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72 Cards in this Set

  • Front
  • Back
What is the definition of carbohydrate fermentation?
The metabolic process by which an organic molecule acts as an electron donor and one or more of its organic products act as the final electron acceptor
Carbohydrate fermentation tests are especially useful for differentiating what major group of bacteria?
Gram-Negative bacilli, especially Enterobacteriaceae
What role does the phenol red play in phenol red broth?
pH indicator
What is the purpose of the Durham tube in the phenol red broth?
Trap gas that may be produced during fermentation
Why is reading a phenol red broth test after 18 hours of incubation not recommended?
B/c of the possibility of a reversion ( A reversion is what happens to the medium when an organism switches metabolic modes from fermentation to deamination after the exhaustion of carbohydrate. It’s impossible to visually distinguish b/t a reversion and a true non-fermenter
What is reversion?
A reversion is what happens to the medium when an organism switches metabolic modes from fermentation to deamination of peptone amino acids, AFTER the exhaustion of carbohydrate.
A yellow color in phenol red broth indicates what medium component has been fermented?
Carbohydrate
A yellow color in phenol red broth indicates what medium pH?
<6.8
A pink color in phenol red broth indicates what medium component has been catabolized?
peptone amino acids are deaminated
A pink color in phenol red broth indicates what medium pH?
>7.4
SIM medium is defined broadly as what type of medium?
Combination Medium
What are the 3 test performed by SIM medium?
sulfur Reduction Test
Indole Production Test
Motility Tes
What does a black precipitate in the butt of a SIM tube indicate?
indication of Sulfur reduction and a positive test.
Hydrogen Sulfide + Ferric Sulfate  Ferric Sulfide (black)
H2S (reduced S) + FeSO4  FeS
What does growth only along the inoculum path of a SIM tube indicate?
Negative motility test. Little to no motility
Negative motility test. Little to no motility
Positive Motility test. High Motility
What does a pink color in Kovac’s reagent added to a SIM tube indicate?
A positive indole reaction and the presence of Tryptophanase
In terms of oxygen environments, what type of environment does H2S production indicate?
Anaerobic
What is the Snyder test used for?
The Synder test is designed to measure dental caries(tooth decay) susceptibility
What two groups of oral bacteria does the Snyder medium select for?
Lactobacilli & oral Streptococci
What does a positive Snyder test look like?
yellow in 24hrs.-highly susceptibility
Yellow in 48hrs.-moderate susceptibility
Yellow in 72 hrs-Slight susceptibility
Green or Yellow in >72hrs.  Negative
What is the selective property of the Snyder medium?
Selective for bacteria that can survive low pH (~4,8); favors growth of oral bacteria and discourages growth of others
What is the bacitracin test used for?
differentiates beta-hemolytic strep pyrogenes from other beta hemolytic strep
In the bacitracin test, inhibition of bacterial growth will appear as what?
inhibition of growth will appear as a clearing of the agar plate
What is the cell target of bacitracin?
Cell wall inhibition
In the bacitracin test, a zone of clearing 10 mm or greater indicates what?
zone greater than 16mm means bacitracin susceptibility
What is the novobiacin test most frequently used for?
most frequently used in presumptively identify the novobiacin resistant stap. saprophyticus

In the bacitracin test, inhibition of bacterial growth will appear as what?
a clearing
In the bacitracin test, a zone of clearing 10 mm or greater indicates what?
Susceptibility
Why is Staphylococcus saprophyticus significant?
it is a common urinary tract pathogen seen in sexually active females
What is the coagulase test used for in the lab?
used to differentiate staph. aureus from other gram positive
What advantage does coagulase production provide to a bacterium?
coagulase shields the bacteria from phagocytosis by forming the fibrin barriers
What are the two forms of coagulase?
bound & free coagulase
What type of coagulase test did we perform in lab?
tube test
What was the fluid used in the coagulase test?
rabbit plasma treated with anticoagulant

for bound and free coagulase, what is an advantage of this test?
the tube test can determine bound or free coagulase whereas the slide can only determine bound
What was a positive result for the coagulase test performed in the lab?
positive result=clotting
What chemical reaction does catalase carry out?
catalase converts hydrogen peroxide into water and gaseous oxygen
What indicates a positive reaction in a catalase test?
positive=bubble formation
In terms of oxygen-defined groups, what groups of bacteria produce catalase?
Staphylococcus
Why must hydrogen peroxide be converted to water and oxygen in the cell?
hydrogen peroxide is toxic
What two medically significant genera does the catalase test help differentiate?
micrococcaceae & streptococcaceae
What is the selective agent in mannitol salts agar (MSA)?
sodium chloride
What genus does MSA select for?
staphylococci (staph. aureus)
What is the pH indicator in MSA?
phenol red
What does a yellow color change around a colony signify?
pathogenic staphylococcus 
What is the β-lactamase test used for?
Rapid test for detecting the presence of B-lactamase(an enzyme that can destroy penicillin-class antibiotics)-- (indicating penicillin & cephalosporins resistant microbes)
For what bacteria is the β-lactamase test especially useful?
Especially useful in identifying resistant strains of
Neisseria gonorrhoeae, Staphylococccus spp.,
and members of genus Enterococcus
What is the molecular mode of action of β-lactam antimicrobials?
The B-lactam ring in the chemical structure of the antimicrobial kills bacteria by interfering with cell wall synthesis
What is the molecular mode of action of β-lactamase?
Enzyme produced by bacteria which hydrolyze the B-lactam ring, thus destroying the structure of the antibiotic
β-lactamase disks are impregnated with what antimicrobial?
Nitrocefin (a cephalosporin)
What does a positive β-lactamase test look like?
it will hyrdolse the nitrocefin Produces pink spot on the disk
What component of the assay is attached to the latex beads?
Antigen or antibody
What is the marker for detecting the antigen-antibody reaction?
visable aggregate
What is a positive test in the latex agglutination test?
clumps of RBC
What is a negative test in the latex agglutination test?
nothing happens
What are latex agglutination tests used for in the clinical laboratory?
to differentiate the difference between staph and bacterial meningitis
1.What do bile salts do to Streptococcus pneumoniae cells?
strep cells are lysed by bile salts

2. What was the commercial name of the compound used in the disks used to identify S. pneumoniae?
a. optochin (aka P-disks)

3. What type of hemolysis does S. pneumoniae produce?
a. alpha hemolysis
4. What is the Gram reaction of S. pneumoniae?
a. gram positive

1. What is the purpose of the semi-quantitative urine culture?
a. determining the concentration of the bacteria in urine sample
2. What type of loop is used for a urine culture?
a. calibrated loop
3. What two sizes of loops are available for performing urine cultures?
a. 0.001mL & 0.01mL
4. Why do you streak at a 90o angle to the original streak line?
a. this evenly disperses bacteria over plate
5. Why would your order this test for one of your patients? (This answer is not in the book).
a. if patients have the risk for the show symptoms of a urinary tract infection
5. Why would your order this test for one of your patients? (This answer is not in the book).
a. if patients have the risk for the show symptoms of a urinary tract infection
In the antimicrobial agar disk diffusion test, what are the two reasons for incubating the plate once the test has been set up?
To allow growth of bacteria and time for the agent to diffuse into the agar
Why are all the aspects of the antimicrobial agar disk diffusion test standardized?
So that the values read from the chart provide an accurate interpretation of susceptibility or resistance
In the antimicrobial agar disk diffusion test, what will you observe if the tested organism is susceptible to an antimicrobial?
A clear zone of inhibition
What does the acronym “MIC” stand for?
Minimum Inhibitory Concentration
What type of dilutions was used to prepare the antimicrobial broth dilution test?
Broth Dilution Method or Two-fold dilutions
What is the purpose of the antimicrobial broth dilution test?
To determine MIC (minimum Inhibitory Concentration) of antimicrobial agent to inhibit bacterial growth