Questions 9

ATI RN

ATI RN Test Bank

Microbiology A Systems Approach Test Bank Questions

Question 1 of 5

A man uses dentures. The dentist has noticed mucosal lecions with a white coating in his oral cavity. Microscopy of the coating detected large oval Gram-positive cells. What microorganisms have caused stomatitis in the patient?

Correct Answer: A

Rationale: The correct answer is A: Yeast-like fungi of Candida genus. Candida is a common cause of oral thrush/stomatitis, characterized by mucosal lesions with white coating. The presence of large oval Gram-positive cells is indicative of Candida species. Actinomycetes (B) are filamentous bacteria and not oval Gram-positive cells. Streptococci (C) are spherical bacteria, not oval, and are not commonly associated with stomatitis. Oral spirochetes (D) are spiral-shaped bacteria and not oval Gram-positive cells typically seen in Candida infections. Thus, A is the correct choice based on the characteristic morphology and clinical presentation.

Question 2 of 5

A wound infection culture grew Gram-positive cocci in clusters. The bacteria were catalase-positive and coagulase-negative. What is the likely microorganism?

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus epidermidis. The presence of Gram-positive cocci in clusters, along with being catalase-positive and coagulase-negative, is indicative of Staphylococcus species. Staphylococcus epidermidis is commonly found on the skin, making it likely to cause wound infections. Summary: B: Staphylococcus aureus is catalase-positive and coagulase-positive. C: Streptococcus pyogenes is catalase-negative. D: Enterococcus faecalis is catalase-negative.

Question 3 of 5

A 40 year old man noticed a reddening and an edema of skin in the area of his neck that later developed into a small abscess. The incised focus is dense, yellowish-green. The pus contains white granules. Histological examination revealed drusen of a fungus, plasmatic and xanthome cells, macrophages. What type of mycosis is the most probable?

Correct Answer: D

Rationale: The correct answer is D: Sporotrichosis. Sporotrichosis is caused by the fungus Sporothrix schenckii, which commonly presents as a subcutaneous infection. In the given case, the presence of a small abscess with yellowish-green pus containing white granules is indicative of sporotrichosis. The histological examination showing drusen of a fungus, plasmatic and xanthome cells, and macrophages further supports the diagnosis of sporotrichosis. Choice A: Actinomycosis is a bacterial infection caused by Actinomyces species, not a fungal infection. Choice B: Aspergillosis is caused by Aspergillus species and typically presents as a pulmonary infection, not a subcutaneous abscess as described in the case. Choice C: Candidosis is caused by Candida species and usually presents as mucocutaneous infections, not a subcutaneous abscess with the

Question 4 of 5

When doctors of a sanitary and epidemiologic institution examine employees of public catering establishments they often reveal asymptomatic parasitosis, that is when a healthy person is a carrier of cysts that infect other people. What causative agent can parasitize in such a way?

Correct Answer: A

Rationale: The correct answer is A: Dysenteric amoeba. This is because dysenteric amoebas can cause asymptomatic parasitosis, where a healthy person carries cysts that can infect others. Dysenteric amoebas are known to infect the intestines and can be transmitted through contaminated food or water. Choice B, Malarial plasmodium, causes malaria transmitted through mosquitoes. Choice C, Enteral trichomonad, causes diarrhea and is transmitted through contaminated water. Choice D, Dermatotropic leishmania, causes skin lesions and is transmitted through sandfly bites. These choices do not fit the scenario of asymptomatic parasitosis in public catering establishments.

Question 5 of 5

Group II category diseases as established by the NIAID include:

Correct Answer: D

Rationale: The correct answer is D: reemerging diseases. Group II category diseases by the NIAID are those that have reemerged or have the potential to reemerge. This classification helps prioritize research and resources. Choice A is incorrect because new foodborne pathogens fall under different categories. Choice B is incorrect as eradicated diseases are not part of the reemerging group. Choice C is incorrect because bioterrorism agents are classified separately. Therefore, the correct answer is D as it aligns with the purpose of Group II category diseases.

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