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American Society of Microbiology ABMM Sample Questions:

1. A research laboratory is investigating the mechanisms of viral latency in herpes simplex virus type 1 (HSV-
1). During latency in sensory neurons, the viral genome exists as a circular episome. Whichof the following viral gene products is thought to play a crucial role in maintaining this latent state and preventing viral gene expression?

A) Late (L) proteins such as structural glycoproteins.
B) Early (E) proteins such as thymidine kinase and DNA polymerase.
C) Latency-associated transcripts (LATs).
D) Immediate-early (IE) proteins such as ICP4 and ICP27.

2. An outbreak of gastroenteritis occurs among attendees of a company picnic. Epidemiological investigation points towards contaminated potato salad. Stool cultures from affected individuals grow non-lactose fermenting, Gram-negative rods that are H2S positive on TSI agar. Which pathogen is most likely responsible?

A) Enterotoxigenic E. coli (ETEC)
B) Salmonella Enteritidis
C) Shigella sonnei
D) Vibrio cholerae

3. A patient undergoing chemotherapy for leukemia develops a severe pneumonia. Bronchoalveolar lavage fluid is examined, revealing numerous cysts containing crescent-shaped structures upon silver staining. The patient's CD4+ T-cell count is significantly low. The MOST likely diagnosis is infection with:

A) Coccidioides immitis
B) Blastomyces dermatitidis
C) Pneumocystis jirovecii
D) Histoplasma capsulatum

4. An immunocompromised patient returning from a trip to the southwestern United States presents with fever, cough, and chest pain. Chest X-ray shows diffuse pulmonary infiltrates. Sputum culture grows a dimorphic fungus that forms spherules containing endospores at 37°C. The MOST likely causative agent is:

A) Coccidioides immitis
B) Blastomyces dermatitidis
C) Paracoccidioides brasiliensis
D) Histoplasma capsulatum

5. An immunocompromised patient develops a disseminated fungal infection. Blood cultures are negative, but a serum galactomannan assay is strongly positive. A CT scan of the chest reveals multiple nodular lesions with a halo sign. Bronchoalveolar lavage (BAL) fluid is analyzed by PCR, yielding a positive result for Aspergillus fumigatus. The halo sign observed on the CT scan is primarily attributed to:

A) Formation of thick-walled cysts containing fungal conidia.
B) A hypersensitivity reaction in the lung parenchyma.
C) Extensive granuloma formation surrounding fungal hyphae.
D) Angioinvasion by Aspergillus hyphae leading to localized hemorrhage and necrosis.

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