ATI RN
microbiology an introduction 13th edition test bank Questions
Question 1 of 5
A Gram-stained smear from a urethral discharge revealed Gram-negative diplococci. The patient presented with dysuria and purulent discharge. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Neisseria gonorrhoeae. This bacterium is the likely causative agent of the patient's symptoms based on the presentation of dysuria and purulent discharge, which are classic signs of gonorrhea. Gram-negative diplococci are characteristic of Neisseria species. Neisseria gonorrhoeae is a sexually transmitted pathogen commonly associated with urethral infections. Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis are not typically associated with urethral discharge and are not Gram-negative diplococci.
Question 2 of 5
A Gram-stained smear from a wound infection revealed Gram-positive cocci arranged in clusters. The bacteria were catalase-positive and coagulase-negative. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus epidermidis. The presence of Gram-positive cocci arranged in clusters, catalase-positive, and coagulase-negative characteristics are indicative of Staphylococcus species. Staphylococcus epidermidis is a common skin commensal that causes wound infections. Staphylococcus aureus is coagulase-positive and often causes more aggressive infections. Streptococcus pyogenes is catalase-negative and typically forms chains, not clusters. Enterococcus faecalis is catalase-negative and commonly found in the GI tract, not a common cause of wound infections.
Question 3 of 5
A 5-year-old child presents with a sore throat and a grayish pseudomembrane in the throat. Microscopic examination of a smear revealed dark blue-staining rods with polar granules. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Corynebacterium diphtheriae. This bacterium causes diphtheria, characterized by a grayish pseudomembrane in the throat. The dark blue-staining rods with polar granules seen in microscopic examination are known as metachromatic granules, which are specific to Corynebacterium diphtheriae. Streptococcus pyogenes (choice B) causes strep throat but does not produce pseudomembranes. Haemophilus influenzae (choice C) can cause respiratory infections but does not typically present with a pseudomembrane. Neisseria gonorrhoeae (choice D) is a sexually transmitted bacterium and is not associated with the symptoms described.
Question 4 of 5
A blood culture from a patient with sepsis revealed Gram-positive cocci in clusters. The organism was catalase-positive and coagulase-negative. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus epidermidis. Step 1: Gram-positive cocci in clusters suggest staphylococci. Step 2: Catalase-positive and coagulase-negative narrows it down to Staphylococcus epidermidis, as it is catalase-positive and coagulase-negative. Staphylococcus aureus (B) is catalase-positive and coagulase-positive. Streptococcus pyogenes (C) is catalase-negative. Enterococcus faecalis (D) is catalase-negative and coagulase-negative.
Question 5 of 5
A stool sample from a patient with diarrhea revealed Gram-negative rods with a greenish hue on MacConkey agar. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Escherichia coli. E. coli is a Gram-negative rod that typically has a greenish hue on MacConkey agar due to its ability to ferment lactose, producing acid that changes the pH indicator to green. E. coli is a common cause of diarrhea, particularly in cases of traveler's diarrhea. Salmonella (B), Shigella (C), and Klebsiella (D) are also Gram-negative rods but do not typically show a greenish hue on MacConkey agar and are less commonly associated with causing diarrhea compared to E. coli.