ATI RN
Microbiology An Introduction Tortora Test Bank Questions
Question 1 of 9
A 45-year-old patient complains of fever up to 40oC, general weakness, headache and spasmodic contraction of muscles in the region of a shin wound. The patient got injured five days ago when tilling soil and didn't seek medical attention. What kind of wound infection can be suspected?
Correct Answer: A
Rationale: Step 1: The patient's symptoms align with tetanus infection, such as muscle spasms and fever. Step 2: Tetanus is caused by Clostridium tetani bacteria found in soil. Step 3: The wound from tilling soil provides an entry point for the bacteria. Step 4: Delayed seeking medical attention increases the risk of tetanus development. Step 5: Tetanus toxin affects the nervous system, leading to muscle stiffness and spasms. Summary: Choice A is correct due to symptom alignment, bacterial source, wound type, delayed treatment, and specific neurological effects. Choices B, C, and D lack these specific connections to the given scenario.
Question 2 of 9
In the morning a patient had nausea, abdominal discomfort, single vomiting, dry mouth. In the evening, the patient presented with the increasing general weakness, double vision, difficult swallowing of solid food. Objectively: ptosis, mydriasis, anisocoria, absence of gag and pharyngeal reflex, dry mucous membranes. The previous evening the patient had dinner with canned food and alcohol. What is the presumptive diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Botulism. The symptoms described, such as ptosis, mydriasis, anisocoria, dry mouth, and absent gag reflex, are classic signs of botulism. Botulism is caused by the bacterium Clostridium botulinum, commonly found in improperly preserved canned foods. The progression from gastrointestinal symptoms to neurological symptoms, like double vision and difficulty swallowing, is characteristic of botulism due to the toxin's effect on neuromuscular transmission. Poliomyelitis primarily affects the motor neurons and presents with different symptoms. Food toxicoinfection typically involves gastrointestinal symptoms and does not manifest with the neurological findings seen in this case. Acute ischemic stroke presents with sudden onset neurological deficits due to impaired blood flow to the brain, which is not consistent with the gradual progression of symptoms in this scenario.
Question 3 of 9
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 9
In which of the following disease, the respiratory tract is infected:
Correct Answer: D
Rationale: The correct answer is D: All of the above. Tuberculosis, Q-fever, and Legionnaires disease all can infect the respiratory tract. Tuberculosis is a bacterial infection affecting the lungs, Q-fever is caused by a bacterium that primarily affects the lungs, and Legionnaires disease is a severe form of pneumonia. All three diseases specifically target the respiratory system, making them the correct choices. Choices A, B, and C are incorrect because each of them individually infects the respiratory tract, not just one or two of them.
Question 5 of 9
Which of the following microorganisms are always in a parasitic form of interaction with the individual?
Correct Answer: A
Rationale: The correct answer is A: viruses. Viruses are always in a parasitic form of interaction with the individual because they cannot survive or reproduce outside of a host cell. They rely on host cells to replicate and cause harm. Non-pathogenic bacteria (choice B) do not always cause harm and can coexist with the individual. Facultative pathogenic bacteria (choice C) can switch between being beneficial and harmful. Therefore, the correct answer is A as viruses always rely on a host for survival and reproduction.
Question 6 of 9
An enzyme process of producing two identical copies of DNA from one original DNA molecule is called:
Correct Answer: C
Rationale: The correct answer is C: Replication. In DNA replication, the original DNA molecule is unwound and each strand serves as a template to synthesize a new complementary strand. This results in two identical copies of the original DNA molecule. Translation (A) is the process of synthesizing proteins from mRNA. Transcription (B) is the process of synthesizing mRNA from DNA. Cell division (D) is the process of a cell dividing into two daughter cells, not specifically producing identical DNA copies. Therefore, replication is the correct answer as it specifically refers to the process of copying DNA to produce two identical copies.
Question 7 of 9
Which bacteria is responsible for causing the disease known as tuberculosis?
Correct Answer: B
Rationale: The correct answer is B: Mycobacterium tuberculosis. This bacterium is responsible for causing tuberculosis as it specifically infects the lungs and can spread through the air. Mycobacterium leprae (choice A) causes leprosy, not tuberculosis. Streptococcus pneumoniae (choice C) is a common cause of pneumonia but not tuberculosis. Clostridium botulinum (choice D) causes botulism, a different disease unrelated to tuberculosis. Therefore, the unique characteristics and infection pattern of Mycobacterium tuberculosis make it the correct choice for the bacteria responsible for causing tuberculosis.
Question 8 of 9
Bacterial families have general:
Correct Answer: A
Rationale: The correct answer is A: Morphologic features. Bacterial families are classified based on their morphologic features such as shape, size, and arrangement. This classification helps in identifying and studying different bacterial species. Choice B, Geographic features, is incorrect as bacterial classification is not based on their geographic distribution. Choice C, Historical features, is incorrect as it does not play a role in the classification of bacterial families. Choice D, Physiologic features, is also incorrect as physiological characteristics are used for further classification within bacterial families, not as a general characteristic.
Question 9 of 9
During the skill-building session in microbiology the students need to stain the prepared and fixed sputum smears obtained from a tuberculosis patient. What staining technique should be used in this case?
Correct Answer: C
Rationale: The correct staining technique for sputum smears obtained from a tuberculosis patient is Ziehl-Neelsen staining. This technique uses carbol fuchsin dye to stain the acid-fast bacteria, such as Mycobacterium tuberculosis, red. Here's a step-by-step rationale: 1. Ziehl-Neelsen staining is specifically designed to detect acid-fast bacteria like Mycobacterium tuberculosis. 2. Carbol fuchsin dye is used to penetrate the mycolic acid layer in the cell wall of the bacteria, making them resistant to decolorization. 3. Acid-alcohol is used as a decolorizer to remove the stain from non-acid-fast bacteria. 4. Methylene blue is used as a counterstain to visualize non-acid-fast bacteria in blue. Therefore, Ziehl-Neelsen staining is the most appropriate technique for identifying Mycobacterium tuberculosis in sputum smears. Other choices like Gram, Giemsa, and