ATI RN
Microbiology Chapter 1 Test Bank Questions
Question 1 of 5
A patient has been suffering from elevated temperature and attacks of typical cough for 10 days. Doctor administered inoculation of mucus from the patient's nasopharynx on the agar. What microorganism is presumed?
Correct Answer: A
Rationale: The correct answer is A: Pertussis bacillus. The symptoms described - elevated temperature and typical cough - are indicative of whooping cough, caused by Bordetella pertussis. By inoculating mucus from the nasopharynx on agar, the doctor is trying to isolate the causative agent, which is likely to be Pertussis bacillus. Summary of other choices: B: Pfeiffer's bacillus (Haemophilus influenzae): Unlikely as symptoms do not match. C: Listeria: Unlikely as it typically causes foodborne illness, not respiratory infections. D: Klebsiella: Unlikely as it is more commonly associated with pneumonia in immunocompromised individuals.
Question 2 of 5
A 30 year old patient consulted a doctor about having diarrhea and stomach aches for 5 days, temperature rise up to 37,50C with chills. The day before the patient was in a forest and drank some water from an open pond. He was diagnosed with amebic dysentery that was bacteriologically confirmed. Name the medication for treatment of this disease:
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. Amebic dysentery is caused by the parasite Entamoeba histolytica, not a bacterium, hence antibiotics like Chloramphenicol or Phthalazole are ineffective. Metronidazole is the drug of choice for treating amebic dysentery due to its efficacy against anaerobic organisms like Entamoeba histolytica. Furasolidone is used for treating bacterial infections, not parasitic ones like amebiasis. The patient's symptoms of diarrhea, stomach aches, and a recent history of drinking water from a potentially contaminated source in the forest are indicative of a parasitic infection, supporting the choice of Metronidazole for treatment.
Question 3 of 5
Microscopical examination of discharges from the gums of a patient ill with paradontosis revealed some protozoan pear-shaped organisms 6-13 micrometer long. The parasite has one nucleus and undulating membrane, there are four flagella at the front of its body. What protozoan were found?
Correct Answer: A
Rationale: The correct answer is A: Trichomonads. Trichomonads are pear-shaped protozoa, typically 6-13 micrometers long, with one nucleus, undulating membrane, and four flagella at the front. These characteristics match the description provided in the question. Trichomonads are commonly found in oral cavities and can cause gum infections like periodontosis. Summary: - B: Leishmania - Leishmania is a flagellated protozoan responsible for Leishmaniasis, not typically found in the oral cavity. - C: Amoebae - Amoebae are not pear-shaped and do not have the specific characteristics described in the question. - D: Balantidia - Balantidia are ciliated protozoa, not flagellated like trichomonads, and are not typically associated with gum infections.
Question 4 of 5
A puncture sample taken from the lymph node of a patient with preliminary diagnosis of protozoan disease has been investigated. The preparation was processed with Giemsa stain and the following was detected: crescent-shaped bodies with pointed tips, blue cytoplasm and red nuclei. What protozoa have been detected in the preparation?
Correct Answer: D
Rationale: The correct answer is D: Viscerotropic Leishmania. The presence of crescent-shaped bodies with pointed tips, blue cytoplasm, and red nuclei is characteristic of Leishmania species. Viscerotropic Leishmania causes visceral leishmaniasis, also known as kala-azar, which affects the internal organs. Toxoplasma typically presents as tachyzoites, not crescent-shaped bodies. Plasmodium malariae is a malaria parasite with different morphology. Dermatotropic Leishmania causes cutaneous leishmaniasis, not the visceral form indicated by the morphology described in the question.
Question 5 of 5
A 55-year-old patient with a characteristic rash, fever, dizziness has been admitted to a hospital. He has been provisionally diagnosed with typhus. No similar cases have been reported. In his youth (15 years old) the patient suffered typhus in a boarding school. What disease is it?
Correct Answer: A
Rationale: The correct answer is A: Brill's disease. Brill's disease is a relapse of typhus that occurs in patients who had typhus in their youth. The patient's history of having typhus at 15 years old is a key indicator. Brill's disease is characterized by symptoms such as rash, fever, and dizziness, which align with the patient's current presentation. Summary of other choices: B: Typhoid fever - While typhoid fever may present with similar symptoms to typhus, the patient's history of having typhus in the past makes this less likely. C: Measles - Measles does not typically present with dizziness, and the patient's history of typhus in the past is more indicative of Brill's disease. D: Rubella - Rubella does not typically cause dizziness, and the patient's history of typhus in the past points more towards Brill's disease.