ATI RN
microbiology chapter 1 test bank Questions
Question 1 of 5
A fecal sample cultured on Endo agar produced red, lactose-positive colonies. What microorganism is most likely present?
Correct Answer: A
Rationale: The correct answer is A: Escherichia coli. On Endo agar, lactose-fermenting bacteria produce red colonies due to acid production. Escherichersia coli is a lactose-fermenting, gram-negative bacillus commonly found in the intestines. Salmonella and Shigella are lactose-negative and do not produce red colonies on Endo agar. Proteus is also lactose-negative and doesn't typically grow on Endo agar. Therefore, based on the lactose fermentation and colony color, Escherichia coli is the most likely microorganism present in the fecal sample.
Question 2 of 5
A 2-year-old unvaccinated child is admitted to hospital with high grade fever, maculopapular rash and whitish spots located bilaterally on the buccal mucosa, corresponding to Filatov-Koplik's spots. What kind of test will support your diagnosis?
Correct Answer: C
Rationale: The correct answer is C: Measles serological test. This is because the clinical presentation of high fever, maculopapular rash, and Filatov-Koplik's spots on the buccal mucosa are classic symptoms of measles. The presence of Filatov-Koplik's spots is highly specific for measles. Performing a measles serological test will help confirm the diagnosis by detecting measles-specific antibodies in the blood. Incorrect choices: A: Mumps serological test - Mumps typically presents with parotitis (swelling of the parotid glands) and not with Filatov-Koplik's spots. B: Enteroviruses serological test - Enteroviruses do not typically cause Filatov-Koplik's spots or the classic triad of symptoms seen in measles. D: Influenza virus serological test - Influenza virus does not cause Filatov-Koplik's spots and the characteristic rash seen
Question 3 of 5
A 3 m.o. baby has white film on the mucous membrane of his mouth, tongue and lips. A doctor suspected candidosis. What nutrient medium should be applied for inoculation of the material under examination in order to confirm this diagnosis?
Correct Answer: A
Rationale: Step-by-step rationale for why Answer A (Sabouraud's) is correct: 1. Sabouraud's agar is a selective medium for fungi. 2. Candida is a type of fungus causing candidosis. 3. Sabouraud's agar promotes fungal growth. 4. Candida will grow on Sabouraud's agar, confirming the diagnosis. 5. Other choices are for bacterial culture, not suitable for fungal growth. Summary: - Endo, Jensen's, and Roux are not appropriate for fungal culture. - Sabouraud's agar specifically supports fungal growth, making it the correct choice for confirming candidosis.
Question 4 of 5
Infectious diseases in the adult population are responsible for about one third of all deaths in individuals over the age of:
Correct Answer: C
Rationale: The correct answer is C (60 years) because as individuals age, their immune system weakens, making them more susceptible to infectious diseases. Around the age of 60, people are more likely to succumb to infections, leading to a higher mortality rate. Choices A, B, and D are incorrect because they are younger ages, and the likelihood of infectious diseases causing a significant proportion of deaths increases with age.
Question 5 of 5
Which bacteria are responsible for causing meningitis?
Correct Answer: D
Rationale: The correct answer is D. Neisseria meningitidis, Haemophilus influenzae, and Streptococcus pneumoniae are all known to cause meningitis. Neisseria meningitidis is a common cause of bacterial meningitis in young adults. Haemophilus influenzae is a leading cause of meningitis in children, and Streptococcus pneumoniae is a common cause in adults. Therefore, all three bacteria are responsible for causing meningitis, making option D the correct choice. Option A, B, and C are incorrect because they each represent only one of the bacteria responsible for causing meningitis, while option D includes all three.