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WorksheetsMicro 1
Total questions: 50
Worksheet time: 38mins
When cleansing the skin with alcohol and then iodine for the collection of a blood culture, the iodine (or iodophor) should remain in contact on the skin for at least:
10 seconds
30 seconds
60 seconds
5 minutes
What is the purpose of adding sodium polyanethol sulfonate (SPS) to nutrient broth media for the collection of blood cultures?
Inhibits phagocytosis and complement
Promotes formation of a blood clot
Enhances growth of anaerobes
Functions as a preservative
Select the media of choice for recovery of Vibrio cholerae from a stool specimen:
MacConkey agar and thioglycolate media
TCBS and alkaline peptone water
Blood agar and selenite F broth
Cycloserine-cefoxitin-fructose agar
Blood agar plates are ideally prepared with 5% RBCs obtained from:
Sheep
Horses
Humans
Dogs
Cycloserine-cefoxitin-fructose agar (CCFA) is used for the recovery of:
Yersinia enterocolitica
Yersinia intermedia
Clostridium perfringens
Clostridium difficile
Prereduced and Vitamin K1 supplemented blood agar plates are recommended isolation media for:
Mycobacterium marinum and M. avium
Bacteroides, Peptostreptococcus and Clostridium spp.
Proteus spp.
Enterococcus spp.
Which procedure is appropriate for culture of genital specimens in order to recover Chlamydia spp.?
Inoculate cycloheximide treated McCoy’s cells
Plate onto blood and chocolate agar
Inoculate into thioglycolate broth
Plate onto modified Thayer-Martin agar within 24 hours
The Voges-Proskauer (VP) test detects which end product of glucose fermentation?
Acetoin
Nitrite
Acetic acid
H2S
Which of the following reagents is added to detect the production of indole?
p-dimethylaminobenzaldehyde
MR
Bromcresol purple
Cytochrome oxidase
Which genera are positive for phenylalanine deaminase?
Enterobacter, Escherichia and Salmonella
Morganella, Providencia and Proteus
Klebsiella and Enterobacter
Proteus, Escherichia and Shigella
An isolate of E.coli recovered from the stool of a patient with severe bloody diarrhea should be tested for what sugar before sending to a reference laboratory for serotyping?
Sorbitol
Mannitol
Raffinose
Sucrose
Which genera of Enterobacteriacea are usually nonmotile at 36oC?
Shigella, Klebsiella and Yersinia
Escherichia, Edwardsiella and Enterobacter
Proteus, Providencia and Salmonella
Serratia, Morganella and Hafnia
Which single test best separates Klebsiella oxytoca from Klebsiella pneumoniae?
Urease
Sucrose
Citrate
Indole
The characteristics of being lactose negative, citrate negative, urease negative, lysine decarboxylase negative, and nonmotile best describe which organism?
Proteus vulgaris
Yersinia pestis
Shigella dysenteriae
Aeromonas hydrophila
In grouping Shigella organisms, agglutination by group B antisera indicates that the species is:
Shigella dysenteriae
Shigella flexneri
Shigella boydii
Shigella sonnei
Pus with blue green-color was aspirated from empyema. A Gram stain of the aspirated material showed many WBCs and numerous gram-negative bacilli. The most likely etiologic agent in this case would be:
Legionella pneumophila
Pseudomonas aeruginosa
Morganella morganii
Acinetobacter anitratus
A visitor to South America returns with diarrhea, and infection with Vibrio cholerae is suspected. Select the best media for recovery and identification of this organism.
MaConkey agar
Blood Agar
TCBS agar
Xylose lysine desoxycholate agar
What atmospheric condition is needed to recover Campylobacter spp. from specimens inoculated onto a Campy-selective agar at 35-37oC and 42oC?
5% O2, 10% CO2, and 85% N2
10% O2, 10% CO2, and 80% N2
20% O2, 20% CO2, and 60% N2
20% O2, 5% CO2, and 75% N2
Which medium should be used to recover Bordetella pertussis from a nasopharyngeal specimen?
Chocolate agar
Blood agar
MacConkey agar
Bordet-Gengou agar
Which media is recommended for the recovery of Brucella spp. from blood and bone marrow specimens?
Biphasic Castaneda bottles with Brucella broth
Blood culture bottles with Brucella broth
Bordet-Gengou agar plates and thioglycolate broth
Blood culture bottles with thioghlycolate broth
In addition to CO2 requirement and biochemical characteristics, Brucella melitensis and Brucella abortus are differentiated by growth on media containing which two dyes?
Basic fuchsin and thionin
Methylene blue and crystal violet
Carbol fuchsin and iodine
Safranin and methylene blue
Which medium is best for recovery of Legionella pneumophila from clinical specimens?
Chocolate agar
Bordet-Gengou agar
New yeast extract agar
Buffered charcoal yeast extract agar
The majority of Haemophilus influenzae infections are caused by which of the following capsular serotypes?
a
b
c
d
Which Haemophilus sp. is difficult to isolate and recover from genital ulcers and swollen lymph nodes?
H. aphrophilus
H. haemolyticus
H. ducreyi
H. parahaemolyticus
A spherical, gram-positive coccus that is catalase positive, non-motile and unable to produce acid from glucose anaerobically is best identified as a member of the genus:
Micrococcus
Staphylococcus
Veillonella
Moraxella
Slime production is associated with which Staphylococcus species?
S. aureus
S. epidermidis
S. intermedius
S. saprophyticus
Bacitracin A disks (0.04 units) are used for the presumptive identification of which group of beta-hemolytic Streptococcus spp.?
Group A
Group B
Group C
Group F
Streptococcus pneumonia and Viridans streptococci can be differentiated by which test?
Optochin disk test
Bacitracin disk test
CAMP test
Bile esculin test
The salt tolerance test (6.5% salt broth) is used to presumptively identify:
Streptococcus pneumoniae
Streptococcus bovis
Streptococcus equines
Grp D streptococci (enterococci)
The Quellung test is used to identify which Streptococcus spp.?
S. pyogenes
S. agalactiae
S. sanguis
S. pneumoniae
The L-pyrolidonyl-B-naphtylamide (PYR) hydrolysis test is a presumptive test for which streptococci?
Group A and D (enterococcus) streptococci
Group A and B beta-hemolytic streptococci
Non-Group A and B beta-hemolytic streptococci
Streptococcus pneumoniae and Group D streptococci (nonenterococcus)
Alpha-hemolytic streptococci recovered from a wound were found to be penicillin resistant. Given the following results, what is the most likely identification?
Bile esculin +
Bile solubility 0
6.5% salt +
SXT R
PYR +
Enterococcus faecalis
Streptococcus pneumoniae
Streptococcus bovis
Group B streptococci
A gram-positive coccus isolated from a blood culture has the following characteristics:
Optochin susceptibility-Negative
Bacitracin (0.04 U) susceptibility-Negative
Bile esculin hydrolysis-Negative
Hippurate hydrolysis-Positive
Catalase-Negative
This organism is most likely:
Staphylococcus aureus
Streptococcus pneumoniae
Streptococcus pyogenes (group A)
Streptococcus agalactiae (group B)
Modified Thayer-Martin (MTM) media is used primarily for the selective recovery of which organism from genital specimens?
Neisseria gonorrhoeae
Neisseria sicca
Neisseria lactamica
Neisseria flavescens
The superoxol test is used as a presumptive test for:
Neisseria gonorrhoeae
Neisseria meningitidis
Neisseria lactamica
Moraxella catarrhalis
Culture on Modified Thayer-Martin (MTM) medium of a vaginal swab produced several colonies of gram-negative diplococci that were catalase and oxidase positive and superoxol negative. Given the following carbohydrate reactions, select the most likely identification:
Glucose +
Fructose 0
Maltose +
Lactose +
Sucrose 0
N. gonorrhoeae
N. sicca
N. flavescens
N. lactamica
Bacillus anthracis and Bacillus cereus can best be differentiated by which tests?
Motility and beta-hemolysis on blood agar plate
Oxidase and alpha-hemolysis on blood agar plate
Lecithinase and glucose
Lecithinase and catalase
A non-spore-forming, slender gram-positive rod forming palisades and chains was recovered from a vaginal cultures and grew well on tomato juice agar. The most likely identification is:
Lactobacillus spp.
Bacillus spp.
Neisseria spp.
Streptococcus spp.
A gram-positive branching filamentous organism recovered from a sputum specimen was found to be positive with modified acid-fast stain method. What is the most likely presumptive identification?
Bacillus spp.
Nocardia spp.
Corynebacterium spp.
Listeria spp.
Which of the following organisms is the cause of Lyme disease?
Treponema pallidum
Babesia microti
Neisseria meningitidis
Borrelia burgdorferi
Primary atypical pneumonia is caused by:
Streptococcus pneumoniae
Mycoplasma pneumoniae
Klebsiella pneumoniae
Mycobacterium tuberculosis
Which organism typically produces “fried-egg” colonies on agar within 1-5 days of culture from a genital specimen?
Mycoplasma hominis
Borrelia burgdorferi
Leptospira interrogans
Treponema pallidum
A direct smear from a nasopharyngeal swab stained with Loeffler’s methylene blue stain showed various letter shapes and metachromatic granules. The most likely identification is:
Corynebacterium spp.
Nocardia spp.
Listeria spp.
Gardnerella spp.
Which of the following is the best rapid, noncultural test to perform when Gardnerella vaginalis is suspected in a patient with vaginosis?
10% KOH
3% H2O2
30% H2O2
AOTA
A gram-positive spore-forming bacillus growing on blood agar anaerobically produces a double zone of hemolysis and is positive for lecithinase. What is the presumptive identification?
Bacteroides ureolyticus
Bacteroides fragilis
Clostridium perfringens
Clostridium difficile
Which spore type and location is found on C. tetani?
Round, terminal spores
Round, subterminal
Ovoid, subterminal spores
Oval, terminal spores
Which Clostridium spp. is most often recovered from a wound infection with gas gangrene?
C. sporogenes
C. sordellii
C. novyi
C. perfringens
A Gram stain smear taken from the periodontal pockets of a 30-year-old male with poor dental hygiene showed sulfur granules containing gram-positive rods (short diphtheroids and some unbranched filaments). Colonies on blood agar resembled “molar teeth” in formation. The most likely organism is:
Actinomyces israelii
Propionibacterium acnes
Streptococcus intermedius
Peptostreptococcus anaerobius
Mycobacteria stained with Ziehl-neelsen or Kinyuon methods using a methylene blue counterstain, are seen microscopically as:
Bright red rods against a blue background
Bright yellow rods against a yellow background
Orange-red rods against a black background
Bright blue rods against a pink background
Acid-fast staining of a smear prepared from a digested sputum showed slender, slightly curved, beaded red mycobacterial rods. Growth on Middlebrook 7H10 slants produced buff-colored microcolonies with a serpentine pattern after 14 days at 37 oC. Niacin and nitrate reduction tests were positive. What is the most probable presumptive identification?
Mycobacterium tuberculosis
Mycobacterium ulcerans
Mycobacterium kansasii
Mycobacterium avium complex
