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Microbiology 1 Staph and Strep test - DelTech Owens Campus

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show catalase-positive  
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What is the primary pathogen in the genus Staphylococcus?   show
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S. aureus is often identified by being coagulase-(pos or neg?).   show
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What types of skin infections is S. aureus known to cause?   show
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show 1)pneumonia 2) organ absesses 3) bacteremia 4) endocarditis 5)osteomyelitis 6) septic arthritis  
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How does protein A make S. aureus more virulent?   show
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show Mainly TSST-1, but some have been linked to enterotoxin B or C  
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show Exfoliative toxin or epidermolytic toxin  
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What toxins cause staphylococcal food poisoning?   show
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Of the enterotoxins that cause food poisoning, which are the most common culprits?   show
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show indwelling devices, UTI, present in immunocompromised patient  
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show S. epidermidis and S. saprophyticus  
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What 2 types of coagulase are produced by aureus?   show
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How can cell-bound coagulase be detected in the lab?   show
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show tube coagulase method  
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show positive for coagulase  
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How can S. saprophyticus be differentiated from other staph?   show
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What kind of antibiotic is recommended to detect MRSA?   show
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What is the most accurate test to check if a staph is MRSA?   show
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show D test - a disk diffusion test using both clindamycin and erythromycin that forms a D-shaped zone of inhibition when positive  
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What is the recommended treatment for MRSA?   show
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Staphylococci are spherical shaped under a microscope. These cells appear in what 3 ways when viewed through the ocular?   show
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show positive  
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Staph are catalse (pos or neg?).   show
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show negative  
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Micrococci are often found in the ?   show
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show resistant  
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What kind of staph can be found in the inner ear?   show
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Which kind of staph is an obligate anaerobe?   show
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What colors are typical of staph colonies grown on a dish?   show
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show 1. CO2 2. hemin 3. menadione  
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show beta-hemolytic and CO2 to grow  
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What is the active enzyme in a coagulase test?   show
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show clumping factor  
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Most staph that produce clumping factor are isolated from __ specimens.   show
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Most coagulase-positive isolates from human sources are considered to be ?   show
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What 3 toxin-induced diseases are frequently associated with S. aureus?   show
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show S. haemolyticus and S. lugdunensis  
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More than (how many?) species of coagulase-negative staph (CoNS) are recognized to exist?   show
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show 100 C for 30 mins  
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Which 4 enterotoxins are associated with toxic shock syndrome?   show
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Which enterotoxin has been associated with staphylococcal pseumdomenbranous enterocolitis?   show
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show toxic shock syndrome toxin-1  
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show superantigen  
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What is the cause of nearly all menstruating-associated toxic shock syndrome and half of all nonmenstruating associated TSS?   show
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At a low concentration, TSST-1 causes __ of endothelial cells.   show
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show cytotoxic  
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show exfoliative toxin  
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Exfoliative toxin is also known as ?   show
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What other kind of skin condition is associated with exfoliative toxin?   show
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show 1. alpha-hemolysin 2. beta-hemolysin 3. gamma-hemolysin 4. delta-hemolysin  
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show alpha  
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show delta  
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show beta  
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show gamma  
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show beta  
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What kind of exotoxin secreted by some strains of S. aureus is lethal to segs (WBCs)?   show
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Besides helping S. aureus evade phagocytosis, what else does PVL do to the patient?   show
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show hyaluronidase  
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show lipids  
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Although it can be found elsewhere in the body, what is the primary reservoir for staph in the human body?   show
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MRSA stands for?   show
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Once S. aureus has breached the barriers to infection, it activates the host's ?   show
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show suppporative (pus filled)  
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show folliculitis  
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show furuncles  
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show newborns and once healthy young people  
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Scalded skin syndrome occurs most commonly in patients with what 2 conditions?   show
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show 50  
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Toxic shock syndrome is characterized by sudden onset of what 6 symptoms?   show
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What are the lab findings in toxic shock syndrome?   show
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TEN stands for ?   show
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show scalded skin syndrome  
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show Steroids help tend by worsen SSS  
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show Staphylococcal pneumonia  
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S. pneumonia is characterize by multiple __ and focal __ in the pulmonary __.   show
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Infections causes by S. epidermidis are primarily ?   show
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What form of endocarditis is often caused by S. epidermidis?   show
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Which kind of staph infection is the most common cause of UTIs in women and adheres to epithelial cells better than other CoNS?   show
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Ideally, clinicians should collect how many swabs when requesting a gram stain and culture?   show
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show aspirate  
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show aureus  
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What type of reaction differentiates a colony of staph from a colony of micrococci?   show
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Staph ferment __, while micrococci fail to produce acid under anaerobic conditions.   show
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A modified oxidase test like the __ __ can be used to rapidly differentiate staph from microc.   show
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show coagulase-reacting factor (CRF)  
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When checking for CRF complexes, you should look for a clot to form after how many hours and incubated at what temp?   show
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If no clot forms after 4 hours when searching for CRF complexes, what should you do?   show
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show beta-lactamases  
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What kind of agar plate can be used to screen for MRSA?   show
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BORSA stands for?   show
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When screening for MRSA isolates in a colony, how can you tell the MRSA from the non-MRSA?   show
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What is the "gold standard" for detecting MRSA?   show
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What are the most common strains of community acquired MRSA?   show
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VISA (not the credit card) stands for?   show
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VRSA stands for what?   show
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show vancomycin agar plate  
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show macroglide  
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show catalase test  
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show transparent  
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A wide-zone of hemolysis surrounding a zone of no-hemolysis near a strep culture is called ?   show
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show A  
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show M protein  
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M protein in Strep. pyogenes is encoded by __ genes.   show
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show phagocytosis  
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Strepolysin O lyses __ and __ among other cells.   show
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The hemolysis seen around colonies that have been incubated aerobically is due to ?   show
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show scarlet fever  
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show streptococcal pyrogenic exotoxins (Spes)  
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show superantigens  
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Infections caused by Strep. pyogenes include what 5 things?   show
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The 2 most common clinical manifestations of group A streptococcal infections are ?   show
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"Strep throat" is spread by __ and __ __.   show
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show S. pyogenes  
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Necrotizing fasciitis is most commonly associated with which group of streptococcus?   show
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show aerobic and anaerobic  
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Type 2 necrotizing fasciitis is caused only by group __ streptococci.   show
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Type 3 necrotizing fasciitis is gas __ and clostridil __.   show
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A variant of type 1 NF is called ?   show
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A condition caused by streptococci wherein the entire organ system can shut down, leading to death, is called ?   show
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2 serious complications of group A strep. disease include ?   show
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The favored treatment for group A streptococci is __, although __ may also be used.   show
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show tongue and uvula  
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An SBA plate with strep on it should be incubated at what temperature?   show
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An SBA containing what is recommended for better recovery of beta-hemolytic strep from throat cultures?   show
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3 key tests for strep include ?   show
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All strains of Strep. agalactiae have the group __-specific antigen.   show
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The capsule of group B strep prevents phagocytosis but is ineffective after ?   show
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Group B strep infections often present as __ or __ with bacteremia.   show
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All pregnant women should be screened for group B strep at __ to __ weeks gestation by getting a vaginal and rectal swab sample.   show
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show grayish white mucoid  
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The most useful test for group B strep include ?   show
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show pyogenic streptococci  
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show C substance  
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show C-reactive protein  
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show Neufield  
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What do you call it when the pneumoniae capsule swells in the presence of specific anticapsular serum?   show
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show Strep. pneumoniae  
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show PCV7 (given to children) and PS23 (given to adults)  
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show diplococci  
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What sort of media is best for growing isolates of Strep. pneumococcus?   show
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Some pneumococcal isolates require what kind of gas for growth?   show
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How can you tell Strep. pneumococcus from viridans streptococci?   show
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How are Strep. pneumococcus infections treated?   show
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What is the most common cause of subacute bacterial endocarditis?   show
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Besides blood stream infections, what are common oral problems caused by viridans?   show
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Viridans infections are treated with ?   show
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Viridans are the most common isolates associated with bacterial __ and in both native and prosthetic __ infections.   show
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The presence of __ (a viridan) has a high correlation with gastrointestinal carcinoma.   show
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Which viridan is most commonly isolated from the oral cavity and is the primary contributor to oral cavities?   show
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Which streptococci groups possess the M protein?   show
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All viridan streptococci are PYR __ and LAP __.   show
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show beta-hemolysis  
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show S. anginosus  
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show PYR (D is negative while Enterococcus is positive)  
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Group D strep is susceptible to __ while Enterococcus is resistant.   show
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All species of enterococci produce the cell wall-associated group __ antigen in the Lancefield classification system.   show
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show PYR  
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show 1. UTI 2. bacteremia  
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What sort of agar is used to culture enterococci?   show
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show 35C  
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show tellerite  
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show vancomycin and teicoplanin  
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show pyogenic  
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Which classification of streptococci are often found in dairy products?   show
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show enterococci  
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show viridans  
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show lactococci  
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Bacitracin is useful for presumptive identification of __, which is susceptible to bacitracin.   show
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show resistant  
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S. agalactiae has the enzyme __ which is useful in identifying it using the hippurate test.   show
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The only species of streptococcus that is PYR positive is ? (Enterococcus is also PYR positive.)   show
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show 1. bacitracin (culture is sensitive) 2. SXT susceptibility (culture is resistant) 3. immunoassay for group A antigen (Infection is S. pyogenes)  
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show Group B streptococci  
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show Staph. aureus  
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A nonhemolytic, catalase-negative, gram-positive coccus is PYR-positive. Would the isolate be: A) bile esculin positive B) salt tolerant C) bile soluble D) both A and B.   show
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show a-streptococci  
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What antimicrobial agent is most commonly used to treat infection of S. pyogenes?   show
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Strep. pyogenes have been associated with what invasive infection?   show
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show S. pneumoniae/pneumococcus (duh)  
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show Neonates can acquire the infection in utero or during delivery.  
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show They (Granulicatella and Abiotrophia) need pyridoxl. This can be combined with a blood culture. They can also grow around small pinpoint colonies of Staph. aureus which secretes some pyridoxal.  
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Enterobacteriaceae are gram-negative rods that ferment __, reduce nitrate to __, and are oxidase negative.   show
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The VP test detects which end product of glucose fermentation?   show
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Staph. capitis can be found on the ?   show
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show external auditory canal  
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show canines  
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show dolphins  
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show cats  
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show humans  
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show aureus = mucous membranes, epidermidis = skin, saprophyticus = urino genital area  
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show staph. aureus  
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Streptococcaea are facultative ?   show
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show staph form in clusters, strep in chains  
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show ends of the cells  
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Strep. pneumoniae, agalactiae and pyogenes are always considered ?   show
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show alpha  
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Total hemolysis with a clear or yellow zone is called ?   show
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show no  
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show bacitracin sensitive and PYR positive  
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Erythrogenic toxins of Strep. pyogenes causes ?   show
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Streptolysin O and S of Strep. pyogenes does what?   show
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show clots  
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show factor  
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TSLS is caused by toxins from S. pyogenes. It stands for ?   show
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Scarlet fever, as caused by Strep. pyogenes, causes redness on the face and what to appear on the tongue?   show
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show boys, boinking, babies  
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show 1. conjuctivitis 2. otitis media ear 3. Meningitis  
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show halos  
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Colonies in the __ quadrant of a BAP are usually the problem.   show
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Nuchal rigidity is the classic sign of ?   show
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show 1. dental 2. endocarditis 3. bacteremia  
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Two viridans strep encountered frequently are ?   show
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Strep. pyogenes is in Lancefield group ?   show
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Strep. agalactiae is in Lancefield group ?   show
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Ent. faecalis is in Lancefield group ?   show
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show D  
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show C  
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show D  
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Which streptococci are in hemolysis group beta?   show
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Which streptococci are in hemolysis group alpha?   show
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show S. bovis  
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Enterococcus are in which hemolysis groups?   show
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show 1. coag negative 2. Mannitol fermentation 3. beta-hemolytic 4. protein A 5. exotoxins  
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show In the cell walls of Staph. aureus  
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Name 3 important virulence factors possessed by Staph. aureus?   show
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show 1. enterotoxin 2. TSST 3. exfoliative toxin  
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show enterotoxin (food poisoning)  
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show about 2 hours  
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show stuff with mayo  
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show enterotoxin and TSST  
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show bullae and honey crusted  
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Impetigo is seen mostly in ?   show
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How are streptococci classified?   show
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show bacitracin  
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Which type of strep makes M protein?   show
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What toxins are associated with Strep. pyogenes?   show
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