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American Society of Microbiology ABMM Sample Questions:

1. A patient presents with a chronic cough, weight loss, and night sweats. Chest X-ray shows cavitarylesions in the upper lobes. Sputum is acid-fast positive. Drug susceptibility testing reveals resistance to isoniazid but susceptibility to rifampin, ethambutol, and pyrazinamide. The MOST appropriate treatment regimen should include:

A) Isoniazid, ethambutol, and pyrazinamide
B) Isoniazid, rifampin, pyrazinamide, and ethambutol
C) Rifampin, ethambutol, and pyrazinamide
D) Isoniazid and rifampin

2. A research laboratory is investigating the mechanism of action of a novel antiviral compound. In vitro studies demonstrate that the compound effectively inhibits the replication of a specific enveloped RNA virus. Further analysis reveals that the compound does not interfere with viral entry, genome replication, or protein synthesis. However, electron microscopy of infected cells treated with the compound shows an accumulation of viral glycoproteins within the endoplasmic reticulum and Golgi apparatus, with a significant reduction in the release of infectious virions. The MOST likely target of this antiviral compound is:

A) Host cell membrane fusion machinery
B) Viral glycoprotein trafficking and maturation
C) Viral protease responsible for polyprotein cleavage
D) Viral RNA-dependent RNA polymerase

3. A patient with a history of recurrent urinary tract infections caused by Escherichia coli develops a new infection. The urine isolate is resistant to trimethoprim-sulfamethoxazole. The MOST common mechanism of resistance to this antibiotic combination in E. coli involves:

A) Enzymatic inactivation of trimethoprim and sulfamethoxazole.
B) Expression of efflux pumps that specifically target trimethoprim and sulfamethoxazole.
C) Increased production of para-aminobenzoic acid (PABA).
D) Mutations in the genes encoding dihydrofolate reductase and dihydropteroate synthase.

4. Microscopic examination of a potassium hydroxide (KOH) preparation of skin scrapings from a patient with tinea versicolor typically reveals:

A) Broad, aseptate hyphae with sporangiophores
B) Cigar-shaped yeast cells
C) Septate hyphae and arthroconidia
D) Short, unbranched hyphae and globose yeast cells in clusters ("spaghetti and meatballs")

5. A research team is investigating the mechanism of bacterial resistance to a novel fluoroquinolone antibiotic.
They isolate a resistant strain of Escherichia coli from a patient with a urinary tract infection. Genetic analysis of this strain reveals a point mutation in the gyrA gene. This mutation MOST likely results in:

A) Increased expression of efflux pumps that actively transport the antibiotic out of the cell.
B) Alteration of the DNA gyrase enzyme, reducing its affinity for the fluoroquinolone.
C) Production of an enzyme that inactivates the fluoroquinolone molecule.
D) Modification of the ribosomal target site, preventing antibiotic binding.

Solutions: