Microbiology 88-173

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1.
1 point
112) A beta-hemolytic streptococci that is bacitracin-sensitive and CAMP-negative is:
2.
1 point
114) It is important to differentiate between Enterococcus and group D streptococci because:
3.
1 point
90) A urine Gram stain shows gram-positive cocci in clusters. The organism tested catalase positive. To SPECIATE orgainism from culture, the technician should perform a coagulase test and a/an:
4.
1 point
103) A beta-hemolytic streptococcus that has been isolated from an ear culture grows up to the edge of a0.04 unit bacitracin disk. Which of the following tests would help to determine if the organism is Enterococcus?
5.
1 point
120) Which of the following organisms is, to date, considered universally susceptible to penicillin:
6.
1 point
119) The MOST critical distinction between Staphylococcus aureus and the other staphylococcus is:
7.
1 point
113) Group B, beta- hemolytic streptococci may be distinguished from other hemolytic streptococci by which of the following procedures?
8.
1 point
106) Of the following bacteria, the MOST frequent cause of prosthetic heart valve infections occuring within 2-3 months after surgery is:
9.
1 point
118) Which of the following would best differentiate Streptococcus agalactiae from Streptococcus pyogenes?
10.
1 point
110) A gram-positive coccus isolated from a blood culture has the following characteristics:

This organism is most likely:
11.
1 point
127) An isolate of an unknown beta-hemolytic Streptococcus is streaked perpendicular to a streak of beta-lysin-producing Staphylococcus aureus. After incubation a zone of arrowhead hemolysis is noted at the unknown Streptococcus?
12.
1 point
101) "Nutritionally deficient" streptococci are:
13.
1 point
133) Which one one of the following gram-negative bacilli ferments glucose?
14.
1 point
96) Which 2 diseases are usually preceded by infection with beta-hemolytic streptococci?
15.
1 point
105) An important cause of acutre exudative pharyngitis is:
16.
1 point
122) How many hours after eating contaminated food do initial symptoms of staphylococcal food poisoning typically occur?
17.
1 point
94) The optochin (ethylhydrocupreine hydrochloride) disk is used for the identification of:
18.
1 point
130) MacConkey media for screening suspected cases of hemorrhagic E coli 0157:H7 must contain:
19.
1 point
131) Members of the family Enterobacteriaceae share which one of the following characteristics?
20.
1 point
123) During the past month, Staphylococcus epidermidis has been isolated from blood cultures at 2-3 times the rate from the previous year. The MOST logical explanation for the increase in these isolates is that:
21.
1 point
104) The organism MOST commonly associated with neonatal purulent meningitis is:
22.
1 point
128) Which of the following may be used as a positive quality control organism for the bile esculin test?
23.
1 point
117) A beta-hemolytic, catalase-positive, gram-positive coccus is coagulase negative by the slide coagulase test. Which of the following is the MOST appropriate action in identification of this organism?
24.
1 point
129) Infection of the urinary tract is MOST frequently associated with:
25.
1 point
92) Viridians streptocci can be differentiated from Streptococcus pneumoniae by:
26.
1 point
97) The enterotoxin produced by certain strains of hemolytic, coagulase positive Staphylococcus aureus:
27.
1 point
91) The Gram stain from a blood culture shows gram-positive cocci in chains. No growth occurs on blood agar plates incubated both aerobically and anaerobically. Additional testing should be done to detect the presence of:
28.
1 point
An organism was inoculated to a TSI tube and gave the following reactions:

Organism MOST likely is:
29.
1 point
98) A gamma-hemolytic Streptococcus that blackens bile esculin but does not grow in 6.5% NaCl broth is MOST likely:
30.
1 point
152) A clean catch urine sample from a nursing home patient is cultured using .001mL loop. It grows 67 colonies of a lactose fermenter that has the following biochemical reactions:

What should be the microbiological report?
31.
1 point
115) Streptococcus pneumoniae can be differentiated best from the viridans group of streptococci by:
32.
1 point
109) Children who have infections with beta-hemolytic streptococci can develop:
33.
1 point
99) Gram stain examination from a blood culture bottle shows dark blue, spherical organisms in clusters. Growth on sheep blood agar shows small, round, pale yellow colonies. Further tests should include:
34.
1 point
132) Which one of the following genera is among the least biochemically reactive members of the Enterobacteriaceae?
35.
1 point
93) A reliable test for distinguishing Staphylococcus aureus from other staphylococcus is:
36.
1 point
136) An isolate from a stool culture gives the following growth characteristics and biochemical reactions:

These screening reactions are consistent with which of the following enteric pathogens?
37.
1 point
137) A TSI tube inoculated with an organism gave the following reactions:
This organism is MOST likely:
38.
1 point
:134) A sputum culture from an alcoholic seen in the ER grows gray, mucoid, stringy colonies on sheep blood agar. The isolate grows readily on MacConkey agar and forms mucoid, dark pink colonies. The colonies yield the following test results:

The organism is MOST likely:
39.
1 point
116) Characteristically, enterococci are:
40.
1 point
95) In the optochin (ethylhydrocupreine hydrochloride) susceptibility test, if there is a zone of inhibition of 19-30mm surrounding the disk following overnight incubation at 37C, the colony MOST likely consists of:
41.
1 point
100) Gram-positive cocci in chains are seen on a Gram stain from a blood culture. The organism grows as a beta-hemolytic colony. Further tests that could be performed include:
42.
1 point
102) After 24 hours a blood culture from a newborn grows catalase-negative, gram-positive cocci. The bacterial colonies are too small, translucent and beta- hemolytic on a blood agar plate. Biochemical test results of a pure culture are:

Assuming that all controls react properly and reactions are verified, the next step would be to:
43.
1 point
111) A beta-hemolytic streptococci that is bacitracin- sensitive and CAMP-negative is:
44.
1 point
108) A catheterized urine is inoculated onto blood and MacConkey agar using a 0.01 mL loop. After 48 hours, 68 colonies of a small translucent nonhemolytic organism grew on blood agar but not MacConkey. Testing reveals small gram positive, catalase-negative cocci. The preliminary report and follow up testing would be:
45.
1 point
88) In a quality control procedure on a new batch of Mueller-Hinton plates using a stock culture of Staphylococcus aureus (ATCC 25923), all the disk zones are too small. The MOST likely reason for this is that the:
46.
1 point
125) A yellow colony from a wound culture tested catalase-positive and coagulase-negative. The organism stained as gram-positive cocci clusters. Which of the following tests would differentiate between a coagulase- negative Staphylococcus and Micrococcus?
47.
1 point
121) A beta-hemolytic gram-positive coccus was isolated from the cerebrospinal fluid of a 2-day-old infant with signs of meningitis. The isolate grew on sheep blood agar under aerobic conditions and was resistant to a bacitracin disc. Which of the following should be performed for the identification of the organism?
48.
1 point
89) Which one of the following combinations of organisms would be appropriate as controls to test the functions listed?