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phd1100 phd1100
wrote...
Posts: 599
Rep: 6 0
6 years ago
The microbiologist identified an organism that produces large c-hemolytic colonies on blood agar and appears as a gram-variable rod on Gram staining. In order to further identify the organ-ism, the microbiologist should:
 
  a. no further identification is necessary.
  b. complete a biochemical panel and antibi-otic sensitivity.
  c. complete a biochemical panel, no antibi-otic sensitivity is warranted.
  d. report the organism as Bacillus spp.



Reduced O2 (5 to 10) and increased CO2 (8 to 10) produce an environmental condition that best suits which type of organism?
 
  a. Aerobes
  b. Anaerobes
  c. Capnophiles
  d. Microaerophiles



The drugs of choice for most Enterococcal infections are:
 
  a. vancomycin and a penicillin.
  b. clindamycin and vancomycin.
  c. penicillin and an aminoglycoside.
  d. septra.



What morphologic feature is a major consideration in determining an identification scheme for streptococci?
 
  a. Colony shape and color
  b. Hemolytic pattern
  c. Smell
  d. Consistency



Which organism is catalase positive, coagulase negative, pyrrolidonyl arylamidase (PYR) positive, susceptible to novobiocin, urease negative, and hemolytic on sheep blood agar?
 
  a. S. epidermidis
  b. S. saprophyticus
  c. S. cohnii
  d. S. haemolyticus
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Replies
wrote...
6 years ago
B
Based on the information presented in the question, the microbiologist should complete a bio-chemical identification and an antibiotic susceptibility. At this point, the type of isolate is un-known and therefore, it is important to identify the species to determine the antibiotic pattern. If the organism is indeed B. anthracis, some strains produce -lactamases. CLSI has published technical guidelines and interpretive criteria for testing Bacillus spp.

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D
Various types of microorganisms require different atmospheric conditions. Microaerophiles grow best in the presence of reduced O2 and increased CO2.

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C
Enterococci are intrinsically resistant to a wide array of antimicrobial agents, and they are gener-ally resistant to killing by any of the single agents (e.g., ampicillin, vancomycin) that are bacteri-cidal for most other gram-positive cocci. Therefore, effective bactericidal activity can only be achieved with the combination of a cell wallactive agent, such as ampicillin or vancomycin, and an aminoglycoside, such as gentamicin or streptomycin.

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B
The cellular arrangement on Gram stain and the type of hemolysis are important considerations in the identification of streptococci.

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D
The characteristics in question 15 refer to S. haemolyticus. It is also the only hemolytic Sta-phylococcus listed.
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