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Normal Mouth Flora
| Question | Answer |
|---|---|
| What are the two pathogens associated with the throat? | Streptococcus pyogenes and Arcanobacterium haemolyticum |
| How is A. haemolyticum recognized? | Gram stain: gram positive diptheroid like rods, resembles beta strep on solid agar. If the gam positive rods are seen, then a commercial kit is used. This is routinely looked for on all patients less than 30. |
| What is necessary to call "presumptive" Neisseria gonorrhea? | 1) Growth on Thayer-Martin 2) Oxidase positive 3) Gram negative diplococci on gram stain 4) From a normal sexual site (vaginal, urethral) 5) Age is 12 years or older |
| How is N. gonorrhea confirmed? | 1) Gonogen II 2) API QUAD Ferm + 3) Rapid NH 4) Individual Sugars Test (Glucose = Gonorrhea, Maltose = meningitids) |
| What is in a Modified Thayer Martin agar plate? | 1) Vancomycin 2) Colistin 3) Nystatin 4) Trimethoprim Lactate |