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American Society of Microbiology ABMM Exam Syllabus Topics:

American Society of Microbiology ABMM Sample Questions:

1. An elderly patient in a long-term care facility develops a localized outbreak of painful vesicles along a dermatome. Tzanck smear of a vesicle reveals multinucleated giant cells. The MOST likelycausative agent is:

A) Varicella-zoster virus
B) Coxsackievirus
C) Herpes simplex virus type 1
D) Orf virus

2. A patient with cystic fibrosis experiences a pulmonary exacerbation. Sputum culture grows a mucoid strain of Pseudomonas aeruginosa. The mucoid phenotype is primarily due to the overproduction of:

A) Pyocyanin
B) Exotoxin A
C) Alginate
D) Elastase

3. A child presents with a characteristic "slapped cheek" rash followed by a lacy, reticular rash on the trunk and extremities. The causative agent is a single-stranded DNA virus belonging to the family Parvoviridae, known as:

A) Rubella virus
B) Roseola virus (HHV-6)
C) Measles virus
D) Human parvovirus B19

4. A microbiology laboratory receives a bronchoalveolar lavage sample from a patient with suspected ventilator- associated pneumonia. Quantitative culture yields >10^5 CFU/mL of a Gram-negative rod. Identification reveals Stenotrophomonas maltophilia. The MOST significant resistance mechanism commonly associated with this organism is:

A) Production of extended-spectrum beta-lactamases (ESBLs).
B) Target site modification in DNA gyrase.
C) Ribosomal methylation leading to macrolide resistance.
D) Intrinsic resistance mediated by efflux pumps and specific enzymes.

5. In a clinical microbiology laboratory, quality control testing of Mueller-Hinton agar used for disk diffusion susceptibility testing involves checking the zone sizes for E. coli ATCC 25922, S. aureus ATCC 25923, and
P. aeruginosa ATCC 27853. What is the primary purpose of including P. aeruginosa ATCC 27853 in this QC?

A) To assess the performance of agents primarily active against Gram-positive organisms
B) To confirm the correct pH of the agar medium
C) To verify the performance of cell wall active agents like penicillin
D) To ensure appropriate concentration of calcium and magnesium ions affecting aminoglycoside activity

Solutions: