ATI RN
Microbiology Chapter 13 Test Bank Questions
Question 1 of 5
A 10 year old child was subjected to Mantoux test (with tuberculin). 48 hours later a papule up to 8 mm in diameter appeared on the site of tuberculin injection. What type of hyperesponsiveness reaction has developed after tuberculin injection?
Correct Answer: A
Rationale: The correct answer is A: Hyperresponsiveness reaction type IV. This type of reaction, also known as delayed-type hypersensitivity, is characterized by the activation of T lymphocytes and macrophages, leading to inflammation at the site of antigen exposure. In the case of the Mantoux test, the appearance of a papule 48 hours later indicates a delayed hypersensitivity reaction mediated by T cells. Choice B: Reaction of Arthus phenomenon type is incorrect as this type of reaction involves immune complexes forming in the blood vessels leading to tissue damage, which is not the mechanism seen in the Mantoux test reaction. Choice C: Reaction of serum sickness type is incorrect as this type of reaction involves the formation of immune complexes in the blood leading to systemic symptoms like fever, rash, and joint pain, which is not typically seen in the Mantoux test reaction. Choice D: Atopic reaction is incorrect as atopic reactions involve IgE antibodies and mast cell degranulation, which are not the mechanisms
Question 2 of 5
On a certain territory mass death of rodents was registered. It was suspected that their death might have been caused by plague. What serological reaction should be applied for quick identification of antigen of the causative agent of this epizooty?
Correct Answer: B
Rationale: The correct answer is B: Agglutination. During a suspected plague outbreak, agglutination testing is used to quickly identify the antigen of the causative agent. In this test, specific antibodies are added to a sample containing the suspected antigen. If the antigen is present, it will clump together (agglutinate) with the antibodies, indicating a positive result. This method is rapid and efficient for identifying the presence of the plague-causing agent. Choice A: Precipitation involves the formation of a visible precipitate when antigen and antibody react, but it is not as quick or specific as agglutination for identifying the antigen in this scenario. Choice C: Passive hemagglutination is a variation of agglutination that uses red blood cells as carriers for antigens or antibodies. While it can be useful in certain situations, it is not typically the first choice for rapid identification of plague antigen. Choice D: Complement binding is a different type of
Question 3 of 5
For cultivation of Brucella, pure cultures should be incubated in CO2 enriched atmosphere. What type of breathing is typical for Brucella?
Correct Answer: A
Rationale: The correct answer is A: Capnophilic. Brucella requires a CO2 enriched atmosphere for cultivation, making it capnophilic. This is because Brucella is a microaerophilic bacterium that thrives in low oxygen conditions and elevated CO2 levels. Choice B (Facultative anaerobic) and D (Obligate aerobic) are incorrect as Brucella does not grow well under aerobic conditions. Choice C (Obligate anaerobic) is also incorrect as Brucella can grow in the presence of oxygen, although it prefers low oxygen environments.
Question 4 of 5
A 16-year-old adolescent was vaccinated with DTP. In eight days there was stiffness and pain in the joints, subfebrile temperature, urticarial skin eruption, enlargement of inguinal, cervical lymph nodes and spleen. What kind of allergic reaction is observed?
Correct Answer: D
Rationale: The correct answer is D: Hypersensitivity of delayed type. The symptoms described occur 5-10 days after exposure to the antigen, consistent with a delayed hypersensitivity reaction. This type of reaction involves T cells and is characterized by cell-mediated immune response, leading to inflammation and tissue damage. Choices A, B, and C are incorrect because they are associated with different mechanisms of allergic reactions. Immunocomplex reactions (choice A) involve antigen-antibody complexes depositing in tissues, immediate hypersensitivity reactions (choice B) involve IgE-mediated mast cell degranulation, and cytotoxic reactions (choice C) involve antibodies targeting specific cells for destruction.
Question 5 of 5
Bacteriological laboratory examines canned meat whether it contains botulinum toxin. For this purpose an extract of test specimen and antitoxic antibotulinic serum of A, B, E types were introduced to a group of mice under examination; a control group of mice got the extract without antibotulinic serum. What serological reaction was applied?
Correct Answer: A
Rationale: The correct answer is A: Neutralization. In this scenario, the antibotulinic serum of types A, B, and E were introduced to neutralize the botulinum toxin in the test specimen. The serological reaction applied here involves the neutralization of the toxin by the specific antibodies present in the serum. This process prevents the toxin from causing harm to the mice. Summary of other choices: B: Precipitation - This involves the formation of insoluble complexes between antigen and antibody, not the specific neutralization seen in this case. C: Complement binding - This involves activation of the complement system leading to cell lysis, not the direct neutralization of toxin. D: Double immune diffusion - This technique is used to determine the presence of specific antibodies or antigens based on their diffusion patterns, not the neutralization of toxin as seen in this scenario.