Try it
Microbiology · Clinical microbiology and hospital infection control: molecular typing in outbreaks
Sample itemFour MRSA isolates from different patients in one ward have identical antibiograms. Which method best shows whether they belong to a single clone?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Whole-genome sequencing or pulsed-field gel electrophoresis
Identical antibiograms do not prove relatedness because many unrelated strains share a resistance pattern. Molecular typing, such as whole-genome sequencing, PFGE or MLST, determines clonal relationship in outbreak investigation.
Option by option
A. Gram stain morphology of each isolate
All S. aureus look alike on Gram stain.
B. Whole-genome sequencing or pulsed-field gel electrophoresis (correct)
Correct. Genome-based typing resolves strain relatedness.
C. Repeating the disc diffusion test
Repeating the antibiogram only reproduces the same pattern.
D. Catalase test on each isolate
Every S. aureus isolate is catalase positive, so it cannot discriminate strains.
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?