ATI RN
Microbiology A Systems Approach Test Bank Questions
Question 1 of 5
A bacteriological laboratory has been investigating a sample of homemade dried fish that was the cause of severe food poisoning. Microscopy of the culture inoculated in Kitt-Tarozzi medium revealed microorganisms resembling a tennis racket. What diagnosis can be made?
Correct Answer: A
Rationale: The correct answer is A: Botulism. The tennis racket appearance seen under the microscope is characteristic of Clostridium botulinum, the bacterium responsible for botulism. This bacterium produces spores that resemble a tennis racket shape. Botulism is a type of food poisoning caused by the ingestion of the toxin produced by Clostridium botulinum. Summary: B: Salmonellosis is caused by Salmonella bacteria, which do not exhibit a tennis racket appearance. C: Cholera is caused by Vibrio cholerae, which also does not resemble a tennis racket under the microscope. D: Dysentery is typically caused by bacteria such as Shigella or Entamoeba histolytica, neither of which exhibit the characteristic tennis racket appearance.
Question 2 of 5
Which of the following bacterial structures has endotoxic activity?
Correct Answer: A
Rationale: The correct answer is A: Lipopolysaccharides. Lipopolysaccharides (LPS) are major components of the outer membrane of Gram-negative bacteria and are known to have endotoxic activity. LPS can trigger a strong immune response leading to inflammation and septic shock. Choice B, Lipoproteins of Braun, are not known to have endotoxic activity. Choice C, Protein A, is a surface protein found in Staphylococcus aureus and is not associated with endotoxic activity. Choice D, None, is incorrect as LPS is indeed a bacterial structure with endotoxic activity.
Question 3 of 5
Acute febrile pharyngitis and pharyngoconjunctival fever are often the clinical presentation of which viral infection:
Correct Answer: D
Rationale: The correct answer is D: Adenovirus. Adenovirus commonly causes acute febrile pharyngitis and pharyngoconjunctival fever. Adenovirus is known to cause respiratory infections and can present with symptoms such as sore throat, fever, and conjunctivitis. VZV (Varicella-Zoster Virus) causes chickenpox and shingles, not these specific symptoms. Measles virus causes a systemic illness with characteristic rash, not typically pharyngitis. Rubella virus causes a mild febrile illness with rash, but not pharyngitis. Therefore, based on the clinical presentation described, adenovirus is the most likely cause.
Question 4 of 5
Diaper rash in infants is commonly caused by:
Correct Answer: C
Rationale: The correct answer is C: Candida albicans. Candida albicans is a common fungal organism that causes diaper rash in infants due to its ability to thrive in warm, moist environments. It can overgrow in the diaper area, leading to irritation and inflammation. Sporothrix schenckii (A) is a fungus that causes skin infections, but not typically diaper rash. Actinomyces (B) is a bacterium that is not commonly associated with diaper rash. Malassezia furfur (D) is a yeast that causes conditions like dandruff and seborrheic dermatitis, but not diaper rash in infants.
Question 5 of 5
A patient in the oral surgery department has got purulent complication. Bacteriological analysis of the wound material found a culture that produces cyan pigment. What microorganism is the most probable causative agent?
Correct Answer: A
Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is known for producing a bluish-green pigment called pyocyanin, which presents as a cyan pigment. This bacterium is commonly associated with wound infections and is often found in oral surgery complications. Proteus vulgaris (B) and Klebsiella pneumoniae (D) are not typically associated with cyan pigment production, making them less likely causative agents. Bacillus subtilis (C) is not known to produce cyan pigment and is not a common pathogen in wound infections. Therefore, based on the presence of cyan pigment and the clinical context of an oral surgery complication, Pseudomonas aeruginosa is the most probable causative agent.
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