Signature: DI Unknown Specimen Number: (-5 if left blank or wrong #. This is your patient ID. Neglecting to label or mislabeling results in patient deaths.) Remember to Use Proper Microbiological Terminology Point Value Answers 3 pts. Gram Stain Reaction: is negative 3 pts. Bacterial Cell Shape: 3 pts. Bacterial Cell Arrangement: (Circle one) YES NO 2 pts. YES NO 1 pt. Is this an acid-fast organism? Did you perform and acid-fast stain? If YES, describe the results: 1 pt 2 pts. 1 pt. Can this bacterium produce endospores? Did you perform and endospore stain? If YES describe the results: 1 pt. 8 pts. Identification (Include genus & species) (Circle one) YES NO YES NO
Gram Stain Acid Fast Stain Endospore Stain
Signature: DI Unknown Specimen Number: (-5 if left blank or wrong #. This is your patient ID. Neglecting to label or mis
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Signature: DI Unknown Specimen Number: (-5 if left blank or wrong #. This is your patient ID. Neglecting to label or mis
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