HY USMLE Q #974 – Micro / Derm

A 33-year-old man is brought in to emergency following a housefire in which he sustained extensive burns. Following one week in the burn unit, he develops a fever and tachycardia. An image of a region of burn is shown.

Which of the following best describes the most likely causal organism?

  Gram-negative diplococci; antigenic variation
  Gram-negative diplococci; polysaccharide capsule
  Gram-negative rods; cleavage of 60S ribosome
  Gram-negative rods; inhibition of EF-2
  Gram-positive cocci in clusters; biofilm formation
  Gram-positive cocci in clusters; coagulase production
  Gram-positive cocci in chains; optochin resistant
  Gram-positive cocci in chains; gamma-hemolytic
  Gram-positive filamentous rods; acid-fast positive
  Gram-positive filamentous rods; produces yellow sulfur granules