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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Comprehensive Examination -
Laboratory
daga.lopez.swu@phinmaed.com Switch account

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Choose the BEST answer for each question.

Which of the following is incorrect about gram-negative organisms? *

Pale reddish color after gram staining

No outer lipid membrane

Thin peptidoglycan layer

Bacteria include Enterobacter spp., Salmonella spp., and Pseudomonas spp.

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Identify the type of bacteria based on flagellar arrangement. *

Monotrichous

Amphitrichous

Lophotrichous

Peritrichous

What serves as energy source and food reserves for bacteria? *

A. Cytoplasmic granules

B. Inclusion bodies

C. Metachromatic granules

D. AOTA

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Characteristics of bacteria: *

I. Prokaryotic

II. Multicellular

III. Having a nucleus

IV. Having pili

A. I, II, III

B. II, III, IV

C. I, III

D. I, IV

I. Sterilization is a process that kills all forms of microbial life, including bacterial
endospores
II. Disinfection is a process that destroys pathogenic organisms,

Statement I is correct while statement II is incorrect.

Statement I is incorrect while statement II is correct.

Both statements are correct.

Both statements are incorrect.

Clear selection

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

A 4 y.o, Phil-Am female developed a fever, sore throat and unusual irritability. A *
physical examination revealed 15-25 small, gray-white, shallow, ulcerative lesions
along the posterior margin of his soft palate. The pharyngeal walls were
extremely red. There were no lesions on the gum but a few on the anterior part of
the oral cavity. The child was dark complexioned and had no obvious rash.

The lesions found in the child's mouth are called _____

pustules

Koplik's spots

Negri bodies

Byran's spots

pocks

Before smearing, you will sterilize the inoculation loop using:


I. Bunsen burner
II. Alcohol Lamp
III. Bactincinerator
IV. Candle

I, II and III

II, III and IV

III, IV and I

All of the above

None of the above

Clear selection

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Match correctly the premises listed. *


CULTURE MEDIA:

Supportive
or General Enrichment Selective Differential Enriched Biochemical
Isolation media media media Media test media
media

Mannitol
Salt agar

Selenite F

TCBS

Which of the following are gram-positive bacteria? *

E. coli

S. saprophyticus

E. faecalis

S. pneumoniae

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Purposes of heat fixation:


I. Stain will not look proper
II. Kills microorganism
III. Preserves morphology
IV. Anchors the smear to the slide.

I and IV

II and III

All except IV

All of the above

In preparing a bacterial smear, heating the slide prior to complete air drying will:

Preserve their shape and size

Produce aerosols

Allow the cells to live

Both A and C

Clear selection

Statement 1: The shape of a bacterium is determined by heredity. *


Statement 2: Bacteria are considered as eukaryotes.

Only statement 1 is correct

Only statement 2 is correct

Both statements are correct

Both statements are incorrect

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Which of the following agents simultaneously contain both DNA and RNA? *

Bacteria

Viruses

Viroids

Prions

Motile bacteria usually possess flagella but will never possess cilia. *

True

False

Cannot be determined

Largest bacteria *

Streptococcus spp.

Bacillus spp

Staphylococcus spp.

Campylobacter spp.

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

A group of very small, pleomorphic bacteria without cell walls and previously *
thought to be viruses

Staphylococcus

Spirochetes

Bacillus spp.

Mycoplasma spp.

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

An 8-y.o, child, who recently emigrated with the family from Mindanao, is taken *
to the emergency department because of a stomach ache that has persisted for
about 24 hours. In fact, the mother indicates that the pain did not lessen even
after the child vomited up two worms (shown in the image) the night before. The
pain is more pronounced in the right upper quadrant region and directly radiates
to the scapular area of the back. Based on these findings, what is the most likely
diagnosis?

Ascariasis with biliary involvement

Disseminated strongyloidiasis

Hemolytic uremic syndrome

Intestinal and hepatic amebiasis

Salmonella enterocolitis

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Cell walls are absent in all of the following, EXCEPT: *

Animals

Protozoa

Mycoplasma spp

Mycobacteria spp

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Match the most likely component of immune response against a Hepatitis B virus *
infection.

Anti- Anti- Anti- Anti-


HBeAg HBcAg HBsAg HBV DNA
HBe HBc HBs HBpol

An IgG
response
necessary for
the
neutralization
of the virus

Early IgM
response to a
viral enzyme

Ag used in
current
recombinant
vaccine

IgG response
not found in
the serum of
chronic
infections

The
infectious
virus

type of
nucleic acid
found to the
capsid of the
infectious
virus

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

A bacterium that occurs as chains of cocci. *

Staphylococcus

Streptococcus

Diplococci

Bacilli

Microscope component that gathers and focuses the illumination light onto the *
specimen for viewing.

Illumination

Rheostat

Condenser

Diaphragm

The microscope will not flip and invert an image. *

True

False

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Microscope component that produces the secondary image magnification of the *


specimen.

Ocular

Objectives

Rheostat

Field of view

What is the morphologic type of Gaffkya tetragena? *

Cocci

Bacilli

Sarcina

Tetrads

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

A pregnant 17 y.o, female developed a very faint macular rash over a portion of *
her face, neck and upper back about one month into her pregnancy. The young
woman only noticed a mild fever and symptoms resembling the "flu" along with
some minor stiffness in her hands and knees. Her pregnancy was uneventful
even though she received no prenatal care. the baby was born three weeks earlier
than anticipated. A few days after delivery, it become apparent that the newborn
did not respond to sound.

Congenital infection occurs as a result of

viral toxins crossing the placenta

viral toxins impairing maternal nourishment of the fetus

transplacental spread of virus and growth in the fetus

autoimmune response of maternal cells against fetal issues

autoimmune response of fetus against maternal antigen

An 18 y.o, female had an episode of mild infection. Approx. six days later, she *
developed severe headaches, vomiting and fever. Neurologically, she was
oriented and normal, except for a sight degree of nuchal rigidity. A spinal tap
revealed CSF high in cell count and protein level. Bacteriologic culture of the CSF
resulted in no growth. The physician's report indicated aseptic meningitis.

Infection of this type _____

usually self-resolve

require drastic antiviral chemotherapy

usually progress into fatal illness

recur as latent infections

appear genetically linked

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

A 35 y.o, woman suffering from Acute lymphocytic leukemia and undergoing *


chemotherapy suddenly developed small vesicular eruptions across her left
breast. The eruptions were asynchronous, painful and lasted 6 days before
clearing. The affected are developed small vesicles which progressed to
ulcerated and crusted pustules. She had a similar occurrence last year.

The appearance of localized skin lesions over a specific dermatome is


characteristic of

chickenpox

shingles

generalized herpes simplex

measles

rickettsialpox

smallpox

rabies virus

How do prokaryotes reproduce? *

Meiosis

Mitosis

Binary fission

Sexual reproduction

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

The main constituent of most bacterial cell walls, it is a complex macromolecular *


polymer consisting of many polysaccharide chains linked together by small
peptide chains.

Peptidoglycan

Murein

Cell membrane

Both A and B

Who stressed the importance of lenses for studying small object?

da Vinci

Conrad Gesber

Anton van Leeuwenhoek

Zacharias Janssen

Clear selection

Alcohol should be kept away from the periphery of the


lenses, because alcohol can dissolve the cement and seep into the back side of the
lens.

True

False

Clear selection

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Organelles of locomotion, _____ are long, thin, whip-like structures while ______ are *
shorter, more hair-like, thinner and more numerous.

pili, fimbriae

fimbriae, pili

cilia, flagella

flagella, cilia

I. Heat fixation is a more satisfactory fixation technique


II. Methanol uses 70% ethyl alchohol

Statement I is correct while statement II is incorrect.

Statement I is incorrect while statement II is correct.

Both statements are correct.

Both statements are incorrect.

Clear selection

This refers to the capacity of the microscope to distinguish small gaps between *
two separate point which human cannot distinguish:

Resolution

Magnification

Birefringent

Contrast

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Two basic kinds of microscope: *


I. Simple microscope
II. Mechanical microscope
III. Light microscope
IV. Electron microscope

I only

III only

I and III only

III and IV only

IV only

What is the cell shape of Bacillus? *

spiral-like

spherical

rod-shape

bent-rod shape

Statement I: In general, the purpose of fixation is to let organisms grow and *


preserve their morphology.
Statement II: Another purpose of fixation is to anchor the smear to the slide.

Statement I is correct, statement II is incorrect

Statement I is incorrect, statement II is correct

Both statements are correct

Both statements are incorrect

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Microscope component that regulates the angle of light presented to the *


specimen:

Aperture diaphragm

Condenser

Field diaphragm

Rheostat

Gram-negative bacteria cell wall contains *

Techoic acid

Lipopolysaccharide

Mycolic acid

Lipotechoic acid

Statement 1: Smears from swabs are prepared by rolling the swab back and forth
over continuous areas of the glass to deposit a thick layer of sample material

Statement 2: The swab should be rubbed back and forth across the slide

Statement 1 is true; Statement 2 is false

Statement 1 is false; Statement 2 true

Both statements are true

Both statements are false

Clear selection

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

A preparation from clinical material suspended in sterile saline or other liquids


medium on a _______ and covered with a coverslip; used for microscopic
examination to detect microorganisms in clinical material and, in particular, to
detect motility directly

Microscope

Stage

Glass Slide

Mounting Block

Clear selection

What is the purpose of fixation in smear preparation?

It keeps cells from drying out during staining.

It enables cells to take up more stain.

It attaches cells firmly to the slide's surface.

It temporarily keeps cells from growing.

Clear selection

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Methods of sterilization:
I. Incineration
II. Moist Heat
III. Dry heat
IV. Filtration
V. Chemicals

I, II, IV and V

II, III, IV and V

I, III and V

III, IV and V

All of the above

None of the above

Clear selection

Which of the following conveys the variations in structural makeup between *


gram-positive and gram-negative bacteria?

Gram-positive bacteria have a thick peptidoglycan layer, whereas gram negative


bacteria have a thin layer

Gram-positive bacteria have an outer lipid-rich membrane, whereas gram negative


bacteria do not.

Gram-positive bacteria form a sex pilus that mediates conjugation, whereas gram-
negative bacteria do not

Gram-positive bacteria have plasmids, whereas gram-negative bacteria do not

Gram-positive bacteria have capsules, whereas gram-negative bacteria do not.

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Morphologic type of Campylobacter spp. *

Cocci

Bacilli

Spirochete

Spirillum

Most crucial part of any staining method *

Primary staining

Mordant

Decolorization

Counterstaining

Statement I: Plasmid, a cytoplasmic organelle, is the site of photosynthesis found *


only in certain eukaryotic cells.
Statement II: A plasmid is a small, circular molecule of double-stranded DNA.

Statement I is correct, statement II is incorrect

Statement I is incorrect, statement II is correct

Both statements are correct

Both statements are incorrect

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

This part moves the body tube and low power lenses closer or farther away from *
the stage to view the image of the specimen:

coarse adjustment knob

fine adjustment knob

inclination joint

field diaphragm

Facilitates the transfer of genetic material from one bacterial cell to another. *

Pili

Sex pilus

Fimbriae

Flagella

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Match correctly the premises listed. *

cocci n
cocci in cocci bacilli
in coccobacilli spirochetes spirillum o
clusters in pairs in pairs
chain c

Treponema
pallidum

Staphylococcus
aureus

Streptococcus
dysagalactiae

Mycobacterium
tuberculosis

Escherichia coli

Leptospira
interrogans

Spirillum minus

Micrococcus
luteus

Streptococcus
pneumonia

Vibrio cholera

Klebsiella
pneumonia

Staphylococcus
epidermidis

Enterococcus
faecalis

Streptococcus
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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

pyogenes
Streptococcus
pyogenes
Chlamydia
trachomatis
Chlamydia
trachomatis

Colonies produced by encapsulated bacteria on nutrient agar that are smooth, *


mucoid, and glistening.

Q-colonies

R-colonies

S-colonies

T-colonies

Correct order of bacterial smear preparation:


I. Sterilize > Get subculture > Smear > Air dry > Heat Fix
II. Get subculture > Smear > Sterilize > Heat fix > Air dry
III. Get subculture > Heat fix > Air dry > Smear > Sterilize
III. Heat fix > Air dry > Smear > Get subculture > Sterilize

II

III

IV

Clear selection

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

A true nucleus consists of the following, EXCEPT: *

Nucleoplasm

Chromosomes

Cell membrane

Nuclear membrane

Magnification used in viewing gram-stained slide

4x

10x

40x

100x

Clear selection

Who constructed the compound microscope?

Anton van Leeuwenhoek

Galileo

Robert Hooke

Zacharias Janssen

Clear selection

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Genera of bacteria that are capable of forming endospores as a means of survival *


when their moisture or nutrient supply is low.

Brucella and Clostridium

Bacillus and Clostridium

Bacillus and Corynebacterium

Brucella and Corynebacterium

A nanometer (nm) equals 0.00000001 m (10^-9 m).

True

False

Clear selection

Microscope component which produces the primary image magnification of the *


specimen.

Ocular

Objectives

Rheostat

Field of view

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

The higher the objective, the less of an object you can see.

True

False

Clear selection

Statement I: A capsule is a type of glycocalyx that is highly organized and firmly *


attached to the cell wall.
Statement II: Capsules can be detected using a staining procedure called positive
stain, in which the bacterial cell and background becomes stained but the capsule
remains unstained.

Statement I is correct, statement II is incorrect

Statement I is incorrect, statement II is correct

Both statements are correct

Both statements are incorrect

Usual length of the glass slide for bacterial smear preparation

3in x1in

75mm x 25mm

5in x 2in

3in x 2in

both A and B

Clear selection

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Which phenotypic criteria refer to profiling microorganisms by various serologic *


and immunologic methods?

Resistant profiles

Nucleic acid base sequences

Macroscopic analysis

Antigenic properties

Antibody properties

Microscopic analysis

Cork-screw shaped forms of bacteria are *

Bacilli

Cocci

Spirochetes

Actinomyces

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Primary stain Decolorizer Counterstain Mordant

Acetone alcohol

Gram's iodine

Safranin

Crystal violet

What is used to bring the specimen into sharp focus to show clearly the detailed *
parts of the specimen?

fine adjustment knob

coarse adjustment knob

inclination joint

field of diaphragm

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

By passing the smear over a Bunsen burner flame, what procedure is often
accomplished?

Frying

cold fixation

heating

heat fixation

Clear selection

Process of enlarging or magnifying an object’s size without affecting its actual or *


physical size:

Magnification

Resolution

Illumination

Widening

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

The two most common methods of fixation are:


I. Heat fixation
II. Ethanol fixation
III. Methanol fixation
IV. Cold fixation

I and II

II and III

III and IV

I and III

Clear selection

Microscope component that controls/regulates the diameter of light beams that *


strike the specimen and hence reduces stray light.

Aperture diaphragm

Condenser

Rheostat

Field diaphragm

What is the optimum pH level that promotes bacterial growth? *

4.0

5.0

6.0

7.0

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

What do you call a bacteria that is spherical and usually occurs in clusters? *

Staphylococci

Streptococci

Tetracocci

Diplococci

Crystal violet is a water soluble dye which enters the peptidoglycan layer in *
bacterial cell wall.

True

False

When using the high power, use only the fine adjustment knob. *

True

False

Thickness of glass slide for bacterial smear preparation

1 cm

2 cm

3 cm

4 cm

Clear selection

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

Gram stain of specimen shows bacteria with terminal spores. What bacteria is *
being described?

Clostridium botulinum

Clostridium difficile

Clostridium tetani

All of the above

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7/20/23, 1:43 PM Comprehensive Examination - Laboratory

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