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WorksheetsWorksheet Questions
Total questions: 35
Worksheet time: 35mins
Which one of the following is TRUE regarding viral structure?
All viruses contain both DNA and RNA
All viruses contain a nucleocapsid
Only DNA viruses have an envelope
Only RNA viruses contain capsomeres
Enveloped viruses are resistant to drying
The viral envelope is derived primarily from which host cell component?
Nucleus
Lysosomes
Plasma membrane
Ribosomes
Mitochondria
Negative-polarity RNA viruses must carry which enzyme inside the virion?
DNA-dependent RNA polymerase
RNA-dependent RNA polymerase
Reverse transcriptase
DNA polymerase
Integrase
Which step in viral replication involves uncoating?
Release of new virions
Binding of virus to host cell receptors
Penetration and loss of capsid
Assembly of viral proteins
Replication of nucleic acid
Reassortment can occur only in which type of viruses?
Segmented RNA viruses
Nonsegmented RNA viruses
DNA viruses
Enveloped DNA viruses
Retroviruses
A 22-year-old medical student is examining a pus sample from a suspected Staphylococcus wound infection. Under the microscope, she notes purple cocci arranged in clusters. Which step in Gram staining is primarily responsible for fixing the crystal violet–iodine complex inside these Gram-positive organisms?
Application of safranin
Application of Lugol’s iodine
Decolorization with acetone-alcohol
Heating the slide during fixation
Washing with tap water
A 30-year-old lab technician is asked to culture a sputum sample suspected for Streptococcus pneumoniae. Which culture medium will best support the growth of this fastidious organism?
MacConkey agar
Sabouraud agar
Blood agar
Nutrient agar
TCBS agar
A child presents with chronic cough and the physician suspects tuberculosis. A sputum sample is sent for culture. On which medium will Mycobacterium tuberculosis grow as rough, buff-colored colonies after 14–21 days?
CLED
Nutrient agar
Lowenstein-Jensen medium
SS agar
MacConkey agar
A 56-year-old diabetic patient is suspected of having Candida infection. Which culture medium is most suitable to isolate fungal pathogens?
Sabouraud’s dextrose agar
Blood agar
CLED agar
TCBS agar
Nutrient agar
A microbiology student is performing Gram staining but leaves acetone-alcohol on the slide too long. What is the MOST likely outcome?
Gram-positive bacteria appear purple
Gram-negative bacteria appear purple
Both Gram-positive and Gram-negative appear pink
Both Gram-positive and Gram-negative appear purple
Gram-negative bacteria lose the counterstain
A culture plate of Pseudomonas aeruginosa is grown on MacConkey agar. It produces pale colonies. What conclusion can be drawn?
It ferments lactose
It does not ferment lactose
It is Gram-positive
It is inhibited by bile salts
It produces H2S
A medical intern is inoculating a plate using a wire loop. What is the correct method to sterilize the loop before and after use?
Wash with spirit
Dip in bleach
Heat until red-hot in Bunsen flame
Rinse with hot water
Expose to UV radiation
A sputum sample contains Gram-negative diplococci. The student wants to ensure the Gram stain accuracy. Which organism should be used as a Gram-negative control?
Staphylococcus aureus
Streptococcus pyogenes
Escherichia coli
Bacillus species
Corynebacterium diphtheriae
A specimen must be sterilized but contains oily substances incompatible with moist heat. Which method is most appropriate?
Autoclaving at 121°C
Boiling at 100°C
Hot air oven at 160°C for 2 hours
Pasteurization
Flaming
During sterilization quality control, a biological indicator is used for autoclaves. Which organism is commonly used?
E. coli
Bacillus stearothermophilus spores
Pseudomonas aeruginosa
Staphylococcus aureus
Mycobacterium tuberculosis
A urine sample is sent to identify bacteria while preventing swarming of Proteus species. Which medium should the lab use?
CLED medium
Blood agar
Sabouraud agar
MacConkey agar
TCBS agar
A resident needs to determine antibiotic susceptibility of a bacterial isolate. Which medium is required for Kirby-Bauer disc diffusion?
Blood agar
Nutrient agar
Mueller-Hinton agar
Chocolate agar
Sabouraud agar
A medical student must sterilize forceps used during flaming. The suitable method is:
Red heat
Hot air oven
UV radiation
Ionizing radiation
Pasteurization
A suspected case of Haemophilus influenzae requires special growth factors. Which medium provides X and V factors?
Blood agar
Nutrient agar
Chocolate agar
CLED
TCBS
A lab technician notes that Gram staining of Mycobacterium failed. Which is the correct alternative?
Giemsa stain
Acid-fast stain
Albert stain
Negative staining
Indian ink
An incubator malfunction results in temperatures at 25°C instead of 37°C. What is the most likely effect on routine bacterial cultures?
Enhanced growth
Inhibited growth
No effect
Gram-negative organisms only grow
Gram-positive organisms only grow
A lab worker needs to separate plasma from whole blood. Which instrument should be used?
Incubator
Centrifuge
Hot air oven
Autoclave
Bunsen burner
A microbiology student prepares nutrient agar but observes no bacterial growth. Which organism is LEAST likely to grow on simple media?
Staphylococcus aureus
Pseudomonas aeruginosa
Streptococcus pyogenes
Bacillus subtilis
E. coli
A patient sample shows mixed flora with Gram-negative rods, some intracellular. Which reporting element is essential for Gram smear interpretation?
Hemolysis pattern
Bacterial colony color
Number of pus cells
Growth rate
Oxygen requirement
A 22-year-old man presents with abdominal cramps and intermittent diarrhea after returning from a camping trip where he drank unfiltered lake water. Stool microscopy shows motile trophozoites with "falling leaf" motility. Which form of the parasite was MOST likely responsible for initiating his infection?
Trophozoite
Cyst
Oocyst
Sporozoite
Merozoite
A 45-year-old patient undergoing chemotherapy develops severe neutropenia with a polymorphonuclear leukocyte count of 300μL . He presents with pneumonia and is unable to mount an effective phagocytic response. Which class of antimicrobial agents is MOST appropriate for this patient's condition?
Bacteriostatic drugs, because they prevent bacterial replication
Bacteriostatic drugs, because their effect is reversible
Bactericidal drugs, because they kill bacteria without host defenses
Any drug, because host immunity is not relevant
Bacteriostatic drugs, because they enhance neutrophil function
A 34-year-old woman presents with recurrent nasal colonization by Staphylococcus aureus. Research studies show that the organism attaches strongly to mucosal epithelial cells. Which bacterial cell wall structure MOST directly facilitates this attachment?
Peptidoglycan
Teichoic acids
Lipopolysaccharide
Capsule
Flagellar proteins
A 67-year-old man with diabetes is admitted with a severe skin and soft tissue infection. Wound culture grows methicillin-resistant Staphylococcus aureus (MRSA). The patient is started on IV vancomycin. Which mechanism BEST explains how vancomycin inhibits cell wall synthesis in this organism?
Binding directly to transpeptidase, preventing cross-linking
Blocking β-lactamase enzymes from degrading penicillins
Binding to D-alanyl-D-alanine, preventing transpeptidation
Disrupting outer membrane porins of Gram-negative bacteria
Inhibiting DNA gyrase, preventing replication
A 26-year-old woman presents with dysuria and increased urinary frequency. Urine culture grows E. coli. She is prescribed a sulfonamide. Which mechanism BEST explains how sulfonamides inhibit bacterial growth?
Inhibiting dihydrofolate reductase, preventing folate recycling
Competing with PABA and blocking dihydropteroate synthetase
Binding directly to bacterial ribosomes to inhibit translation
Inhibiting bacterial DNA gyrase, preventing replication
Destroying bacterial cell walls through pore formation
During an outbreak investigation, several gram-negative isolates from different patients show identical patterns of multidrug resistance to β-lactams, aminoglycosides, and tetracyclines. Genetic analysis reveals that all isolates share the same circular, double-stranded DNA element encoding multiple resistance enzymes and altered transport systems. Which feature MOST strongly suggests plasmid-mediated resistance in this scenario?
Resistance confined only to a single bacterial species
Resistance lost when the organism is cultured on simple media
Presence of extrachromosomal DNA transferable between bacteria
Resistance due to decreased affinity of ribosomes
Resistance caused by mutations in chromosomal topoisomerase genes
A 7-year-old child develops bloody diarrhea after eating undercooked hamburger meat at a family picnic. Two days later, she becomes pale and oliguric. Labs show anemia, thrombocytopenia, and elevated creatinine, suggesting hemolytic-uremic syndrome (HUS). Which mechanism BEST explains the toxin responsible for this condition?
Activation of adenylate cyclase causing massive chloride secretion
Activation of guanylate cyclase increasing cGMP levels
ADP-ribosylation of Gs protein leading to increased cAMP
Removal of adenine from 28S rRNA, inhibiting protein synthesis
Formation of pores in cell membranes leading to cell lysis
Which best describes phenotypic mixing?
Exchange of genome segments
Incorporation of host cell proteins into virion
Capsid proteins of one virus surrounding genome of another
Mutation in viral polymerase
Integration of viral DNA into host genome
Which statement best describes viral pathogenesis?
Only cytolytic viruses cause disease
Viral spread is limited exclusively to bloodstream
Cytotoxic T cells can cause tissue damage while clearing virus
Viruses never suppress host immunity
All viruses cause persistent infection
The most important early nonspecific defense against viruses is:
Antibody
Complement
Interferons α and β
Cytotoxic T cells
Neutrophils
Viral diagnosis by PCR is based on detection of:
Cytopathic effect
Viral antigens
Viral genome sequences
Antibodies in serum
Viral enzymes
