Updated: Jun 04, 2026
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1. During a community outbreak of influenza, a public health laboratory performs rapid antigen testing on nasopharyngeal swabs. A test for influenza A is positive, but the influenza B test is negative. Subsequently, RT-PCR is performed on the same sample, and it is negative for both influenza A and B viral RNA. The MOST likely explanation for this discordant result is:
A) The rapid antigen test has low sensitivity, resulting in a false positive.
B) The rapid antigen test yielded a false positive result, and the RT-PCR was a true negative.
C) The RT-PCR assay has a high limit of detection, missing a low viral load.
D) The patient was infected with a novel influenza strain not detected by either assay.
2. The azole class of antifungal agents (e.g., fluconazole, voriconazole) exerts its effect primarily by inhibiting which fungal-specific enzyme involved in membrane synthesis?
A) Squalene epoxidase
B) Beta-(1,3)-glucan synthase
C) Chitin synthase
D) Lanosterol 14-alpha-demethylase
3. A patient with cystic fibrosis experiences a pulmonary exacerbation. Sputum culture grows a mucoid strain of Pseudomonas aeruginosa. The mucoid phenotype is primarily due to the overproduction of:
A) Alginate
B) Pyocyanin
C) Elastase
D) Exotoxin A
4. A clinical microbiology laboratory is performing antimicrobial susceptibility testing on a Streptococcus pneumoniae isolate recovered from a patient with meningitis. The isolate shows reduced susceptibility to penicillin (MIC = 2 µg/mL). The MOST likely mechanism for this reduced susceptibility is:
A) Alterations in the penicillin-binding proteins (PBPs) that reduce their affinity for penicillin.
B) Modification of the peptidoglycan structure, preventing penicillin binding.
C) Production of beta-lactamase enzymes that hydrolyze penicillin.
D) Increased activity of efflux pumps that actively remove penicillin from the cell.
5. A patient develops a severe diarrheal illness after consuming raw oysters. Stool cultures grow a Gram- negative, comma-shaped bacterium that is oxidase-positive and grows on thiosulfate-citrate-bile salts-sucrose (TCBS) agar, producing green colonies. The MOST likely virulence factor contributing to the watery diarrhea is:
A) Heat-labile toxin (LT)
B) Cholera toxin-like enterotoxin
C) Cytotoxin-associated gene A (CagA)
D) Shiga toxin
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: A | Question # 5 Answer: B |
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