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American Society of Microbiology ABMM Exam Syllabus Topics:

SectionObjectives
Clinical Microbiology- Virology
  • 1. Clinical viral pathogens
    • 2. Diagnostic virology methods
      - Parasitology
      • 1. Human parasitic infections
        • 2. Diagnostic techniques in parasitology
          - Mycology
          • 1. Medical fungal infections
            • 2. Laboratory identification of fungi
              - Bacteriology
              • 1. Identification and classification of bacterial pathogens
                • 2. Antimicrobial susceptibility testing principles
                  Infectious Disease Principles- Epidemiology
                  • 1. Transmission and outbreak investigation
                    • 2. Public health microbiology
                      - Pathogenesis
                      • 1. Host-pathogen interactions
                        • 2. Mechanisms of microbial infection
                          Laboratory Management & Quality Systems- Quality assurance and quality control
                          • 1. Laboratory quality systems design
                            • 2. Proficiency testing and validation
                              - Regulatory compliance
                              • 1. Safety and biosafety requirements
                                • 2. Clinical laboratory regulations and accreditation standards
                                  Laboratory Operations- Instrumentation and methodologies
                                  • 1. Molecular diagnostic techniques
                                    • 2. Automated microbiology systems
                                      - Diagnostic workflow
                                      • 1. Specimen handling and processing
                                        • 2. Test selection and interpretation

                                          American Society of Microbiology ABMM Sample Questions:

                                          1. A research laboratory is investigating the mechanisms of antiviral drug resistance. They are studying a herpes simplex virus strain that has developed resistance to acyclovir. The MOST common mechanism of acyclovir resistance in HSV involves mutations in the gene encoding:

                                          A) Viral thymidine kinase
                                          B) Viral glycoprotein D
                                          C) Viral DNA polymerase
                                          D) Viral protease


                                          2. An immunocompromised patient develops a disseminated fungal infection. Blood cultures are consistently negative. However, a serum beta-D-glucan assay is markedly elevated. Tissue biopsy reveals the presence of hyaline, septate hyphae with dichotomous branching. The MOST likely causative organism is:

                                          A) Cryptococcus neoformans
                                          B) Mucor species
                                          C) Aspergillus fumigatus
                                          D) Rhizopus species


                                          3. A previously healthy 28-year-old female develops a severe, watery diarrhea after attending a picnic where she consumed potato salad that had been left unrefrigerated for several hours. Stool culture reveals numerous Gram-positive bacilli. Further biochemical testing shows the organism is beta-hemolytic on blood agar and produces a heat-stable enterotoxin. The MOST likely causative agent is:

                                          A) Vibrio cholerae
                                          B) Staphylococcus aureus
                                          C) Clostridium difficile
                                          D) Bacillus cereus


                                          4. A clinical microbiology laboratory encounters a Gram-negative bacillus isolated from a bloodstream infection. The isolate exhibits resistance to multiple antibiotics, including carbapenems. Further phenotypic testing reveals the production of a metallo-beta-lactamase (MBL). Which of the following antibiotic combinations might still retain activity against this isolate?

                                          A) Ceftazidime-avibactam
                                          B) Aztreonam
                                          C) Piperacillin-tazobactam
                                          D) Aztreonam-avibactam


                                          5. A patient develops a febrile illness with a diffuse petechial rash after a camping trip. Serological testing reveals a four-fold rise in antibody titer to Rickettsia rickettsii. The vector responsible for transmitting this organism is a:

                                          A) Tick
                                          B) Louse
                                          C) Flea
                                          D) Mosquito


                                          Solutions:

                                          Question # 1
                                          Answer: A
                                          Question # 2
                                          Answer: C
                                          Question # 3
                                          Answer: D
                                          Question # 4
                                          Answer: B
                                          Question # 5
                                          Answer: A

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