問題一覧
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1. Which one of the following media is most helpful in distinguishing the morphology of yeasts?
cornmeal agar w/ Tween 80
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2. The best test to differentiate L. monocytogenes from Corynebacterium species is:
motility at 25.C
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3. Encephalitis is most commonly asso w/ w/c viruses
Herpes simplex virus
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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
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5. The recommended medium/media to inoculate for the primary isolation of Mycobacteria include:
a broth-based & a solid-based
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6. C. trachomatis infections have been implicated in:
LGV & conjunctivitis
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7. Virus transport medium should contain agents that:
inhibit bacterial and fungal growth
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8.W/c of ff clinical presentations is asso w/ HHV8?
Kaposi sarcoma
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9. MacConkey media for screening suspected cases of hemorrhagic E. coli O157:H7 must contain:
sorbitol
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10.W/c of the ff is the most appropriate org & media combination?
Y. enterocolitica -Cefsulodin-irgasan-novobiocin
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11. Shigella species characteristically are:
Nonmotile
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12. An organism that must be incubated in a microaerophilic environment for optimal recovery is:
C.jejuni
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13. The term "internal autoinfection" is generally used in referring to infections w/:
S.stercoralis
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14. This parasite has the following characteristics: banana shaped gametocytes in RBCs, multiple ring forms in RBCs, all RBCs are infected:
P. falciparum
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15. Which one of the ff viruses is responsible for the most common congenital infection in the United States?
CMV
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16. Which of the ff scenarios presents the greatest risk for coccidioidomycosis?
Central Valley California migrant worker
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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
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18. The primary isolation of N. gonorrhoeae requires:
CO2
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19. When performing a KOVAC indole test, the substrate must contain
tryptophan
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20. The mycobacteria that produce a deep yellow or orange pigment both in the dark and light are:
scotochromogens
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21. Which selective medium is used for the isolation of Gram-positive microorganisms?
Columbia CNA with 5% sheep blood
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22. How is Trichomonas vaginalis transmitted?
sexual transmission
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23. What Mycobacterium does not usually fluoresce when stained with a fluorochrome stain?
M. fortuitum
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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
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25. W/c of the ff clinical syndromes is asso w/ VZV:
shingles
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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
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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
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28.A bronchoscopy sample w/ request for culture of Legionella is sent to lab.The correct plating protocol is:
culture on BCYE with antibiotics
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29. Nutritionally variant streptococci are:
Granulicatella & Abiotrophia
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30. The porphyrin test was devised to detect strains of Haemophilus capable of:
heme synthesis
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31. Which genera are positive for phenylalanine deaminase (PAD) production?
Proteus, Providencia, Morganella
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32. Members of the family Enterobacteriaceae share which one of the following characteristics?
reduce nitrate to nitrite
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33. Which of the following pairs of organisms usually grow on kanamycin, vancomycin, laked blood agar?
Bacteriodes & Prevotella
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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
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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
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36. The optimal collection of a wound specimen for culture of anaerobic organisms is a:
syringe filled w/ pus,obtained b4 administration of antibiotics
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37. Multifocal brain lesions in AIDS patients are commonly caused by:
T. gondii
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38.Plesiomonas shigelloides is a member of the family Enterobacteriaceae. The characteristic that differentiates Plesiomonas from other Enterobacteriaceae is:
(+) oxidase
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39. Which test is the primary screening test for HIV?
serum ELISA
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40. In disk diffusion susceptibility testing, as an antimicrobial agent diffuses away from the disk the concentration of antibiotic is:
decrease
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41. The specimen of choice for detection of RSV is:
nasopharyngeal aspirate
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42. Acceptable specimen sources for culture of anaerobic bacteria includes:
abscess
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43. A TSI tube inoculated with an org gave the ff rxn: Alkaline slant, Acid butt, no H2S & gas
S. dysenteriae
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44. The stock cultures needed for QC testing of motility are:
K. pneumoniae = E. coli
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45. Media used to support growth of Legionella pneumophila should contain the additives:
charcoal & yeast extract
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46. An Enterococcus isolated from multiple blood cultures in a patient endocarditis should be:
screened for high level aminoglycoside resistance
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47.A β-hemolytic streptococci that is bacitracin sensitive & CAMP(-) is:
grp A
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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
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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
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50. Which of the following is the most appropriate specimen source and primary media selection?
endocervical Chocolate, Martin Lewis
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51. A Klebsiella pnuemoniae isolate is known to produce carbapenemase; therefore, it therapeutically will not respond to the antibiotics:
amoxicillin, cefazolin & imipenem
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52.A liquid fecal spx from a 3mo infant is submitted for culture:The stool culture should detect Salmonella, Shigella &:
Campylobacter spp.
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53. Which characteristic best differentiates Acinetobacter species from MOraxella species?
motility
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54.Characteristics of the HACEK grp of bacteria:
requirement of 5-10% CO2 for growth
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55. Which type of virus causes SARS?
coronavirus
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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
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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
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58. The most important variable in the recovery of organisms in adult patients with bacteremia is:
the recommended volume of blood cultured
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59. The proper blood-to-broth ratio for blood cultures to reduce the antibacterial effect of serum in adults is:
1:10
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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
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61. A male urethral discharge specimen submitted for culture should be inoculated to:
chocolate & modified Thayer-Martin agar
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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
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63. The optimal incubator temperature for isolation of the C.jejuni/coli group is:
42.C
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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
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65. Which of the ff agents is the most common cause of pediatric viral gastroenteritis?
rotavirus
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66. Which nonculture method is best for the diagnosis of N. gonorrhoeae in an adult female?
NAAT
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67. Organisms that can be easily identified to the species level from the ova in fecal specimens include:
P.westermani, H.nana
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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
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69. The best medium for culture of B. pertussis is:
Regan-Lowe agar
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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
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71. W/c feature distinguishes E. rhusiopathiae from other clinically significant non-spore-forming, Gram(+), facultatively anaerobic bacilli?
H2S prodn
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72. Grp B, B-hemolytic streptococci may distinguish from other hemolytic strep by w/c of the ff procedures?
latex ag grouping
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73. The steam autoclave mtd of sterilization requires:
15lb of pressure for 15min
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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
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75. It is important to differentiate between Enterococcus & grpD streptococci because:
enterococci often show more antibiotic(R) than grpD strep
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76. W/c of the ff specimen requests is acceptable?
urine for culture of acid-fast bacilli
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77. Which of the following groups of specimens would be acceptable for anaerobic culture?
pleural fluid,brain abscess fluid
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78. Using a FLUORescent microscope a wet preparation of skin tissue reveals fluorescent septate hyphae. The smear was prepared using:
calcofluor white
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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
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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
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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(+)
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82. Which of the ff org is the causative agent of hand, foot and mouth disease?
coxsackie A
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83. Children who have infections with beta-hemolytic streptococci can develop:
acute glomerulonephritis
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84.W/c medium could the technologist use to verify that a yeast isolate from a blood culture is pure?
CHROMagar
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85. The ONPG test allows org to be classified as a lactose fermenter by testing for which of the following?
B-galactosidase
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86. A method to culture Acanthamoeba sp from corneal ulcer scrapings is to inoculate:
an agar plate overlaid with E.coli
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87. Which nematode has a characteristic mammillated bile stained egg?
Ascaris
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88. Which one of the ff org could be used as the (+) quality control test for lecithinase on egg yolk agar?
Clostridium perfringens
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89. Which of the following organisms is, to date, considered universally susceptible to penicillin:
S.pyogenes
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90. W/c fungal org is Urease + & Phenol oxidase +?
C. neoformans
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91. Where do Plasmodium sporozoites proliferate?
Liver
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92.V. parahaemolyticus is best isolated from feces on:
TCBS
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93.mtd for definitive identification of N. gonorrhoeae:
utilization of carbohydrates
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94.Which one of the ff features of T. saginata helps distinguish it from T. solium?
unarmed rostellum
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95. The virus responsible for nearly all cases of infantile respiratory bronchiolitis:
respiratory syncytial virus
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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
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97. Which of the following is a dimorphic fungus?
B.dematitidis
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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
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99. Laboratory workers should always work under a biological safety hood when working with cultures of:
C.immitis
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100. Penicillium species can be separated from Aspergillus fumigatus by:
lack of vesicle