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Streptococcus, Enterococcus, and Similar Organisms   chapter 15

262.e1

8. Which organism is able to hydrolyze esculin and is a serious


Chapter Review nosocomial pathogen?
a. S. bovis
1. Necrotizing fasciitis is a serious infection associated with: b. S. mitis
a. Streptococcus agalactiae c. E. faecalis
b. Streptococcus mitis d. S. pneumoniae
c. Streptococcus pyogenes
d. Staphylococcus epidermidis 9. True or False
_____ Glomerulonephritis is a poststreptococcal sequelae that
2. Rheumatic fever is a poststreptococcal sequelae typically always follows S. pyogenes pharyngitis.
associated with: _____ Aerococcus spp. may be isolated from blood cultures only.
a. postpartum infections associated with group B streptococci _____ Nutritionally variant streptococci are typically cultivated on
b. skin infections, pyodermas associated with group A streptococci blood agar and may or may not grow in the presence of
c. pharyngitis associated with group A streptococci NaCl.
d. pneumoniae associated with S. pneumoniae _____ Gemella are gram-positive cocci that may appear as pairs
3. Which of the following organisms are PYR positive? or clusters but predominately appear as chains upon Gram
a. group A Streptococcus staining.
b. group B Streptococcus _____ Colony morphology of Pediococcus resembles viridans
c. S. urinalis streptococci and is alpha or nonhemolytic.
d. Enterococcus spp. 10. Matching
e. a and c only
_____ M protein a. toxic shock syndrome
f. a, c, and d
_____ Secretory IgA protease b. dissemination of blood
4. When streaking a throat culture on 5% sheep blood agar, stabbing _____ Impetigo infections
the agar plate provides enhanced detection for: _____ Streptolysin S c. anti DNase positive,
a. bile solubility _____ Streptolysin O anti-streptolysin O negative
b. bile esculin hydrolysis _____ Streptokinase d. S. pneumoniae infiltrate
c. DNase activity _____ Scarlet fever e. degrades mucosal antibodies
d. Streptolysin O _____ Glomerulonephritis f. associated with otitis media
e. Streptolysin S _____ Streptococcal pyrogenic g. cross-reactive antibodies to
5. Which organism produces the CAMP factor enhancing beta exotoxins heart tissue
hemolysis in the presence of the S. aureus beta lysin? _____ Pneumolysin h. oxygen labile
a. group A streptococci _____ Viridans streptococci i. low virulence associated with
b. group B streptococci _____ Alloiococcus spp. dental caries
c. group C streptococci j. oxygen stable
d. group D streptococci k. pharyngitis
6. Optochin sensitivity is used to differentiate: l. skin blisters
a. Streptococcus pneumoniae from other alpha-hemolytic
streptococci
b. Streptococcus pyogenes from Streptococcus pneumoniae
c. Streptococcus agalactiae from Streptococcus pyogenes
d. Enterococci from non–group D enterococci
7. A 24-hour growth on a urine culture from a 20-year-old female
demonstrates grayish white beta hemolytic colonies, which are
catalase negative. What would be the next step for the
microbiologist?
a. report the organism as S. pyogenes
b. report the organism as S. aureus
c. perform a PYR test
d. perform a CAMP test and hippurate hydrolysis

Copyright © 2014 by Mosby, Inc., an affiliate of Elsevier Inc.

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