Question 1
Question
In an outbreak situation molecular epidemiology is used to______
Question 2
Question
In molecular testing of microorganisms what are the analyses?
Answer
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genome, transcriptome, proteome
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genome, transcriptome, antibodies
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lipids, transcriptome, proteome
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sugars, lipids, amino acids
Question 3
Question
Match an organism with a resistance gene target.
Answer
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Staphylococcus aureus mecA; Enterococcus: vanA, vanB, and vanC; M.tuberculosis: katG, inhA
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Staphylococcus aureus vanA, vanB, and vanC; Enterococcus: mecA; M.tuberculosis: katG, inhA
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Staphylococcus aureus vanA, vanB, and vanC; Enterococcus: katG, inhA; M.tuberculosis: mecA
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Staphylococcus aureus katG, inhA ; Enterococcus: vanA, vanB, and vanC; M.tuberculosis: mecA
Question 4
Question
What are the primary molecular methods used in clinical microbiology laboratory?
Answer
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PCR, real time PCR, reverse transcriptase PCR, pulsed field gel electrophoresis (PFGE)
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PCR, real time PCR, reverse transcriptase PCR,
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PCR, real time PCR, reverse transcriptase PCR, sequencing,
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Bisulfite sequencing, PCR, real time PCR, reverse transcriptase PCR, Bisulfite sequencing,
Question 5
Question
Which of the following organisms is bardes to lyse?
Answer
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Mycobacteria and fungi
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Parasites and Bacteria
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Parasites and Mycoplasma
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Fungi and Mycoplasma
Question 6
Question
Removal of RNases is essential for analysis of with of the following targets?
Answer
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RNA
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DNA
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Proteins
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Ribosomes
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Centromere
Question 7
Question
Which of the following PCR inhibitors is present in the sputum?
Answer
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Acidic polysaccharides
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Hemoglobin
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Heparin
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Amino acids
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Aluminum
Question 8
Question
It is easier to isolate nucleic acid form the stool the the plasma.
Question 9
Question
In a PCR procedure a sensitivity control is used to show____
Question 10
Question
B. pertussis and B. parapertussis target genes are IS481 and IS1001.
Question 11
Question
Which of the following is a genotypic method for typing organisms?
Question 12
Question
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?
Answer
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The isolates are indistinguishable.
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The isolates are closely related.
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The isolates are possibly related.
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The isolates are different.
Question 13
Answer
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rapidly spreading outbreak of an infectious disease
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a disease that sweeps across wide geographical areas
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collection and analysis of environmental, microbiological, and clinical data
Question 14
Answer
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a disease that sweeps across wide geographical areas
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rapidly spreading outbreak of an infectious disease
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collection and analysis of environmental, microbiological, and clinical data
Question 15
Question
Define Epidemiology
Answer
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collection and analysis of environmental, microbiological, and clinical data
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a disease that sweeps across wide geographical areas
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rapidly spreading outbreak of an infectious disease
Question 16
Question
Primary resistance mutations _______
Question 17
Question
Secondary-resistance mutations ______
Answer
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compensate for the primary-resistance growth defects
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do not compensate for the primary-resistance growth defects
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cancel primary-resistance growth defects
Question 18
Question
Which of the following is the molecular target for most epidemiological investigations of Mycobacterium tuberculosis?
Question 19
Question
Which of the following typing methods has high typing capacity, discriminatory power, reproducibility, and moderate ease of use?
Answer
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Plasmid analysis
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Ribotyping
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PCR-RFLP
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PFGE
Question 20
Question
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?
Answer
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Restriction fragment length polymorphism
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Amplified fragment length polymorphism
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Pulsed field gel electrophoresis
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Arbitrarily primed PCR
Question 21
Question
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?
Question 22
Question
A PCR assay that uses short primers that amplify random sequences found throughout the genome of the test organism is what variation of PCR?
Answer
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Arbitrarily primed
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Amplified fragment length polymorphism
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Repetitive extragenic palindromic
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Enterobacterial repetitive intergenic consensus
Question 23
Question
The ability of a typing method to distinguish between unrelated strains is which of the following criteria?
Answer
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Typing capacity
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Discriminatory power
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Reproducibility
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Ease of interpretation
Question 24
Question
When a typing method is repeated and the results are the same each time, the method has high:
Answer
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ease of test performance
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discriminatory power
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typing capacity
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reproducibility
Question 25
Question
Which of the following genes is a target in molecular-based assays and confers resistance to vancomycin in the enterococci?
Question 26
Question
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?
Answer
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Bordetella pertussis
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Bordetella parapertussis
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Bordetella holmesii
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Legionella pneumophila
Question 27
Question
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?
Answer
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Definitive diagnosis of Streptococcus pneumoniae pneumonia
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Streptococcus pneumoniae is present but clinical significance questionable
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Mycobacterium tuberculosis detected and girl should be isolated
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Patient has Chlamydophila pneumoniae pneumonia
Question 28
Question
Which of the following molecular-based assay and detected organism combinations has been FDA-approved?
Answer
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NASBA for hepatitis C virus
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TMA for Mycobacterium tuberculosis
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Hybridization protection assay for group A streptococci
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Sequencing for Neisseria gonorrhoeae
Question 29
Question
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?
Question 30
Question
HIV genotyping is performed for which of the following reasons?
Answer
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Monitor development of antiretroviral drug resistance
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Confirmation of HIV infection
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Quantitate amount of HIV in the patient
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Determine source of HIV
Question 31
Question
Which of the following genes is the target in molecular-based assays that are used to quantitate the amount of HIV in a patient?
Answer
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Protease
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gag
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Hemaglutinin
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ctx-m
Question 32
Question
Which of the following molecular-based assays is FDA-approved for the detection of human papillomavirus in endocervical specimens?
Answer
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qPCR
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NASBA
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TMA
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Hybrid capture
Question 33
Question
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?
Answer
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Mycoplasma pneumoniae
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Treponema pallidum
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Chlamydia trachomatis
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Legionella pneumophila