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Microbiology · General microbiology and sterilisation: mannitol salt agar
Sample itemA nasal swab from a surgeon is plated on a medium containing 7.5 percent sodium chloride, mannitol and phenol red. Small colonies surrounded by a yellow zone grow. Which organism is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Staphylococcus aureus, a halotolerant mannitol fermenter
Mannitol salt agar is selective for staphylococci because of the high salt content and differential because S. aureus ferments mannitol, producing acid that turns phenol red yellow. S. epidermidis grows but leaves the medium red.
Option by option
A. Streptococcus pyogenes, a beta-haemolytic coccus
S. pyogenes is not halotolerant and does not grow on this medium.
B. Escherichia coli, a lactose-fermenting enteric bacillus
E. coli is inhibited by the high salt concentration and does not grow.
C. Staphylococcus epidermidis, a halotolerant non-fermenter of mannitol
S. epidermidis tolerates salt but does not ferment mannitol, so the zone stays red.
D. Staphylococcus aureus, a halotolerant mannitol fermenter (correct)
Correct. Growth in 7.5 percent salt with mannitol fermentation indicates S. aureus.
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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