ATI RN
microbiology an introduction 13th edition test bank Questions
Question 1 of 5
A 70-year-old man was admitted to the hospital after suffering extensive third-degree burns. Three days later he spiked a fever and there was pus on the dressing that had blue-green colour. Gram stain of the pus revealed gram-negative rods. The most possible cause of these findings is:
Correct Answer: A
Rationale: The correct answer is A: The pyocyanin released by Pseudomonas aeruginosa. Pyocyanin is a blue-green pigment produced by Pseudomonas aeruginosa, a common cause of nosocomial infections in burn patients. The presence of blue-green pus and gram-negative rods in the wound along with fever suggests an infection with Pseudomonas aeruginosa. The other choices are incorrect because E. Coli typically causes gastrointestinal infections and releases enterotoxins, Staphylococcus aureus releases hemolysins causing hemolysis of red blood cells, and Shigella dysenteriae releases shigatoxin causing bloody diarrhea, none of which match the clinical presentation described in the question.
Question 2 of 5
The effects of different kinds of radiation depend on the following factors:
Correct Answer: B
Rationale: The correct answer is B because intensity, frequency, and thickness of the sample are key factors that determine the effects of different kinds of radiation. Intensity refers to the amount of energy carried by the radiation, frequency indicates the number of waves per unit time, and the thickness of the sample affects the penetration of radiation. These factors directly influence the interactions of radiation with matter, such as ionization and heating effects. A is incorrect because wavelength is not a major factor in determining the effects of radiation. C is incorrect because distance and nature of the sample are not as significant as intensity, frequency, and thickness. D is incorrect because chemical composition and shielding, while important in certain contexts, are not the primary factors affecting the effects of radiation.
Question 3 of 5
As per their chemical structure the endotoxins are:
Correct Answer: A
Rationale: The correct answer is A: Lipopolysaccharides. Endotoxins are a type of bacterial toxin found in the outer membrane of Gram-negative bacteria. They consist of lipid A, which is a lipid component, and polysaccharides, making them lipopolysaccharides. Lipoproteins (choice B) and glycoproteins (choice C) do not accurately describe the chemical structure of endotoxins. "None of the above" (choice D) is incorrect as lipopolysaccharides are indeed the chemical structure of endotoxins.
Question 4 of 5
The main factor in pathogenicity of diphtheria is:
Correct Answer: C
Rationale: The correct answer is C because the main factor in the pathogenicity of diphtheria is the exotoxin produced by the bacterium Corynebacterium diphtheriae. This exotoxin inhibits protein synthesis in host cells, leading to tissue damage and the characteristic symptoms of diphtheria. A: The metachromatic bodies of Ernst-Babes are not the main factor in diphtheria pathogenicity. B: While endotoxins can contribute to the pathogenicity of some bacteria, in diphtheria, the main factor is the exotoxin. D: This is incorrect as the main factor in diphtheria pathogenicity is the exotoxin.
Question 5 of 5
In order to establish the possible contamination of a medication with fungi, a nutrient medium was inoculated, which resulted in growth of large cream-like colonies. What nutrient medium was used in this case?
Correct Answer: A
Rationale: The correct answer is A: Sabouraud. Sabouraud agar is specifically designed to promote the growth of fungi due to its low pH and high glucose content. The cream-like colonies indicate fungal growth, as fungi often appear as fluffy or powdery colonies on Sabouraud agar. Lowenstein-Jensen is used for mycobacteria, Roux for diphtheria, and Loeffler for Corynebacterium diphtheriae. Therefore, Sabouraud is the most suitable medium for detecting fungal contamination based on the characteristics of the colonies formed.
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