Questions 9

ATI RN

ATI RN Test Bank

Microbiology An Evolving Science Test Bank Questions

Question 1 of 5

A 47-year-old male patient consulted a dentist about difficult mouth opening (lockjaw or trismus). The patient has a history of a stab wound of the lower extremity. What infection can be manifested by these symptoms?

Correct Answer: A

Rationale: The correct answer is A: Tetanus. Tetanus is caused by the bacterium Clostridium tetani, commonly found in soil, dust, and animal feces. The patient's history of a stab wound increases the risk of tetanus infection as the bacterium can enter the body through the wound. Tetanus infection can lead to symptoms such as lockjaw or trismus, which are characterized by muscle stiffness and difficulty opening the mouth. This is due to the neurotoxin produced by Clostridium tetani affecting the muscles. Summary of incorrect choices: B: Brucellosis is a bacterial infection transmitted from animals to humans through consumption of unpasteurized dairy products. It does not typically manifest with symptoms of lockjaw. C: Whooping cough (Pertussis) is a respiratory infection caused by Bordetella pertussis bacteria. It presents with severe coughing fits but does not cause lockjaw. D: Anaerobic wound infection

Question 2 of 5

A patient with a sore throat and fever had a throat culture revealing Gram-positive cocci in pairs with a capsule. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is a Gram-positive cocci that often appear in pairs and can have a capsule. It is a common cause of sore throat and fever, known as streptococcal pharyngitis. Staphylococcus aureus (B) is a Gram-positive cocci but does not typically form pairs. Neisseria meningitidis (C) is a Gram-negative diplococcus and is more associated with meningitis. Klebsiella pneumoniae (D) is a Gram-negative rod and not typically associated with sore throat and fever.

Question 3 of 5

Microscopy of stained (Ziehl-Neelsen staining) smears taken from the sputum of a patient with chronic pulmonary disease revealed red bacilli. What property of tuberculous bacillus was shown up?

Correct Answer: A

Rationale: The correct answer is A: Acid resistance. Tuberculous bacilli are acid-fast bacilli, meaning they resist decolorization by acid-alcohol after staining with Ziehl-Neelsen stain. This property is due to the high lipid content in the cell wall of Mycobacterium tuberculosis. Alkali resistance (B) and alcohol resistance (C) are not specific properties of tuberculous bacilli. Capsule formation (D) is a characteristic of some bacteria but is not a defining feature of tuberculous bacilli.

Question 4 of 5

Agglutination reaction is one of the following:

Correct Answer: C

Rationale: The correct answer is C: Reaction type GRUBER. Agglutination reaction in GRUBER involves the clumping of particles due to specific antibodies binding to antigens on the surface. This reaction is commonly used in blood typing and serology tests. A: Western blot is a technique used to detect specific proteins in a sample, not related to agglutination. B: ELISA is an enzyme-linked immunosorbent assay used to detect antibodies or antigens, not based on agglutination. D: Ascoli ring test is a method to detect the presence of DNA in a sample, not related to agglutination.

Question 5 of 5

Which bacteria are known to produce an endotoxin that can cause septic shock?

Correct Answer: D

Rationale: The correct answer is D because all three bacteria (Salmonella enterica, Escherichia coli, Pseudomonas aeruginosa) are known to produce endotoxins, specifically lipopolysaccharides in their cell walls. Endotoxins are released upon bacterial cell death and can trigger an immune response, leading to septic shock. Salmonella and E. coli are common causes of bacterial infections, while Pseudomonas is associated with nosocomial infections. Therefore, all of the above choices are correct in terms of producing endotoxins that can cause septic shock. Choices A, B, and C are incorrect individually because they do not encompass all the bacteria known to produce endotoxins that can lead to septic shock.

Similar Questions

Join Our Community Today!

Join Over 10,000+ nursing students using Nurselytic. Access Comprehensive study Guides curriculum for ATI-RN and 3000+ practice questions to help you pass your ATI-RN exam.

Call to Action Image