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What is VRE?


A) Vancomycin-ready erythromycin
B) Very-reliable erythromycin
C) Vancomycin-resistant Enterococcus
D) Veocin-resistant Enterococcus

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

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Physiologic classification of streptococci divide the species into all the following groups, except


A) pyogenic streptococci.
B) lactococci.
C) β\beta -hemolytic streptococci.
D) Enterococci.

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

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A microbiologist is reading a vaginal culture on the bench. There is growth on the SBA and chocolate (CHOC) plates, but no growth on the MacConkey (MAC) plate. The colonies growing on the SBA have produced a narrow, diffuse zone of β\beta -hemolysis around and under the colonies. What organism could this be?


A) Escherichia coli
B) Streptococcus agalactiae
C) Streptococcus pyogenes
D) Streptococcus pneumoniae

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

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What organism on SBA has grayish white colonies surrounded by a small zone of β\beta -hemolysis?


A) Viridans strep
B) Enterococcus
C) Streptococcus pyogenes
D) Streptococcus agalactiae

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

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D

What are two tests presumptively used to identify Group B streptococci?


A) Hippurate hydrolysis and CAMP
B) Optochin and PYR
C) Bacitracin and PYR
D) PYR and hippurate hydrolysis

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

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Common schemes to classify streptococci include all the following, except


A) biochemical characteristics.
B) serologic grouping or typing of C carbohydrate.
C) physiologic characteristics.
D) flagellar antigens.

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

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D

What is the hemolysin responsible for hemolysis on SBA by Group A streptococci incubated anaerobically?


A) Hyaluronidase
B) Streptolysin O
C) Streptolysin D
D) Hemolysin O

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

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Streptococcus-like organisms that resemble enterococci and viridans streptococci include all the following, except


A) Moraxella.
B) Aerococcus.
C) Gemella.
D) Lactococcus.

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

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Most physicians' offices use a rapid throat swab method to identify Streptococcus pyogenes infections in children. If the test is positive, the physician treats the patient. What should happen if the test is negative?


A) The physician should treat the patient to be safe.
B) The physician should perform a throat culture.
C) The physician should repeat the rapid strep tests.
D) None of the above

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

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Which two tests are often used in the identification of the non- β\beta -hemolytic, catalase-negative, gram-positive cocci?


A) Bacitracin and CAMP
B) Hippurate hydrolysis and optochin
C) Nitrate and CAMP
D) Bile esculin and salt tolerance

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

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What organism forms small, transparent colonies surrounded by a wide zone of β\beta -hemolysis on SBA?


A) Streptococcus agalactiae
B) Streptococcus pyogenes
C) Enterococcus
D) Viridans strep

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

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What two tests are presumptively used to identify Enterococcus?


A) PYR and hippurate hydrolysis
B) Bile esculin and 6.5% NaCl broth
C) Bacitracin and PYR
D) Catalase and coagulase

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

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What test is used for the presumptive identification of Streptococcus pneumoniae?


A) Optochin
B) Bacitracin
C) PYR
D) Hippurate hydrolysis

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

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A

What test presumptively differentiates β\beta -hemolytic Group A streptococci and nonhemolytic Group D enterococci from other streptococcal species?


A) Bacitracin
B) Hippurate hydrolysis
C) PYR
D) Optochin

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

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Streptococcus agalactiae is a significant cause of


A) pharyngitis.
B) cystitis.
C) invasive disease of the newborn.
D) vaginitis.

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

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A patient comes to the emergency department with a productive cough, shortness of breath, and a fever of 102° F. The patient is diagnosed with pneumonia. What organism commonly encountered in the microbiology laboratory can cause this disease?


A) Streptococcus pneumoniae
B) Staphylococcus aureus
C) Escherichia coli
D) Haemophilus influenzae

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

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Which of the following tests can be used to identify Group B streptococci?


A) CAMP
B) Lancefield
C) Bacitracin
D) Optochin

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

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What test differentiates staphylococci from streptococci?


A) Catalase
B) Coagulase
C) β\beta -Hemolysis
D) All of the above

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

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A 57-year-old male presents to the emergency department with a fever, productive cough, and complaining of chest pain. A STAT Gram stain reveals gram-positive oval-shaped cocci in pairs. You should suspect


A) Streptococcus pyogenes.
B) Streptococcus. pneumoniae.
C) Streptococcus agalactiae.
D) Enterococcus faecalis.

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

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The atmospheric conditions best suited to grow streptococci and enterococci are


A) room air.
B) oxygen-free atmosphere.
C) high carbon dioxide concentration.
D) low carbon dioxide concentration.

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

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