Microbiology
Mixed Unknown Identification Form
Unknown “Patient Specimen” Identification #:
Student’s Name:
For Gram Positive Bacteria Identification
First Test Media Requested (1 point)
1.
2.
Second Test Media Requested (4 points)
1.
2.
3.
4.
5.
Unique Characteristics & Test Results (15 points)
Gram Stain Reaction (5 points):
Cell Shape (5 points):
Cell Arrangement (5 points):
Tests & Results (20 points)
Tests Results
1.
2.
3.
4.
5.
Name of Gram-Positive Bacterium (Genus & species-10 points):
For Gram Negative Bacteria Identification
First Test Media Requested (1 point)
1.
2.
Second Test Media Requested (4 points)
1.
2.
3.
4.
5.
Unique Characteristics & Test Results (15 points)
Gram Stain Reaction (5 points):
Cell Shape (5 points):
Cell Arrangement (5 points):
Tests & Results (20 points)
Tests Results
1.
2.
3.
4.
5.
Name of Gram-Negative Bacterium (Genus & species-10 points):