Try it
Microbiology · General microbiology and sterilisation: 16S rRNA sequencing
Sample itemA patient with a prosthetic valve has culture-negative endocarditis after antibiotics were given. A resected vegetation is amplified with broad-range primers, and the product is sequenced to identify the organism. Which gene is targeted?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. 16S ribosomal RNA gene
The 16S rRNA gene contains conserved regions that allow universal primers and variable regions that identify genus and species, so it is used for identifying unculturable or fastidious bacteria directly from tissue. The mecA gene only indicates methicillin resistance, and it does not identify the organism. Results must be interpreted with clinical findings and contamination controls.
Option by option
A. mecA gene
mecA detects methicillin resistance in staphylococci and does not identify an unknown organism.
B. 16S ribosomal RNA gene (correct)
Correct. Conserved 16S rRNA sequences permit broad-range amplification, and variable regions identify the organism.
C. Gene for a 70 kDa heat shock protein of the host
A host heat shock protein gene would amplify human DNA rather than identify bacteria.
D. Gene encoding beta-lactamase
Beta-lactamase genes show resistance potential in specific species and are not universal.
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.
More Microbiology questions
- BacteriologyA patient has profuse painless watery 'rice-water' stools and rapid dehydration. The cau…
- Culture mediaThayer–Martin medium is used selectively to isolate which organism?
- Immunology and serologyWhich of the following is a non-treponemal test for syphilis?
- BacteriologyAlbert's stain is used to demonstrate which of the following?