ATI RN
McGraw Hill Microbiology Test Bank Questions
Question 1 of 5
A 23 year old female patient complains about periodical chill and body temperature rise up to 40oC, sense of heat taking turns with profuse sweating. The patient has had already 3 attacks that came once in two days and lasted 12 hours. She has lived in Africa for the last 2 months. Liver and spleen are enlarged. In blood: erythrocytes - 2,5x1012/l. What is the most probable diagnosis?
Correct Answer: A
Rationale: The most probable diagnosis is A: Malaria. The patient's symptoms of periodic chills, high fever, and profuse sweating, along with living in Africa where malaria is endemic, strongly suggest malaria. The enlarged liver and spleen are consistent with malaria infection. The low erythrocyte count indicates hemolysis, a common feature of malaria. Spotted fever and sepsis do not typically present with the same pattern of symptoms and travel history as seen in this case. Haemolytic anaemia would not explain the patient's fever episodes and other symptoms. Therefore, based on the symptoms, travel history, and laboratory findings, malaria is the most likely diagnosis.
Question 2 of 5
A patient has wound abscess. Bacteriological examination of the wound content revealed a gram- negative bacillus which forms semi-transparent mucous colonies of blue-green color with a pearlescent appearance on the beef-extract agar. Culture has a specific odor of violets or jasmine. What type of pathogen was isolated from the patient's wound?
Correct Answer: A
Rationale: Step 1: Gram-negative bacillus indicates P. aeruginosa, known for causing wound infections. Step 2: Semi-transparent mucous colonies of blue-green color with a pearlescent appearance are characteristic of P. aeruginosa. Step 3: Specific odor of violets or jasmine is a unique feature of P. aeruginosa. Therefore, the correct answer is A: P. aeruginosa. Summary: - B: P. vulgaris typically forms yellow colonies and doesn't have the characteristic odor. - C: S. aureus forms creamy white colonies, not blue-green, and has a distinct odor. - D: S. pyogenes forms grayish-white colonies and doesn't have the unique characteristics described.
Question 3 of 5
In order to accurately identify etiology of peptic ulcer disease, polymerase chain reaction (PCR) analysis was performed on gastric biopsy specimen taken from 47-year-old patient. Eventually, the test result was positive for H. pylori. Which of the following was most likely detected in PCR analysis?
Correct Answer: A
Rationale: The correct answer is A: Bacterial DNA. PCR analysis detects specific DNA sequences, so a positive result for H. pylori indicates the presence of the bacterial DNA in the gastric biopsy specimen. This method identifies the genetic material of the bacterium, not the bacterium itself (choice C) or its toxins (choice B). Additionally, PCR does not directly detect bacterial enzymes (choice D) but rather focuses on genetic material for accurate identification. Therefore, in this case, the detection of H. pylori in the PCR analysis points to the presence of bacterial DNA, confirming the etiology of peptic ulcer disease.
Question 4 of 5
A pregnant woman complains of vaginal mucosa irritation, itching and genital tracts secretion. Bacterioscopy of vaginal smears revealed large gram-positive oval oblong cells that form pseudomicelium. What is the most probable channel of infection?
Correct Answer: B
Rationale: The correct answer is B: Sexual transmission. The symptoms described are indicative of a vaginal yeast infection caused by Candida albicans. The presence of large gram-positive oval oblong cells forming pseudomycelium is characteristic of Candida infection. Sexual transmission is the most probable channel of infection as Candida can be transmitted through sexual contact. Endogenous infection (A) refers to infections originating from the body's own flora, which is not the case here. Contact infection (C) typically involves direct physical contact or fomite transmission, which is less likely in this scenario. Vector-borne transmission (D) involves transmission through vectors like mosquitoes or ticks, which is not relevant in this case.
Question 5 of 5
A laboratory received a sample of water used in drug production for sanitary and viral analysis. What group of viruses will indicate fecal contamination of water and thus the need for its additional purification?
Correct Answer: A
Rationale: The correct answer is A: Picornaviridae. Picornaviruses, such as enteroviruses, are commonly found in the feces of infected individuals. Therefore, their presence in water indicates fecal contamination and the need for additional purification. B: Herpesviridae are not typically associated with fecal contamination. C: Flaviviridae are mainly transmitted through arthropods like mosquitoes, not fecal contamination. D: Retroviridae, including HIV, are not typically excreted in high levels in feces and are not indicators of fecal contamination.