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Phenotypic testing is often beneficial in identifying infectious agents from patient samples; however, some disadvantages include


A) organisms must be grown on the same culture media so it is difficult to distinguish them from each other.
B) lengthy culturing times and the inability to grow some bacteria in vitro.
C) difficulty in identifying motile organisms.
D) non-specificity of some biochemical tests since all pathogens utilize the same substrate as a fuel source.

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

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B

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.He would prefer to use a test that can be read in his office without having to culture and isolate the organism.He would likely choose the


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

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

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The ELISA test has been used as the most common, rapid screening test for HIV infection.Its sensitivity is very high but its specificity is rather low (for an important identification test) .Which statement describes this accurately?


A) Only certain kinds of instruments can be used to pick up the small amounts of fluorescence given off in the ELISA.
B) The test can identify the patient's antibody to HIV only when it is large quantities.
C) A false positive test result may develop due to the test antigens capturing normal antibodies.
D) The patient's specimen has to be handled in a certain way to maintain the integrity of the viral DNA.

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

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Alkaline phosphatase is an enzyme used in _____ tests.


A) indirect fluorescent antibody
B) ELISA
C) Western blot
D) direct fluorescent antibody

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

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An infectious organism isolated from a patient has a sequence on its genome TATTGAAGC.This will hybridize to the RNA probe UAUUGAAGC.

A) True
B) False

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The indirect ELISA test is commonly used to diagnose infections caused by all of the following except ______.


A) hepatitis A virus
B) rubella virus
C) hepatitis C virus
D) HIV
E) Helicobacter

F) A) and B)
G) B) and D)

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The tuberculin test is an example of an in vitro serological test.

A) True
B) False

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Soluble antigens are detected in what type of test?


A) Specificity
B) Cross-reactions
C) Agglutination
D) Precipitation
E) Sensitivity

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

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D

Biochemical tests include all of the following except


A) gas production tests.
B) sugar fermentation tests.
C) antibiotic sensitivity tests.
D) ribotyping tests.
E) tests for the presence of specific enzymes.

F) All of the above
G) A) and C)

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Viruses can be used to identify bacteria because of viral specificity for a host cell.This identification method is called ______.


A) phage typing
B) probing
C) ELISA
D) immunochromatography

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

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In vivo testing is useful for diagnosing ______.


A) hepatitis A
B) HIV
C) tuberculosis
D) whooping cough
E) rubella

F) A) and B)
G) A) and E)

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When minute samples of DNA need to be genetically analyzed for identification purposes, which test can be effectively used?


A) Weil-Felix reaction
B) PCR
C) Direct fluorescence antibody
D) Western Blot
E) Widal

F) C) and E)
G) All of the above

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What type of test will detect cell-associated antigens?


A) Cross-reaction
B) Sensitivity
C) Agglutination
D) Precipitation
E) Specificity

F) C) and E)
G) D) and E)

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The ELISA is commonly used for diagnosing salmonellosis.

A) True
B) False

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In precipitation tests, the antigen


A) -antibody complex settles to the bottom of the tube.
B) is a whole cell.
C) is an insoluble molecule.
D) is a soluble molecule.

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

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The property of a test to detect only a certain antibody or antigen and not to react with any others is ______.


A) specificity
B) sensitivity
C) cross-reaction
D) agglutination
E) precipitation

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

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The difference between direct and indirect immunofluorescence testing is that


A) Direct testing adds antibodies directly to antigens, whereas indirect testing cultures the organisms first and adds fluorescent tags to the patient sample.
B) Direct testing determines the identity of an unknown antibody in a patient sample, whereas indirect testing determines whether the patient is infected with a specific antigen.
C) Indirect testing determines the identity of an unknown antigen in a patient sample, whereas direct testing.determines whether the patient has been exposed to an antigen as evidenced by the presence of antibodies in their sera.
D) Direct testing determines the identity of an unknown antigen in a patient sample, whereas indirect testing.determines whether the patient has been exposed to an antigen as evidenced by the presence of antibodies in their sera.

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

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Which of these tests is an in vivo test?


A) Tuberculin test
B) Western Blot
C) Agglutination test
D) PCR

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

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Which statement about clinical identification tests is true?


A) Microarray tests are based on electrophoresis methodology.
B) Serological tests are always based on identifying antibodies in the patient.
C) Biochemical tests are quicker than genetic analysis tests.
D) Not all diseases are identified by clinical tests.

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

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Serological testing relies upon


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

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

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C

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