Mycobacteria Quiz Flashcards

(15 cards)

1
Q

The best specimen for recovery of Mycobacteria from a sputum sample is:

a. First morning specimen
b. 10- hour evening specimen
c. 12- hour pooled specimen
d. 24- hour pooled specimen

A

a. First morning specimen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Mycobacteria stained by Ziehl-Neelsen or Kinyoun methods with methylene blue counter stain are seen microscopically as:

a. Bright red rods against a blue background
b. Bright yellow rods against a yellow background
c. Orange- red rods against a black background
d. Bright blue rods against a pink background

A

a. Bright red rods against a blue background

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which of the following mycobacteria produces pigmented colonies in the dark (is a scotochromogen)?

a. M. xenopi
b. M. kansasii
c. M. tuberculosis
d. M. szulgai

A

d. M. szulgai

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

All of the following mycobacteria are associated with skin infections except:

a. M. marinum
b. M. hemophilum
c. M. kansasii
d. M. ulcerans

A

c. M. kansasii

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Mycobacteria isolated from a respiratory culture grew best at 42C. Colonies on LJ medium were not pigmented after exposure to light and negative for niacin accumulation and nitrate reduction. The most likely identification is:

a. M. marinum
b. M. ulcerans
c. M. xenopi
d. M. hemophilum

A

c. M. xenopi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which of the following mycobacteria is best differentiated by the rapid (w/in 6 hours) hydrolysis of tween 80 ?

a. M. fortuitum
b. M. chelonae
c. M. kansasii
d. M. gordonae

A

c. M. kansasii

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

An employee of a tropical fish store had a skin infection a finger. The lesion was cultured and grew an acid fast bacilli. The organism grew best at 30C. was nonpigmented when grown in the dark and produced a deep yellow color when exposed to light.

This organism is most likely:

a. M. tuberculosis
b. M. marinum
c. M. xenopi
d. M. ulcerans

A

b. M. marinum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A Mycobacterium species is recovered from a patient with AIDS gave the following results:

Niacin = NEG

Tween 80 hydrolysis = NEG

Nitrate reduction = NEG

Heat stable catalase (68C) = +/-

Non-photochromogen

What is the most likely identification?

a. M. gordonae
b. M. bovis
c. M. avium complex
d. M. kansasii

A

c. M. avium complex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which nonpathogenic Mycobacterium sp. is isolated most often from clinical specimens and is called the ‘tapwater bacillus’?

a. M. kansasii
b. M. avium complex
c. M. leprae
d. M. gordonae

A

d. M. gordonae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Rapid methods for identifying infection with M. tuberculosis include:

a. HPLC
b. Nucleic acid probes
c. Acid-fast smears
d. All of the above

A

d. All of the above

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A bile-tolerant, gram-negative anaerobic bacillus indicates that the isolate is likely a member of the ___________ group.

a. Actinomyces
b. Porphyromonas and Prevotella
c. Bacteroides fragilis
d. Clostridium difficile

A

c. Bacteroides fragilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

An anaerobic GPB that demonstrates double-zone hemolysis on anaerobic blood agar:

a. Bacteroides fragilis
b. Actinomyces
c. Clostridium difficile
d. Clostridium perfringens

A

d. Clostridium perfringens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Actinomyces israelii is an opportunistic pathogen with infections primarily seen in:

a. Skin infections
b. Oral infections
c. Ear infections
d. None of the above

A

b. Oral infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Lab diagnosis of C. difficile infection:

a. Involves testing for Antigen & Toxin
b. Should only be done on unformed stool specimens
c. Should only be done by culture methods
d. A & B are correct

A

d. A & B are correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A positive blood culture grows a small anaerobic club-shaped gpb that is:

Catalase positive

Indole positive

What is the most likely identification?

a. Bacillus species
b. Clostridium perfringens
c. Actinomyces
d. Propionibacterium acnes

A

d. Propionibacterium acnes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly