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All of the following are biochemical tests for the identification of Mycobacterium spp., except


A) gelatin liquefaction.
B) hydrolysis of Tween 80.
C) iron uptake.
D) arylsulfatase.

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

Correct Answer

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All of these stains are commonly used to visualize mycobacteria on a smear, except


A) Ziehl-Neelsen.
B) Kinyoun.
C) auramine.
D) acridine orange.

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

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What is the single most important piece of equipment in a mycobacterial laboratory?


A) Ultraviolet lights
B) Covered centrifuge
C) Biological safety cabinet
D) CO2 incubator

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

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A sputum culture from a patient in Texas has buff colored colonies growing in approximately 4 weeks. After exposure to light, the colonies turn intense yellow. This isolate is most likely


A) M. scrofulaceum.
B) M. kansasii.
C) M. fortuitum.
D) M. xenopi.

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

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B

A child presents to his physician with fever, a nonproductive cough, and shortness of breath. The physician orders a routine sputum culture and an acid-fast bacillus culture and smear. The smear shows red organisms arranged in ropes. What is the most probable cause of this child's fever and cough?


A) Mycobacterium leprae
B) M. avium
C) M. intracellulare
D) M. tuberculosis

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

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All of the following are traditional characteristics used to identify mycobacteria, except


A) rate of growth.
B) colony morphology.
C) Gram stain results.
D) pigmentation.

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

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C

What is the purpose of the digestion-decontamination processing of specimens submitted for mycobacterial culture?


A) To release all bacteria in the sample
B) To make the specimen easier to plate
C) To allow chemical decontaminants to kill nonmycobacterial organisms
D) To liquefy the outer cell wall of the mycobacteria so that they will grow faster

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

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What media are recommended for routine culturing of specimens for the recovery of acid-fast bacilli?


A) Löwenstein-Jensen (LJ) and liquid-based media
B) Middlebrook 7H10 and cooked meat broth
C) Sabouraud dextrose and LIM broth
D) Thiosulfate-citrate-bile salts-sucrose (TCBS) and thioglycollate broth

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

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What medium is recommended for the recovery of Mycobacterium haemophilum?


A) Sheep blood agar (SBA)
B) Chocolate
C) Polysaccharide egg antigen (PEA)
D) LJ

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

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A 35-year-old man travels on a multidestination vacation over a 2 month period, including lengthy stops in tropical Africa and Southeast Asia. Six weeks after returning come home to the United States, he develops a productive cough, fatigue, weight loss, low-grade fever, and night sweats. What disease should the physician consider as a result of his travel history?


A) Streptococcal pneumonia
B) Primary atypical pneumonia
C) TB
D) Pneumonia caused by gram-negative rods

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

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What are nonchromogens?


A) Species that produce carotene pigment upon exposure to light
B) Species that produce pigment in the light or the dark
C) Species whose colonies remain buff colored after exposure to light
D) Species whose colonies fluoresce under ultraviolet light

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

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What component of mycobacteria is used for identification in nucleic acid hybridization assays?


A) DNA
B) Ribosomal RNA
C) Transfer RNA
D) Messenger RNA

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

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What classifies an organism as a multidrug-resistant Mycobacterium tuberculosis?


A) Resistance to at least isoniazid and rifampin
B) Resistance to isoniazid, rifampin, ethambutol, and streptomycin
C) Resistance to streptomycin and rifampin
D) Resistance to ciprofloxacin and imipenem

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

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A

The most common nontuberculosis mycobacterium (NTM) infecting humans


A) M. marinum.
B) M. ulcerans.
C) M. haemophilium.
D) M. avium-intracellulare complex.

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

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What constituent of LJ medium is added to suppress the growth of gram-positive bacteria?


A) Carbolfuchsin
B) Malachite green
C) Gentian purple
D) Mercurochrome

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

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What are scotochromogens?


A) Species that produce carotene pigment upon exposure to light
B) Species that produce pigment in the light or the dark
C) Species whose colonies remain buff colored after exposure to light
D) Species whose colonies fluoresce under ultraviolet light

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

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Middlebrook 7H10 and 7H11 media are enriched with all of the following, except


A) oleic acid.
B) bovine albumin.
C) heme.
D) beef catalase.

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

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If a person has had TB during his or her lifetime, how likely is it that the person will get the disease again?


A) 5% to 15%
B) 20% to 25%
C) 1%
D) 50%

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

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The Centers for Disease Control and Prevention (CDC) recommends all the following drugs for the treatment of Mycobacterium tuberculosis, except


A) ethambutol.
B) isoniazid.
C) rifampin.
D) ciprofloxacin.

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

Correct Answer

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What is the optimum culture incubation time for most mycobacteria associated with human disease?


A) 2 to 6 weeks
B) 1 to 2 weeks
C) 5 to 7 days
D) 3 to 5 days

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

Correct Answer

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