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What type of test affixes an antigen to an inert particle such as a latex bead?


A) Precipitation
B) Cross-reactions
C) Agglutination
D) Sensitivity
E) Specificity

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

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A serum titer involves


A) quantifying the number of infectious particles in a specimen.
B) determining the lowest dilution of serum that produces a visible reaction.
C) determining the highest dilution of serum that produces a visible reaction.
D) the Western blot method.

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

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Syphilis can be diagnosed by the


A) Widal test.
B) antistreptolysin O test.
C) Weil-Felix reaction.
D) latex agglutination test.
E) rapid plasma reagin test.

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

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The difference between presumptive and confirmatory data in specimen identification is that


A) presumptive data affords a preliminary identification such as the genus, and confirmatory data identifies the species of the organism.
B) presumptive data is an educated guess whereas confirmatory data identifies the specific genus and species of the organism.
C) presumptive data is more accurate than confirmatory data.
D) presumptive data identifies the species, and confirmatory data identifies the genus of the organism.

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

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Which of the following is not a genotypic method of identification?


A) Pulse-field gel electrophoresis
B) DNA analysis with probes
C) G + C composition
D) Direct antigen testing
E) rRNA sequencing

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

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The gene that codes for the bacterial 16s RNA molecule is highly conserved across species, but also contains hypervariable regions that are highly species-specific.FISH analysis of rRNA is beneficial because


A) it can narrow down the list of potential infectious organisms to three or four.
B) it is much cheaper than traditional analytical methods.
C) it can precisely identify the 16s sequences from patient samples without the lag time it takes to culture the organism.
D) it incorporates both direct testing and serological testing for added accuracy.

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

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Which test is used to identify antigens on red blood cells for blood typing?


A) Western blot
B) Agglutination
C) Precipitation
D) Microarrays
E) ELISA

F) A) and E)
G) A) and D)

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Scanning the whole genome of every infectious agent in a patient sample and comparing that to known genome sequences maintained in libraries would be the most accurate and efficient way to diagnose disease.We are moving closer to this becoming a reality largely because


A) gene libraries have greater accessibility.
B) more people are being trained in high throughput genetic analysis.
C) multiple organisms have the same genome so it will minimize the number of screenings necessary.
D) the cost of high throughput genetic analysis has plummeted in recent years and continues to decrease.

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

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Which test uses radioactive isotopes to label antibodies or antigens in order to detect minute amounts of corresponding antigen or antibody?


A) Immunelectrophoresis
B) Radioimmunoassay (RIA)
C) Ouchterlony double diffusion
D) Quellung test
E) Western blot

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

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Antibiotics are often added to biochemical media to restrict the growth to only those organisms that are being looked for in the specimens.

A) True
B) False

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Urine and fecal specimens require


A) sterile collection conditions.
B) incubation in differential media.
C) incubation in selective media.
D) Both sterile collection conditions and incubation in differential media are correct.
E) Both incubation in differential media and incubation in selective media are correct.

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

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Which test compares the percentage of cytosine and guanine bases to adenine and thymine bases?


A) Direct antigen testing
B) DNA analysis with probes
C) Electrophoresis
D) G + C composition
E) rRNA sequencing

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

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A method of identification using immobilized, known antigens to identify unknown antibodies and vice versa, where the presence of the agent being tested for immediately brings about a color change is called ______.


A) ELISA
B) Western blotting
C) immunochromatography
D) radioimmunoassay

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

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The VRDL test detects ______.


A) Salmonella
B) Rickettsia
C) syphilis
D) Candida

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

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The radioimmunoassay test is used frequently for


A) identification of bacteria.
B) determining levels of hormones.
C) identification of viruses.
D) separation of DNA fragments.

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

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Serotyping of bacteria cannot be used to identify which component?


A) DNA
B) Flagella
C) Capsule
D) Cell wall

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

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When antibodies or other substances in serum cross-react with the test reagents, a false positive result can occur.

A) True
B) False

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Mycobacterium tuberculosis has traditionally been identified 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 identification tests?


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

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

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Microarrays, hybridization tests, and ribotyping are increasing in frequency in their use in clinical labs for diagnosis of infectious diseases and the microorganisms causing them.Why is this?


A) They have greater specificity for the organism because they employ specific antibody.
B) They are cheaper than biochemical tests.
C) The tests are more easily performed in a doctor's office or hospital, right there where the specimens are taken.
D) Genomic testing has less errors compared to biochemical tests and serological tests.

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

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Both pulse-field gel electrophoresis and Western blotting utilize electrophoresis in their procedures.When comparing the two procedures, which statement is true?


A) Pulse-field gel electrophoresis is used for genetic analysis.
B) Pulse-field gel electrophoresis separates DNA fragments while Western blotting separates proteins.
C) The presence of antibodies in a patient specimen can be identified in the Western Blot.
D) Pulse-field gel electrophoresis is excellent for identifying minute genetic differences among strains of one species of an organism.
E) All of the statements are true.

F) A) and D)
G) A) and C)

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