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Microbiology: Bacteriology: Gram-Negative Identification Flashcards

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  1. Which enzyme produced by Neisseria gonorrhoeae helps it evade complement-mediated killing?

    Answer: IgA protease

    N. gonorrhoeae secretes IgA protease, which cleaves secretory IgA and also helps evade host mucosal immunity and complement.

  2. Which gram-negative rod is the most common cause of nosocomial urinary tract infections?

    Answer: Escherichia coli

    E. coli accounts for approximately 80% of community-acquired and 50%+ of nosocomial urinary tract infections.

  3. A gram-negative, oxidase-positive, non-fermenting rod growing at 42°C with a fruity odor is most likely:

    Answer: Pseudomonas aeruginosa

    Pseudomonas aeruginosa is oxidase-positive, non-fermenting, grows at 42°C, and produces pyocyanin and a characteristic grape-like odor.

  4. The Voges-Proskauer (VP) test detects which end-product of glucose fermentation?

    Answer: Acetoin

    The VP test detects acetoin (acetylmethylcarbinol), an intermediate in the butanediol fermentation pathway.

  5. Which gram-negative organism characteristically produces a green metallic sheen on EMB agar?

    Answer: Escherichia coli

    Strong acid fermenters like E. coli produce a metallic green sheen on Eosin Methylene Blue (EMB) agar due to dye precipitation.

  6. Haemophilus influenzae requires which two growth factors supplied in chocolate agar?

    Answer: Factors V and X

    H. influenzae requires Factor V (NAD) and Factor X (hemin) for growth, both of which are released from lysed red blood cells in chocolate agar.

  7. Which characteristic distinguishes Shigella from Salmonella on triple sugar iron (TSI) agar?

    Answer: Shigella produces no gas; Salmonella typically produces gas

    Shigella ferments glucose without gas production, while most Salmonella produce gas (CO2 and H2) from glucose fermentation.