ATI RN
mcgraw hill microbiology test bank Questions
Question 1 of 5
A child is presumably ill with diphtheria. A specimen of affected mucous membrane of his pharynx was taken for analysis. The smear was stained and microscopic examination revealed yellow rods with dark blue thickenings on their ends. What structural element of a germ cell was revealed in the detected microorganisms?
Correct Answer: A
Rationale: The correct answer is A: Volutin granules. Volutin granules are metachromatic granules that stain dark blue with methylene blue or Leishman stain. In diphtheria-causing bacteria, Corynebacterium diphtheriae, these granules are typically seen as yellow rods with dark blue thickenings on their ends when stained. Volutin granules are storage inclusions composed of polymetaphosphate that serve as an energy reserve for the bacteria. The presence of these granules in the detected microorganisms indicates the characteristic feature of Corynebacterium diphtheriae. Summary of other choices: B: Plasmids are extrachromosomal DNA molecules that are not typically visible on stained smears. C: Capsules are outer protective layers that are not visible on stained smears. D: Spores are reproductive structures formed by certain bacteria, not typically seen in Corynebacterium diphtheriae.
Question 2 of 5
In 8 days after a surgery the patient develops tetatus. The surgeon suspects this condition to be caused by suture material contaminated by tetanus agent. The material is delivered to a bacteriological laboratory. What nutrient medium is required for primary inoculation of the suture material?
Correct Answer: D
Rationale: The correct answer is D, Kitt-Tarozzi medium. This medium is specifically designed for the isolation and cultivation of Clostridium tetani, the bacteria responsible for tetanus. The other options, Sabouraud agar, Endo agar, and Hiss medium, are not suitable for the growth of Clostridium tetani. Sabouraud agar is used for fungal cultures, Endo agar is a selective medium for enteric bacteria, and Hiss medium is used for the cultivation of anaerobic bacteria other than Clostridium tetani. Therefore, the Kitt-Tarozzi medium is the most appropriate choice for isolating and identifying the tetanus agent in this scenario.
Question 3 of 5
4 days after a patient received a gunshot wound of the middle third of the thigh soft tissues his condition suddenly began deteriorating. There are complaints of bursting pain in the wound; pain increases during the last 12 hours. Edema of skin and hypodermic tissue quickly grows. Body temperature is 38,2oC, heart rate is 102/min. The wound edges gape, are dull in color; the muscles, viable as of day before, now protrude into the wound, look boiled, are dull in color, have dirty-grey coating and fall apart when being held with forceps. What infection has developed in the wound?
Correct Answer: A
Rationale: The correct answer is A: Anaerobic infection. The sudden deterioration, bursting pain, edema, foul appearance of wound, and presence of gas are indicative of gas gangrene caused by anaerobic bacteria like Clostridium perfringens. These bacteria thrive in low oxygen environments, such as deep wound tissues. The symptoms align with the classic presentation of gas gangrene, necessitating immediate surgical intervention. Choice B: Aerobic gram-negative, is incorrect because anaerobic bacteria, not aerobic gram-negative bacteria, are responsible for gas gangrene. Choice C: Putrid, is incorrect as it is a general term referring to foul-smelling decay and does not specify the type of infection. Choice D: Aerobic gram-positive, is incorrect as gas gangrene is typically caused by anaerobic bacteria, not aerobic gram-positive bacteria.
Question 4 of 5
Which type of bacteria can survive in both aerobic and anaerobic environments?
Correct Answer: B
Rationale: Certainly! The correct answer is B: Facultative anaerobes. Facultative anaerobes can survive in both aerobic and anaerobic environments due to their ability to switch between utilizing oxygen for respiration in aerobic conditions and utilizing fermentation or anaerobic respiration in anaerobic conditions. This flexibility allows them to thrive in diverse environments. Explanation for incorrect choices: A: Obligate aerobes require oxygen for respiration and cannot survive in anaerobic environments. C: Obligate anaerobes can only survive in the absence of oxygen and would not thrive in aerobic conditions. D: Microaerophiles require low levels of oxygen to grow and are not as versatile in adapting to varying oxygen levels compared to facultative anaerobes.
Question 5 of 5
Which bacteria are responsible for causing the disease known as 'whooping cough'?
Correct Answer: A
Rationale: The correct answer is A: Bordetella pertussis. Bordetella pertussis is the bacterium responsible for causing whooping cough, also known as pertussis. It produces toxins that damage the respiratory tract, leading to severe coughing fits. Haemophilus influenzae, Streptococcus pneumoniae, and Mycobacterium tuberculosis are not associated with whooping cough. Haemophilus influenzae can cause respiratory infections but not whooping cough. Streptococcus pneumoniae is known for causing pneumonia, and Mycobacterium tuberculosis causes tuberculosis, both different from whooping cough. Therefore, the correct answer is A as it is the specific bacterium linked to the disease in question.
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