Morphological Unknown #232
Summer 2020
Gram Stain
Acid Fast Stain
Endospore Stain
Cop right 8 2018 D.M. Rollins & R.L. Harris (SP)
11 - 4
UNKNOWN SAMPLE IDENTIFICATION FORM
UNKNOWN #1:
U ing Cell la Mo pholog o Recogni e Mic oo gani m
Print Name Lab Section
Signat re
U k S eci e N be :
(-5 if left blank or rong #. This is o r patient ID. Neglecting to
label or mislabeling res lts in patient deaths.)
Re e be U e P e Mic bi l gical Te i l g
P i Val e A e
3 pts. Gram Stain Reaction
3 pts. Bacterial Cell Shape
3 pts. Bacterial Cell Arrangement
2 pts. Is this an acid-fast organism? (Circle one) YES NO
1 pt. Did o perform and acid fast stain? YES NO
1 pt I f YES, describe the res lts
2 pts. Can this bacteri m prod ce endospores? (Circle one)
YES NO
1 pt. Did o r perform and endospore stain? YES NO
1 pt. If YES describe the res lts
8 pts. Identification (Incl de gen s & species)
TOTAL POINTS EARNED: _____________

Morphological Unknown #232Summer 2020Gram StainA.docx

  • 1.
    Morphological Unknown #232 Summer2020 Gram Stain Acid Fast Stain Endospore Stain Cop right 8 2018 D.M. Rollins & R.L. Harris (SP) 11 - 4 UNKNOWN SAMPLE IDENTIFICATION FORM UNKNOWN #1: U ing Cell la Mo pholog o Recogni e Mic oo gani m Print Name Lab Section Signat re U k S eci e N be : (-5 if left blank or rong #. This is o r patient ID. Neglecting to
  • 2.
    label or mislabelingres lts in patient deaths.) Re e be U e P e Mic bi l gical Te i l g P i Val e A e 3 pts. Gram Stain Reaction 3 pts. Bacterial Cell Shape 3 pts. Bacterial Cell Arrangement 2 pts. Is this an acid-fast organism? (Circle one) YES NO 1 pt. Did o perform and acid fast stain? YES NO 1 pt I f YES, describe the res lts 2 pts. Can this bacteri m prod ce endospores? (Circle one) YES NO 1 pt. Did o r perform and endospore stain? YES NO 1 pt. If YES describe the res lts 8 pts. Identification (Incl de gen s & species) TOTAL POINTS EARNED: _____________