question
In suspected cases of brucellosis, the optimal specimen to be collected for the isolation of the etiologic agent is
A. Blood
B. Urine
C. CSF
D. Nasopharyngeal exudates
A. Blood
B. Urine
C. CSF
D. Nasopharyngeal exudates
answer
A. Blood
question
Colonies of Neisseria sp. turn color when a redox regent if applied. The color change is indicative of the activity of the bacterial enzyme
A. Beta-galactoside
B. Urease
C. Cytochrome oxidase
D. Pheylalanine deaminase
A. Beta-galactoside
B. Urease
C. Cytochrome oxidase
D. Pheylalanine deaminase
answer
C. Cytochrome oxidase
question
Which microorganism will grow only on culture media supplemented with either cysteine or cystine?
A. Actinobacillus lignieresii
B. Bartonella bacilliformis
C. Francisella tularensis
D. Kingella kingae
A. Actinobacillus lignieresii
B. Bartonella bacilliformis
C. Francisella tularensis
D. Kingella kingae
answer
C. Francisella tularensis
question
A fastidious gram neg bacillus was isolated from a case of periodontal disease, which upon darkfield examination was noted to have gliding motility. The most likely identification of this etiologic agent would be
A. Capnocytophaga
B. Chromobacterium
C. Kingella
D. Plesiomonas
A. Capnocytophaga
B. Chromobacterium
C. Kingella
D. Plesiomonas
answer
A. Capnocytophaga
question
Severe disseminated intravascular cogulation often complications cases of septicemia caused by
A. Acinetobacter sp.
B. Moraxella sp.
C. Neisseria gonorrhoeae
D. Neisseria meningitidis
A. Acinetobacter sp.
B. Moraxella sp.
C. Neisseria gonorrhoeae
D. Neisseria meningitidis
answer
D. Neisseria meningitidis
question
The Haemophilus influenzae vaccine protects against which serotype?
A. Serotype a
B. Serotype b
C. Serotype c
D. Serotype d
A. Serotype a
B. Serotype b
C. Serotype c
D. Serotype d
answer
B. Serotype b
question
THe sexually acquired disease characteristerized by genital ulcers and tender inguinal lymphphadenopathy, which is caused by a small, gram-negative bacillus, is known as
A. Chancroid
B. Bacterial vaginosis
C. Syphilis
D. Trachoma
A. Chancroid
B. Bacterial vaginosis
C. Syphilis
D. Trachoma
answer
A. Chancroid
question
The etiologic agent of whooping cough is
A. Bordetella pertussis
B. Brucella suis
C. Francisella tularensis
D. Haemophilus ducreyi
A. Bordetella pertussis
B. Brucella suis
C. Francisella tularensis
D. Haemophilus ducreyi
answer
A. Bordetella pertussis
question
An important characteristic of Neisseria gonorrhoeae or the infection it produces is
A. A gram strain of the organism reveals gram-negative bacilli
B. Asymptomatic infections are common in females
C. Produces disease in humans and domestic animals
D. The bacteria survive long periods outside the host's body
A. A gram strain of the organism reveals gram-negative bacilli
B. Asymptomatic infections are common in females
C. Produces disease in humans and domestic animals
D. The bacteria survive long periods outside the host's body
answer
B. Asymptomatic infections are common in females
question
A gram negative, "kidney bean" cellular morphology is a distiguishing characteristic of
A. Neisseria meningitidis
B. Yersinia pestis
C. Bartonella spp.
D. Actinobacter spp.
A. Neisseria meningitidis
B. Yersinia pestis
C. Bartonella spp.
D. Actinobacter spp.
answer
A. Neisseria meningitidis
question
Erythromycin eye drops are routinely administered to infants to prevents infection by
A. E. coli
B. Haemophilus influenzae
C. Pseudomonas aeruginosa
D. Neisseria gonorrhoeae
A. E. coli
B. Haemophilus influenzae
C. Pseudomonas aeruginosa
D. Neisseria gonorrhoeae
answer
D. Neisseria gonorrhoeae
question
Neisseria lactamica closely resembles Neisseria meningitidis but can be differentiated from it by its ability to metabolize
A. Maltose
B. Lactose
C. Glucose
D. Sucrose
A. Maltose
B. Lactose
C. Glucose
D. Sucrose
answer
B. Lactose
question
A causitive agent of the form of conjunctivitis known as pinkeye is
A. Haemophilus aegyptius
B. Moraxella lacunata
C. Chlamydia trachomatis
D. Klebsiella ozaenae
A. Haemophilus aegyptius
B. Moraxella lacunata
C. Chlamydia trachomatis
D. Klebsiella ozaenae
answer
A. Haemophilus aegyptius
question
Legionella pneumonphila is the etiologic agent of both Legionnaires disease and
A. Swine fever
B. Pontiac fever
C. Rift Valley fever
D. San Joaquin Valley fever
A. Swine fever
B. Pontiac fever
C. Rift Valley fever
D. San Joaquin Valley fever
answer
B. Pontiac fever
question
In suspected cases of brucellosis, what is the most sensitive specimen to submit for culture?
A. Bone marrow
B. Nasopharyngeal swab
C. Sputum
D. Stool
A. Bone marrow
B. Nasopharyngeal swab
C. Sputum
D. Stool
answer
A. Bone marrow
question
Which of the following is true of Neisseria gonorrhoeae?
A. Adversely affected by fatty acids in clinical specimens
B. Rapid growth on sheep blood agar
C. Ferments glucose on sheep blood agar
D. ONPG positive
A. Adversely affected by fatty acids in clinical specimens
B. Rapid growth on sheep blood agar
C. Ferments glucose on sheep blood agar
D. ONPG positive
answer
A. Adversely affected by fatty acids in clinical specimens
question
Which of the following statements is not true of Brucella?
A. Infection may occus via abrasions of the oral mucosa, conjunctiva, and genitals.
B. They are fastidious and require supplemented media for isolation.
C. The risk of accidental laboratory infection is no greater than with any other organism.
D. Phage and dye sensitivity tests are used for identification to the species level.
A. Infection may occus via abrasions of the oral mucosa, conjunctiva, and genitals.
B. They are fastidious and require supplemented media for isolation.
C. The risk of accidental laboratory infection is no greater than with any other organism.
D. Phage and dye sensitivity tests are used for identification to the species level.
answer
C. The risk of accidental laboratory infection is no greater than with any other organism.
question
Brucella spp. are
A. The etiologic agents of relapsing fever
B. Small spiral organisms
C. Primarily a cause of endogenous human infections
D. Intracellular pathogens
A. The etiologic agents of relapsing fever
B. Small spiral organisms
C. Primarily a cause of endogenous human infections
D. Intracellular pathogens
answer
D. Intracellular pathogens
question
In cases of legionellosis
A. Person-to-person transmission is common
B. Farm animals are important animal reseroirs
C. Patients can present with a self-limited nonpneumonic febrile illness
D. Specimens may be cold enriched to enhance recovery of the organism
A. Person-to-person transmission is common
B. Farm animals are important animal reseroirs
C. Patients can present with a self-limited nonpneumonic febrile illness
D. Specimens may be cold enriched to enhance recovery of the organism
answer
C. Patients can present with a self-limited nonpneumonic febrile illness
question
Isolation of Neisseria gonorrhoeae
A. Is enhanced by cold enrichment
B. Requires incubation under increased CO2
C. From contaminated sited is made easier by the use of CIN agar
D. Is not affected if clinical specimen is refrigerated before culturing
A. Is enhanced by cold enrichment
B. Requires incubation under increased CO2
C. From contaminated sited is made easier by the use of CIN agar
D. Is not affected if clinical specimen is refrigerated before culturing
answer
B. Requires incubation under increased CO2
question
Cardiobacterium hominis, an inhabitant of the upper respiratory tract of humans, has been recovered as the etiologic agent from cases of endocarditis. An identifying characteristic of the organism is
A. Positive oxidase
B. Positive catalase
C. Indole negative
D. Inability to grow on sheep blood agar
A. Positive oxidase
B. Positive catalase
C. Indole negative
D. Inability to grow on sheep blood agar
answer
C. Indole negative
question
Which of the following is not true of Haemophilus spp.?
A. Obligate parasites
B. Grow well on sheep blood agar
C. Small, pleomorphic, gram neg coccobacilli
D. Many are found as normal flora in the human respiratory tract
A. Obligate parasites
B. Grow well on sheep blood agar
C. Small, pleomorphic, gram neg coccobacilli
D. Many are found as normal flora in the human respiratory tract
answer
B. Grow well on sheep blood agar
question
Legionella pneumonia
A. Infections are most often acquired from environmental sources
B. Metabolizes a number of carbohydrates
C. Stains easily on the routine gram stain
D. Does not autofluoresce
A. Infections are most often acquired from environmental sources
B. Metabolizes a number of carbohydrates
C. Stains easily on the routine gram stain
D. Does not autofluoresce
answer
A. Infections are most often acquired from environmental sources
question
Which of the following is the optimal clinical specimen for the recovery of Legionella pneumonia?
A. Stool
B. Blood
C. Bronchial washings
D. Nasopharyngeal swab
A. Stool
B. Blood
C. Bronchial washings
D. Nasopharyngeal swab
answer
C. Bronchial washings
question
Which of the following is not an appopriate medium for primary isolation of Bordetella pertussis?
A. Regan-Lowe
B. Bordet-Gengou
C. Modified Skirrow's medium
D. Buffered charcoal yeast extract
A. Regan-Lowe
B. Bordet-Gengou
C. Modified Skirrow's medium
D. Buffered charcoal yeast extract
answer
C. Modified Skirrow's medium
question
Which of the following is not characteristic of Eikenella corrodens?
A. It is a this, gram neg bacillus
B. Colonies sometimes pit the surface of the agar medium
C. It is found in the mouth and upper respiratory tract of humans
D. It is often found in pure culture when recovered from infections
A. It is a this, gram neg bacillus
B. Colonies sometimes pit the surface of the agar medium
C. It is found in the mouth and upper respiratory tract of humans
D. It is often found in pure culture when recovered from infections
answer
D. It is often found in pure culture when recovered from infections
question
Which of the following Legionella spp. is positive for hippurate hydrolysis?
A. L. micdadei
B. L. longbeachae
C. L. gormanii
D. L. pneumophila
A. L. micdadei
B. L. longbeachae
C. L. gormanii
D. L. pneumophila
answer
D. L. pneumophila
question
Which of the following is not characteristic of Haemophilus influenzae biogroup aegyptius?
A. Indole negative
B. Requires V factor
C. Requires X factor
D. Aminolevulinic acid positive
A. Indole negative
B. Requires V factor
C. Requires X factor
D. Aminolevulinic acid positive
answer
D. Aminolevulinic acid positive
question
Foodborne outbreaks of brucellosis are most commonly associated with eating
A. Raw shellfish
B. Imported cheese
C. COntaminated potato salad
D. Improperly cooked hamburger
A. Raw shellfish
B. Imported cheese
C. COntaminated potato salad
D. Improperly cooked hamburger
answer
B. Imported cheese
question
Haemophilus ducreyi is the causitive agent of
A. Chancroid
B. Lymphogranuloma venereum
C. Trachoma
D. Whooping cough
A. Chancroid
B. Lymphogranuloma venereum
C. Trachoma
D. Whooping cough
answer
A. Chancroid
question
The optimal specimen for the recovery of Bordetella pertussis is
A. Anterior nares swab
B. Blood
C. Expectorated sputum
D. Nasopharyngeal swab
A. Anterior nares swab
B. Blood
C. Expectorated sputum
D. Nasopharyngeal swab
answer
D. Nasopharyngeal swab
question
Blood cultures are recommended for the recovery of which of the following microorganisms?
A. Acinetobacter baumannii
B. Brucella canis
C. Chlamydia trachomatis
D. Yersinia enterocolitica
A. Acinetobacter baumannii
B. Brucella canis
C. Chlamydia trachomatis
D. Yersinia enterocolitica
answer
B. Brucella canis
question
Buffered charcoal yeast extract agar is the recommended medium for the recovery of
A. Hafnia alvei
B. Legionella pneumophila
C. Neisseria meningitidis
D. Vibrio cholerae
A. Hafnia alvei
B. Legionella pneumophila
C. Neisseria meningitidis
D. Vibrio cholerae
answer
B. Legionella pneumophila
question
The flattened adjacent of the cellular appearance of which microorganism are said to resemble kidney beans??
A. Aeromonas hydrophila
B. Campylobacter jejuni
C. Neisseria gonorrhoeae
D. Pasturella multocida
A. Aeromonas hydrophila
B. Campylobacter jejuni
C. Neisseria gonorrhoeae
D. Pasturella multocida
answer
C. Neisseria gonorrhoeae
question
Which of the Neisseria spp. produces acid from glucose but not from maltose, lactose, or sucrose?
A. Neisseria gonorrhoeae
B. Neisseria lactamica
C. Neisseria meningitidis
D. Neisseria sicca
A. Neisseria gonorrhoeae
B. Neisseria lactamica
C. Neisseria meningitidis
D. Neisseria sicca
answer
A. Neisseria gonorrhoeae
question
Which Neisseria spp. produces acid from glucose and maltose but not sucrose or lactose?
A. Neisseria gonorrhoeae
B. Neisseria lactamica
C. Neisseria meningitidis
D. Neisseria sicca
A. Neisseria gonorrhoeae
B. Neisseria lactamica
C. Neisseria meningitidis
D. Neisseria sicca
answer
C. Neisseria meningitidis
question
Which of the following is not true about Pasteurella multocida?
A. Most common human infection occur in soft tissues, bones, and joints.
B. Human harbor the organism as part of their normal flora.
C. It is the most virulent of the species in the genes.
D. It grows on sheep blood agar.
A. Most common human infection occur in soft tissues, bones, and joints.
B. Human harbor the organism as part of their normal flora.
C. It is the most virulent of the species in the genes.
D. It grows on sheep blood agar.
answer
B. Human harbor the organism as part of their normal flora.
question
The porphytin test determines an organism's requirement for
A. Cystiene
B. Hemin
C. NAD
D. Thiol
A. Cystiene
B. Hemin
C. NAD
D. Thiol
answer
B. Hemin
question
Which of the following is an occasional cause of respiratory tract ifections and is rapidly urea positive?
A. Bordetella bronchiseptica
B. Brucella abortus
C. Campylobacter fetus
D. Escherichia coli
A. Bordetella bronchiseptica
B. Brucella abortus
C. Campylobacter fetus
D. Escherichia coli
answer
A. Bordetella bronchiseptica
question
The characteristic growth pattern known as "satelliting" is associated with
A. Burkholderia pseudomallei
B. Campylobacter jejuni
C. Haemophilus influenzae
D. Yersinia pestis
A. Burkholderia pseudomallei
B. Campylobacter jejuni
C. Haemophilus influenzae
D. Yersinia pestis
answer
C. Haemophilus influenza
question
Colonies that are said to resemble "droplets of mercury" are characteristic of
A. Bordetella pertussis
B. Burkholderia cepacia
C. Campylobacter jejuni
D. Yersinia pestis
A. Bordetella pertussis
B. Burkholderia cepacia
C. Campylobacter jejuni
D. Yersinia pestis
answer
A. Bordetella pertussis
question
When an epidemiologic survey for the detection of upper respiratory tract carriers of Neisseria meningitidis or Bordetella pertussis is being conducted, the optimal type of specimen to be obtained for culture is
A. Anterior nares
B. Buccal cavity
C. Nasopharyngeal
D. Throat
A. Anterior nares
B. Buccal cavity
C. Nasopharyngeal
D. Throat
answer
C. Nasopharyngeal
question
Milk had classically been the primary food associated with the transmission of some diseases, especially for those diseases of cattle transmissible to humans, such as
A. Brucellosis
B. Glanders
C. Meliodosis
D. Pontiac fever
A. Brucellosis
B. Glanders
C. Meliodosis
D. Pontiac fever
answer
A. Brucellosis
question
Which of the following is not appropriate for the cultivation of Neisseria gonorrheae?
A. Chocolate agar
B. Cefsulodin-irgasan-novobiocin
C. Martain-Lewis agar
D. Modified Thayer-Martin agar
A. Chocolate agar
B. Cefsulodin-irgasan-novobiocin
C. Martain-Lewis agar
D. Modified Thayer-Martin agar
answer
B. Cefsulodin-irgasan-novobiocin
question
The porphyrin test is most useful for the identification of which of the following?
A. Campylobacter
B. Heamophilus
C. Moraxella
D. Neisseria
A. Campylobacter
B. Heamophilus
C. Moraxella
D. Neisseria
answer
B. Heamophilus
question
Which of the following is not true about the laboratory diagnosis of pertussis?
A. Regan-Lowe medium is the recommended medium
B. DFA test results are definitive and do not need to be confirmed by culture.
C. Calcium alginate or Dacron swabs are recommended over cotton-tipped swabs for specimen collection
D. Material collected from the naso-pharyngnx is optimal for detection of the causative agent
A. Regan-Lowe medium is the recommended medium
B. DFA test results are definitive and do not need to be confirmed by culture.
C. Calcium alginate or Dacron swabs are recommended over cotton-tipped swabs for specimen collection
D. Material collected from the naso-pharyngnx is optimal for detection of the causative agent
answer
B. DFA test results are definitive and do not need to be confirmed by culture.
question
New York City agar was developed for the isolation of
A. Bordetella pertussis
B. Campylobacter fetus
C. Haemophilus influenzae
D. Neisseria gonorrhoeae
A. Bordetella pertussis
B. Campylobacter fetus
C. Haemophilus influenzae
D. Neisseria gonorrhoeae
answer
D. Neisseria gonorrhoeae
question
Eikenella corrodens is an opportunistic pathogen, but it is most noted for causing
A. Abscesses of the oral cavity
B. Pneumonia
C. Post surgical would infections
D. Urinary tract infections
A. Abscesses of the oral cavity
B. Pneumonia
C. Post surgical would infections
D. Urinary tract infections
answer
A. Abscesses of the oral cavity
question
Which of the following is the most common indicator of bacterial vaginosis?
A. Eikenella
B. Capnocytophaga
C. Gardnerella
D. Listeria
A. Eikenella
B. Capnocytophaga
C. Gardnerella
D. Listeria
answer
C. Gardnerella
question
Why are cultures for Gardnerella vaginalis not recommended?
A. The bacteria grow so slowly that
results take too long to be relevant.
B. Isolation of the bacteria may not be
clinically significant.
C. It is unsafe to grow this bacterium.
D. Artificial media are not available.
A. The bacteria grow so slowly that
results take too long to be relevant.
B. Isolation of the bacteria may not be
clinically significant.
C. It is unsafe to grow this bacterium.
D. Artificial media are not available.
answer
B. Isolation of the bacteria may not be
clinically significant.
clinically significant.
question
Kingella denitrificans can be differenti- ated from Neisseria gonorrhoeae because it is
A. Able to grow on Thayer-Martinagar
B. Able to reduce nitrates
C. Oxidase positive
D. Glucosepositive
A. Able to grow on Thayer-Martinagar
B. Able to reduce nitrates
C. Oxidase positive
D. Glucosepositive
answer
B. Able to reduce nitrates