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OLFU College of Medicine Class 2015

Microbiology Platings 15: Streptococcus

Dr. Bartolome September 21, 2012

1. Each of the following statements about the classification of streptococci is correct except:
a. Pneumococci (Streptococcus pneumoniae) are alpha-hemolytic and can be serotyped on the basis of Pneumococci are
their polysaccharide capsule identified by
b. Enterococci are group D streptococci and can be classified by their ability to grown on 6.5% sodium Lancefield
chloride grouping, which
c. Pneumococci are identified by Lancefield grouping, which is based on the C carbohydrate in the cell is based on the C
wall carbohydrate in
d. Although pneumococci and the viridans streptococci are alpha-hemolytic, they can be differentiated the cell wall
by the bile solubility test and their susceptibility to optochin
2. Which of the following tests would differentiate between Staphylococci and Streptococci,
where the former is positive and the latter is negative?
a. Gram reaction c. Bile esculin Catalase
b. Catalase d. Coagulase
e. Optochin
3. A middle-aged woman presents with low grade fever and general malaise. Echocardiogram
indicates vegetations on the mitral valve. In the doctor’s office, she recounts a dentist
appointment a few weeks ago and several bouts of sore throat as a child. Which of the following
Streptococcus
is the most likely cause?
mutans
a. Streptococcus pyogenes c. Enterococcus faecalis
b. Streptococcus agalactiae d. Streptococcus pneumoniae
e. Streptococcus mutans
4. Streptococcal pyrogenic exotoxins act as superantigens and are associated with which of the
following? Toxic Shock
a. Toxic shock syndrome (TSS) and scarlet fever c. dental caries and brain abscesses Syndrome (TSS)
b. subacute bacterial endocarditis d. pharyngitis and impetigo and scarlet fever
e. glomerulonephritis and rheumatic fever
5. Which among the following S. pyogenes virulence factors is responsible for reducing viscosity
of abscess material?
DNAse
a. Streptokinase c. Streptolysin O
b. DNAse d. C5a peptidase
6. Which of the following is beta-hemolytic, bacitracin-sensitive, optochin-resistant and bile
soluble? Streptococcus
a. S. pyogenes c. S. pneumoniae pyogenes
b. S. agalactiae d. Enterococcus
7. A young child presents with fever and a skin rash localized around the lips. The rash appears
pustular with golden-brown crusts. Cultures from the lesion show Gram-positive cocci in chains
that are beta-hemolytic. Streptococcus
a. Streptococcus pyogenes c. Enterococcus faecalis pyogenes
b. Streptococcus agalactiae d. Streptococcus bovis
e. Streptococcus pneumoniae
8. Which of the following is beta-hemolytic, bacitracin resistant, optochin resistant, positive for
hippurate hydrolysis and positive for the CAMP reaction? Streptococcus
a. S. pyogenes c. S. pneumoniae agalactiae
b. S. agalactiae d. Enterococcus
9. Which among the following is not an important characteristic of Streptococcus pyogenes? Polysaccharide
a. Lipoteichoic acid c. polysaccharide group-specific substance group-specific
b. M protein d. hemolysin substance
10. An elderly woman presents with a cough producing rusty-colored sputum. She complains of
sharp, right-sided chest pains, chills and fevers. PE reveals increased fremitus, dullness to
percussion and bronchial breath sounds on the lower right side. CXR shows right lower lobe
consolidation and Gram stains of sputum show Gram-positive diplococcic. Which of the following Sreptococcus
is the most likely cause? pneumoniae
a. Streptococcus pyogenes c. Enterococcus faecalis
b. Streptococcus agalactiae d. Streptococcus bovis
e. Streptococcus pneumonia

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