ATI RN
Microbiology An Introduction Tortora Test Bank Questions
Question 1 of 5
A 28 y.o. patient without permanent residence was admitted to the hospital with the preliminary diagnosis influenza. On the fith day of illness he got a maculopapular petechial rash on his body and internal surfaces of extremities. Body temperature is 410 C, euphoria, face hyperemia, sclera reddening, tongue tremor, tachycardia, splenomegaly, excitement. What is the most probable diagnosis?
Correct Answer: A
Rationale: Step 1: Initial diagnosis of influenza suggests a viral illness. Step 2: Presence of maculopapular petechial rash and high fever indicates a systemic infection. Step 3: Symptoms like euphoria, hyperemia, tachycardia, splenomegaly, and excitement are characteristic of epidemic typhus. Step 4: Face hyperemia, sclera reddening, and tongue tremor are specific to epidemic typhus. Step 5: Epidemic typhus is transmitted by body lice, which fits the scenario of a patient without permanent residence. Summary: - Delirium alcoholicum is unlikely due to the specific symptoms and lack of history of alcohol abuse. - Leptospirosis typically presents with jaundice and renal symptoms, not seen in this case. - Measles rash is different from the maculopapular petechial rash described.
Question 2 of 5
Which is correct for bacterial growth?
Correct Answer: A
Rationale: The correct answer is A because most bacteria can grow in both the presence and absence of oxygen. Some bacteria are aerobic and require oxygen for growth, while others are anaerobic and can grow in the absence of oxygen. Choice B is incorrect because not all bacteria grow in the absence of oxygen. Choice C is incorrect because not all bacteria are microaerophiles, which are bacteria that require a low level of oxygen for growth. Choice D is incorrect because most bacteria exhibit flexibility in their oxygen requirements.
Question 3 of 5
Toxicity of disinfectant against microbial cells:
Correct Answer: C
Rationale: The correct answer is C because disinfectants are non-selective and can harm a wide range of microbial cells. Disinfectants work by disrupting cell membranes, proteins, and nucleic acids, affecting both harmful and beneficial microorganisms. Choices A and B are incorrect because disinfectants are designed to be potent and non-selective. Choice D is incorrect because the effects of disinfectants are often permanent and irreversible on microbial cells.
Question 4 of 5
Which of the following bacteria is associated with the disease tuberculosis?
Correct Answer: B
Rationale: Step 1: Mycobacterium tuberculosis is a bacterium known to cause tuberculosis. Step 2: Mycobacterium leprae causes leprosy, not tuberculosis. Step 3: Streptococcus pneumoniae causes pneumonia, not tuberculosis. Step 4: Neisseria gonorrhoeae causes gonorrhea, not tuberculosis. Conclusion: Mycobacterium tuberculosis is the correct answer as it is the only bacterium associated with tuberculosis among the choices provided.
Question 5 of 5
Infectious mononucleosis most often occurs in:
Correct Answer: B
Rationale: The correct answer is B: adolescents. Infectious mononucleosis is commonly caused by the Epstein-Barr virus, which is transmitted through saliva. Adolescents are more likely to engage in activities like kissing and sharing drinks, increasing the chances of virus transmission. Infants have maternal antibodies for protection, young adults may have developed immunity, and the elderly have had more exposure to the virus and may have built immunity over time.
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