Course Content
🔬 Station 1 — Microscopic Identification of Acute Inflammation
Learning Outcomes Identify inflammatory cells on a provided microscopic slide. Identify the histopathological changes of acute appendicitis. Relate the demonstrated microscopic findings to acute inflammation.
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🔬 Station 2 — Microscopic Identification of Chronic and Granulomatous Inflammation
Learning Outcomes Identify the morphological changes of chronic inflammation in a provided specimen/slide. Identify the characteristic cells and their arrangement in a granuloma. Distinguish the demonstrated chronic inflammatory pattern from acute inflammation when asked.
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🔬 Station 3 — Identification of Granulation Tissue
Learning Outcomes Identify granulation tissue on a provided histopathology slide/image. Identify its characteristic microscopic features. Distinguish granulation tissue from granulomatous inflammation when asked.
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🧪 Station 4 — Performance and Interpretation of Bacterial Biochemical Tests
Learning Outcomes Perform the bacterial biochemical test provided at the station using the appropriate technique. Observe and interpret the test result. Report the test as positive or negative based on the demonstrated reaction.
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🧫 Station 5 — Identification of Culture Media and Hemolysis on Blood Agar
Learning Outcomes Identify the provided microbiological culture medium. Recognize blood agar, mannitol salt agar, chocolate medium or Cary-Blair transport medium when presented. Identify the demonstrated pattern of hemolysis on blood agar.
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🚑 Station 6 — Demonstration of Gastric Lavage
Learning Outcomes Demonstrate the sequence of steps involved in gastric lavage using the provided model/manikin and equipment. Demonstrate safe handling and appropriate procedural sequence. State the essential precaution(s) relevant to the procedure when asked.
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💊 Station 7 — Prescription Writing for Common Infectious Diseases Acute Tonsillitis / Malaria
Learning Outcomes Construct a complete prescription for the supplied infectious-disease scenario. Select appropriate medication with dose, route, frequency and duration. Demonstrate essential principles of safe and rational prescription writing.
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🦴🔍 Station 8 — Forensic Personal Identification: Bone or Hair/Fibre
Learning Outcomes Determine human sex from a provided bone or identify human hair microscopically, according to the station material. Identify the relevant distinguishing characteristics supporting the conclusion. Differentiate human hair from fibre when that specimen is provided.
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🦠 Station 9 — Laboratory Identification of Common Parasites
Learning Outcomes Identify the supplied parasite/specimen from a laboratory slide or specimen. Recognize the characteristic diagnostic form demonstrated. State the identifying feature supporting the diagnosis.
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🌍 Station 10 — Identification of Communicable Disease Models and Prevention
Learning Outcomes Identify the communicable disease represented by the provided model. Identify the important signs/features demonstrated by the model. State the major complication(s) and relevant preventive measures.
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🧪🔬 AIM OSPE/OSCE Lab — Infection & Inflammation Module | 3rd Year MBBS

AIM OSCE / OSPE • MBBS

🧪 Station 4 — Performance and Interpretation of Bacterial Biochemical Tests

Catalase • Coagulase • Oxidase  |  Rapid Revision • Practical Skills • Viva

🎯 Task

CANDIDATE TASK

You are provided with a bacterial culture and the materials required for one biochemical test. Perform the test using the appropriate technique, observe the reaction, and report the result as positive or negative.

⚡ Model Station Answer What to say in the exam

Catalase: I add hydrogen peroxide to the test colony; immediate bubbling indicates a positive reaction.
Coagulase: I test the organism with plasma; visible clumping on the slide or clot formation in the tube indicates a positive reaction.
Oxidase: I apply a fresh colony to oxidase reagent; prompt development of a dark purple colour indicates a positive reaction.
I compare with the appropriate control where provided and report the demonstrated test as positive or negative.

🔎 Stepwise Procedure / Approach

  1. Prepare safely. Perform hand hygiene, wear appropriate PPE, confirm the labelled culture and reagents, and work using aseptic technique.
  2. Select a suitable colony. Use a fresh, well-isolated colony and avoid unnecessarily transferring culture medium with the organism.
  3. Catalase test: Place the test colony on a clean slide or other surface supplied at the station and add a drop of 3% hydrogen peroxide.
  4. Read catalase immediately. Rapid production of oxygen bubbles = catalase positive; absence of bubbling = catalase negative. Avoid contaminating the test with blood-containing agar when possible because this may interfere with interpretation.
  5. Coagulase test: For the slide method, prepare a smooth bacterial suspension in saline, retain a saline suspension as the auto-agglutination control, and mix plasma with the test suspension. Visible clumping indicates a positive slide coagulase reaction.
  6. If the tube method is supplied: inoculate the organism into the provided plasma and incubate according to the station protocol. Formation of a stable plasma clot indicates a positive tube coagulase test. Auto-agglutination in the slide control makes the slide result unreliable.
  7. Oxidase test: Transfer a fresh colony using a suitable wooden or plastic applicator to oxidase reagent paper/disc or the test system provided. Avoid an inappropriate reactive metal wire for this step.
  8. Read oxidase promptly. Development of a dark blue-purple colour within the reagent’s specified reading interval—commonly within seconds and generally no later than about 30 seconds—indicates an oxidase-positive reaction. A delayed colour change should not be interpreted as positive.
  9. Complete the station. State the test performed and report positive or negative clearly, then dispose of contaminated material safely and perform hand hygiene.

🖼️ Visual Learning

VISUAL 1

Catalase, Coagulase & Oxidase — Technique and Result Recognition

🎥 Practical Video

🎥 Practical Demonstration — Catalase, Coagulase & Oxidase Tests
Source: DrJunaid OneManArmy • Microbiology practical / MBBS OSPE demonstration

Watch the practical performance and visual interpretation of the three biochemical tests, with emphasis on the reactions commonly demonstrated in an MBBS microbiology practical station.

▶ Watch Practical Video

📝 Important Viva Questions

Q1. What is the principle of the catalase test?

Answer: Catalase breaks hydrogen peroxide into water and oxygen. The liberated oxygen produces visible bubbles in a positive test.

Q2. Which important organisms are commonly differentiated by the catalase test?

Answer: It is commonly used to differentiate Staphylococcus species, which are catalase positive, from Streptococcus and Enterococcus, which are catalase negative.

Q3. What does the coagulase test detect?

Answer: It detects coagulase activity. A positive reaction causes bacterial clumping in the slide method or plasma clot formation in the tube method.

Q4. Which clinically important Staphylococcus is classically coagulase positive?

Answer: Staphylococcus aureus is classically coagulase positive.

Q5. Why is a control suspension used during the slide coagulase test?

Answer: It identifies spontaneous auto-agglutination. If the control itself clumps, the slide test cannot be interpreted reliably.

Q6. What is the principle of the oxidase test?

Answer: It detects bacterial cytochrome c oxidase. Oxidation of the reagent produces a rapid dark blue-purple colour in a positive reaction.

Q7. Why must the oxidase test be read promptly?

Answer: The reagent can undergo oxidation on standing, so a delayed colour change may give a false-positive interpretation. Read the result within the specified test interval.

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