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  • 問題数 100 • 10/16/2024

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    問題一覧

  • 1

    1. Which one of the following media is most helpful in distinguishing the morphology of yeasts?

    cornmeal agar w/ Tween 80

  • 2

    2. The best test to differentiate L. monocytogenes from Corynebacterium species is:

    motility at 25.C

  • 3

    3. Encephalitis is most commonly asso w/ w/c viruses

    Herpes simplex virus

  • 4

    4.A differential medium that can be used as a primary isolation agar producing predictable colored colonies that can be distinguished from other org colony types:

    CHROMagar

  • 5

    5. The recommended medium/media to inoculate for the primary isolation of Mycobacteria include:

    a broth-based & a solid-based

  • 6

    6. C. trachomatis infections have been implicated in:

    LGV & conjunctivitis

  • 7

    7. Virus transport medium should contain agents that:

    inhibit bacterial and fungal growth

  • 8

    8.W/c of ff clinical presentations is asso w/ HHV8?

    Kaposi sarcoma

  • 9

    9. MacConkey media for screening suspected cases of hemorrhagic E. coli O157:H7 must contain:

    sorbitol

  • 10

    10.W/c of the ff is the most appropriate org & media combination?

    Y. enterocolitica -Cefsulodin-irgasan-novobiocin

  • 11

    11. Shigella species characteristically are:

    Nonmotile

  • 12

    12. An organism that must be incubated in a microaerophilic environment for optimal recovery is:

    C.jejuni

  • 13

    13. The term "internal autoinfection" is generally used in referring to infections w/:

    S.stercoralis

  • 14

    14. This parasite has the following characteristics: banana shaped gametocytes in RBCs, multiple ring forms in RBCs, all RBCs are infected:

    P. falciparum

  • 15

    15. Which one of the ff viruses is responsible for the most common congenital infection in the United States?

    CMV

  • 16

    16. Which of the ff scenarios presents the greatest risk for coccidioidomycosis?

    Central Valley California migrant worker

  • 17

    17. Gram(+) cocci in chains are seen on a Gram stain from a blood culture. The org grows as a beta-hemolytic colony. Further tests that could be performed include:

    PYR, bacitracin, & hippurate

  • 18

    18. The primary isolation of N. gonorrhoeae requires:

    CO2

  • 19

    19. When performing a KOVAC indole test, the substrate must contain

    tryptophan

  • 20

    20. The mycobacteria that produce a deep yellow or orange pigment both in the dark and light are:

    scotochromogens

  • 21

    21. Which selective medium is used for the isolation of Gram-positive microorganisms?

    Columbia CNA with 5% sheep blood

  • 22

    22. How is Trichomonas vaginalis transmitted?

    sexual transmission

  • 23

    23. What Mycobacterium does not usually fluoresce when stained with a fluorochrome stain?

    M. fortuitum

  • 24

    24. A px has a suspected diagnosis of subacute bacterial endocarditis. His blood cultures grow non-spore forming pleomorphic G(+) bacilli only in the anaerobic bottle. What test(s) will give a presumptive identification of this organism?

    catalase and spot indole

  • 25

    25. W/c of the ff clinical syndromes is asso w/ VZV:

    shingles

  • 26

    26. W/c DNA + org colony is not easily broken up & therefore displays the "hockey puck" characteristic where it can be pushed across the plate of medium?

    Moraxella catarrhalis

  • 27

    27. An org from a peritoneal abscess is isolated on kanamycin-vancomycin laked blood agar & grows black colonies on BBE agar. It is nonpigmented, catalase(+) and indole(-). The genus of this organism is:

    Bacteroides

  • 28

    28.A bronchoscopy sample w/ request for culture of Legionella is sent to lab.The correct plating protocol is:

    culture on BCYE with antibiotics

  • 29

    29. Nutritionally variant streptococci are:

    Granulicatella & Abiotrophia

  • 30

    30. The porphyrin test was devised to detect strains of Haemophilus capable of:

    heme synthesis

  • 31

    31. Which genera are positive for phenylalanine deaminase (PAD) production?

    Proteus, Providencia, Morganella

  • 32

    32. Members of the family Enterobacteriaceae share which one of the following characteristics?

    reduce nitrate to nitrite

  • 33

    33. Which of the following pairs of organisms usually grow on kanamycin, vancomycin, laked blood agar?

    Bacteriodes & Prevotella

  • 34

    34 A Gram-positive coccus isolated from a blood culture has the following characteristics: Optochin susceptibility(-) Bile esculin hydrolysis(-) Bacitracin susceptibility(-) Hippurate hydrolysis(+) Catalase-

    S. agalactiae

  • 35

    35. A gamma-hemolytic Streptococcus that blackens bile esculin agar but does not grow in 6.5% NaCl broth is most likely:

    group D Streptococcus

  • 36

    36. The optimal collection of a wound specimen for culture of anaerobic organisms is a:

    syringe filled w/ pus,obtained b4 administration of antibiotics

  • 37

    37. Multifocal brain lesions in AIDS patients are commonly caused by:

    T. gondii

  • 38

    38.Plesiomonas shigelloides is a member of the family Enterobacteriaceae. The characteristic that differentiates Plesiomonas from other Enterobacteriaceae is:

    (+) oxidase

  • 39

    39. Which test is the primary screening test for HIV?

    serum ELISA

  • 40

    40. In disk diffusion susceptibility testing, as an antimicrobial agent diffuses away from the disk the concentration of antibiotic is:

    decrease

  • 41

    41. The specimen of choice for detection of RSV is:

    nasopharyngeal aspirate

  • 42

    42. Acceptable specimen sources for culture of anaerobic bacteria includes:

    abscess

  • 43

    43. A TSI tube inoculated with an org gave the ff rxn: Alkaline slant, Acid butt, no H2S & gas

    S. dysenteriae

  • 44

    44. The stock cultures needed for QC testing of motility are:

    K. pneumoniae = E. coli

  • 45

    45. Media used to support growth of Legionella pneumophila should contain the additives:

    charcoal & yeast extract

  • 46

    46. An Enterococcus isolated from multiple blood cultures in a patient endocarditis should be:

    screened for high level aminoglycoside resistance

  • 47

    47.A β-hemolytic streptococci that is bacitracin sensitive & CAMP(-) is:

    grp A

  • 48

    48. Susceptibility testing performed on QC org using a new media lot no. yielded zone sizes that were too large for all antibiotics tested. The testing was repeated using media from a previously used lot no., & all zone sizes were acceptable. The unacceptable zone sizes are:

    depth of the media was too thin

  • 49

    49.A nonfermenting G(-) bacillus is isolated from a wound.The nitrate & oxidase are strongly(+).The growth on Mueller-Hinton agar produces pyoverdin.This org is:

    P.aeruginosa

  • 50

    50. Which of the following is the most appropriate specimen source and primary media selection?

    endocervical Chocolate, Martin Lewis

  • 51

    51. A Klebsiella pnuemoniae isolate is known to produce carbapenemase; therefore, it therapeutically will not respond to the antibiotics:

    amoxicillin, cefazolin & imipenem

  • 52

    52.A liquid fecal spx from a 3mo infant is submitted for culture:The stool culture should detect Salmonella, Shigella &:

    Campylobacter spp.

  • 53

    53. Which characteristic best differentiates Acinetobacter species from MOraxella species?

    motility

  • 54

    54.Characteristics of the HACEK grp of bacteria:

    requirement of 5-10% CO2 for growth

  • 55

    55. Which type of virus causes SARS?

    coronavirus

  • 56

    56. A 25yo man who had recently worked as a steward on a transoceanic grain ship presented to the ER w/ high fever, diarrhea, & prostration. Axillary lymph nodes were hemorrhagic & enlarged. A Wright-Giemsa stain of the aspirate showed bacilli that were bipolar, resembling safety pins.

    Yersinia pestis

  • 57

    57. Caffeic acid disks inoculated with a yeast isolate show brown pigment production in a few hours. This is useful in the identification of:

    Cryptococcus neoformans

  • 58

    58. The most important variable in the recovery of organisms in adult patients with bacteremia is:

    the recommended volume of blood cultured

  • 59

    59. The proper blood-to-broth ratio for blood cultures to reduce the antibacterial effect of serum in adults is:

    1:10

  • 60

    60. Many fungal infections are transmitted to man via inhalation of infectious structures. Which of the ff is usually contracted in this manner?

    H. capsulatum

  • 61

    61. A male urethral discharge specimen submitted for culture should be inoculated to:

    chocolate & modified Thayer-Martin agar

  • 62

    62. On day 3pf fungal culture, a dense grayish cottony growth is observed. It fills the container and looks like "cotton candy". The most likely mold isolated is a:

    zygomycete

  • 63

    63. The optimal incubator temperature for isolation of the C.jejuni/coli group is:

    42.C

  • 64

    64. A fibrous skin nodule is removed from the back of a patient from Central America. A microfilaria seen upon microscopic exam of the nodule is most likely

    O.volvulus

  • 65

    65. Which of the ff agents is the most common cause of pediatric viral gastroenteritis?

    rotavirus

  • 66

    66. Which nonculture method is best for the diagnosis of N. gonorrhoeae in an adult female?

    NAAT

  • 67

    67. Organisms that can be easily identified to the species level from the ova in fecal specimens include:

    P.westermani, H.nana

  • 68

    68. The principle difference between the Ziehl-Neelsen acid-fast stain technique and the Kinyoun acid-fast stain technique is the:

    use of heat to allow the dye to penetrate organism

  • 69

    69. The best medium for culture of B. pertussis is:

    Regan-Lowe agar

  • 70

    70. W/c of the ff dermatophytes can be identified w/ its clavate or peg-shaped microconidia that resembles "birds on a wire"?

    Trichophyton rubrum

  • 71

    71. W/c feature distinguishes E. rhusiopathiae from other clinically significant non-spore-forming, Gram(+), facultatively anaerobic bacilli?

    H2S prodn

  • 72

    72. Grp B, B-hemolytic streptococci may distinguish from other hemolytic strep by w/c of the ff procedures?

    latex ag grouping

  • 73

    73. The steam autoclave mtd of sterilization requires:

    15lb of pressure for 15min

  • 74

    D 74. A college student attended a beach party where raw oysters and other shellfish were consumed. The next day, he had symptoms of septicemia. The blood cultures grew Gram(-) bacilli with the ff characteristics: Oxidase(+) O/129 (150ug) = susceptible MacConkey agar=pink colonies The most likely organism is:

    V. vulnificus

  • 75

    75. It is important to differentiate between Enterococcus & grpD streptococci because:

    enterococci often show more antibiotic(R) than grpD strep

  • 76

    76. W/c of the ff specimen requests is acceptable?

    urine for culture of acid-fast bacilli

  • 77

    77. Which of the following groups of specimens would be acceptable for anaerobic culture?

    pleural fluid,brain abscess fluid

  • 78

    78. Using a FLUORescent microscope a wet preparation of skin tissue reveals fluorescent septate hyphae. The smear was prepared using:

    calcofluor white

  • 79

    79. A patient is suspected of having amebic dysentery. Upon microscopic examination of a fresh fecal specimen for ova and parasites, the following data were obtained: a trophozoite of 25um progressive, unidirectional crawl evenly distributed peripheral chromatin finely granular cytoplasm

    E. histolytica

  • 80

    80. Biochemical rxn of an org are consistent w/ Shigella. A suspension is tested in antiserum without resulting aggln. However, after 15min of boiling aggln occurs in grpD antisera. The Shigella species is:

    sonnei

  • 81

    81.An org previously thought to be nonpathogenic, M. catarrhalis,is now known to be asso w/ an opportunistic respiratory infection & nosocomial transmission. Characteristic identification criteria include:

    butyrate esterase(+)

  • 82

    82. Which of the ff org is the causative agent of hand, foot and mouth disease?

    coxsackie A

  • 83

    83. Children who have infections with beta-hemolytic streptococci can develop:

    acute glomerulonephritis

  • 84

    84.W/c medium could the technologist use to verify that a yeast isolate from a blood culture is pure?

    CHROMagar

  • 85

    85. The ONPG test allows org to be classified as a lactose fermenter by testing for which of the following?

    B-galactosidase

  • 86

    86. A method to culture Acanthamoeba sp from corneal ulcer scrapings is to inoculate:

    an agar plate overlaid with E.coli

  • 87

    87. Which nematode has a characteristic mammillated bile stained egg?

    Ascaris

  • 88

    88. Which one of the ff org could be used as the (+) quality control test for lecithinase on egg yolk agar?

    Clostridium perfringens

  • 89

    89. Which of the following organisms is, to date, considered universally susceptible to penicillin:

    S.pyogenes

  • 90

    90. W/c fungal org is Urease + & Phenol oxidase +?

    C. neoformans

  • 91

    91. Where do Plasmodium sporozoites proliferate?

    Liver

  • 92

    92.V. parahaemolyticus is best isolated from feces on:

    TCBS

  • 93

    93.mtd for definitive identification of N. gonorrhoeae:

    utilization of carbohydrates

  • 94

    94.Which one of the ff features of T. saginata helps distinguish it from T. solium?

    unarmed rostellum

  • 95

    95. The virus responsible for nearly all cases of infantile respiratory bronchiolitis:

    respiratory syncytial virus

  • 96

    96.When using a control strain of S. aureus,the technologist notices that the zone around the cefoxitin disk is too small.

    use of outdated cefoxitin disks

  • 97

    97. Which of the following is a dimorphic fungus?

    B.dematitidis

  • 98

    98. A young girl cuts her foot on a rock while swimming at the ocean. Her foot begins to show signs of infection & her parents take her to the ER.A culture grows a non-lactose fermenting G(-) rod that produces copious amounts of hydrogen sulfide & gas, is indole(+) & motile. The org most likely isolated is:

    Edwardsiella spp

  • 99

    99. Laboratory workers should always work under a biological safety hood when working with cultures of:

    C.immitis

  • 100

    100. Penicillium species can be separated from Aspergillus fumigatus by:

    lack of vesicle