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Pass the American Society of Microbiology ASM-ABMM ABMM Questions and answers with ExamsMirror

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Questions # 41:

What is the most appropriate method for sterilizing a heat-labile liquid solution containing essential proteins for use in tissue culture?

Options:

A.

Autoclaving at 121°C for 15 minutes

B.

Filtration through a 0.22 µm pore size membrane filter

C.

Exposure to ethylene oxide gas

D.

Irradiation with ultraviolet (UV) light

Questions # 42:

A clinical microbiology laboratory is investigating a potential outbreak of Legionella pneumophila associated with a hospital's water system. The MOST appropriate environmental samples to collect for culture and comparison to clinical isolates would be:

Options:

A.

Air samples from patient rooms and common areas.

B.

Surface swabs from frequently touched objects.

C.

Water samples from showers, faucets, and cooling towers.

D.

Sputum samples from asymptomatic healthcare workers.

Questions # 43:

A patient with a history of inflammatory bowel disease is diagnosed with primary sclerosing cholangitis and undergoes liver transplantation. Post-transplant, they develop a bloodstream infection with a Gram-negative bacterium that is identified as Fusobacterium nucleatum. This organism's role in the pathogenesis of colorectal cancer is primarily attributed to its ability to:

Options:

A.

Produce potent exotoxins that damage the intestinal epithelium.

B.

Modulate the host immune response and promote a pro-inflammatory microenvironment.

C.

Directly induce mutations in colonic epithelial cells.

D.

Form biofilms that physically obstruct the bile ducts.

Questions # 44:

A clinical microbiology laboratory encounters a Gram-negative bacillus isolated from a bloodstream infection. The isolate exhibits resistance to multiple antibiotics, including carbapenems. Further phenotypic testing reveals the production of a metallo-beta-lactamase (MBL). Which of the following antibiotic combinations might still retain activity against this isolate?

Options:

A.

Ceftazidime-avibactam

B.

Piperacillin-tazobactam

C.

Aztreonam

D.

Aztreonam-avibactam

Questions # 45:

A clinical microbiology laboratory is investigating a cluster of bloodstream infections caused by Staphylococcus aureus. To differentiate between community-associated (CA-MRSA) and healthcare-associated (HA-MRSA) strains, they may look for the presence of:

Options:

A.

The mecA gene, which is common to both CA-MRSA and HA-MRSA.

B.

Specific staphylococcal cassette chromosome mec (SCCmec) types, such as SCCmec IV or V inCA-MRSA.

C.

Panton-Valentine leukocidin (PVL) toxin genes, which are exclusively found in HA-MRSA.

D.

Resistance to non-beta-lactam antibiotics, which is more common in CA-MRSA.

Questions # 46:

Microscopic examination of a Calcofluor white stained sputum sample from an immunocompromised patient with suspected invasive pulmonary infection reveals septate hyphae that branch dichotomously at acute (approximately 45°) angles. Conidial structures are observed, showing conidiophores arising from a specialized foot cell, terminating in a flask-shaped vesicle that bears phialides only on the upper two-thirds (uniseriate arrangement). Chains of small, round conidia are produced. This morphology is most characteristic of:

Options:

A.

Rhizopus arrhizus

B.

Aspergillus flavus

C.

Aspergillus fumigatus

D.

Fusarium solani

Questions # 47:

A serum sample from an asymptomatic patient screened for syphilis yields a reactive Rapid Plasma Reagin (RPR) test result with a titer of 1:16, but a non-reactive Treponema pallidum particle agglutination (TP-PA) test. What is the most likely interpretation of these findings?

Options:

A.

Early primary syphilis (before treponemal antibodies develop)

B.

Successfully treated past syphilis infection

C.

Biological false positive (BFP) RPR reaction

D.

Prozone phenomenon in the TP-PA test

Questions # 48:

Clavulanic acid is often combined with amoxicillin (e.g., Augmentin™) to overcome certain types of bacterial resistance. What is the primary mechanism by which clavulanic acid enhances amoxicillin's activity?

Options:

A.

It increases the outer membrane permeability to amoxicillin in Gram-negative bacteria.

B.

It functions as a potent, irreversible inhibitor of many bacterial beta-lactamase enzymes.

C.

It binds to alternative penicillin-binding proteins (PBPs), providing a synergistic bactericidal effect.

D.

It inhibits bacterial efflux pumps that would otherwise remove amoxicillin from the cell.

Questions # 49:

A research team is investigating the mechanisms of antifungal resistance in Candida albicans. They identify a strain that exhibits resistance to azole antifungal agents. Further analysis reveals overexpression of a specific ATP-binding cassette (ABC) transporter protein in the resistant strain. This mechanism of resistance involves:

Options:

A.

Alteration of the fungal ergosterol biosynthesis pathway, the target of azoles.

B.

Increased degradation of the azole antifungal agent within the fungal cell.

C.

Active efflux of the azole antifungal agent out of the fungal cell.

D.

Modification of the fungal cell wall, preventing azole penetration.

Questions # 50:

A patient develops a febrile illness with jaundice and dark urine after receiving a blood transfusion. Laboratory testing reveals an elevated level of unconjugated bilirubin and a positive direct Coombs test. Serological testing is positive for antibodies against a protozoan parasite that infects erythrocytes. The MOST likely causative agent is:

Options:

A.

Plasmodium falciparum

B.

Babesia microti

C.

Trypanosoma cruzi

D.

Toxoplasma gondii

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