A 7-year-old child presents with fever, sore throat, and swollen anterior cervical lymph nodes.
A throat swab is cultured on blood agar. After 24 hours, colonies show a clear zone surrounding each colony. Which hemolysis pattern is observed?
Alpha hemolysis
Beta hemolysis
Gamma hemolysis
Delta hemolysis
The Correct Answer is B
A. Alpha hemolysis: Alpha hemolysis produces a partial or greenish discoloration of the blood agar around bacterial colonies due to the reduction of hemoglobin to methemoglobin. It is typically observed with organisms like Streptococcus pneumoniae and viridans streptococci, not clear zones.
B. Beta hemolysis: Beta hemolysis is characterized by complete lysis of red blood cells, resulting in a clear, transparent zone surrounding each colony on blood agar. This pattern is seen with pathogens such as Streptococcus pyogenes (group A strep), which commonly causes fever, sore throat, and anterior cervical lymphadenopathy in children.
C. Gamma hemolysis: Gamma hemolysis indicates no hemolysis; the agar surrounding the colonies remains unchanged. Organisms that exhibit gamma hemolysis, such as some Enterococcus species, do not lyse red blood cells and are typically non-pathogenic.
D. Delta hemolysis: Delta hemolysis is not a standard classification used in clinical microbiology for blood agar patterns. Hemolysis is typically described as alpha, beta, or gamma, with delta being an outdated or rare term not commonly applied to clinical isolates.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. To differentiate between Gram-positive and Gram-negative bacteria: Differentiating Gram-positive from Gram-negative bacteria is the purpose of Gram staining, a differential staining technique. Simple staining does not distinguish between bacterial cell wall characteristics or species based on Gram reaction.
B. To determine bacterial motility: Bacterial motility is assessed using methods such as the hanging drop technique or motility agar. Simple staining does not provide information about motility because it stains all cells uniformly and immobilizes them on the slide.
C. To visualize the size, shape, and arrangement of bacteria: The primary purpose of simple staining is to enhance the contrast between bacterial cells and the background, allowing clear observation of cellular morphology, including size, shape (cocci, bacilli, spirilla), and arrangement (chains, clusters, pairs). This information is fundamental for bacterial identification and classification in microbiology.
D. To identify bacterial endospores: Endospore identification requires special staining techniques, such as the Schaeffer-Fulton method using malachite green and safranin. Simple staining cannot differentiate spores from vegetative cells because all structures take up the basic dye similarly.
Correct Answer is B
Explanation
The goal of streaking is to isolate individual bacterial colonies from a mixed or dense culture, not to produce a thick, continuous layer. By streaking a loop across an agar plate in a systematic pattern, bacteria are progressively thinned out, allowing single cells to settle separately. These individual cells then grow into discrete colonies that can be identified, counted, or further studied. Producing a thick, continuous layer would prevent isolation and make it difficult to distinguish individual colonies, defeating the purpose of streaking for isolation and accurate microbiological analysis.
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