ATI RN
Microbiology Chapter 10 Test Bank Questions
Question 1 of 5
A patient has severe catarrhal symptoms. Material growth on Bordet-Gengou agar showed mercury- drop like colonies. Examination of the blood smears revealed some small ovoid gram-negative bacilli sized 1-3 microns. What microorganisms were isolated?
Correct Answer: A
Rationale: The correct answer is A: Bordetella. The presence of mercury-drop like colonies on Bordet-Gengou agar indicates Bordetella pertussis. The small ovoid gram-negative bacilli sized 1-3 microns are characteristic of Bordetella species. Catarrhal symptoms are typical of pertussis caused by Bordetella pertussis. Summary of other choices: B: Corynebacteria do not typically exhibit mercury-drop like colonies or small ovoid shapes. C: Mycobacteria are acid-fast bacilli and do not grow on Bordet-Gengou agar. D: Meningococcus is a gram-negative diplococcus and does not match the description provided.
Question 2 of 5
A 30 y.o. patient is diagnosed with amebic dysentery. This diagnosis was bacteriologically confirmed. Name the preparation for its treatment:
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. Amebic dysentery is caused by the parasite Entamoeba histolytica, not bacteria. Metronidazole is the drug of choice for treating this parasitic infection. It works by disrupting the DNA structure of the parasite, leading to its death. Mebendazole (B) is used to treat certain worm infections, not amebic dysentery. Itrakonazole (C) is an antifungal medication and not effective against parasites. Furacillin (D) is an antibacterial agent and not suitable for treating parasitic infections like amebic dysentery.
Question 3 of 5
A smear from frothy and purulent vaginal discharges of a 42 y.o. woman was stained by Romanovsky-Giemsa method. Its analysis revealed some microorganisms of flagellates class. What microorganism were the most probably revealed?
Correct Answer: A
Rationale: The correct answer is A: Trichomonas vaginalis. Trichomonas vaginalis is a flagellated protozoan that causes trichomoniasis, a sexually transmitted infection commonly found in vaginal discharges. In this case, the presence of flagellates in the vaginal discharge aligns with the characteristics of Trichomonas vaginalis. Leishmania donovani causes leishmaniasis, transmitted by sandflies. Trypanosoma gambiense causes African sleeping sickness through the tsetse fly bite. Trihomonas hominis is a non-pathogenic flagellate found in the human intestine. Therefore, the correct choice is A due to the correlation between the flagellates found in the vaginal discharge and the characteristics of Trichomonas vaginalis.
Question 4 of 5
Examination of a man revealed a protozoan disease that affected brain and caused vision loss. Blood analysis revealed unicellular half-moon-shaped organisms with pointed end. The causative agent of this disease is:
Correct Answer: A
Rationale: The correct answer is A: Toxoplasma. Toxoplasma gondii is a protozoan parasite that can infect the brain and cause vision loss. The description of half-moon-shaped organisms with a pointed end matches the appearance of Toxoplasma under the microscope. Toxoplasma is known to cause a condition called toxoplasmosis, which can lead to neurological symptoms such as vision loss. Leishmania, Lamblia, Amoeba, and Trichomonad are not known to cause brain infections or vision loss, making them incorrect choices.
Question 5 of 5
What drug should be administered?
Correct Answer: A
Rationale: The correct answer is A: Doxycycline. It is a broad-spectrum antibiotic effective against a wide range of bacteria, including those causing infections like Lyme disease and pneumonia. Doxycycline is often the first-line treatment for these infections due to its efficacy and low risk of resistance. Chloramphenicol (B) has serious side effects and is reserved for specific cases. Penicillin (C) is not effective against all bacteria and may not cover the specific infection. Streptomycin (D) is mainly used for certain types of bacterial infections and is not the optimal choice for the conditions mentioned in the question.