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American Society of Microbiology ABMM Sample Questions:

1. Which of the following bacterial genera inherently possesses D-alanyl-D-lactate peptide subunits in its peptidoglycan precursors, conferring natural, high-level resistance to vancomycin?

A) Leuconostoc
B) Staphylococcus
C) Enterococcus (e.g., E. gallinarum, E. casseliflavus carrying vanC)
D) Streptococcus

2. A clinical microbiology laboratory is performing antimicrobial susceptibility testing on a Streptococcus pneumoniae isolate using broth microdilution. The lowest concentration of antibiotic that inhibits visible growth of the organism is reported as the:

A) Minimum bactericidal concentration (MBC)
B) Zone diameter
C) Minimum inhibitory concentration (MIC)
D) Breakpoint

3. A patient with a history of neutropenia following chemotherapy develops a severe pneumonia.
Bronchoalveolar lavage fluid reveals the presence of hyaline, septate hyphae with frequent dichotomous branching at acute angles. Culture yields a filamentous fungus that produces conidiophores with a vesicle bearing phialides that release chains of conidia. The MOST likely genus is:

A) Aspergillus
B) Rhizopus
C) Fusarium
D) Mucor

4. A patient with a history of diabetes mellitus develops a severe foot ulcer. Deep tissue cultures grow multiple anaerobic bacteria, including Clostridium perfringens. The MOST concerning virulence factor produced by this organism in this context is:

A) Tetanospasmin
B) Hyaluronidase
C) Alpha-toxin (lecithinase)
D) Botulinum toxin

5. A clinical microbiology laboratory is monitoring the emergence of resistance to colistin in Gram-negative bacteria. Resistance to colistin is often mediated by modifications of the bacterial lipopolysaccharide (LPS).
The genetic basis for acquired colistin resistance most commonly involves:

A) Alterations in the outer membrane porin proteins, reducing colistin uptake.
B) Production of enzymes that directly inactivate the colistin molecule.
C) Acquisition of genes encoding efflux pumps that specifically target colistin.
D) Mutations in genes encoding enzymes that modify the lipid A component of LPS.

Solutions: