)

Wound culture and sensitivity after antibiotics are administered

44.

You perform a Tzanck smear, what are you looking for and what is your top differential diagnosis?

a)

Multinucleated giant cells

b)

Intranuclear inclusion bodies

c)

Herpes Virus

d)

Pneumonia