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Microbiology · Bacteriology: Bacillus cereus
Sample itemWithin 2 hours of eating fried rice from a roadside stall, three students develop nausea and repeated vomiting without fever. The rice had been boiled in the morning and kept at room temperature. Which organism is the most likely cause?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Bacillus cereus
The emetic form of Bacillus cereus food poisoning follows ingestion of rice in which surviving spores germinated after cooking and produced heat-stable cereulide toxin; onset is 1 to 5 hours with vomiting. Clostridium perfringens causes diarrhoea after 8 to 16 hours, Salmonella needs a longer incubation with fever, and Vibrio parahaemolyticus is associated with seafood.
Option by option
A. Clostridium perfringens
C. perfringens causes watery diarrhoea with a longer incubation.
B. Bacillus cereus (correct)
Correct. Rice kept warm allows emetic toxin formation by B. cereus.
C. Vibrio parahaemolyticus
V. parahaemolyticus is linked to raw or undercooked seafood.
D. Salmonella Typhimurium
Salmonella gastroenteritis has a longer incubation and usually fever.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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