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Microbiology · Bacteriology: staphylococcal food poisoning
Sample itemFour guests develop severe vomiting 3 hours after eating a custard dessert that was left unrefrigerated and then reheated before serving. Fever is absent and they recover in a day. Why did reheating fail to make the food safe?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. The enterotoxin is preformed and heat stable
Staphylococcus aureus multiplies in contaminated food and releases enterotoxin, which is a heat-stable, preformed superantigen resistant to boiling for 30 minutes. Short incubation of 1 to 6 hours with vomiting and no fever is typical. Treatment is supportive, and prevention requires hygiene and refrigeration.
Option by option
A. The enterotoxin is preformed and heat stable (correct)
Correct. Cooking kills the bacteria but not the preformed toxin.
B. Staphylococcal spores survive boiling
Staphylococci do not form spores; the toxin is the problem.
C. The toxin is produced inside the gut after ingestion
The toxin acts after ingestion but is already formed in the food.
D. Reheating selects toxin-resistant bacteria
Reheating does not select resistance; the toxin simply survives.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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