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BacT review GPR and Neisseria

Total questions: 16

Worksheet time: 12mins

Name
Class
Date
1.

A wound culture grew dull grayish-white colonies with a "frosted glass" and "medusa head" appearance. The gram stain showed long, gram positive rods with endospores. This organism is expected to be:

a)

Penicillin resistant

b)

An anaerobe

c)

Nonmotile

d)

Beta hemolytic

2.

Bacillus anthracis is mainly associated with all of the following EXCEPT:

a)

Pulmonary anthrax

b)

Gastrointestinal anthrax

c)

Cutaneous anthrax

d)

Urinary anthrax

3.

Bacillus cereus is an aerobic, spore forming, GPR that is:

(Select all that apply)

a)

Penicillin resistant

b)

Motile

c)

Catalase negative

d)

Beta hemolytic

e)

Lecithinase positive

4.

True or False: All strains of Corynebacterium diphtheriae produce the diphtheria toxin.

a)

True

b)

False

5.

Match the following:

a)

Produces metachromatic granules, urease neg, brown halo and dark colonies on CTBA, causes white pseudomembrane in throat

1.

Corynebacterium diphtheriae

b)

Urease negative, nitrate reducing, PYR +, most common cause of prosthetic valve endocarditis

2.

Corynebacterium jeikeium

c)

Reverse CAMP+, produces brown halo on CTBA, usually veterinary pathogen but can cause granulomatous lymphadenitis

3.

Corynebacterium pseudotuberculosis

d)

Reverse CAMP+, Nitrate reduction (=), urease +, brown halo on CTBA, cause diphtheria-like illness in humans and mastitis in cattle

4.

Corynebacterium ulcerans

e)

Nitrate reduction (=), rapid urease +, most commonly associated with UTI's

5.

Corynebacterium urealyticum

6.

(a)   is a short, non-branching GPR that causes meningitis in newborns, produces a narrow zone of beta hemolysis, is catalase +, CAMP + showing block type hemolysis, hippurate +, esculin hydrolyzer that is motile at 25C and shows an umbrella motility pattern with tumbling motility.

7.

A 40-year-old veterinarian presents to the clinic with a 3-day history of mild swelling, itching, and a sharply demarcated patch on the right index finger. He reports getting scratched by a turkey recently. A wound culture was ordered, and it grew gray colonies with alpha hemolysis. A gram stain showed gram positive pleomorphic bacilli. The organism is most likely:

(select all that apply)

a)

Catalase positive

b)

H2S producer

c)

Display test tube brush-like pattern on gelatin

8.

(a)   is a gram-positive bacillus that is beta hemolytic, non-motile, resistant to penicillin, reverse CAMP+, catalase =, is genetically similar to Trueperella spp., and can cause pharyngitis in patients 10-20 years of age.

9.

Nocardia spp. are branching GPR that (select all that apply):

a)

stain gram variable

b)

are modified acid fast positive

c)

prefer to grow on BCYE

d)

are strict anaerobes

10.

This organism is a gram-positive cocci/coccobacillus that can often be found in histiocytes, is modified acid fast positive, is a part of the actinomycetes, and produces salmon pink colonies:

a)

Streptomyces spp.

b)

Rhodococcus spp.

c)

Actinomadura spp.

d)

Gordonia spp.

11.

Which of the following is a major virulence factor of Neisseria meningitidis?

a)

Capsule

b)

IgA protease

c)

Pili

d)

Major outer membrane porin proteins

e)

All of the above

12.

A 25-year-old female presents to the emergency room with an acute urethral discharge of two days duration. The image shows the Gram-stained smear that was obtained. Many polymorphonuclear (PMN) leukocytes and intracellular and extracellular gram-negative diplococci were observed. Based on the clinical history and the Gram stain observation, a diagnosis of gonorrhea can be made.

a)

True

b)

False

13.

Which growth medium is most commonly used to culture Neisseria gonorrhoeae?

a)

MacConkey agar

b)

Blood agar

c)

Chocolate agar

d)

Thayer martin

14.

_______, ______, and _______ are 3 biochemical tests we can perform to identify Neisseria gonorrhoeae.

(a)  

15.

A complication of disseminated Neisseria meningitidis infection is also known as: (a)  

16.

A 65-year-old patient with a history of chronic obstructive pulmonary disease presents with increased cough, purulent sputum, and shortness of breath. A sputum sample was sent to the lab for culture and grew round, yellow, "hockey puck" colonies. This organism is likely:

a)

Catalase positive

b)

Oxidase negative

c)

A gram-negative rod

d)

DNase negative