**Core Concept:** Proteus is a genus of gram-negative, aerobic, and non-motile bacteria that can be isolated from the urinary tract infections (UTIs). They are known for their ability to change their shape from rod-like to spiral under certain conditions, a phenomenon called urease-positive, indole production, and citrate utilization (Urease test, Indole test, and Citrate test).
**Why the Correct Answer is Right:** When Proteus is isolated from a patient of UTI, it typically demonstrates the urease test positivity. Urease is an enzyme produced by Proteus that converts urea into ammonia and carbon dioxide, which contributes to the production of ammonium ions in the urine. These ammonium ions create an alkaline environment that aids in bacterial growth and survival, particularly in the context of UTIs.
**Why Each Wrong Option is Incorrect:**
A. Indole production: Proteus can produce Indole, but the correct answer is not Urease test positivity.
B. Citrate utilization: Proteus can utilize citrate, but the correct answer is not Urease test positivity.
C. CAMP test positivity: The CAMP test is used to differentiate Enterobacteriaceae species, not Proteus.
D. Methyl red test positivity: The Methyl red test is used to differentiate Enterobacteriaceae species, not Proteus.
**Clinical Pearl:** Proteus spp. are often associated with UTIs, particularly in patients with a urinary catheter or other indwelling devices. These bacteria can cause complications like pyelonephritis, prostatitis, and bacteriuria. A positive Urease test helps to confirm the diagnosis of Proteus spp. in UTIs.
**Correct Answer:** C. Urease test positivity.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.