KROK 1 2017 – Question 55 · KROK (Medicine) · Microbiology, Virology, and Immunology

During fibergastroscopy of a patient with ulcer disease of the stomach, the mucosal biopsy material is taken from the area of an ulcer. Impression smear is prepared from the biopsy material and stained by Gram method; the rest of the biopsy material is tested for urease activity. Microscopy of the impression smear revealed gram-negative spiral-shaped microorganisms, urease activity test is positive. What bacteria were detected?

  1. A. Helicobacter pylori
  2. B. Shigella flexneri
  3. C. Treponema pallidum
  4. D. Spirilla minor
  5. E. Campylobacter jejuni
Hint

Combine the Gram-stain shape with the urease result and ask how a bacterium could survive and settle in the acid environment of the stomach.

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