11589742
Frage 1
Frage
What is used for Oxacillin Screens?
Antworten
-
MH + oxacillin
-
MH + 4% NaCl + oxacillin
-
MH with Sheep blood + 4% NaCl + oxacillin
-
MH with sheep blood + Oxacillin
Frage 2
Frage
What is used in a vancomycin screen?
Antworten
-
BHI + vanc
-
BHI + vanc + 4% NaCl
-
MH + vanc + 4% NaCl
-
MH + vanc
Frage 3
Frage
If the MIC is 0.08ug/mL for a staphylococcus aureus organism, how should we report this?
Antworten
-
report as resistant
-
report as susceptible
-
it is not relevant
-
confirm susceptibility with penicillin zone edge test
Frage 4
Frage
Which of these are associated with infection control significant VRE organisms?
Antworten
-
vanC gene
-
vanA and VanB gene
-
yellow pigment of colonies
-
motility observed on wet prep
Frage 5
Frage
what should you expect to see on an MRSA select II agar?
Antworten
-
magenta colonies
-
no growth
-
blue colonies
-
growth if it is MRSA
-
growth if it is MSSA
Frage 6
Frage
What additional testing should you do if you see growth on MRSA select II agar?
Antworten
-
staphaurex
-
tube coagulase
-
PBP2' agglutination
-
oxacillin screen
-
vancomycin screen
-
oxidase
Frage 7
Frage
What are the next steps for growth on a brilliance VRE?
Antworten
-
gram stain and catalase
-
gram stain
-
gram stain and oxidase
Frage 8
Frage
what do you expect to see with an VRE organism?
Antworten
-
gram positive cocci in chains and pairs
-
catalase negative
-
PYR positive
-
DNase positive
Frage 9
Frage
What are the next steps after PYR is performed on a VRE suspect?
Antworten
-
vitek GPI
-
vitek AST
-
vancomycin screen
-
oxacillin screen
-
penicillin screen
Frage 10
Frage
What will grow on a BEAA plate?
Antworten
-
staphylococcus species
-
enterobacteriacaea species
-
haemophilus species
-
enterococcus species
Frage 11
Frage
A [blank_start]positive[blank_end] penicillin zone edge test will give a [blank_start]cliff[blank_end] edge.
Antworten
-
positive
-
cliff
Frage 12
Frage
Penicillin zone edge test is more sensitive for [blank_start]beta lactamase[blank_end] detection.
Antworten
-
beta lactamase
Frage 13
Frage
A negative penicillin zone edge test will have a beach edge.
Antworten
- True
- False
Frage 14
Frage
when do we call ICP (infection control practitioner)?
Antworten
-
isolated a super bug i.e. MRSA
-
isolated GC
-
isolated S.pneumoniae
Frage 15
Frage
Methicillin [blank_start]resistant[blank_end] Staphylococcus aureus (MRSA) isolated. Please follow [blank_start]infection control[blank_end] procedures. Further report to follow.
Antworten
-
resistant
-
infection control
Frage 16
Frage
How do we differentiate between a class A ESBL and a class C ESBL?
Antworten
-
Phenotypic confirmatory testing
-
PYR
-
Staphaurex
-
Bile Esculin hydrolysis
Frage 17
Frage
Class A ESBL organisms are inhibited by?
Antworten
-
beta-lactamase inhibitors
-
clavulanic acid
-
penicillins
-
clindamycin
Frage 18
Frage
What classifies a class A ESBL?
Antworten
-
potentiation when combined with clavulanic acid
-
susceptible to cefoxitin
-
resistance to cefoxitin
-
zone of >15mm on cefoxitin
Frage 19
Frage
class C ESBLs are resistant to 3rd generation cephalosporins, clavulanic acid and cephamycins such as cefoxitin.
Antworten
- True
- False
Frage 20
Frage
SPICE group are intrinsically resistant to ampicillin, cephalosporins and cefoxitin.
Antworten
- True
- False
Frage 21
Frage
What antibiotics are used in PCT?
Antworten
-
cefotaxime
-
cefotaxime + clavulanic acid
-
ceftazidime
-
ceftazidime + clavulanic acid
-
cefoxitin
-
vancomycin + clavulanic acid
-
ampicillin + clavulanic acid
-
ampicillin
-
vancomycin
Frage 22
Frage
Escherichia coli class [blank_start]A[blank_end] ESBL. Please follow [blank_start]infection control[blank_end] procedures.
Antworten
-
infection control
-
A
Frage 23
Frage
SPICE organisms are;
Antworten
-
Serratia spp.
-
pseudomonas aeruginosa
-
indole positive proteus (morganella and providencia spp.)
-
citrobacter spp.
-
enterobacter spp.
Frage 24
Frage
Which antibiotics are reported as resistant with a class A ESBL?
Antworten
-
all beta-lactam drugs
-
carbapenems
-
cephamycin
-
beta-lactam inhibitor combinations
Frage 25
Frage
Which antibiotics are not reported as resistant for a class A ESBL?
Antworten
-
carbapenems
-
cephamycins
-
penicillin
-
oxacillin
Frage 26
Frage
Bacterial meningitis in neonates can be caused by
Antworten
-
Group B streptococcus
-
E.coli
-
Listeria monocytogenes
-
Neisseria meningitidis
Frage 27
Frage
Bacterial meningitis in infants 6 months to 5 years old can be caused by?
Antworten
-
Haemophilus influenza type b
-
Neisseria meningitidis
-
Streptococcus pneumoniae
-
E.coli
Frage 28
Frage
Bacterial meningitis in older children and adults can be caused by?
Antworten
-
Streptococcus pneumoniae
-
Neisseria meningitidis
-
Listeria monocytogenes
-
Group B Streptococcus
Frage 29
Frage
What is normal skin flora?
Antworten
-
Bacillus spp
-
Corynebacterium spp. diphtheroids, urea negative
-
coagulase negative Staphylococcus species except for S. lugdunensis
-
Proprionibacterium spp
-
Alpha hemolytic streptococcus
-
Nonpathogenic Neisseria spp
-
Bacteroides spp
-
Enterobacteriaceae spp
Frage 30
Frage
For an aerotolerance test, what disks do you use for a GPC?
Antworten
-
bile
-
SPS
Frage 31
Frage
For an aerotolerance test, what disks would you use for a GNB?
Antworten
-
bile
-
SPS
Frage 32
Frage
You must report AST for superficial ear and eye isolates.
Antworten
- True
- False
Frage 33
Frage
When do you use a NYC plate?
Antworten
-
When GC is requested by doctor
-
When GC is seen on the direct gram stain on day 1
-
When the patient is under 2 weeks old
-
When GPDC is seen on the direct gram stain on day 1
Frage 34
Frage
Bodily fluids such as CSF or tympanocentesis fluid will contain some normal flora.
Antworten
- True
- False
Frage 35
Frage
What organism is this? oxidase+, nitrate reduced to nitrite, GNDC, strict aerobic, on BA-sm, grey, NH, dry
Antworten
-
Moraxella catarrhalis
-
Neisseria meningitis
-
Neisseria gonorrhoeae
Frage 36
Frage
What organism is this? sm GNB, facultative anaerobe, oxidase-, on BA - ppt, grey, and NH, need V factor
Antworten
-
Haemophilus parainfluenza
-
Haemophilus influenzae
Frage 37
Frage
What organism is this? sm GNB, facultative anaerobe, oxidase+, on BA - ppt, grey, and NH, need X and V factor
Antworten
-
Haemophilus influenzae
-
Haemophilus parainfluenzae
Frage 38
Frage
What organism is this? strict anaerobe, large GPB, double zone hemolysis, reverse camp+, catalase-
Antworten
-
Clostridium perfringens
-
Clostridium spp
-
Bacillus spp
Frage 39
Frage
what organism is this? large GPB, large tan colonies, BH, motile at RT and 35 degrees
Antworten
-
Bacillus spp
-
Clostridium perfringens
-
corynebacterium spp
Frage 40
Frage
What organism is this? sm GNB, on BA-med grey NH, catalase+, strict anaerobe
Antworten
-
Bacteriodes spp
-
Enterobacteriacaea spp
-
Listeria monocytogenes
Frage 41
Frage
What organism is this? facultative, sm GPB, urea negative, on BA-sm white NH
Antworten
-
Corynebacterium diphtheroid
-
Corynebacterium ulcerans
-
Listeria monocytogenes
Frage 42
Frage
What causes the Hand, Foot and Mouth Disease?
Antworten
-
Enterovirus
-
Hentavirus
-
Parvovirus
-
Rubivirus
Frage 43
Frage
What is the role of micro RNA?
Antworten
-
keeps latent virus-infected cells alive
-
it is a part of prions
-
RNA codes for micro proteins
Frage 44
Frage
A 55-year old make just returned from a trip from Saudi Arabia. He was rushed to the ER with symptoms of acute respiratory illness. His condition rapidly progressed to pneumonitis and multi-organ failure. This patient has:
Antworten
-
Tularemia
-
Cat Scratch disease
-
Rat bite fever
-
MERS
-
Rocky Mountain spotted fever
Frage 45
Frage
What animals have been found to be carriers of MERS?
Antworten
-
Bat
-
Rabbit
-
Camel
-
All of the above
-
Camel and Bats
Frage 46
Frage
Which of these viruses causes MERS?
Antworten
-
Hantavirus
-
Coronavirus
-
Lentivirus
-
Enterovirus
Frage 47
Frage
What is the gold standard for laboratory diagnosis of Rocky Mountain Spotted Fever?
Antworten
-
Culture
-
Clinical presentation
-
Immunofluorescence
-
PCR
Frage 48
Frage
A 22-year old female was hiking in the Rocky Mountains. A few days later she had a headache, fever and flat pink macules on her trunk and ankles. The lab found Rickettsii rickettsia. What is the vector of this infection?
Antworten
-
Mosquito
-
Tick
-
Black fly
-
Rat
Frage 49
Frage
What is the Gram stain and motility of the Rickettsii rickettsia infection?
Antworten
-
GPB, motile
-
GPB, non-motile
-
GNB, motile
-
GNB, non-motile
Frage 50
Frage
What is the atmospheric preference of Brucella?
Antworten
-
facultative anaerobe
-
strict anaerobe
-
strict aerobe
-
capnophile
-
strict aerobe and capnophile
Frage 51
Frage
Which of the following is NOT ta type of Brucella species?
Antworten
-
Brucella suis
-
Brucella canis
-
Brucella abortus
-
Brucella melitensis
-
Brucella tigris
Frage 52
Frage
What clinical manifestation of Brucellosis?
Antworten
-
arthritis
-
valve endocarditis
-
malta fever
-
Bieber fever
-
arthritis and malta fever
Frage 53
Frage
What is the gold standard diagnostic test for leptospirosis?
Antworten
-
microscopic agglutination test (MAT)
-
MALDI
-
Latex agglutination
-
PCR
Frage 54
Frage
What does leptospirosis look like under dark-field microscopy?
Antworten
-
tumbling motility
-
long bacilli
-
question mark/interrogation points
-
branching bacilli
Frage 55
Frage
A patient presents with meningoencephalitis with multi system involvement (jaundice, kidney failure). Chemistry results reveal elevated kidney and liver enzymes. Culturing the organism proved to be difficult. What bacterial disease is suspected?
Antworten
-
Brucellosis
-
Leptospirosis
-
MERS
-
Plague
Frage 56
Frage
Which organism causes the plague?
Antworten
-
Francisella tularensis
-
Leptospira interrogans
-
Yersinia pestis
-
Bartonella henselae
Frage 57
Frage
What is the main reservoir for the organism responsible for the plague?
Antworten
-
birds
-
deer ticks
-
fleas of rats
-
cats
Frage 58
Frage
Which of the following correctly describes the Gram stain of the organism responsible for the plague?
Antworten
-
GNB with 'safety pin' appearance
-
GPC pairs
-
Filamentous GPB
-
large GPB with subterminal spores
Frage 59
Frage
What organism causes Rat Bite Fever?
Antworten
-
Streptococcus pneumoniae
-
Pseudomonas aeruginosa
-
Capnocytophaga canimorsus
-
Streptobacillus moniliformis
-
Pasteurella multocida
Frage 60
Frage
What is the virulence factor of Streptobacillus moniliformis?
Antworten
-
inhibits phagocytosis
-
convert to D form allowing it to survive in the host
-
convert to L form allowing it to survive in the host
-
secretes pyogenic toxin
-
none of the above
Frage 61
Frage
Which of the following is a characteristic feature of Streptocbacillus moniformis?
Antworten
-
molar tooth
-
fried egg
-
dry, hockey puck
-
medusa head
-
no distinct characteristic
Frage 62
Frage
Laboratory diagnosis of hantavirus includes the following techniques except?
Antworten
-
IgM antibody detection
-
PCR
-
Viral culture
-
Rising IgG antibody titre
-
Immunohistochemistry
Frage 63
Frage
Which zoonotic microorganism is associated with potentially fatal pulmonary symptoms which have been described as a sensation of ‘tight band around chest’ or ‘pillow over the face’?
Antworten
-
Zika virus
-
Francisella tularensis
-
Bartonella henselae
-
Hantavirus
Frage 64
Frage
What is the primary strategy for preventing hantavirus infection?
Antworten
-
Usage of insect repellent
-
Avoidance of contact with feral cats
-
Improved water quality and sanitation
-
Avoidance of pigeon droppings
-
Rodent control in and around the home
Frage 65
Frage
Which of the following causes microcephaly in infants?
Antworten
-
Zika Virus
-
Cytomegalovirus
-
Rubella
-
All of the above
-
None of the above
Frage 66
Frage
Which of the following is not a mode of transmission for Zika virus?
Antworten
-
Mosquito bite
-
Airborne
-
Sexual contact
-
Infected mother to child
-
Blood transfusion
Frage 67
Frage
What condition can be associated with Zika virus?
Antworten
-
Malaria
-
West Nile Fever
-
Yellow Fever
-
Guillain-Barre Syndrome
-
Chikungunya
Frage 68
Frage
Bartonella henselae is the specific cause of:
Antworten
-
Rat bite fever
-
Beaver fever
-
Cat Scratch Disease
-
Rocky Mountain Spotted Fever
-
Zika
Frage 69
Frage
A patient presents lack of appetite, wounds with lesions and has a history of working at an animal shelter. Biopsy of the lesion shows GNB but no growth or cultures was seen after 24 hours. What is the best reason for this?
Antworten
-
Organism is an anaerobe
-
Organism is a slow grower
-
Organism requires special media
-
Organism is a capnophile
Frage 70
Frage
What is not a symptom of Cat Scratch Disease?
Antworten
-
Papule or Pustule at bite on scratch site
-
Lymphadenpathy
-
Anorexia for 1-3 weeks
-
Tissue necrosis at wound area
Frage 71
Frage
Which form of oropharyngeal tularemia causes photophobia?
Antworten
-
Pneumonic form
-
Oculoglandular form
-
Systemic typhoidal form
-
Exudative form
Frage 72
Frage
A patient at a clinic showed fevers, chills and headache. A swab of the lesions was sent for culture and sensitivity. After questioning, it was determined the patient was an avid rabbit hunter. The Gram showed GNB organism intracellularly in reticuloendothelial cells. It grew only aerobically and grew on special media containing iron and cysteine. What probable disease could have caused the infection?
Antworten
-
Cat Scratch Disease
-
Tularemia
-
Zika virus
-
Rocky Mountain Spotted fever
Frage 73
Frage
What organism causes Tularemia?
Antworten
-
Neisseria species
-
Legionella
-
Francisella
-
Salmonella
Frage 74
Frage
Scabies
Antworten
-
itching
-
rash
-
Sarcoptes scabiei
Frage 75
Frage
Cutaneous Leishmaniasis
Antworten
-
self limiting
-
sandfly
Frage 76
Frage
Herpes
Antworten
-
latent, lifelong infection
-
neuronal ganglia
-
Type 1 - cold sores
-
Type 2 - sexually transmitted infections
Frage 77
Frage
Varicella zoster
Antworten
-
chicken pox
-
shingles
-
highly contagious, rash, red spots
Frage 78
Frage
Fifth Disease
Antworten
-
Parvovirus B19
-
slapped cheek
Frage 79
Frage
Actinomyces
Antworten
-
sulphur granules
-
anaerobe
-
acid fast negative
-
chronic, granulomatous infectious disease
Frage 80
Frage
Nocardia
Antworten
-
ubiquitous in nature
-
aerobic
-
acid fast negative
-
GPB, branching
-
modified acid fast positive
-
BA- white, chalky, dry, smooth
Frage 81
Frage
Madura Foot
Antworten
-
Nocardia and S.aureus
-
Madurella mycetomi, Actinomadura, others
-
outdoor labourers
-
no person to person transmission
-
All of them
Frage 82
Frage
Tinea versicolor
Antworten
-
Malassezia furfur
-
superficial skin infection
-
lipid loving fungus
-
spaghetti and meatballs under the microscope
-
All of the above
Frage 83
Frage
Bacillus anthracis
Antworten
-
dormant spore form can survive for long periods of time and in harsh conditions
-
highly lethal
-
transmitted by inhalation, ingesting and contact with skin lesions
-
glutamic acid capsule - evades phagocytosis
-
lethal factor + edema factor + protective factor = becomes active
-
eschar - black ulcerative skin lesion
-
GPB with subterminal spores, aerobic, non-motile, NH, Cat+
Frage 84
Frage
Mycobacteria
Antworten
-
thin bacilli, non-motile, aerobe
-
N-glucolymuramic acid and mycolic acids in cell wall
-
acid fast positive
-
All of the above
Frage 85
Frage
Mycobacterium leprae
Antworten
-
mainly affects skin and nerves
-
claw hand and drop foot
-
Tuberculoid and Lepromatous form
-
not highly contagious
-
all of the above
Frage 86
Frage
what is rhabdomyolysis?
Antworten
-
breakdown of skeletal muscle
-
overproduction of collagen
-
inflammation or swelling of muscles
Frage 87
Frage
how are diabetic patients affected in muscle disorders?
Antworten
-
vascular insufficiency
-
poor blood supply
-
antibiotic ineffectiveness
-
insulin deficiency
-
increased in glucose makes them more prone
Frage 88
Frage
Osteomyelitis:
Antworten
-
pyogenic organisms
-
occurs rapidly in children
-
occurs rapidly in adults
-
S.aureus is the most common cause
-
in children under 2, spreads into the diaphysis
Frage 89
Frage
Capnocytophaga canimorsus:
Antworten
-
GNB
-
zoonotic
-
treat with cephalosporins
-
common in asplenic patients
-
all except for 'treat with cephalosporin'
Frage 90
Frage
Pasteurella multocida:
Antworten
-
dog bites
-
can cause osteomyelitis or endocarditis
-
GPB
-
spot indole +
Frage 91
Frage
septic arthritis:
Antworten
-
inflammation of synovial membrane
-
damage to cartilage
-
examining the joint fluid is diagnostic
-
this is not real
-
mild and preventable
Frage 92
Frage
what can cause septic arthritis?
Antworten
-
S.aureus
-
Peptostreptococcus
-
Brucella
-
Mycobacteria
Frage 93
Frage
Reactive arthritis:
Antworten
-
non-infectious inflammatory joint disease
-
Neisseria meningitidis
-
Neisseria gonorrhoeae
-
GAS
-
GBS
Frage 94
Frage
what do we make note of when inspecting synovial fluid?
Antworten
-
volume
-
color
-
odor
-
turbidity
-
protein content
-
glucose content
-
WBC
Frage 95
Frage
Osteoarthritis:
Antworten
-
the most common form of arthritis
-
thinning of cartilage
-
synovial hypertrophy
-
in both male and females
-
all of the options
Frage 96
Frage
Artificial arthritis:
Antworten
-
biofilm formation
-
difficult to treat
-
normal skin flora is agent
-
cannot treat, will result in amputation
Frage 97
Frage
what can cause bacterial conjunctivitis?
Antworten
-
Neisseria spp
-
S. pneumoniae
-
S. aureus
-
Candida spp
-
anaerobes
Frage 98
Frage
cause of viral conjunctivitis?
Antworten
-
herpes simplex type 1 and 2
-
adenovirus
-
HIV
-
hentavirus
Möchten Sie mit GoConqr kostenlos Ihre eigenen Quiz erstellen? eigenen Mehr erfahren.