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American Society of Microbiology ABMM Sample Questions:

1. During a primary infection with Epstein-Barr virus (EBV), the virus establishes latency in B lymphocytes.
The transition from lytic to latent infection is tightly regulated by viral gene expression. Which of the following viral proteins is crucial for the establishment and maintenance of EBV latency and is a key target in EBV-associated lymphomas?

A) Epstein-Barr nuclear antigen 1 (EBNA1)
B) Glycoprotein gp350
C) Early antigen (EA)
D) Viral capsid antigen (VCA)

2. A microbiology laboratory is investigating an outbreak of bloodstream infections in a neonatal intensive care unit. Isolates of Staphylococcus epidermidis from multiple infants show indistinguishable banding patterns by pulsed-field gel electrophoresis (PFGE). This finding MOST strongly suggests:

A) Spontaneous mutations leading to increased pathogenicity.
B) Recent horizontal gene transfer of virulence factors.
C) Widespread antibiotic resistance within the S. epidermidis population.
D) A common source of infection and clonal spread of the organism.

3. A microbiology laboratory is asked to identify the causative agent of a fungal keratitis. Microscopic examination of corneal scrapings reveals broad, aseptate hyphae with right-angle branching. The MOST likely genus is:

A) Aspergillus
B) Fusarium
C) Mucor or Rhizopus
D) Candida

4. A clinical microbiology laboratory is investigating a potential outbreak of Legionella pneumophila associated with a hospital's water system. The MOST appropriate environmental samples to collect for culture and comparison to clinical isolates would be:

A) Water samples from showers, faucets, and cooling towers.
B) Air samples from patient rooms and common areas.
C) Sputum samples from asymptomatic healthcare workers.
D) Surface swabs from frequently touched objects.

5. A microbiology laboratory is processing a sputum sample from a patient with chronic cough and night sweats.
After Ziehl-Neelsen staining, acid-fast bacilli are observed. Culture on Lowenstein-Jensen medium is positive after several weeks. Drug susceptibility testing reveals resistance to isoniazid and rifampin. This patient is MOST likely infected with:

A) Actinomyces israelii
B) Multidrug-resistant Mycobacterium tuberculosis
C) Mycobacterium avium complex
D) Nocardia asteroides

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