Question 1
Question
What is used for Oxacillin Screens?
Question 2
Question
What is used in a vancomycin screen?
Answer
-
BHI + vanc
-
BHI + vanc + 4% NaCl
-
MH + vanc + 4% NaCl
-
MH + vanc
Question 3
Question
If the MIC is 0.08ug/mL for a staphylococcus aureus organism, how should we report this?
Question 4
Question
Which of these are associated with infection control significant VRE organisms?
Question 5
Question
what should you expect to see on an MRSA select II agar?
Answer
-
magenta colonies
-
no growth
-
blue colonies
-
growth if it is MRSA
-
growth if it is MSSA
Question 6
Question
What additional testing should you do if you see growth on MRSA select II agar?
Answer
-
staphaurex
-
tube coagulase
-
PBP2' agglutination
-
oxacillin screen
-
vancomycin screen
-
oxidase
Question 7
Question
What are the next steps for growth on a brilliance VRE?
Answer
-
gram stain and catalase
-
gram stain
-
gram stain and oxidase
Question 8
Question
what do you expect to see with an VRE organism?
Question 9
Question
What are the next steps after PYR is performed on a VRE suspect?
Answer
-
vitek GPI
-
vitek AST
-
vancomycin screen
-
oxacillin screen
-
penicillin screen
Question 10
Question
What will grow on a BEAA plate?
Question 11
Question
A [blank_start]positive[blank_end] penicillin zone edge test will give a [blank_start]cliff[blank_end] edge.
Question 12
Question
Penicillin zone edge test is more sensitive for [blank_start]beta lactamase[blank_end] detection.
Question 13
Question
A negative penicillin zone edge test will have a beach edge.
Question 14
Question
when do we call ICP (infection control practitioner)?
Question 15
Question
Methicillin [blank_start]resistant[blank_end] Staphylococcus aureus (MRSA) isolated. Please follow [blank_start]infection control[blank_end] procedures. Further report to follow.
Answer
-
resistant
-
infection control
Question 16
Question
How do we differentiate between a class A ESBL and a class C ESBL?
Question 17
Question
Class A ESBL organisms are inhibited by?
Question 18
Question
What classifies a class A ESBL?
Question 19
Question
class C ESBLs are resistant to 3rd generation cephalosporins, clavulanic acid and cephamycins such as cefoxitin.
Question 20
Question
SPICE group are intrinsically resistant to ampicillin, cephalosporins and cefoxitin.
Question 21
Question
What antibiotics are used in PCT?
Answer
-
cefotaxime
-
cefotaxime + clavulanic acid
-
ceftazidime
-
ceftazidime + clavulanic acid
-
cefoxitin
-
vancomycin + clavulanic acid
-
ampicillin + clavulanic acid
-
ampicillin
-
vancomycin
Question 22
Question
Escherichia coli class [blank_start]A[blank_end] ESBL. Please follow [blank_start]infection control[blank_end] procedures.
Question 23
Question
SPICE organisms are;
Question 24
Question
Which antibiotics are reported as resistant with a class A ESBL?
Question 25
Question
Which antibiotics are not reported as resistant for a class A ESBL?
Answer
-
carbapenems
-
cephamycins
-
penicillin
-
oxacillin
Question 26
Question
Bacterial meningitis in neonates can be caused by
Answer
-
Group B streptococcus
-
E.coli
-
Listeria monocytogenes
-
Neisseria meningitidis
Question 27
Question
Bacterial meningitis in infants 6 months to 5 years old can be caused by?
Question 28
Question
Bacterial meningitis in older children and adults can be caused by?
Answer
-
Streptococcus pneumoniae
-
Neisseria meningitidis
-
Listeria monocytogenes
-
Group B Streptococcus
Question 29
Question
What is normal skin flora?
Answer
-
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
Question 30
Question
For an aerotolerance test, what disks do you use for a GPC?
Question 31
Question
For an aerotolerance test, what disks would you use for a GNB?
Question 32
Question
You must report AST for superficial ear and eye isolates.
Question 33
Question
When do you use a NYC plate?
Answer
-
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
Question 34
Question
Bodily fluids such as CSF or tympanocentesis fluid will contain some normal flora.
Question 35
Question
What organism is this? oxidase+, nitrate reduced to nitrite, GNDC, strict aerobic, on BA-sm, grey, NH, dry
Answer
-
Moraxella catarrhalis
-
Neisseria meningitis
-
Neisseria gonorrhoeae
Question 36
Question
What organism is this? sm GNB, facultative anaerobe, oxidase-, on BA - ppt, grey, and NH, need V factor
Question 37
Question
What organism is this? sm GNB, facultative anaerobe, oxidase+, on BA - ppt, grey, and NH, need X and V factor
Question 38
Question
What organism is this? strict anaerobe, large GPB, double zone hemolysis, reverse camp+, catalase-
Answer
-
Clostridium perfringens
-
Clostridium spp
-
Bacillus spp
Question 39
Question
what organism is this? large GPB, large tan colonies, BH, motile at RT and 35 degrees
Answer
-
Bacillus spp
-
Clostridium perfringens
-
corynebacterium spp
Question 40
Question
What organism is this? sm GNB, on BA-med grey NH, catalase+, strict anaerobe
Answer
-
Bacteriodes spp
-
Enterobacteriacaea spp
-
Listeria monocytogenes
Question 41
Question
What organism is this? facultative, sm GPB, urea negative, on BA-sm white NH
Question 42
Question
What causes the Hand, Foot and Mouth Disease?
Answer
-
Enterovirus
-
Hentavirus
-
Parvovirus
-
Rubivirus
Question 43
Question
What is the role of micro RNA?
Question 44
Question
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:
Question 45
Question
What animals have been found to be carriers of MERS?
Answer
-
Bat
-
Rabbit
-
Camel
-
All of the above
-
Camel and Bats
Question 46
Question
Which of these viruses causes MERS?
Answer
-
Hantavirus
-
Coronavirus
-
Lentivirus
-
Enterovirus
Question 47
Question
What is the gold standard for laboratory diagnosis of Rocky Mountain Spotted Fever?
Answer
-
Culture
-
Clinical presentation
-
Immunofluorescence
-
PCR
Question 48
Question
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?
Answer
-
Mosquito
-
Tick
-
Black fly
-
Rat
Question 49
Question
What is the Gram stain and motility of the Rickettsii rickettsia infection?
Answer
-
GPB, motile
-
GPB, non-motile
-
GNB, motile
-
GNB, non-motile
Question 50
Question
What is the atmospheric preference of Brucella?
Question 51
Question
Which of the following is NOT ta type of Brucella species?
Answer
-
Brucella suis
-
Brucella canis
-
Brucella abortus
-
Brucella melitensis
-
Brucella tigris
Question 52
Question
What clinical manifestation of Brucellosis?
Question 53
Question
What is the gold standard diagnostic test for leptospirosis?
Question 54
Question
What does leptospirosis look like under dark-field microscopy?
Question 55
Question
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?
Answer
-
Brucellosis
-
Leptospirosis
-
MERS
-
Plague
Question 56
Question
Which organism causes the plague?
Answer
-
Francisella tularensis
-
Leptospira interrogans
-
Yersinia pestis
-
Bartonella henselae
Question 57
Question
What is the main reservoir for the organism responsible for the plague?
Answer
-
birds
-
deer ticks
-
fleas of rats
-
cats
Question 58
Question
Which of the following correctly describes the Gram stain of the organism responsible for the plague?
Question 59
Question
What organism causes Rat Bite Fever?
Question 60
Question
What is the virulence factor of Streptobacillus moniliformis?
Question 61
Question
Which of the following is a characteristic feature of Streptocbacillus moniformis?
Question 62
Question
Laboratory diagnosis of hantavirus includes the following techniques except?
Question 63
Question
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’?
Answer
-
Zika virus
-
Francisella tularensis
-
Bartonella henselae
-
Hantavirus
Question 64
Question
What is the primary strategy for preventing hantavirus infection?
Answer
-
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
Question 65
Question
Which of the following causes microcephaly in infants?
Answer
-
Zika Virus
-
Cytomegalovirus
-
Rubella
-
All of the above
-
None of the above
Question 66
Question
Which of the following is not a mode of transmission for Zika virus?
Answer
-
Mosquito bite
-
Airborne
-
Sexual contact
-
Infected mother to child
-
Blood transfusion
Question 67
Question
What condition can be associated with Zika virus?
Answer
-
Malaria
-
West Nile Fever
-
Yellow Fever
-
Guillain-Barre Syndrome
-
Chikungunya
Question 68
Question
Bartonella henselae is the specific cause of:
Question 69
Question
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?
Question 70
Question
What is not a symptom of Cat Scratch Disease?
Question 71
Question
Which form of oropharyngeal tularemia causes photophobia?
Answer
-
Pneumonic form
-
Oculoglandular form
-
Systemic typhoidal form
-
Exudative form
Question 72
Question
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?
Question 73
Question
What organism causes Tularemia?
Answer
-
Neisseria species
-
Legionella
-
Francisella
-
Salmonella
Question 74
Answer
-
itching
-
rash
-
Sarcoptes scabiei
Question 75
Question
Cutaneous Leishmaniasis
Question 76
Question 77
Question
Varicella zoster
Question 78
Answer
-
Parvovirus B19
-
slapped cheek
Question 79
Question 80
Answer
-
ubiquitous in nature
-
aerobic
-
acid fast negative
-
GPB, branching
-
modified acid fast positive
-
BA- white, chalky, dry, smooth
Question 81
Answer
-
Nocardia and S.aureus
-
Madurella mycetomi, Actinomadura, others
-
outdoor labourers
-
no person to person transmission
-
All of them
Question 82
Question
Tinea versicolor
Question 83
Question
Bacillus anthracis
Answer
-
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+
Question 84
Answer
-
thin bacilli, non-motile, aerobe
-
N-glucolymuramic acid and mycolic acids in cell wall
-
acid fast positive
-
All of the above
Question 85
Question
Mycobacterium leprae
Question 86
Question
what is rhabdomyolysis?
Answer
-
breakdown of skeletal muscle
-
overproduction of collagen
-
inflammation or swelling of muscles
Question 87
Question
how are diabetic patients affected in muscle disorders?
Question 88
Answer
-
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
Question 89
Question
Capnocytophaga canimorsus:
Answer
-
GNB
-
zoonotic
-
treat with cephalosporins
-
common in asplenic patients
-
all except for 'treat with cephalosporin'
Question 90
Question
Pasteurella multocida:
Question 91
Question
septic arthritis:
Question 92
Question
what can cause septic arthritis?
Answer
-
S.aureus
-
Peptostreptococcus
-
Brucella
-
Mycobacteria
Question 93
Question
Reactive arthritis:
Question 94
Question
what do we make note of when inspecting synovial fluid?
Answer
-
volume
-
color
-
odor
-
turbidity
-
protein content
-
glucose content
-
WBC
Question 95
Question 96
Question
Artificial arthritis:
Question 97
Question
what can cause bacterial conjunctivitis?
Answer
-
Neisseria spp
-
S. pneumoniae
-
S. aureus
-
Candida spp
-
anaerobes
Question 98
Question
cause of viral conjunctivitis?