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Microbiology · Mycology
Sample itemA man with advanced HIV has headache and neck stiffness for two weeks. India ink preparation of CSF is performed. What is the expected finding?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Narrow-based budding yeasts surrounded by a clear halo of capsule
Cryptococcus neoformans is an encapsulated yeast, and the polysaccharide capsule excludes India ink, producing a clear halo. Capsular antigen detection in CSF or serum is also highly sensitive.
Option by option
A. Septate hyphae branching at acute angles
Septate hyphae branching at acute angles describe Aspergillus.
B. Narrow-based budding yeasts surrounded by a clear halo of capsule (correct)
Correct. The capsule forms a clear halo against the dark ink background.
C. Large spherules filled with endospores
Spherules containing endospores describe Coccidioides immitis.
D. Broad-based budding yeasts
Broad-based budding yeasts describe Blastomyces dermatitidis.
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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