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DOH exam preparation (Abu Dhabi) – page 7

700 practice MCQs for the DOH medical laboratory exam. Level: Basic to intermediate.

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Q121EasyGram-positive cocci

Gram-positive cocci dividing in three planes form cubical packets of eight cells. This arrangement is called:

Answer: C. Sarcinae

Division in three perpendicular planes gives packets of eight (sarcinae). Two planes give tetrads; irregular planes give clusters.

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Q122EasyGeneral bacteriology, stains & sterilization

The temperature at which a bacterial species multiplies fastest is its:

Answer: C. Optimum temperature

Growth rate peaks at the optimum temperature (37 °C for most human pathogens). Minimum and maximum define the limits of growth.

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Q123EasyGeneral bacteriology, stains & sterilization

Which process changes bacterial DNA but does NOT transfer genes between cells?

Answer: D. Mutation

Mutation alters the cell's own DNA. Transformation (free DNA), transduction (phage) and conjugation (pilus) move DNA between bacteria.

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Q124EasyIntestinal protozoa

A wet mount of a vaginal swab in saline is examined for jerky, flagellated motile organisms. This is the usual first test for:

Answer: B. Trichomonas vaginalis

T. vaginalis is detected by its motility in a fresh vaginal wet mount (or NAAT). Gonorrhoea needs culture or NAAT from endocervical/urethral samples.

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Q125EasyEnterobacterales

The principal indicator of faecal contamination in drinking water is:

Answer: A. Escherichia coli

E. coli is abundant in faeces and rarely grows in the environment, so its presence shows recent faecal pollution.

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Q126EasyGram-positive cocci

Which streptococcus is typically beta-haemolytic on sheep blood agar?

Answer: D. Streptococcus pyogenes

S. pyogenes produces streptolysins giving complete haemolysis. S. salivarius and S. mitis are usually non- or alpha-haemolytic; S. pneumoniae is alpha-haemolytic.

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Q127EasyGram-positive cocci

A typical Staphylococcus cell measures approximately:

Answer: D. 1 µm in diameter

Most cocci are about 1 µm across, within the 0.2–5 µm range of common bacteria. 10 µm is closer to a red cell's size.

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Q128EasyEnterobacterales

On MacConkey or EMB agar, Salmonella and Shigella usually form colonies that are:

Answer: C. Colourless (lactose non-fermenting)

These pathogens do not ferment lactose, so colonies remain pale. Pink (MAC) or green sheen (EMB) indicates lactose fermenters such as E. coli.

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Q129EasyGram-positive cocci

Correctly Gram-stained streptococci appear:

Answer: D. Dark violet (purple)

Streptococci are gram-positive and retain the crystal violet–iodine complex. Gram-negative cells appear red.

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Q130EasyCulture media, specimens & AST

A stab culture shows diffuse cloudiness spreading from the stab line in a soft medium. The medium used for this motility test is:

Answer: B. Semisolid

Motility media contain low agar (semisolid) so motile bacteria can migrate. Solid agar would restrict growth to the stab line.

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Q131EasyAnaerobes

Which of these is an obligate anaerobe?

Answer: D. Clostridium botulinum

Clostridia are strict anaerobes. B. anthracis and Listeria are facultative; Nocardia is aerobic.

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Q132EasyGram-positive cocci

Enterococci carry which Lancefield group antigen?

Answer: A. Group D

Enterococci and the Streptococcus bovis group possess group D antigen. Enterococci are now a separate genus but keep this antigen.

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Q133EasyGeneral bacteriology, stains & sterilization

Incineration in the laboratory is best suited to:

Answer: B. Destroying contaminated disposable waste

Incineration burns material to ash, so it is used for disposal. Reusable instruments and glassware are autoclaved or hot-air sterilised.

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Q134EasyNon-fermenters & other GNR

A painful genital ulcer with tender inguinal buboes yields small gram-negative rods in 'school-of-fish' chains. The agent is:

Answer: C. Haemophilus ducreyi

H. ducreyi causes chancroid, a painful ulcer. Syphilis (T. pallidum) gives a painless chancre and the organism is not seen on Gram stain.

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Q135EasyGeneral bacteriology, stains & sterilization

Pre-packed disposable plastic syringes are sterilised commercially by:

Answer: C. Gamma irradiation

Ionising radiation penetrates packaging and heat-sensitive plastics at room temperature. Heat methods would melt them.

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Q136EasyEnterobacterales

Which organism is a non-lactose fermenter on MacConkey agar?

Answer: D. Proteus mirabilis

Proteus forms pale colonies. E. coli, Klebsiella and Enterobacter ferment lactose and form pink colonies.

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Q137EasyEnterobacterales

Which of these is an enrichment broth for Salmonella from stool?

Answer: C. Selenite F broth

Selenite F suppresses coliforms while Salmonella multiplies, then it is subcultured. The others are plated media.

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Q138EasyNeisseria & fastidious

Chocolate agar, made by heating blood agar, is an example of an:

Answer: A. Enriched medium

Heating lyses red cells, releasing X and V factors for fastidious organisms like Haemophilus and Neisseria.

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Q139EasyCulture media, specimens & AST

Prepared agar plates are best stored:

Answer: A. At 2–8 °C in sealed bags, lid-side down

Cold storage in sealed bags prevents drying and contamination, keeping plates usable for weeks. Light-sensitive media also need darkness.

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Q140EasyNon-fermenters & other GNR

Bordet–Gengou or Regan–Lowe charcoal agar is used to isolate the agent of:

Answer: C. Whooping cough

These media support Bordetella pertussis, grown from nasopharyngeal swabs. Its colonies resemble mercury drops.

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