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American Society of Microbiology ABMM Sample Questions:

1. A patient develops a severe skin and soft tissue infection following a boating accident in the Gulf Coast.
Wound cultures grow a Gram-negative, halophilic bacterium that is oxidase-positive. The MOST likely organism is:

A) Vibrio vulnificus
B) Pseudomonas aeruginosa
C) Aeromonas hydrophila
D) Shewanella putrefaciens

2. A traveler returning from sub-Saharan Africa presents with cyclical fevers, chills, and sweats. A Giemsa- stained peripheral blood smear reveals multiple ring forms within red blood cells, some applique forms, and occasional banana-shaped gametocytes. No Schüffner's dots or red blood cell enlargement is observed. Which Plasmodium species is the most likely cause?

A) Plasmodium malariae
B) Plasmodium vivax
C) Plasmodium ovale
D) Plasmodium falciparum

3. A patient develops a severe gastrointestinal illness after consuming undercooked poultry. Stool culture yields a Gram-negative, microaerophilic, curved bacillus that is oxidase-positive. The MOST likely organism is:

A) Salmonella enterica
B) Campylobacter jejuni
C) Yersinia enterocolitica
D) Shigella dysenteriae

4. A patient who received a solid organ transplant develops a pneumonia. Bronchoalveolar lavage fluid is positive for a single-stranded RNA virus that can cause giant cell formation with intranuclear and intracytoplasmic inclusions. The MOST likely causative agent is:

A) Human metapneumovirus
B) Adenovirus
C) Respiratory syncytial virus (RSV)
D) Parainfluenza virus

5. What is considered the "gold standard" for routine monitoring of the lethality of steam sterilization (autoclave) cycles in healthcare facilities?

A) Use of chemical indicator strips placed inside each sterilized pack.
B) Daily check of autoclave cycle printouts for correct time, temperature, and pressure.
C) Performing a Bowie-Dick test at the beginning of each day for pre-vacuum sterilizers.
D) Regular use of biological indicators containing spores of Geobacillus stearothermophilus.

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