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The polymerase chain reaction requires endonuclease to cut samples of DNA.

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ELISA tests use a fluorescent dye as a label to trace antigen-antibody reactions.

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Serological testing relies upon


A) the specificity of the Fc region of antibodies.
B) a patient who is not immunocompromised.
C) the specificity of the variable regions of antibodies.
D) a very high viral or bacterial load in the patient.

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Which statement about clinical identification tests is true?


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

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The polymerase chain reaction can be used for identification of


A) microorganisms.
B) antibodies in the patient's serum.
C) growth characteristics of microorganisms.
D) proteins.

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Technology has introduced a range of specific,rapid tests for identifying and diagnosing infectious disease.While culturing a pathogen from a patient is always advantageous,what disadvantage(s) exist for traditional diagnostic techniques?


A) The isolated organism is not the pathogen causing the disease.
B) Critically ill patients may have to wait up to 48 hours for a culture to grow.
C) Certain pathogens are not able to be cultured in vitro.
D) Some diseases are caused by more than one organism.
E) All of the above are valid arguments against traditional diagnostic techniques.

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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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The VRDL test detects ______.


A) Salmonella
B) Rickettsia
C) syphilis
D) Candida

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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 identification 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 office without having to culture and isolate the organism.He would likely choose the


A) immunochromatographic test.
B) Western Blot test.
C) direct fluorescence test.
D) pulse-field gel electrophoresis.

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Phenotypic testing is often beneficial in identifying infectious agents from patient samples; however,some disadvantages include


A) organisms must be grown on the same culture media so it is difficult to distinguish them from each other.
B) lengthy culturing times and the inability to grow some bacteria in vitro.
C) difficulty in identifying motile organisms.
D) non-specificity of some biochemical tests since all pathogens utilize the same substrate as a fuel source.

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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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Specimen collection


A) does not require special handling.
B) must be done under sterile conditions.
C) is always done by a medical professional.
D) must utilize aseptic techniques.

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Titer is the amount of _____ in serum.


A) antibody
B) antigen
C) WBC
D) memory cells
E) complement

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Biochemical tests include all of the following except


A) gas production tests.
B) sugar fermentation tests.
C) antibiotic sensitivity tests.
D) ribotyping tests.
E) tests for the presence of specific enzymes.

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D

Scanning the whole genome of every infectious agent in a patient sample and comparing that to known genome sequences maintained in libraries would be the most accurate and efficient way to diagnose disease.We are moving closer to this becoming a reality largely because


A) gene libraries have greater accessibility.
B) more people are being trained in high throughput genetic analysis.
C) multiple organisms have the same genome so it will minimize the number of screenings necessary.
D) the cost of high throughput genetic analysis has plummeted in recent years and continues to decrease.

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A method of identification 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) Western blotting
C) immunochromatography
D) radioimmunoassay

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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-specific.FISH analysis of rRNA is beneficial because


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

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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 specificity is rather low (for an important identification test) .Which statement describes this accurately?


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

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C

The ELISA is commonly used for diagnosing salmonellosis.

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


A) Radioimmunoassay (RIA)
B) Quellung test
C) Immunelectrophoresis
D) Ouchterlony double diffusion
E) Western blot

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E

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