WorksheetsGram Stain - CMP
Total questions: 44
Worksheet time: 1hrs 28mins
What color does Safranin make the cell and as well what type of bacteria stains this color?
Pink
Purple
Gram +
Gram -
Which of these is the first step in gram staining?
Wash with decolorizing agent
Apply gram iodine
Apply crystal violet
Apply safranin
What is the type of bacteria in the photo?
Gram Positive
Cocci in chains
Cocci in clusters
Strep Pyogenes - Group A Strep
What is the bacteria in this photo?
Gram Negative
Gram Positive
Cocci in Clusters
Rods
Staph Aureus
What is the bacteria in this photo?
Gram negative
Rods
Cocci in clusters
Escherichia Coli
Gram Positive
What is the bacteria in this picture?
Gram positive
Gram negative
Cocci
Neisseria Gonorrhoeae
Escherichia COli
Which is the bodies first barrier against bacteria?
Immune system
Nose Hair
Skin
Normal flora in the body
Which of these bacteria is most commonly found inside the ear & epidermis?
Staphylococcus
Corynebacterium
Streptococci
Pseudomonas aeruginosa
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?
Staphylococcus aureus
Streptococci pyogenes
Corynebacterium
Pseudomonas aeruginosa
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?
Pseudomonas
Streptococci
Staphyloccous
E. coli
Select all the predisposing conditions to bacterial skin infections.
Diabetes
Immunosuppresion
Poor circulation
Medications
Damage to the skin
What are the most common pathogens for community acquired pneumonia?
Streptococcus pyogenes
Streptococcus pneumoniae
Pseudomonas aeruginosa
Haemophilus influenzae
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?
Streptococcus pneumoniae
Pseudomonas aeruginosa
Corynebacterium minutissimum
Haemophilus ducreyi
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?
Pasteurella multocida
Rod
Coccobacilli
Pseudomonas aeruginosa
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?
Haemophilus ducreyi
Gram Positive
Gram Negative
Rod
Bartonella henselae
You just diagnose someone with cat scratch fever, select all the answers that are true about the most common pathogen?
Bartonella henselae
Pasteurella multocida
Gram Negative
Gram Positive
Rod
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?
Vibrio vulnificus
Bartonella henselae
Borrelia burgdorferi
Haemophilus ducreyi
What type of bacteria is Borrelia burgdorferi? Select all that are true.
Gram Negative
Gram Positive
Rod
Spirochete
Coccobacilli
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?
Gram Negative
Gram Positive
It wont stain
lol pitonzo has not taught us that yet
Check all the organisms that wont stain well or at allon a gram stain?
Rickettsia ricketsii
Treponema pallidum
Trypanosoma cruzi
Mycobacterium marinum
Which of these organisms cause Syphilis?
Treponema pallidum
Trypanosoma cruzi
Group B Strep
Pseudomonas aeruginosa
You just diagnosed your patient with necrotizing fasciitis, what is the most common pathogen?
Group B Strep
Group A Strep
H. flu
Neisseria Meningitidis
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?
Staph aureus
Strep pyogenes
Group B Strep
Neisseria meningitidis
You have a 50 year old come in with positive meningeal signs, what is the most common pathogen causing this?
Strep agalactiae (Group B)
Strep pneumoniae
Neisseria Meningitidis
Staphylococcus aureus
Pick the pairs that match currently for Meningitis.
<1 month; Group B Strep agalactiae
1 month - 18 yrs; Neisseria Meningitidis
<1 month; Neisseria Meningitidis
>18 years; Strep pneumoniae
>18 years; Group B Strep agalactiae
Select all the problems where the most common pathogen is Staphylococcus aureus?
Impetigo
Soft Tissue Abscess
Folliculitis
Toxic shock syndrome
Hot tub folliculitis
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?
The most common pathogen causing this is pseudomonas aeruginosa
She will need to start an antibiotic
This is a very serious condition
It will resolve in 7-10 days by itself
What condition is causing this and most common pathogen causing it?
Cellultis
Group A Strep
Erysipelas
Staph aureus
What is causing this condition and what is the most common pathogen?
Erysipelas
Cellulitis
Group A Strep
Group B Strep
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?
Lymphangitis
Group A Strep
Corynebacterium minutissimum
Cellulitis
Ugh your poor patient has orbital cellulitis, what is the first thing you will do for them?
They will be fine, tell them to rest
Prescribe oral antibiotic
Admit and IV antibiotics
hehe tbh idk what to do
What is the condition pictured?
Abscess
Hidradenitis Suppurativa
Cellulitis
MRSA
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?
MRSA
The patient is prob right, a spider
Strep pneumoniae
Pseudomonas aeruginosa
What is the most common treatment for Hidradenitis Suppurativa?
Topical Clindamycin
Oral Clindamycin
IV antibiotics depending on the gram stain
It will go away on its own
What does a wood lamp exam do?
Uses UV light to detect bacterial or fungal skin infections
Uses UV light to detect ONLY bacterial skin infections
Uses UV light to detect ONLY fungal infections
Uses normal lighting to examine the skin under a microscope
Your patient comes in with this on their scalp. What is the most likely diagnosis and treatment?
Tinea Capitis
Tinea guchera
Antifungal that are recommended to be taken with a high fatty meal
Antifungal that need to be taken on a non fat diet
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?
Erythrasma
Staph aureus
Corynebacterium minutissimum
Cellulitis
How many negative TB sputum cultures do you need before you can leave the hospital?
1
2
3
4
5
What do you think is going on with this patient?
Pityriasis rosea
Pityriasis versicolor
Erythrasma
Tinea Capitis
Which of the following can be used to assess patients with lower respiratory tract infections?
Sputum Culture
Culture from the nose
Culture from the pharynx
What test will you use for a patient with suspected TB on their sputum?
Gram staining
Acid-fast smear
Serology
PCR
What is the GOLD STANDARD test for active TB, even though it takes MANY weeks?
Acid-fast culture
Acid-fast smear
Gram staining
PCR testing
Select all the labs you would do if you suspect a skin infection.
Gram stain
Would culture and sensitivity before antibiotics are administrered
CBC
Wound culture and sensitivity after antibiotics are administered
You perform a Tzanck smear, what are you looking for and what is your top differential diagnosis?
Multinucleated giant cells
Intranuclear inclusion bodies
Herpes Virus
Pneumonia
