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Microbiology · Culture media: TCBS agar
Sample itemA man develops acute watery diarrhoea after eating raw shellfish. Stool plated on TCBS agar grows green colonies. Which organism is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Vibrio parahaemolyticus
TCBS agar contains sucrose and a bromothymol blue indicator. Sucrose fermenters such as V. cholerae and V. alginolyticus produce acid and yellow colonies, while non-fermenters such as V. parahaemolyticus give green or blue-green colonies. Raw seafood diarrhoea points to V. parahaemolyticus.
Option by option
A. Vibrio parahaemolyticus (correct)
Correct. A sucrose non-fermenter with a raw seafood history fits V. parahaemolyticus.
B. Vibrio cholerae
V. cholerae ferments sucrose and forms yellow colonies on TCBS.
C. Vibrio alginolyticus
V. alginolyticus ferments sucrose and gives yellow colonies; it more often causes ear and wound infection.
D. Escherichia coli
E. coli is inhibited by the high pH, bile salts and thiosulfate in TCBS.
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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