Mrs Thomas Comes to the Emergency Department Where You Work

question 56

Multiple Choice

Mrs. Thomas comes to the emergency department where you work, complaining of nausea and vomiting, bloody diarrhea, abdominal discomfort and fever. She tells you that she went out to a picnic the previous day, where barbecued chicken was served. Mrs. Thomas is a vegan, so she ate only salad. You think that she likely has salmonellosis, caused by the bacterium Salmonella enterica. However, the presence of blood in her stool causes you concern, and you want to rule out the possibility that patient has shigellosis, caused by Shigella bacterial species.
-On HE medium, Shigella species produce blue-green colonies, while Salmonella produces blue-green colonies with a black center. There are two noticeable types of colonies growing on the hektoen enteric (HE) medium in Mrs. Thomas' test. One type of colony is greenish in color. This leads you to conclude that the bacteria in these colonies 

• A) is Gram-negative and is likely Shigella.
• B) is Gram-negative and is likely Salmonella.
• C)  is Gram-positive and is likely Shigella.
• D) is Gram-positive and is likely Salmonella.
• E) is Gram-neutral and is likely Salmonella.

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Definitions:

Assessment

The evaluation or analysis of a person's abilities, skills, behaviors, attitudes, or academic knowledge for a specific purpose.

Debriefing

A structured conversation following an event or activity, aiming to review the occurrences, assess performance, and identify lessons learned.

Paraprofessionals

Trained aides who assist professionals, particularly in health, education, and legal fields, but do not have the full professional qualifications.

Mental Health

A state of well-being in which an individual realizes their abilities, can cope with the normal stresses of life, can work productively, and is able to make contributions to their community.