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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Consulting with Other Medical Professionals | 25% | - Education, research and professional development - Clinical consultation, result interpretation and guidance - Public health, epidemiology and outbreak investigation |
| Topic 2: Directing Laboratory Testing Functions | 44.5% | - Test selection, validation, quality control and interpretation - Up-to-date practices, standards, technologies and emerging diseases |
| Topic 3: Ensuring Safety and Security in the Laboratory | 11.5% | - Biological, chemical and physical safety - Security, waste management and emergency response |
| Topic 4: Directing Laboratory Administrative Functions | 19% | - Process improvement and risk management - Information management and reporting - Personnel management, competency assessment and training - Laboratory operations, budgeting and compliance - Accreditation, licensure and regulatory requirements |
A microbiology laboratory isolates a Gram-negative rod from a wound infection. The organism is oxidase- negative, ferments lactose on MacConkey agar, and produces indole. The MOST likely identification is:
Correct Answer: D 🗳️
A patient develops a severe diarrheal illness after consuming raw seafood. Stool culture yields a Gram- negative, comma-shaped bacterium that is oxidase-positive and grows on thiosulfate-citrate-bile salts-sucrose (TCBS) agar, producing blue-green colonies. The MOST significant virulence factor contributing to the severe, cholera-like diarrhea caused by this organism is:
Correct Answer: A 🗳️
An outbreak of gastroenteritis occurs among attendees of a company picnic. Epidemiological investigation points towards contaminated potato salad. Stool cultures from affected individuals grow non-lactose fermenting, Gram-negative rods that are H2S positive on TSI agar. Which pathogen is most likely responsible?
Correct Answer: A 🗳️
An immunocompromised patient develops a disseminated fungal infection. Tissue biopsy reveals small (2-4
µm) yeast cells within macrophages. The patient has a history of living in the Ohio and Mississippi River valleys. The MOST likely causative agent is:
Correct Answer: D 🗳️
Microscopic examination of a potassium hydroxide (KOH) preparation of skin scrapings from a patient with tinea versicolor typically reveals:
Correct Answer: B 🗳️
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