ATI RN
McGraw Hill Microbiology Test Bank Questions
Question 1 of 5
A 16-year-old boy from the rural area entered the technical school. During a regular Mantoux test, it turned out that this boy had a negative reaction. What tactics should the doctor choose as the most rational in this case?
Correct Answer: D
Rationale: The correct answer is D: BCG vaccination. BCG vaccination is recommended for individuals with a negative Mantoux test result, especially in countries where tuberculosis is prevalent. This vaccination can help provide protection against tuberculosis. Choice A is incorrect because repeating the Mantoux test in a month is unnecessary since the boy already had a negative reaction. Choice B is incorrect as serodiagnosis of tuberculosis is not the first-line approach for diagnosis, especially in this scenario. Choice C is incorrect because urgent isolation is not necessary based solely on the Mantoux test result. Isolation is typically reserved for individuals with active tuberculosis.
Question 2 of 5
In 8 days after a surgery the patient develops tetatus. The surgeon suspects this condition to be caused by suture material contaminated by tetanus agent. The material is delivered to a bacteriological laboratory. What nutrient medium is required for primary inoculation of the suture material?
Correct Answer: D
Rationale: The correct answer is D, Kitt-Tarozzi medium. This medium is specifically designed for the isolation and cultivation of Clostridium tetani, the bacteria responsible for tetanus. The other options, Sabouraud agar, Endo agar, and Hiss medium, are not suitable for the growth of Clostridium tetani. Sabouraud agar is used for fungal cultures, Endo agar is a selective medium for enteric bacteria, and Hiss medium is used for the cultivation of anaerobic bacteria other than Clostridium tetani. Therefore, the Kitt-Tarozzi medium is the most appropriate choice for isolating and identifying the tetanus agent in this scenario.
Question 3 of 5
An outbreak of food poisoning was recorded in an urban settlement. The illness was diagnosed as botulism on the grounds of clinical presentations. What foodstuffs should be chosen for analysis in the first place in order to confirm the diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Tinned food. Botulism is often caused by the botulinum toxin produced by the bacterium Clostridium botulinum, which can be present in improperly canned foods. Analyzing tinned food allows for direct detection of the toxin or bacteria, confirming the diagnosis. Potatoes, pasteurized milk, and boiled meat are less likely sources of botulism compared to tinned food, making them less suitable for initial analysis in this case.
Question 4 of 5
4 days after a patient received a gunshot wound of the middle third of the thigh soft tissues his condition suddenly began deteriorating. There are complaints of bursting pain in the wound; pain increases during the last 12 hours. Edema of skin and hypodermic tissue quickly grows. Body temperature is 38,2oC, heart rate is 102/min. The wound edges gape, are dull in color; the muscles, viable as of day before, now protrude into the wound, look boiled, are dull in color, have dirty-grey coating and fall apart when being held with forceps. What infection has developed in the wound?
Correct Answer: A
Rationale: The correct answer is A: Anaerobic infection. The sudden deterioration, bursting pain, edema, foul appearance of wound, and presence of gas are indicative of gas gangrene caused by anaerobic bacteria like Clostridium perfringens. These bacteria thrive in low oxygen environments, such as deep wound tissues. The symptoms align with the classic presentation of gas gangrene, necessitating immediate surgical intervention. Choice B: Aerobic gram-negative, is incorrect because anaerobic bacteria, not aerobic gram-negative bacteria, are responsible for gas gangrene. Choice C: Putrid, is incorrect as it is a general term referring to foul-smelling decay and does not specify the type of infection. Choice D: Aerobic gram-positive, is incorrect as gas gangrene is typically caused by anaerobic bacteria, not aerobic gram-positive bacteria.
Question 5 of 5
During examination of the patient's oral cavity a dentist noticed deformation of the teeth and a crescent indentation of the upper right incisor. The teeth are undersized, barrel-shaped – tooth cervix is wider than its edge. The patient uses a hearing aid, suffers from visual impairment. What type of syphilis affects teeth in such way?
Correct Answer: D
Rationale: The correct answer is D, Late congenital syphilis. This is because the patient presents with Hutchinson's teeth, which are a characteristic feature of late congenital syphilis. Hutchinson's teeth are small, barrel-shaped teeth with a wider cervix and notched incisors. The patient's history of visual impairment and hearing aid use also support the diagnosis of late congenital syphilis, as these are common manifestations of this stage of the disease. Choice A, Primary syphilis, is incorrect because it typically presents with a painless sore at the site of infection, not dental abnormalities. Choice B, Early congenital syphilis, is incorrect as dental abnormalities in this stage are usually more severe, such as mulberry molars. Choice C, Neurosyphilis, is incorrect as it primarily affects the central nervous system and does not typically present with dental abnormalities.