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End of Chapter Questions from the Textbook
Microbiology Lectures 8-13
50
Biology
Undergraduate 3
02/14/2015

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Term
The atmospheric condition required by N. gonorrhoeae is:
Definition
Capnophilic
Term
A gram-negative diplococcus isolated from a CSF specimen gives the following results:
MTM - growth
Nutrient agar - No growth
Oxidase - Positive
Carbohydrate utilization tests: glucose - yellow, maltose-yellow, lactose-red, sucose-red

This is organism:
Definition
N. meningitidis
Term
The organisms in a gram-stained smear prepared from an 18-hour-old culture of Neisseria spp. appear blue on microscope examination. These organisms are:
Definition
Underdecolorized
Term
An oxidase-positive, gram negative diplococcus growing on CHOC agar gives the following reactions:
Beta-Galactosidase - negative
Gamma-Glutamylaminopeptidase - negative
Hydroxyprolylaminopeptidase - positive

The technologist should:
Definition
Subculture the isolate onto a gonococcal selective medium
Term
When a gram-stained smear for N. gonorrhoeae is requested on a throat specimen, the laboratory should:
Definition
Notify the requester that the specimen is not appropriate for the test request and suggest a culture instead
Term
A technologist performs an oxidase test on an isolate of Neisseria spp. using an oxidase reagent ampule opened the previous day. A purple color appears 45 seconds after the organism is rubbed with an applicator stick onto filter paper saturated with reagent.
The technologist should:
Definition
Repeat the test using an oxidase reagent ampule opened the day the test is performed
Term
The reagent for the superoxol test is:
Definition
30% H2O2
Term
Which of the following holding or transportation methods is NOT appropriate for N. gonorrhoeae?
A. inoculated plates in candle jar @ 35
B. Nutritive transport system @ 35
C. Swabs in nonnutritive transport mediate @ RT
D. Swabs in nonnutritive transport media under refrigeration
Definition
D. Swabs in nonnutritive transport media under refrigeration
Term
Which of the following media is NOT selective for N. meningitidis?
A. CHOC
B. ML
C. NYC
D. MTM
E. GCL
Definition
A. CHOC
Term
The best specimen for diagnosing gonorrhea by gram-stained smear is:
Definition
Urethral discharge from a man
Term
Which of the following combinations of media is the best for culturing join fluid when N. gonorrhoeae is suspected?
A. blood and MTM
B. blood and EMB
C. ML & MTM
D. blood & CHOC
Definition
Blood & CHOC agars
Term
A gram-negative diplococcus was isolated from the endocervical culture of a 10-year-old girl. The organism gave the following test results:
MTM - growth
Oxidase - Positive
Carbohydrate Utilization Tests: glucose-positive, maltose-negative, lactos-negative, sucrose-negative

The technologist should:
Definition
Confirm the identity of the isolate with another method
Term
A technologist is performing a nitrate reduction test. When dimethyl-alpha-naphthylamine and sulfanilic acid were added, the medium did not change color. The technologist should:
Definition
Add zinc to the tube
Term
True or False:
Gonococci often have two types of colonies
Definition
True
Term
True or False:
The penicillin disk test helps to distinguish M. catarrhalis from Neisseria species
Definition
False
Term
V factor is another name for:
Definition
NAD
Term
Identification tests performed on a Haemophilus isolate gave the following results:
Beta hemolysis
Growth between the X & V factor strips

This organism is:
Definition
H. haemolyticus
Term
A Haemophilus isolate gave the following reactions:
Porphyrin test: fluorescence
Satellites around Staph. aureus
No hemolysis
Definition
H. parainfluenzae
Term
The purpose for the Hib vaccine is to protect children from infections caused by:
Definition
H. influenzae type b
Term
A gram-negative rod is isolated from the blood culture of an 18-month-old child. The organism gorws on CHOC but not blood or eosin-methylene blue agar. The best test to perform on this isolate is:
Definition
X & V factor requirements
Term
A medium appropriate for the satellite test is:
Definition
Sheep Blood Agar
Term
An X & V factor requirement test was performed on a Haemophilus isolate in the following manner:
1. suspension of organism was prepared in TSB
2. Organism swabbed onto CHOC
3. X factor and V factor strips placed on agar plate
4. Plate was incubated for 24 hours at 35 degrees Celsius in CO2
5. Plate showed growth over entire plate

An evaluation of the procedure and test results indicates that the:
Definition
test is invalid; CHOC agar is NOT appropriate for the X and V factor requirement test
Term
A gram stain is prepared from an 18-hour-old culture of Haemophilus. The organisms appear blue on microscopic examination. These organisms are:
Definition
Underdecolorized
Term
A species of Haemophilus that requires X factor only is:
Definition
H. ducreyi
Term
True or False:
Chancres are caused by H. dycreyi
Definition
False
Term
True or False:
H. influenzae biogroup aegyptius causes "pink eye"
Definition
True
Term
True or False:
The "school-of-fish" gram stain morphology is characteristic of H. parainfluenzae
Definition
False
Term
True or False:
H. influenzae is part of the normal flora of the human upper respiratory tract
Definition
True
Term
Enteric "H" antigens are located in the:
Definition
Flagella
Term
Enteric "O" antigens are located in the:
Definition
Cell Wall
Term
Enteric "K" antigens are located in the:
Definition
Capsule
Term
Gram-negative broth enriches for:
Definition
Salmonella and Shigella species
Term
An organism that produces biochemical reactions consistent with Shigella sonnei does NOT agglutinate in the following Shigella antisera:
Serogroup A, B, C, or D

The technologist should:
Definition
Boil the organism and repeat the serogrouping procedure
Term
A TSI is inoculated on a Monday. On Wednesday, the TSI is completely red. The technologist should:
Definition
Inoculate a fresh TSI tube and incubate for 18-24 hours
Term
The best combination of organisms to use when performing QC on TSI is:
Definition
E. coli
Salmonella
Shigella
Pseudomonas species
Term
An organism produces colorless colonies with black centers on SS agar. The expected appearance of this organism on MAC agar is:
Definition
Colorless
Term
The best combination of organisms to use when performing QC on XLD agar is:
Definition
E. coli
Salmonella
Shigella
Enterococcus species
Term
A K/A reaction on KIA indicates that the organism is a :
Definition
Glucose fermenter: lactose nonfermenter
Term
The organism that most often causes UTIs:
Definition
Gives a TSI reaction of A/A
Term
The blood cultures from a patient who underwent an appendectomy grew a gram-negative bacillus. The organism gave the following results:
TSI: A/A
KIA: K/A
Urea: Positive
Motility: + @ 25, = @ 35
The results are consistent with:
Definition
Yersinia enterocolitica
Term
An organism isolated from a stool culture gives the following reactions:
TSI: Red/Black
VP: Colorless
Lysine: Purple, Control tube: yellow
Urea: Yellow
Indole: Colorless
Phenylalanine: Colorless
Citrate: Blue

The technologist should now:
Definition
Perform a serogrouping test with Salmonella antisera
Term
A patient is diagnosed with HUS. A stool is submitted for culture. What medium should be included to detect the organism associated with HUS?
Definition
SMAC
Term
The ONPG test detects:
Definition
Beta-galactosidase activity
Term
An organism isolated from a wound specimen gives the following reactions:
TSI: A/A
VP: +
Phenylalanine: =
Motility: +
Urea: =

What are the best set of tests to perform to identify this organism?
Definition
Lactose
DNAse
Arginine
Term
Which organism-colonial morphology pair is Incorrect:
E.coli - green metallic sheen on EMB
Y. enterocolitica - bull's eyes on CIN
Serratia marcescens - pink pigment
Providencia spp. - swarming
K. pneumoniae - mucoid colonies
Definition
Providencia spp. - swarming
Term
Which media does NOT contain a sulfur source AND an H2S indicator?
Definition
EMB agar
Term
A stool isolate gives the following reactions:
TSI: K/A with H2S
LIA: R/A
Urease: Positive
These results are consistent with which organism?
Definition
Proteus Species
Term
Organisms that typically produce clear colonies (green without black centers) on Hektoen agar are?
Definition
Shigella Species
Term
True or False:
The spot indole and tube indole tests use the same reagent
Definition
False
Term
True or False:
Edwardsiella tarda is a common cause of human diarrhea
Definition
False
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