Questions 9

ATI RN

ATI RN Test Bank

Microbiology An Introduction 13th Edition Test Bank Questions

Question 1 of 5

A 65 y.o. woman complains of complicated mouth opening following foot trauma 10 days ago. Next day she ate with difficulties, there were muscles tension of back, the back of the head and abdomen. On the third day there was tension of all muscle groups, generalized convulsions every 10-15 min. What is the most probable diagnosis?

Correct Answer: A

Rationale: The most probable diagnosis is Tetanus (Choice A) based on the symptoms described. Tetanus is characterized by muscle stiffness, difficulty opening the mouth (trismus), muscle spasms, and convulsions. The progression of symptoms from muscle tension to generalized convulsions every 10-15 min is classic for tetanus. Tetania (Choice B) is similar but typically presents with more subtle muscle contractions rather than convulsions. Meningoencephalitis (Choice C) presents with fever, headache, and altered mental status, not the muscle symptoms described. Hemorrhagic stroke (Choice D) presents with sudden onset neurological deficits like weakness or sensory changes, not the muscle symptoms described.

Question 2 of 5

A sample of a finished dosage form was found to be contaminated with some microorganisms exhibiting the following properties: greenish fluorescent colonies of gram-negative nonsporeforming bacilli that grew on the medium for the detection of pyocyanin. The bacilli release the bluegreen pigment into the medium. What microorganisms contaminated the finished dosage form?

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is a gram-negative bacilli that produce pyocyanin, a blue-green pigment. The presence of greenish fluorescent colonies of gram-negative nonsporeforming bacilli that release blue-green pigment matches the characteristics of Pseudomonas aeruginosa. Now, let's analyze the other choices: B: Enterobacteriaceae - While some Enterobacteriaceae can be gram-negative bacilli, they do not typically produce pyocyanin or exhibit the specific characteristics described in the question. C: Staphylococcus aureus - Staphylococcus aureus is a gram-positive cocci, not a gram-negative bacilli. It does not match the given description. D: Staphylococcus epidermidis - Staphylococcus epidermidis is also a gram-positive cocci, not a gram-negative bacilli. It does

Question 3 of 5

Quorum sensing in bacteria refers to:

Correct Answer: B

Rationale: The correct answer is B: Quorum sensing in bacteria refers to a process of cell-cell communication. Bacteria release signaling molecules to communicate with each other, coordinating group behaviors such as biofilm formation or virulence factor production when a certain population density is reached. This communication helps bacteria respond collectively to environmental cues. A: Incorrect - Locomotion refers to movement, not communication between bacteria. C: Incorrect - Uptake of foreign DNA is related to genetic transfer mechanisms, not communication. D: Incorrect - Antibiotic resistance mechanisms may involve genetic changes but are not directly related to inter-bacterial communication. In summary, quorum sensing is a vital communication system that allows bacteria to coordinate behaviors for survival and adaptation.

Question 4 of 5

Which of the following bacteria is associated with foodborne illnesses caused by contaminated water?

Correct Answer: A

Rationale: Step 1: Vibrio cholerae is a bacterium known to cause cholera, a foodborne illness transmitted through contaminated water. Step 2: Cholera outbreaks are often linked to unsanitary water sources, making Vibrio cholerae the correct choice. Step 3: Clostridium difficile causes gastrointestinal infections, not typically associated with contaminated water. Step 4: Mycobacterium tuberculosis causes tuberculosis, a respiratory disease, not related to foodborne illnesses. Step 5: Neisseria gonorrhoeae is a sexually transmitted bacterium, not linked to foodborne illnesses from contaminated water.

Question 5 of 5

A businessman came to India from South America. On examination the physician found that the patient was suffering from sleeping-sickness. What was the way of invasion?

Correct Answer: B

Rationale: The correct answer is B: As a result of mosquito's bites. Sleeping sickness, also known as African trypanosomiasis, is caused by the parasite Trypanosoma transmitted by tsetse flies, not mosquitoes. Tsetse flies are primarily found in Africa, not South America. Choice A is incorrect as bug bites do not transmit sleeping sickness. Choice C is incorrect as contaminated fruits and vegetables do not transmit the disease. Choice D is incorrect as dirty hands do not play a role in the transmission of sleeping sickness.

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