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American Society of Microbiology ABMM Sample Questions (Q67-Q72):

NEW QUESTION # 67
A microbiology laboratory receives a cerebrospinal fluid (CSF) sample from a patient with suspected meningitis. Gram stain shows numerous Gram-negative diplococci. The organism grows on chocolate agar but not on blood agar without added CO2. The MOST likely identification is:

A. Streptococcus pneumoniae
B. Listeria monocytogenes
C. Neisseria meningitidis
D. Haemophilus influenzae

Answer: C

NEW QUESTION # 68
A patient develops a severe diarrheal illness after consuming raw seafood. Stool culture yields a Gram- negative, comma-shaped bacterium that is oxidase-positive and grows on thiosulfate-citrate-bile salts-sucrose (TCBS) agar, producing blue-green colonies. The MOST significant virulence factor contributing to the severe, cholera-like diarrhea caused by this organism is:

A. Type III secretion system (T3SS)
B. Cholera toxin (CT)-like enterotoxin
C. Heat-stable enterotoxin (ST)
D. Heat-labile toxin (LT)

Answer: B

NEW QUESTION # 69
A patient with HIV infection and a very low CD4+ T-cell count develops a disseminated infection with a fungus that is commonly found in pigeon droppings. The MOST likely causative agent is:

A. Cryptococcus neoformans
B. Cryptococcus gattii
C. Saccharomyces cerevisiae
D. Candida glabrata

Answer: A

NEW QUESTION # 70
A patient develops a severe skin infection after a puncture wound sustained while gardening. Culture of the wound exudate grows a Gram-positive, spore-forming bacillus that is anaerobic and produces a potent neurotoxin causing sustained muscle contraction. The MOST likely organism is:

A. Clostridium botulinum
B. Clostridium perfringens
C. Clostridium tetani
D. Bacillus anthracis

Answer: C

NEW QUESTION # 71
A patient presents with symptoms suggestive of primary syphilis. Which diagnostic test typically becomes positive earliest in the course of infection?

A. Venereal Disease Research Laboratory (VDRL) test on CSF
B. Rapid Plasma Reagin (RPR)
C. Treponema pallidum particle agglutination (TP-PA)
D. Darkfield microscopy of lesion exudate

Answer: D

NEW QUESTION # 72
......

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