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American Society of Microbiology ABMM Sample Questions:

1. A research laboratory is investigating the quorum sensing system in Pseudomonas aeruginosa. They identify a novel autoinducer molecule and a corresponding transcriptional regulator. Disruption of the gene encoding this regulator leads to a significant decrease in the production of virulence factors such as elastase and pyocyanin. Further analysis reveals that this regulator directly binds to the promoter regions of these virulence genes in the presence of the autoinducer. This regulatory mechanism is an example of:

A) A direct transcriptional activation mechanism dependent on a small signaling molecule.
B) A global regulatory network controlled by alternative sigma factors.
C) A two-component regulatory system involving a sensor kinase and a response regulator.
D) A post-transcriptional regulatory mechanism involving small regulatory RNAs.

2. A clinical microbiology laboratory is investigating a cluster of Clostridium difficile infections in a hospital.
Which of the following methods is MOST appropriate for determining if the isolates from different patients are related?

A) Enzyme immunoassay for C. difficile toxins
B) Antimicrobial susceptibility testing
C) Molecular typing (e.g., PCR ribotyping)
D) Gram staining and morphology

3. A patient with HIV infection and a very low CD4+ T-cell count develops a disseminated infection with a fungus that is commonly found in pigeon droppings. The MOST likely causative agent is:

A) Cryptococcus gattii
B) Candida glabrata
C) Saccharomyces cerevisiae
D) Cryptococcus neoformans

4. A patient with HIV infection and a CD4+ T-cell count of 30 cells/µL develops progressive multifocal leukoencephalopathy (PML). The causative agent of PML is:

A) Human herpesvirus 6 (HHV-6)
B) JC virus (JCV)
C) Epstein-Barr virus (EBV)
D) Cytomegalovirus (CMV)

5. A microbiology laboratory receives a bronchoalveolar lavage sample from a patient with suspected ventilator- associated pneumonia. Quantitative culture yields >10^5 CFU/mL of a Gram-negative rod. Identification reveals Stenotrophomonas maltophilia. The MOST significant resistance mechanism commonly associated with this organism is:

A) Target site modification in DNA gyrase.
B) Production of extended-spectrum beta-lactamases (ESBLs).
C) Ribosomal methylation leading to macrolide resistance.
D) Intrinsic resistance mediated by efflux pumps and specific enzymes.

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