MCQs

MCQs:
1. A 3year old child develops acute glomerulonephritis following impetigo. The bacterium is a catalase-negative,
Gram-positive coccus that has M12surface protein. What is the most likely causative agent?
a. Streptococcus pyogenes b. Staphylococcus aureus c. Staphylococcus epidermidis
d. Streptococcus agalactiae e. Streptococcus pneumoniae
2. A child presents with impetigo with bullae. A Gram-positive, β-hemolytic, catalase-positive, coagulase-positive
coccus is isolated. Which of the following is the most likely organism?
a. Group A streptococcus b. Group B streptococcus
c. Staphylococcus aureus d. Staphylococcus epidermidis
3. A pregnant 28-year-old woman was screened at 38 weeks’ gestation for a bacterial pathogen that could be
passed to her newborn during vaginal birth. The screen identiﬁed the bacterium shown, which is catalase
negative and β -hemolytic. The pregnant woman was treated prophylactically with penicillin G. What is the
most likely etiology and syndrome?
4. A 5-day postoperative patient develops a high fever. An IV catheter is removed and culture of the tip reveals
Gram-positive cocci believed to be Staphylococcus aureus. Which of the following laboratory test results would
further support this belief?
a. α-Hemolysis on blood agar b. Bacitracin sensitivity
c. Coagulase positivity d. Urea hydrolysis
5. The most common cause of bacterial pharyngitis:
6. Which of the following is NOT a symptom of Strep. pyogenes - caused scarlet fever ?
a. Malaise b. Sandpaper rash c. Strawberry tongue
d. Circumoral pallor e. None of the above
7. Staphylococcus aureus differs from Staphylococcus epidermidis by -
a. Is coagulase positive b. Forms white colonies
c. A common cause of UTI d. Causes endocarditis in drug addicts
8. A patient has prosthetic valve replacement and he develops endocarditis 8 months later. The organism
responsible is -
a. Staph. aureus b. Strept. viridans
c. Staph. epidermidis d. Strept. pyogenes
9. Which one of the following gram positive organism is most common cause of UTI among sexually active
women-
a. Staphylococcus epidermidis b. Staphylococcus aureus
c. Staphylococcus saprophyticus d. Enterococcus
10. _______________ is the most common causal agent neonatal septicemia and meningitis.
11. A 4-year-old boy develops several honey-crusted lesions behind his ears and on his face. The simplest test for
the physician to determine the genus of bacteria responsible for this child’s illness is the:
a. catalase test b. coagulase test
c. hemolysis pattern on blood agar d. polymerase chain reaction
12. A 70-year-old woman is brought to the emergency department by her spouse with complaints of shortness of
breath and fever. Physical examination revealed a fever of 103°F, hypotension, and a diastolic murmur.
History revealed a cardiac valve replacement 5 years earlier. Three consecutive blood cultures taken during
febrile periods revealed gram-positive cocci that were catalase-positive and coagulase-negative. Which of the
following organisms is the most likely cause?
a. Enterococcus faecalis b. Staphylococcus aureus
c. Staphylococcus epidermidis d. Staphylococcus saprophyticus
13. A 10-year-old child develops glomerulonephritis a week after he was treated for a sore throat. The causal agent
is identified by serotyping of the
a. capsule b. M proteins c. outer membrane proteins
d. pili e. teichoic acids
14. Which of the following virulence factor of Strep. pneumoniae that inhibits leukocyte respiratory burst and
inhibits classical complement fixation?
a. Polysaccharides capsule b. IgA protease
c. Teichoic acid d. Pneumolysin O
15. The most common cause of typical pneumonia is ________________.
a. Staph. aureus b. Strep. pneumoniae
c. Strep. agalactiae d. Strep. pyogenes
16. The most common cause of Otitis media is ________________.
a. Staph. aureus b. Strep. pneumoniae
c. Strep. agalactiae d. Strep. pyogenes
17. ______________ is the most common cause of adult meningitis.

a. Neisseria meningitis b. Staph. aureus
c. Strep. pneumoniae d. Strep. agalactiae
18. Latex particle agglutination is a test for capsular antigen of ____________ in CSF.
a. Neisseria meningitis b. Staph. aureus
c. Strep. pneumoniae d. Strep. agalactiae
19. A 55-year-old woman had her rheumatic heart valve replaced with a prosthetic valve. Six blood cultures
became positive after 3 days of incubation. An optochin-resistant, catalase-negative gram-positive coccus that
was alpha-hemolytic was isolated. What was the most likely causal agent?
a. Streptococcus viridans b. Pseudomonas aeruginosa c. Serratia marcescens
d. Staphylococcus aureus e. Streptococcus pneumoniae
20. Bacitracin is inhibitory for which of the following groups of streptococci:
a. A b. B
c. C d. D

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17. ______________ is the most common cause of adult meningitis.

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