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A positive indirect  ELISA result requires ________.


A) one known antibody,one unknown antibody,and an unknown antigen
B) a known antigen,an unknown antibody,and a known antibody
C) two known antibodies and one known antigen
D) two known antibodies and one unknown antigen
E) All of the choices are correct.

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B

Which test is especially good for bacteria that are not readily cultivated in the lab?


A) Gram stain
B) Direct antigen testing
C) Dichotomous key
D) Direct fluorescence antibody (DFA) testing
E) Phage test

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A 16-year-old male with a low-grade fever, and large and painful red sores around his lips is being evaluated at a pediatric clinic. He has a PCR test pending that was swabbed from the sores, as well as a blood culture with Gram stain, and nasopharyngeal specimen for microscopic examination. -What kind of data will the PCR results provide? 


A) Biochemical characteristics
B) Immunologic information
C) Genotypic information
D) Microscopic morphology

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Which test is the confirming test for people who initially tested antibody-positive in the screening ELISA test for HIV?


A) Immunochromatography
B) Western blot
C) Immunelectrophoresis
D) Radioimmunoassay (RIA)
E) Weil-Felix

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The primary advantage of genotypic methods of identification is ________.


A) they are easier than any other method
B) they are less expensive than other methods
C) they are widely available
D) culturing of the organism is not required
E) All of the choices are correct.

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Microbes can be identified using automated biochemical tests,often without incubation.  An example of this type of test would include ________.


A) a test for the presence of the enzyme urease,that would change the media from yellow to red
B) binding of fluorescent antibodies to the specific antigenic determinant in the sample
C) exposure to DNA probes that are either fluorescently labeled or will initiate a color change when bound to their complement
D) digestion of the genomic DNA by restriction enzymes,followed by separation by gel electrophoresis

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


A) rRNA sequencing
B) PCR
C) Biosensor
D) Direct antigen testing
E) DNA analysis with probes

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In vivo testing is useful for diagnosing ________.


A) tuberculosis
B) rubella virus
C) hepatitis A
D) HIV
E) whooping cough

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

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Immunologic methods of identifying microorganisms in a patient sample are characterized as those that ________.


A) rely on the specificity of antibodies to target a single antigen
B) directly examine the organism's appearance or behavior, which includes its metabolic abilities,environmental preferences and drug susceptibilities
C) analyze the genetic makeup of the microorganism,which conclusively diagnoses the infection
D) amplifies the microbial DNA in the patient's sample and during the process,identifies the organism through the use of known primers

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If a phenotypic analysis requires culturing the organism before testing can begin,this is problematic for two reasons; i)rapid diagnosis may be critical and culturing can take up to 24 hours,and ii)a successful in vitro culturing method for a specific pathogen may not be feasible.

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The public health department is following a 34-year-old male who has reported several weeks of general malaise and a low-grade fever. The nurse assigned to his case communicates with the patient regarding the results of his laboratory testing. -A Western blot test will be performed.The nurse educates the patient that the Western blot test has high sensitivity and specificity.Which of the following statements by the patient demonstrates understanding of this teaching?


A) A positive Western blot test may be a false-positive since the test has high specificity and may detect the presence of many antibodies.
B) The Western blot test is unlikely to generate a false-positive result.This will be used to confirm or refute the ELISA test results.
C) A positive Western blot may be a false-positive since the test has high sensitivity and may detect the presence of many antibodies.
D) The Western blot test may generate a false-positive result.A positive test will be confirmed by an HIV PCR.

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What type of test will detect whole antigens?


A) Cross reaction
B) Agglutination
C) Precipitation
D) Specificity
E) Sensitivity

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Serological testing can be used to test each of the following except ________.


A) blood serum
B) cerebrospinal fluid
C) urine
D) saliva
E) skin

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Serological testing always involves reactions between specific antibody and antigen.

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True

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
E) both incubation in differential media and incubation in selective media

Correct Answer

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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) Immunochromatography
B) Western blot
C) Immunelectrophoresis
D) Radioimmunoassay (RIA)
E) ELISA

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D

Which of the following is involved in the in vitro diagnostic testing of serum?


A) Mycology
B) Hematology
C) Serology
D) Histology
E) Virology

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Animals are required for the cultivation of ________.


A) Treponema pallidum
B) Pseudomonas
C) Streptococcus
D) Salmonella
E) Clostridium

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A positive serological test for tuberculosis indicates that ________.


A) the patient has active tuberculosis
B) the patient is an asymptomatic carrier of tuberculosis
C) the patient has been exposed to tuberculosis
D) All of the choices are correct.

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