ATI RN
microbiology chapter 14 test bank Questions
Question 1 of 5
A 23-year old medical student arrives in the student health clinic complaining of difficult in swallowing, sore throat, and chills. Upon examination, she is found to be running a fever and has white patches on her tonsils. A throat swab is positive for streptococcus pyogenes (group A). A diagnosis of acute pharyngitis is made. Her past medical history is unremarkable except an anaphylactic reaction to cefaclor two years ago. Which of the following would be a safe alternative for treating?
Correct Answer: D
Rationale: The correct answer is D: Clindamycin. Clindamycin is a lincosamide antibiotic that is safe to use in patients with a history of anaphylaxis to beta-lactam antibiotics like cefaclor. Clindamycin is effective against streptococcus pyogenes and is a suitable alternative in this case. Amoxicillin (choice
A) is a beta-lactam antibiotic similar to cefaclor and may cause a cross-reactive allergic reaction. Meropenem (choice
B) is a carbapenem antibiotic and not typically used for acute pharyngitis. Cephalexin (choice
C) is a cephalosporin antibiotic and may also cause cross-reactivity in patients with a history of anaphylaxis to cefaclor.
Question 2 of 5
A 45-year-old patient has foul-smelling diarrhea. Stool examination revealed large ciliated protozoa with a kidney-shaped macronucleus. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Balantidium coli. This large ciliated protozoa with a kidney-shaped macronucleus is characteristic of Balantidium coli, an intestinal parasite known to cause foul-smelling diarrhea in humans. Balantidium coli is the only option among the choices that fits this specific description. Entamoeba histolytica causes amoebic dysentery, Giardia lamblia causes giardiasis, and Trichomonas hominis is a non-pathogenic protozoa found in the intestinal tract.
Therefore, based on the morphology described in the question, Balantidium coli is the correct causative agent.
Question 3 of 5
In the micropreparation made from patient's regional lymph node punctate and stained according to Romanovsky-Giemsa method, the doctor found out thin microorganisms with 12-14 equal ringlets and pale- pink sharp pointes 10-13 mkm in length. The pathogen of what disease is it about?
Correct Answer: D
Rationale: The thin microorganisms described with 12-14 equal ringlets and pale-pink sharp points are characteristic of Borrelia spirochetes, the causative agent of relapsing fever. The ringlet appearance corresponds to the characteristic coiled structure of Borrelia spirochetes. The length of 10-13 mkm falls within the typical size range of Borrelia spirochetes. This pathogen is commonly identified in Romanovsky-Giemsa stained samples from patients with relapsing fever.
Summary of other choices:
A: Leishmaniasis - Leishmania parasites are larger and do not have the described ringlets or pale-pink sharp points.
B: Leptospirosis - Leptospira bacteria are not described as having ringlets or pale-pink sharp points.
C: Surra - Surra is caused by Trypanosoma evansi, and the description does not match the characteristics of this parasite.
Question 4 of 5
Allergies to sea food, eggs, etc are an example of:
Correct Answer: A
Rationale: The correct answer is A: Type 1 hypersensitivity reaction. In this type of reaction, allergens trigger the production of IgE antibodies, leading to mast cell and basophil degranulation and release of inflammatory mediators like histamine. This causes immediate allergic symptoms. Seafood and eggs are common allergens that can elicit this response.
B: Type 2 hypersensitivity reaction involves antibodies targeting cell surface or extracellular matrix antigens, leading to cell destruction or dysfunction. This is not the mechanism in seafood or egg allergies.
C: Type 3 hypersensitivity reaction involves immune complex deposition in tissues, leading to inflammation and tissue damage. This is not the mechanism in seafood or egg allergies.
D: Type 4 hypersensitivity reaction is cell-mediated and involves T cells causing inflammation and tissue damage. This is not the mechanism in seafood or egg allergies.
Question 5 of 5
A man died from an acute infectious disease accompanied by fever, jaundice, haemorrhagic rash on the skin and mucous membranes as well as by acute renal insufficiency. Histological examination of renal tissue (stained by Romanovsky-Giemsa method) revealed some convoluted bacteria looking like C and S letters. What bacteria were revealed?
Correct Answer: A
Rationale: The correct answer is A: Leptospira. The key features pointing to Leptospira are the presence of convoluted bacteria resembling C and S letters, which is characteristic of Leptospira species. Leptospirosis presents with fever, jaundice, haemorrhagic rash, and acute renal insufficiency. The other choices (B: Treponema, C: Spirilla, D: Borrelia) do not match the histological description or the clinical presentation of the case. Treponema is associated with syphilis, Spirilla with genus Spirochaeta, and Borrelia with Lyme disease, none of which match the given scenario.