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Culture of patient specimens to detect pathogens is usually done on blood agar plates only.

A) True
B) False

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Affixing antigen to an inert particle such as a latex bead is sometimes used in which type of test?


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

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

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Describe the indirect ELISA test that is used as a screening test for HIV (AIDS) and include the following: a) sequence of procedures, b) reagents used, and c) detection and interpretation of a positive test.

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Allergy testing, which is accomplished by injecting tiny amounts of allergen into the skin and examining the injection site for a reaction, is an example of an in vitro test.

A) True
B) False

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The property of a test to detect even small amounts of antibodies or antigens that are test targets is


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

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

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All of the following are routine biochemical tests to aid in identifying a species, except


A) motility.
B) carbohydrate fermentation.
C) catalase test.
D) oxidase test.
E) coagulase test.

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

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Precipitation tests involve all of the following, except


A) they rely on formation of visible clumps for detection.
B) they include the VDRL test for syphilis.
C) they are often performed in agar gels.
D) they can be done in a test tube by carefully adding antiserum over antigen solution.
E) a cloudy or opaque zone developing where antigen and antibody react.

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

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The Widal test is used for diagnosing salmonellosis.

A) True
B) False

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Maggie was told she has a positive titer to measles.Which of the following could explain this?


A) She was vaccinated against measles.
B) She had measles sometime in her life.
C) She has measles now.
D) The test was a false positive.
E) All of these choices are correct.

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

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Identify, describe, and discuss the objectives of the three main categories of identifying infectious agents using specific examples.

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A serum titer involves


A) serially diluting a serum sample.
B) determining the lowest dilution of serum that produces a visible reaction.
C) determining the highest dilution of antigen that produces a visible reaction.
D) the Western Blot method.

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

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A physician orders an antistreptolysin O (ASO) titer test to check for rheumatic fever.A patient serum sample is exposed to known suspensions of streptolysin and then allowed to incubate with RBCs.If the patient does have rheumatic fever, what will happen?


A) Not enough information is provided to speculate.
B) The red blood cells will lyse.
C) The red blood cells will agglutinate only.
D) The red blood cells will not lyse.
E) The red blood cells will fluoresce.

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

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Which of the following is not a biochemical test used to identify a pathogen?


A) acid-fast reaction
B) hydrolysis of gelatin
C) coagulase production
D) indole production
E) carbohydrate fermentation

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

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Horseradish peroxidase and alkaline phosphatase are enzymes used in _____ tests.

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Which of the following methods is categorized as a direct test in order to analyze a specimen?


A) catalase test
B) Gram stain
C) phage typing
D) antimicrobic sensitivity
E) production of gas

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

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Why do many physicians feel that stool cultures are not necessary, except in certain circumstances when diagnosing GI tract infections?

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Serological testing always involves reactions between specific antibody and antigen.

A) True
B) False

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In indirect fluorescent testing, fluorescent _____ are used to react with the Fc region of another, specific, serum antibody.

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Which of the following is incorrect regarding the complement fixation test?


A) First antigen and antibody are allowed to react.
B) Purified complement proteins are added to the antigen-antibody tube.
C) Sheep red blood cells are added to the antigen-antibody-complement mixture.
D) Hemolysis of the sheep red blood cells occurs in a positive test result.

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

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In lab, a student observes some dull, wrinkled brown colonies growing on their agar.They Gram stain the sample and observe single bacilli.Their blood agar does not reveal any hemolysis while their MSA has growth and fermentation.Using the following table and the given observations, determine which microorganism this would most likely be.  Bacilli  B. cereus  B. subtilis  Colony morphology  Dull, frosted colonies  Dull, wrinkled colonies cream to  brown colors  Microscopic arrangement  Chains  Single bacilli  Catalase ++ Blood agar  Beta  Gamma  Mannitol salt agar + growth and + fermentation \begin{array} { | l | l | l | } \hline \text { Bacilli } & \text { B. cereus } & \text { B. subtilis } \\\hline \text { Colony morphology } & \text { Dull, frosted colonies } & \begin{array} { l } \text { Dull, wrinkled colonies cream to } \\\text { brown colors }\end{array} \\\hline \text { Microscopic arrangement } & \text { Chains } & \text { Single bacilli } \\\hline \text { Catalase } & + & + \\\hline \text { Blood agar } & \text { Beta } & \text { Gamma } \\\hline \text { Mannitol salt agar } & -& + \text { growth and } + \text { fermentation } \\\hline\end{array}  Pseudomonas  P. aeruginosa  Catalase + Oxidase + Motile + Blood agar  Beta  Glucose fermentation + Escherichia  E. coli  Lactose fermentation + Motile + Citrate fermentation  Urease  Catalase +\begin{array}{|l|r|}\hline \text { Pseudomonas }&\text { P. aeruginosa }\\\hline \text { Catalase }&+\\\hline\text { Oxidase }&+\\\hline\text { Motile }&+\\\hline\text { Blood agar }&\text { Beta }\\\hline\text { Glucose fermentation }&+\\\hline\text { Escherichia }&\text { E. coli }\\\hline\text { Lactose fermentation }&+\\\hline\text { Motile }&+\\\hline\text { Citrate fermentation }&-\\\hline\text { Urease }&-\\\hline\text { Catalase }&+\\\hline\end{array}


A) E.coli
B) Pseudomonas aeruginosa
C) B.subtilis
D) B.cereus

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

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