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Serological testing relies upon


A) the specificity of the Fc region of antibodies.
B) the specificity of the variable regions of antibodies.
C) a patient who is not immunocompromised.
D) a very high viral or bacterial load in the patient.

E) A) and D)
F) B) and C)

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The radioimmunoassay test is used frequently for


A) identification of bacteria.
B) determining levels of hormones.
C) separation of DNA fragments.
D) identification of viruses.

E) A) and B)
F) All of the above

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Your daughter probably has strep throat,caused by Streptococcus pyogenes.The traditional method of diagnosis involves culturing on blood agar,but this process is time consuming.Your doctor wants a more rapid identification of the infectious agent using a specimen directly obtained from the patient's throat using a test that can be read in his office,without having to culture and isolate the organism.He would likely choose the:


A) direct fluorescence test.
B) Western Blot test.
C) immunochromatographic test.
D) pulse-field gel electrophoresis.

E) All of the above
F) A) and B)

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Staphylococcus aureus can be identified by mixing the organism with specific antibody,and visually recognizing a clumping reaction between the antigen and the antibody.This is a(n) _______ test.


A) microarray
B) biochemical
C) agglutination
D) ELISA

E) B) and D)
F) All of the above

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The urine specimen obtained from a patient went to the microbiology lab for a bacterial culture and antibiotic sensitivity testing.The specimen sat out on the processing counter for a couple of hours before being cultured.Twenty fours hours later,the lab report goes into the computer---over 100,000 bacterial cells per milliliter of urine.Which statement is an accurate assessment of these results?


A) The bacterial count is not accurate since the culture sat without refrigeration.
B) Not all bacteria will grow on bacteriological media,so the total count is grossly underestimated.
C) Urine is a sterile fluid as it leaves the body,so it is likely that the specimen was mishandled by the nursing staff when the sample was obtained.
D) Urine samples have to be taken from the kidney in order to get a true bacterial count.

E) A) and B)
F) A) and C)

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Antibody testing requires


A) only a known antigen.
B) only a known antibody.
C) both a known antigen and a known antibody.
D) either a known antigen or a known antibody.

E) A) and C)
F) A) and D)

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Syphilis can be diagnosed by the


A) Weil-Felix reaction.
B) rapid plasma reagin test.
C) Widal test.
D) latex agglutination test.
E) antistreptolysin O test.

F) A) and D)
G) A) and E)

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Which test cannot be used for identification of a person's HIV status?


A) ELISA
B) Western Blot
C) immunochromatographic testing
D) biochemical tests

E) B) and D)
F) A) and C)

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A direct immunofluorescence test involves a/an


A) precipitation reaction.
B) agglutination reaction.
C) known antibody binding antigen
D) lysis reaction.

E) All of the above
F) None of the above

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Serological testing always involves reactions between specific antibody and antigen.

A) True
B) False

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The polymerase chain reaction requires endonuclease to cut samples of DNA.

A) True
B) False

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Serotyping of bacteria cannot be used to identify this component:


A) cell wall.
B) flagella.
C) capsule.
D) DNA.

E) C) and D)
F) None of the above

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You would like to identify as many bacterial species as possible in the human mouth.Why is biochemical testing not the most efficient and accurate method of completing this task?


A) Since you do not know the growth characteristics and metabolic properties of the bacteria in the mouth,you cannot determine all varieties of media to use for isolation and culture.
B) Bacteria in the mouth are difficult to grow because of the adverse conditions in the oral habitats.
C) Bacteriological media is very expensive,particularly when you would have to use a variety of types to identify the different bacteria.
D) Biochemical testing,using a variety of media,is inaccurate.It has been superceded by more advanced testing procedures.

E) A) and B)
F) A) and C)

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The VRDL test detects


A) syphilis.
B) Rickettsia.
C) Salmonella.
D) Candida.

E) B) and D)
F) None of the above

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Antibiotics are often added to biochemical media to restrict the growth to only those organisms that are being looked for in the specimens.

A) True
B) False

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The primary advantage of genotypic analysis for identification is


A) it is easier than any other method.
B) it is less expensive than other methods.
C) it is widely available.
D) culturing of the organism is not required.

E) All of the above
F) A) and B)

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Phage typing is useful in identifying


A) Treponema pallidum.
B) Mycobacterium leprae.
C) Streptococcus pyogenes.
D) Salmonella.
E) Clostridium

F) None of the above
G) A) and B)

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The Western blot test is confirmatory for HIV because it


A) is more sensitive than the ELISA.
B) has fewer false positives than the ELISA.
C) requires electrophoresis,whereas the ELISA does not.
D) uses an indicator of some sort to visualize the antibody.
E) All of the choices are correct.

F) A) and B)
G) A) and C)

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A positive direct ELISA result requires


A) one known antibody,one unknown antibody,and an unknown antigen.
B) one known antibody,one unknown antibody,and a known antigen.
C) two known antibodies and one known antigen.
D) two known antibodies and one unknown antigen.

E) A) and B)
F) A) and C)

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Serological tests should have low sensitivity and specificity.

A) True
B) False

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