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Microbiology · Bacteriology
Sample itemA chronic alcoholic has rusty sputum and lobar consolidation. Sputum Gram stain shows lancet-shaped Gram-positive diplococci with alpha-haemolytic colonies. Which test best separates the organism from viridans streptococci?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Optochin sensitivity
This is Streptococcus pneumoniae, which is optochin sensitive and bile soluble, whereas viridans streptococci are optochin resistant and bile insoluble. Both are catalase negative, so the catalase test cannot separate them.
Option by option
A. Bacitracin sensitivity
Bacitracin sensitivity identifies Group A streptococci (Streptococcus pyogenes).
B. Catalase test
Both are catalase negative, so catalase testing does not distinguish them from each other.
C. Coagulase test
Coagulase differentiates Staphylococcus aureus from other staphylococci and does not apply to streptococci.
D. Optochin sensitivity (correct)
Correct. Pneumococci are inhibited by optochin, while viridans streptococci are not.
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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