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Review for Microbiology II Test 1

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
Erythromycin   Macrolide/ Bacteriostatic/Protein synthesis/Gram+/Efflux, Altered target  
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Gentamicin   Aminoglycoside/Bactericidal/Protein synthesis/Gram+, Gram-, Not anaerobic/Enzymatic destruction, Altered target, Decreased uptake  
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Cefazolin   Beta-lactam/ Bactericidal/Cell wall/Gram+, Gram-, Not anaerobic/ Enzymatic desctruction, Altered target  
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Vancomycin   Glycopeptide/ Bactericidal/Cell Wall/Gram+/Altered target  
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Levofloxacin   Quinolone/Bactericidal/DNA synthesis/Gram+, Gram-/Decreases uptake, Altered target  
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Imipenem   Intravenous β-lactam or carbapenems/ Bactericidal/Cell wall/Gram+, Gram-/ Enzymatic desctruction, Altered target  
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Ampicillin   Beta-lactam/ Bactericidal/Cell wall/Gram+, Gram-, Not anaerobic/Enzymatic desctruction, Altered target  
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Piperacillin/Tazobactam combo   Beta-lactam..Beta lactamase inhibitor/ Bactericidal/Cell wall/Gram+, Gram-/Enzymatic destruction has been elliminated  
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Gram stain morphology of Staphylococcus   Gram-positive cocci in clusters  
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Common media for growth of Haemophilius species   Chocolate  
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Maconkey, XLD, and HE are best described as what type of media   Selective and differential  
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What is the gram stain morphology of Bacillu anthracis   Gram-positive rods  
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What is the order of stains in the Gram Stain procedure   Crystal violet, Grams iodine, Decolorizor, Saffrinin  
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A result of R/A on LIA agar will be interpreted as   Lysine deamination-red slant/glucose fermentation-yellow butt. No color change in the butt=no glucose fermentation or if lysine decarboxilase is formed in the butt, it reverts back to purple.  
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2 factors necessary for the growth of Haemophilus influenzae   X=Hemin V=NAD  
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Gram-negative rod is oxidase +, grows on BAP and Choc ans is associated with cat scratches   Pasteurella mutocida  
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Animal common as reservoir for the transmission of Francisella tularenis   Rabits and rodents  
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Single carbohydrate that will be fermented by N. gonrrhoeae   Glucose  
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Gram-negative rod that has a bleachy odor and will pit the agar   Eikanella corrodens=Human bite wounds  
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Pigment color seen in many strains of Pseudomonas aeruginosa   Green  
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The optochin test in used to identify which Strep species   Strep pneumoniae  
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A total clearing around the colony on BAP is ----- hemolysis   Beta  
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Gramstain morphology of Neisseria meningitidis   Gram-negative diplo cocci  
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Give the apperance of E.coli and Proteus on MAC agar   E.coli=pink Proteus=clear  
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This aerobic gram-negative rod will produce bright red colonies on most standard media   Serratia  
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2 factors that influence the efficacy of disinfectants   Time and strength  
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This curved-gram-negative rod may cause gastrointestinal disease and is associated with eating chicken   Campylobacter  
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This process is a means by which all microbial life is destroyed   Sterilization  
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Which type of hemolysis is typical of Strep. pneumoniae   Alpha  
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This H2S positive gram-negative organism is implicated in food borne illnesses especially eggs and poultry   Salmonella  
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Swarming on blood agar would indicate the presence of   Proteus  
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Bacteroides fragilis is most likely to be cultivated in this type of atmosphere   Anaerobic  
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Two methods for measuring turbidity   Hold the specimen against a white background with black lines or measuring on an instrument  
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Two criteria for for selection of antimicrobial agents to be tested   Agent needs to have a known effect on the organism and it needs to be affective in the area or site of the bacterial growth  
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What if several colonies of E. coli are too large   Concentration of the inoculum is to small, agar is too thin, Antimicrobial concentration is too large  
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What if you have small colonies within the zone of inhibition of Tetracycline with S. aureus   Mixed culture or possible resistant mutations. Verify culture purity.  
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Gentamycin zone too small with P.aeruginosa   Ca+ and/or Mg+ level too high in medium. Aquire a new lot of agar medium that will meet QC criteria  
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What is the relationship between MIC and zone size   Inversely proportional. The smaller the MIC the larger the zone  
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An organism with an increased MIC value sill be expected to have an increased or decreased zone size   Decreased  
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Name the three weeky QC organisms used for the Kirby Bauer method   S.aureus ATCC 25293, E. coli ATCC 25922, P. aeruginosa ATCC 27853  
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Describe the action of (amoxicillin or ticarcillin)/clavulanic acid combination   Clavulanic acid inactivates a wide range of beta-lactamase enzymes allowing the Ticarcillin to inhibit or kill the organism  
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An oxicllin disk is used to test S. pneumoniae of penicillin. Why?   The penicillin test was not sufficiently sensitive to detect subtle but significant changes in suseptability  
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What should be done if the oxicillin suseptability test on S pneumoniae is resistant or <= to 20mm   Further testing by MIC method is needed.  
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Define emperic antimicrobial therapy   Hitting the organism with a broad spectrum antimicrobial before a definitive ID is made  
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Norofloxacin and Nitrofurantoin are specific for   Urines  
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Criteria for anitmicrobial battery content and use   Organism ID or group, Acquired resistance patterns common to local microbial flora, antimicrobial susceptibility testing method used, site of infection, avalability of antimicrobial agents in formulary  
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Susceptibility   Indicates that the antimcrobial agent in question may b an appropriate choice for treating the infection. Bacterial resistance is absent or at a clinically insignificant level  
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Intermediate   A number of possibilities: May still be effective but perhaps not as much as another choice. May be effective at a particular site of infection.An interpretive safety margin  
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Resistant   Indicates that the antimicrobial agent may not be am appropriate choice, either because the organism is not inhibited by serum-achievable levels or because test results highly correlate with resistance  
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AST commonly required for:   Staph, Step. pneumo, Viridans streptococci, Entrococci, Entrobacteriaceae,Pseudomonas aeruginosa, Acinetobacter spp.  
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AST occasionally required for:   Haemophilius influenzae, Neisseria gonorrhoeae, Moraxella catarrhalis, Anearobic bacteria  
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AST rarely required for:   Beta-hemolytic streptococci (groups A, B, C, F and G), Neisseria meningitides, Listeria monocytogenes  
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Requiring further Eval: Staphylococci   Vancomycin intermediate or resistant, Clindamycin resistant; erythromycin susceptible, Linezolid resistant, Daptomycin resistant  
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Viridans streptococci   Vancomycin intermediate or resistant  
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Strep. pneumo   Vancomycin intermediate or resistant  
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Beta-hemolytic strep.   Penicillin intermediate or resistant  
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Enterobacteriacea   Imipenem resistant  
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Entrobacter/Citrobacter/Serratia/Morganella/Providencia   Susceptible to ampicillin of cefazolin  
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Pseudomonas aeruginosa   Amikacin resistant; gentamicin or tobramycin susceptable  
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Stenotrophomonas maltaphilia   Imipenem susceptable; trimethoprim/sulfamethoxazole resistant  
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Neisseria gonorrheae   Ceftriaxone resistant  
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Neisseria meningitidis   Penicillin resistant  
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