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169777 Microbiology

A neonate is born at term with multiple problems. He is small for gestational age and has cataract, hepatosplenomegaly and thrombocytopenia with purpura. Fuher studies demonstrate patent ductus aeriosus, bone lucency, pneumonia, and meningoencephalitis. The mother is a 17-year-old girl who had no prenatal care and had a mild maculopapular rash in mid-pregnancy. Which of the following is the most likely diagnosis?

ACongenital cytomegalovirus infection
BCongenital rubella
CCongenital syphilis
DCongenital toxoplasmosis
Microbiology
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169778 Surgery

A sputum sample was brought to the laboratory for analysis. Gram stain revealed the following: rare epithelial cells, 8 to 10 polymorphonu-clear leukocytes per high-power field, and pleomorphic Gram-negative rods. As the laboratory consultant, which of the following interpretations should you make?

AThe sputum specimen is too contaminated by saliva to be useful
BThe patient has pneumococcal pneumonia
CThe patient has Vincent's disease
DThe appearance of the sputum is suggestive of Haemophilus pneumonia
Surgery
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