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Mycobacterium tuberculosis has traditionally been identi?ed in patient samples using biochemical tests, and more recently through DNA probe analysis. In vivo testing can also be completed using the tuberculin skin test. A more recent test that seems to be surpassing the others is the QuantiFERON-TB gold test. Blood samples are mixed with protein antigens of M. tuberculosis. After 16 to 24 hours of incubation, the amount of the cytokine interferon produced by the patient's cells is measured. If the patient is infected with M. tuberculosis, their WBCs will release interferon in Response to contact with the tuberculosis protein antigens. This test falls under which category of identi?cation tests?


A) Microarray test
B) DNA ?ngerprinting test
C) Immunologic test
D) Genotypic test
E) Enzymatic test

F) B) and D)
G) A) and B)

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You are the supervisor of a new reference microbiology laboratory, which will receive clinical specimens for identi?cation of bacterial pathogens. When choosing the types of media to order for culture and isolation procedures in your laboratory, what question(s) do you need to answer?


A) What type of bacteria will you be culturing?
B) What are the growth factors required by the bacteria that you will be identifying?
C) What kind of microbiota will the patient specimens contain?
D) All of the choices are correct.

E) A) and D)
F) A) and C)

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Biochemical tests include all of the following except ______.


A) tests for the presence of specific enzymes
B) antibiotic sensitivity tests
C) sugar fermentation tests
D) gas production tests
E) ribotyping tests

F) None of the above
G) C) and D)

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The ELISA is commonly used for diagnosing salmonellosis.

A) True
B) False

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What type of test will detect cell-associated antigens?


A) Precipitation
B) Speci?city
C) Cross-reaction
D) Sensitivity
E) Agglutination

F) All of the above
G) D) and E)

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A patient's vaginal specimen is sent from the walk-in clinic to the microbiology laboratory. There it is cultured on bacteriological media and then placed into an ambient air incubator set at 22% oxygen and 37 degrees Celsius. The patient is strongly suspected of having gonorrhea. She had sexual contact with a partner recently diagnosed with gonorrhea, and she is now displaying the typical symptoms of a vaginal exudate or ?uid. Neisseria gonorrhoeae is a microaerophilic gram-negative coccus-shaped bacterium. Seventy-two hours later, the culture has still not grown Neisseria gonorrhoeae so the lab reports the results back as negative. Interpret this result.


A) The clinical personnel took the sample from an incorrect body area.
B) The inoculating loop was too hot while streaking the specimen onto agar medium, and the bacteria were all killed.
C) Neisseria gonorrhoeae cannot be grown in bacteriological media and requires genetic analysis for identi?cation.
D) The culture was placed into the wrong environment for Neisseria gonorrhoeae.

E) A) and C)
F) B) and C)

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The tuberculin test is an example of an in vitro serological test.

A) True
B) False

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Serological testing can be used to test each of the following except ______.


A) blood serum
B) saliva
C) skin
D) cerebrospinal fluid
E) urine

F) B) and E)
G) A) and B)

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It is necessary to do lab tests to diagnose all diseases.

A) True
B) False

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Titer is the amount of _____ in serum.


A) antibody
B) memory cells
C) WBC
D) complement
E) antigen

F) A) and B)
G) A) and C)

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In precipitation tests, the antigen ______.


A) is a soluble molecule
B) -antibody complex settles to the bottom of the tube
C) is a whole cell
D) is an insoluble molecule

E) B) and D)
F) None of the above

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Staphylococcus aureus can be identified by mixing the organism with specific antibody and visually recognizing a clumping reaction between the antigen and the antibody. This is a/an _______ test.


A) agglutination
B) microarray
C) biochemical
D) ELISA

E) All of the above
F) A) and D)

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The property of a test to detect only a certain antibody or antigen and not to react with any others is ______.


A) sensitivity
B) precipitation
C) specificity
D) agglutination
E) cross-reaction

F) C) and E)
G) A) and C)

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An infectious organism isolated from a patient has a sequence on its genome TATTGAAGC. This will hybridize to the RNA probe UAUUGAAGC.

A) True
B) False

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Which of these tests is an in vivo test?


A) Tuberculin test
B) Western Blot
C) Agglutination test
D) PCR

E) All of the above
F) A) and B)

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ELISA tests use a fluorescent dye as a label to trace antigen-antibody reactions.

A) True
B) False

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Specimen collection ______.


A) must be done under sterile conditions
B) must utilize aseptic techniques
C) does not require special handling
D) is always done by a medical professional

E) A) and D)
F) A) and B)

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Which test is especially good for bacteria that are not readily cultivated in the lab?


A) Gram stain
B) Phage test
C) Direct fluorescence antibody (DFA) test
D) Direct antigen test
E) Dichotomous key analysis

F) B) and C)
G) A) and E)

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The polymerase chain reaction requires endonuclease to cut samples of DNA.

A) True
B) False

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You have a very sore throat with symptoms indicating strep throat. Since you are taking microbiology right now, you decide that you will take a swab from your throat and swab it onto an enrichment medium like a blood agar plate or a brain-heart infusion agar plate. Why is this not a good idea?


A) Due to the fact that you cannot easily see the sampling site, there is a high probability that you will not be able to obtain your own specimen without contaminating the sample with your own normal biota.
B) You are on a diet now, and you are afraid that the food that you are eating will in some way impact the growth of the bacteria. As a result, you will not get valid results.
C) You use a mouthwash a couple of times a day, so you think that the antibacterial properties of the mouthwash will inhibit or kill the oral bacteria and results in invalid results.
D) All of these choices are correct.

E) A) and B)
F) A) and D)

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