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An elderly patient in a nursing home is recovering from bacterial pneumonia.The patient has been on a lengthy regiment of antibiotics to kill the organism causing the disease.A few days later, the patient is diagnosed with pseudomembranous colitis.What organism is the most likely cause?


A) Clostridium difficile
B) C.tetani
C) C.perfringens
D) C.botulinum

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

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A

All the following organisms are found in the gastrointestinal (GI) tract except:


A) Bacteroides.
B) Clostridium.
C) Propionibacterium.
D) Bifidobacterium.

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

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How is the true Gram stain reaction of an anaerobe determined?


A) Special potency disks
B) Shape and colony morphology
C) Aerotolerance
D) Direct fluorescent antibody (DFA)

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

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What disease does Clostridium botulinum cause?


A) Botulism
B) Tetanus
C) Food poisoning
D) Myonecrosis

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

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What disease does Clostridium tetani cause?


A) Botulism
B) Tetanus
C) Food poisoning
D) Myonecrosis

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

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Gram stains of specimens for anaerobic cultures should be examined for all the following reasons except:


A) the Gram stain reveals various types and relative number of bacteria present.
B) certain morphotypes may provide a presumptive identification and will guide media selection.
C) the Gram stain often reveals the presence of leukocytes.
D) the Clinical and Laboratory Standards Institute (CLSI) guidelines recommend Gram stains on all anaerobic specimens.

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

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How long are anaerobic cultures routinely held in the laboratory?


A) 1 to 2 days
B) 3 to 4 days
C) 5 to 7 days
D) 7 to 9 days

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

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How are suspected colonies of anaerobes processed?


A) Gram stain morphology and reaction is observed.
B) An aerotolerance test is set up.
C) A pure culture/subculture plate is inoculated and appropriate disks are added.
D) All of the above.

E) None of the above
F) All of the above

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All of the following reasons are cited for performing antimicrobial susceptibility testing on anaerobes by the Clinical and Laboratory Standards Institute (CLSI) except to:


A) determine the resistance mechanisms in anaerobes.
B) assist in the management of patients with serious illnesses.
C) monitor local and regional resistance patterns.
D) determine susceptibility of anaerobes to new antimicrobials.

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

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What evidence indicates the presence of anaerobes in cultures?


A) A foul odor upon opening an anaerobic jar or bag
B) Growth on the anaerobic plates, but not on the sheep blood agar (SBA) plates incubated in the CO2 incubator
C) Colonies on kanamycin-vancomycin laked blood agar (KVLBA) that fluoresce brick-red under ultraviolet light
D) All of the above

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

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A microbiology technologist is reading an anaerobic plate from an intestinal abscess.There is growth on the Bacteroides bile esculin (BBE) plate: gray colonies with a brown color in the area around the colonies.There is also a dark precipitate in the medium in the areas of heavy growth.The microbiologist Gram stains the colonies and observes gram-negative coccobacilli.What is the presumptive identification of this organism?


A) Bacteroides vulgatus
B) B.fragilis
C) B.pneumoniae
D) B.denticola

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

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What are two important factors that must be taken into consideration when transporting specimens for anaerobic culture?


A) Making sure there is enough specimen in a tightly closed container
B) Minimizing exposure to oxygen and preventing drying out
C) Minimizing exposure to oxygen and making sure the specimen is transported in a tightly closed screw-cap container
D) Drying out and proper nutrition

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

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B

What type of bacteria are in the genus Clostridium?


A) Anaerobic cocci
B) Spore-forming anaerobic bacilli
C) Spore-forming anaerobic cocci
D) Anaerobic bacilli

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

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What substances do organisms that use oxygen have to protect themselves from superoxide anions?


A) Hyaluronidase and proteases
B) Exotoxins and superoxide dismutase
C) Enterotoxins and lipase
D) Superoxide dismutase and catalase

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

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An obligate anaerobe is an organisms that:


A) requires some oxygen but moderate concentrations of CO2 to live.
B) requires small amounts of oxygen and carbon dioxide to live.
C) grows only in the absence of molecular oxygen.
D) can live with very little oxygen.

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

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What organism mostly commonly causes gas gangrene?


A) Clostridium difficile
B) C.tetani
C) C.perfringens
D) C.botulinum

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

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All of the following organisms are found on the skin under normal conditions except:


A) Propionibacterium.
B) Peptostreptococcus.
C) Streptococcus.
D) Clostridium.

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

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What disk is used to presumptively identify Peptostreptococcus anaerobius?


A) Bile
B) Nitrate
C) Sodium polyanethol sulfonate
D) Indole

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

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C

All of the following are non-spore-forming, anaerobic, gram-positive bacilli except:


A) Actinomyces.
B) Bifidobacterium.
C) Eubacterium.
D) Clostridium.

E) All of the above
F) None of the above

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Bacterial growth requirements for oxygen and carbon dioxide can be divided into all the following categories except:


A) ambient air (95% O2 and 5% CO2) .
B) microaerophilic (5% O2 ) .
C) anaerobic (0% O2) .
D) capnophilic (about 15% O2 and 5% to 10% CO2) .

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

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