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 patient returning from Congo republic a week ago is with fever, headache vomiting and diarrhea, Three days after his admission to the infectious ward, despite antibiotic therapy, severe hemorrhagic syndrome developed and as well as CNS involvement, The diagnosis is hemorrhagic fever. Which of these viruses can be a causative agent?
Correct Answer: C
Rationale: The correct answer is C: Ebola virus. The patient's symptoms align with Ebola virus infection, including fever, severe hemorrhagic syndrome, and CNS involvement. Ebola virus is known to cause hemorrhagic fevers with high mortality rates. A: SARS CoV causes Severe Acute Respiratory Syndrome, which typically presents with respiratory symptoms, not hemorrhagic fever. B: Lymphocytic choriomeningitis virus usually causes a mild illness with flu-like symptoms, not severe hemorrhagic syndrome. D: ECHO 9 virus is associated with aseptic meningitis, not hemorrhagic fever.
Question 3 of 5
A subacute toxic effect occurs when the adverse drug effect occurs:
Correct Answer: C
Rationale: The correct answer is C: after repeated exposure for days. Subacute toxic effects typically manifest after a period of time that is longer than immediate (A) or acute (B) effects but shorter than chronic effects (D). This duration of days aligns with the definition of subacute, which refers to effects that occur gradually over a relatively short time frame. It is important to differentiate between the timing of toxic effects to accurately assess the potential harm caused by a substance. Choices A, B, and D are incorrect because they do not align with the characteristic time frame associated with subacute toxic effects.
Question 4 of 5
What preventive medications should be injected to a patient with open maxillofacial trauma provided that he has never got prophylactic vaccination before?
Correct Answer: C
Rationale: Step 1: Antitetanus serum is crucial for patients with open maxillofacial trauma to prevent tetanus infection from contaminated wounds. Step 2: Antibiotics are needed to prevent infection in the wound. Step 3: Antitetanus serum provides immediate passive immunity while antibiotics help combat potential infections. Step 4: Antitetanus immunoglobulin is not mentioned in the question and is not typically used for prophylaxis. Step 5: Anticonvulsive drugs are not preventive medications for maxillofacial trauma. Step 6: Diphtheria, tetanus, and pertussis vaccines are not specifically indicated for immediate prevention in this scenario.
Question 5 of 5
Measures that can be taken to prevent bacterial vaginitis include:
Correct Answer: D
Rationale: The correct answer is D because bacterial vaginitis is often caused by an imbalance in the vaginal flora, which can be disrupted by frequent douching (eliminating beneficial bacteria), tight clothing (restricting airflow), and non-breathable underwear. Avoiding tight pants and using cotton underwear allow for better ventilation, promoting a healthy vaginal environment. Infrequent douching helps maintain the natural balance of bacteria in the vagina. Choices A and B are incorrect because they recommend practices that can disrupt the vaginal flora and increase the risk of bacterial vaginitis. Choice C is partially correct but lacks the emphasis on avoiding frequent douching, which is crucial in preventing bacterial vaginitis.
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