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Your daughter probably has strep throat caused by Streptococcus pyogenes. The traditional method of diagnosis involves culturing on blood agar, but this process is time consuming. Your doctor wants a more rapid identi?cation of the infectious agent using a specimen directly obtained from the patient's throat. He would prefer to use a test that can be read in his o?ce without having to culture and isolate the organism. He would likely choose the ______.


A) immunochromatographic test
B) direct ?uorescence test
C) Western Blot test
D) pulse-?eld gel electrophoresis

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The ELISA test has been used as the most common, rapid screening test for HIV infection. Its sensitivity is very high but its speci?city is rather low (for an important identi?cation test) . Which statement describes this accurately?


A) Only certain kinds of instruments can be used to pick up the small amounts of ?uorescence given off in the ELISA.
B) The test can identify the patient's antibody to HIV only when it is large quantities.
C) The patient's specimen has to be handled in a certain way to maintain the integrity of the viral DNA.
D) A false positive test result may develop due to the test antigens capturing normal antibodies.

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Which statement about clinical identification tests is true?


A) Serological tests are always based on identifying antibodies in the patient.
B) Microarray tests are based on electrophoresis methodology.
C) Biochemical tests are quicker than genetic analysis tests.
D) Not all diseases are identified by clinical tests.

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A positive serological test for tuberculosis indicates that the patient ______.


A) is an asymptomatic carrier of tuberculosis
B) is immune to tuberculosis
C) has active tuberculosis
D) has been exposed to tuberculosis

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Which sample is not collected by sterile needle aspiration?


A) Blood
B) Urine
C) Cerebrospinal fluid
D) Tissue fluids
E) All of the choices are collected by sterile needle aspiration.

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The tuberculin skin test is read ______.


A) within 1 hour
B) after 12 hours
C) from 12-24 hours
D) from 24-48 hours
E) from 48-72 hours

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A method of identi?cation 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) radioimmunoassay
C) immunochromatography
D) Western blotting

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Viruses can be used to identify bacteria because of viral specificity for a host cell. This identification method is called ______.


A) immunochromatography
B) probing
C) ELISA
D) phage typing

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

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You place an inoculum of your bacterium on a glass slide and add a drop of hydrogen peroxide reagent. Promptly you see bubbles appear, indicating the presence of a particular enzyme that the bacterium produces. What type of identi?cation test does this exemplify?


A) Immunochromatography
B) Biochemical test
C) Microarray
D) Precipitation test

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All of the following are routinely collected for microbial analysis of a specimen except ______.


A) saliva
B) skin
C) blood
D) hair
E) spinal fluid

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In your microbiology lab, your class is identifying bacteria. You are using dichotomous keys to aid in the identi?cation process using the data from a variety of biochemical tests. What problems do you foresee in this procedure?


A) Dichotomous keys are too sophisticated to read properly, so you are worried that there will be a large degree of error in your identi?cation.
B) Dichotomous keys are not valid for identi?cation.
C) If you misread a biochemical test or write down the wrong result, the key will likely take you to an alternative organism that is not your unknown bacterium.
D) The dichotomous key does not contain information on your bacterium.

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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-speci?c. FISH analysis of rRNA is bene?cial because ______.


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

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

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If you were going to identify microorganisms within a specimen containing large numbers of organisms (seawater, normal microbiota, etc.) , you would have to ______.


A) use different kinds of serological tests
B) amplify gene sequences within the sample to identify each of the different organisms
C) use a wide variety of microbiological media to identify all of the different species of microorganisms
D) use a wide variety of antibodies to react with the antigens

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The Western blot test is confirmatory for HIV because it ______.


A) is more sensitive than the ELISA
B) has fewer false positives than the ELISA
C) requires electrophoresis, whereas the ELISA does not
D) uses an indicator of some sort to visualize the antibody
E) All of the choices are correct.

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


A) Acid-fast reaction
B) Gram stain reaction
C) Endospore production
D) Morphology
E) Antibody response

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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

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Nucleic acid testing is appropriate as a testing method when one is not sure what microorganisms are present in the specimen.

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Phage typing is useful in identifying ______.


A) Treponema pallidum
B) Mycobacterium leprae
C) Clostridium
D) Streptococcus pyogenes
E) Salmonella

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