Greetings Gang ๐๐
I gotta be honest... biochemicals are the WORST. Even now after 10 years of being in the field and over a year of teaching them... Catalase, coagulase, oxidase, bile esculin, PYR, CAMP, novobiocin... it starts to feel like a lost cause.
The problem isnโt your memory. Itโs how most of us study them: as long lists. Your brain doesnโt store lists well. It stores stories, pictures and decisions. Hereโs how to switch.
1. Every biochemical answers ONE question.
Stop memorizing โS. aureus: catalase +, coagulase +, DNase +, mannitol +...โ Instead, ask: โ๐ช๐ต๐ฎ๐ ๐ถ๐ ๐๐ต๐ถ๐ ๐๐ฒ๐๐ ๐๐ฒ๐ฝ๐ฎ๐ฟ๐ฎ๐๐ถ๐ป๐ด?โ
- Catalase: Staph (+) vs. Strep/Enterococcus (โ)
- Coagulase: S. aureus (+) vs. all other Staph (โ)
- Novobiocin: S. epidermidis (sensitive) vs. S. saprophyticus (resistant)
- Bacitracin / PYR: Group A Strep, S. pyogenes (sensitive / +)
- CAMP / hippurate: Group B Strep, S. agalactiae (+)
- Optochin / bile solubility: S. pneumoniae (sensitive / soluble) vs. viridans strep
- Bile esculin + 6.5% NaCl: Enterococcus (+ / +) vs. group D strep (+ / โ)
- Oxidase: Pseudomonas, Neisseria, Vibrio, Campylobacter, Helicobacter (+) vs. Enterobacterales (โ)
If you know what each test splits, you can work out the answer even when you blank on the details.
2. Learn flowcharts, not facts.
The exam gives you clues one step at a time, like a flowchart: Gram stain โ morphology โ arrangement โ first test โ second test. Study the same way.
Example: Gram-positive cocci in clusters โ catalase + โ coagulase โ โ novobiocin resistant โ UTI in a young woman = S. saprophyticus.
Action step: Draw the gram-positive cocci flowchart from memory on a blank page every day this week. Day 1 will be hella messy, but by Day 5 youโll be doing it in 2 minutes.
3. Give every organism a โpersonality card," and a gender LOL. Make one card per organism with:
- Gram stain + shape: what it looks like under the scope
- Plate: what the colony looks like (color, hemolysis, smell)
- 1โ2 key biochemicals: only the ones that separate it from look-alikes
- The disease: the clinical story
The senses are the memorable part. Some smells exam writers love:
- Pseudomonas aeruginosa: grapes or corn tortillas, plus a blue-green pigment
- Proteus: burnt chocolate and swarming across the plate
- Alcaligenes faecalis: green apples
- Eikenella corrodens: bleach, and it pits the agar
- Streptococcus anginosus group: butterscotch / caramel
When you can picture and almost smell the plate, the biochemicals stick to that image.
4. Know what each plate is FOR.
Every plate is either selective (whoโs allowed to grow) or differential (how it shows a difference), and often both.
- Blood agar (BAP): shows hemolysis (beta = clear, alpha = green, gamma = none)
- Chocolate (CHOC): for fussy organisms like Haemophilus and Neisseria
- MacConkey (MAC): gram-negatives only; pink = lactose fermenter, colorless = non-fermenter
- HE / XLD: stool pathogens. Salmonella has black centers (H2S); Shigella has no black.
- Thayer-Martin: N. gonorrhoeae
- TCBS: Vibrio (V. cholerae is yellow)
- CIN: Yersinia (โbullโs-eyeโ colonies)
- Sorbitol MacConkey: E. coli O157:H7 is colorless (doesnโt ferment sorbitol)
- BCYE: Legionella
Action step: For each plate, say out loud: โThis plate grows ___, stops ___, and shows me ___.โ
5. Play โUnknown.โ
Instead of reading notes, quiz yourself backwards: โLactose non-fermenter, oxidase +, grape smell, burn patient... who is it?โ Working forward from clues is exactly what the exam asks you to do.
๐ง Try this one (answer in the comments!):
Beta-hemolytic Gram-positive cocci in chains, catalase negative, bacitracin resistant, CAMP positive, hippurate hydrolysis positive. Who is it, and whoโs the patient population we worry about?
Drop your answer below, and Iโll reply to every one.
Want more micro like this? Inside my paid community, we have 7 days of live study sessions starting November 1st (one subject a day), plus my charts, cheat sheets and guides.
See you there!
โ Marilyn