Detection and Identification of Microorganisms

Descripción

Techniques in the Clinical Laboratory
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Resumen del Recurso

Pregunta 1

Pregunta
In an outbreak situation molecular epidemiology is used to______
Respuesta
  • ascertain whether the isolates have a common or independent source.
  • ascertain whether the isolates have a evolved from control specimens
  • identify novel SNP

Pregunta 2

Pregunta
In molecular testing of microorganisms what are the analyses?
Respuesta
  • genome, transcriptome, proteome
  • genome, transcriptome, antibodies
  • lipids, transcriptome, proteome
  • sugars, lipids, amino acids

Pregunta 3

Pregunta
Match an organism with a resistance gene target.
Respuesta
  • Staphylococcus aureus mecA; Enterococcus: vanA, vanB, and vanC; M.tuberculosis: katG, inhA
  • Staphylococcus aureus vanA, vanB, and vanC; Enterococcus: mecA; M.tuberculosis: katG, inhA
  • Staphylococcus aureus vanA, vanB, and vanC; Enterococcus: katG, inhA; M.tuberculosis: mecA
  • Staphylococcus aureus katG, inhA ; Enterococcus: vanA, vanB, and vanC; M.tuberculosis: mecA

Pregunta 4

Pregunta
What are the primary molecular methods used in clinical microbiology laboratory?
Respuesta
  • PCR, real time PCR, reverse transcriptase PCR, pulsed field gel electrophoresis (PFGE)
  • PCR, real time PCR, reverse transcriptase PCR,
  • PCR, real time PCR, reverse transcriptase PCR, sequencing,
  • Bisulfite sequencing, PCR, real time PCR, reverse transcriptase PCR, Bisulfite sequencing,

Pregunta 5

Pregunta
Which of the following organisms is bardes to lyse?
Respuesta
  • Mycobacteria and fungi
  • Parasites and Bacteria
  • Parasites and Mycoplasma
  • Fungi and Mycoplasma

Pregunta 6

Pregunta
Removal of RNases is essential for analysis of with of the following targets?
Respuesta
  • RNA
  • DNA
  • Proteins
  • Ribosomes
  • Centromere

Pregunta 7

Pregunta
Which of the following PCR inhibitors is present in the sputum?
Respuesta
  • Acidic polysaccharides
  • Hemoglobin
  • Heparin
  • Amino acids
  • Aluminum

Pregunta 8

Pregunta
It is easier to isolate nucleic acid form the stool the the plasma.
Respuesta
  • True
  • False

Pregunta 9

Pregunta
In a PCR procedure a sensitivity control is used to show____
Respuesta
  • lower level of detection
  • lack of contamination
  • quantity of positive product
  • lack of inhibition

Pregunta 10

Pregunta
B. pertussis and B. parapertussis target genes are IS481 and IS1001.
Respuesta
  • True
  • False

Pregunta 11

Pregunta
Which of the following is a genotypic method for typing organisms?
Respuesta
  • Antibiogram patterns
  • Pulsed field gel electrophoresis
  • Serotyping
  • Bacteriophage typing

Pregunta 12

Pregunta
Pulsed field gel electrophoresis has been performed on two isolates of Escherichia coli that have been isolated from the blood of newborns in the same neonatal unit. The banding pattern of the two isolates differed by two bands. Which of the following is the correct interpretation of these results?
Respuesta
  • The isolates are indistinguishable.
  • The isolates are closely related.
  • The isolates are possibly related.
  • The isolates are different.

Pregunta 13

Pregunta
Define Epidemic
Respuesta
  • rapidly spreading outbreak of an infectious disease
  • a disease that sweeps across wide geographical areas
  • collection and analysis of environmental, microbiological, and clinical data

Pregunta 14

Pregunta
Define Pandemic
Respuesta
  • a disease that sweeps across wide geographical areas
  • rapidly spreading outbreak of an infectious disease
  • collection and analysis of environmental, microbiological, and clinical data

Pregunta 15

Pregunta
Define Epidemiology
Respuesta
  • collection and analysis of environmental, microbiological, and clinical data
  • a disease that sweeps across wide geographical areas
  • rapidly spreading outbreak of an infectious disease

Pregunta 16

Pregunta
Primary resistance mutations _______
Respuesta
  • affect drug sensitivity but may slow viral growth
  • increase drug sensitivity
  • increase drug uptake

Pregunta 17

Pregunta
Secondary-resistance mutations ______
Respuesta
  • compensate for the primary-resistance growth defects
  • do not compensate for the primary-resistance growth defects
  • cancel primary-resistance growth defects

Pregunta 18

Pregunta
Which of the following is the molecular target for most epidemiological investigations of Mycobacterium tuberculosis?
Respuesta
  • katG
  • inhA
  • IS6110
  • IS481

Pregunta 19

Pregunta
Which of the following typing methods has high typing capacity, discriminatory power, reproducibility, and moderate ease of use?
Respuesta
  • Plasmid analysis
  • Ribotyping
  • PCR-RFLP
  • PFGE

Pregunta 20

Pregunta
DNA is isolated from a test organism and cut with restriction enzymes. The fragments are ligated to adapters that are complementary to primers that are added to perform a PCR. In a second PCR, selective primers are used to amplify some of the amplicons produced in the first PCR. Finally, the products of the second PCR are separated by gel electrophoresis and analyzed. Which of the following methods was described?
Respuesta
  • Restriction fragment length polymorphism
  • Amplified fragment length polymorphism
  • Pulsed field gel electrophoresis
  • Arbitrarily primed PCR

Pregunta 21

Pregunta
In the interpretation of pulsed field gel electrophoresis patterns, what is the maximum number of bands that can differ between two organisms before those organisms are determined to be different?
Respuesta
  • 2
  • 3
  • 5
  • 7

Pregunta 22

Pregunta
A PCR assay that uses short primers that amplify random sequences found throughout the genome of the test organism is what variation of PCR?
Respuesta
  • Arbitrarily primed
  • Amplified fragment length polymorphism
  • Repetitive extragenic palindromic
  • Enterobacterial repetitive intergenic consensus

Pregunta 23

Pregunta
The ability of a typing method to distinguish between unrelated strains is which of the following criteria?
Respuesta
  • Typing capacity
  • Discriminatory power
  • Reproducibility
  • Ease of interpretation

Pregunta 24

Pregunta
When a typing method is repeated and the results are the same each time, the method has high:
Respuesta
  • ease of test performance
  • discriminatory power
  • typing capacity
  • reproducibility

Pregunta 25

Pregunta
Which of the following genes is a target in molecular-based assays and confers resistance to vancomycin in the enterococci?
Respuesta
  • inhA
  • mecA
  • vanA
  • gyrA

Pregunta 26

Pregunta
A PCR assay on DNA isolated from a nasopharyngeal swab was performed with the following results: amplification using primers to IS481 was positive and using primers to IS1001 was negative. All controls were acceptable. Which of the following organisms was present in this sample?
Respuesta
  • Bordetella pertussis
  • Bordetella parapertussis
  • Bordetella holmesii
  • Legionella pneumophila

Pregunta 27

Pregunta
A PCR assay using primers specific for the autolysin (lytA) gene was performed on a sputum specimen from a 10-year-old girl. The specimen was positive, and all controls were acceptable. Which of the following is the best interpretation of these results?
Respuesta
  • Definitive diagnosis of Streptococcus pneumoniae pneumonia
  • Streptococcus pneumoniae is present but clinical significance questionable
  • Mycobacterium tuberculosis detected and girl should be isolated
  • Patient has Chlamydophila pneumoniae pneumonia

Pregunta 28

Pregunta
Which of the following molecular-based assay and detected organism combinations has been FDA-approved?
Respuesta
  • NASBA for hepatitis C virus
  • TMA for Mycobacterium tuberculosis
  • Hybridization protection assay for group A streptococci
  • Sequencing for Neisseria gonorrhoeae

Pregunta 29

Pregunta
PCR with RFLP analysis and reverse hybridization of the 5′ untranslated region of hepatitis C virus is the principle of which of the following commercial assays?
Respuesta
  • TRUGENE
  • Cleavase fragment length polymorphism
  • Amplicor HCV
  • Inno-LiPA

Pregunta 30

Pregunta
HIV genotyping is performed for which of the following reasons?
Respuesta
  • Monitor development of antiretroviral drug resistance
  • Confirmation of HIV infection
  • Quantitate amount of HIV in the patient
  • Determine source of HIV

Pregunta 31

Pregunta
Which of the following genes is the target in molecular-based assays that are used to quantitate the amount of HIV in a patient?
Respuesta
  • Protease
  • gag
  • Hemaglutinin
  • ctx-m

Pregunta 32

Pregunta
Which of the following molecular-based assays is FDA-approved for the detection of human papillomavirus in endocervical specimens?
Respuesta
  • qPCR
  • NASBA
  • TMA
  • Hybrid capture

Pregunta 33

Pregunta
Which of the following organisms was one of the first targets for the development and implementation of molecular-based assays used for direct detection of the organism in a clinical specimen?
Respuesta
  • Mycoplasma pneumoniae
  • Treponema pallidum
  • Chlamydia trachomatis
  • Legionella pneumophila
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