ATI RN
Microbiology A Systems Approach Test Bank Questions
Question 1 of 5
A patient with convulsive contractions of facial muscles was admitted to the infectious disease ward. From a scratch on his lower right extremity analysts isolated bacteria with terminal endospores that gave them drumstick appearance. What bacteria are compliant with given description?
Correct Answer: A
Rationale: Step-by-step rationale for the correct answer (A - Clostridium tetani): 1. The patient has convulsive contractions of facial muscles, indicating tetanus. 2. Isolation of bacteria with terminal endospores that have a drumstick appearance is characteristic of Clostridium tetani. 3. Clostridium tetani produces tetanospasmin toxin causing muscle spasms. 4. Therefore, the correct answer is Clostridium tetani (A). Summary of why other choices are incorrect: B: Clostridium botulinum causes botulism, not tetanus. C: Clostridium perfringens causes gas gangrene, not tetanus. D: Bacillus anthracis causes anthrax, not tetanus.
Question 2 of 5
The following spore-forming bacteria can be preserved in soil over a long period of time: clostridia of tetanus, botulism, anaerobic gas infection. Name the way with which these microorganisms get into soil.
Correct Answer: A
Rationale: Step 1: Clostridia of tetanus, botulism, anaerobic gas infection are spore-forming bacteria. Step 2: Spores are resistant structures that allow bacteria to survive in harsh conditions. Step 3: Feces contain these spore-forming bacteria due to contamination. Step 4: When feces are deposited on soil, the spores of these bacteria enter the soil. Step 5: Spores can remain dormant in soil for long periods. Summary: Choice A is correct as spore-forming bacteria enter soil through feces, which act as a source of contamination. Choices B, C, and D are incorrect as they do not involve the direct introduction of spores into soil like feces do.
Question 3 of 5
A patient who suffered form syphilis took a course of antibiotic therapy and fully recovered. Some time later he was infected again with Treponema pallidum. What form of infection is it?
Correct Answer: A
Rationale: The correct answer is A: Reinfection. This is because the patient fully recovered from the initial syphilis infection after antibiotic therapy, indicating the elimination of the pathogen. Subsequently getting infected again with Treponema pallidum suggests a new exposure to the same pathogen, resulting in a new infection. Recurrence (B) would imply the reactivation of the same infection, which is not the case here. Superinfection (C) refers to a new infection that occurs on top of an existing infection, which is not the scenario described. Secondary infection (D) typically refers to an infection that occurs after an initial infection weakens the immune system, which is not the case in this scenario.
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
A group of Ukrainian tourists returning from Samarqand was bringing with them gerbils. During examination in customs office ulcers were detected on the skin of the animals. What protozoa is the most likely to cause the disease in the animals, if mosquitoes are the carriers?
Correct Answer: C
Rationale: Rationale: 1. The presence of ulcers in animals suggests a parasitic infection. 2. Mosquitoes as carriers indicate a protozoan transmitted through insect bites. 3. Among the choices, Plasmodium falciparum causes malaria transmitted by mosquitoes. 4. Leishmania tropica major causes cutaneous leishmaniasis, not ulcers. 5. Balantidium coli causes intestinal infections, not skin ulcers. 6. Trypanosoma cruzi causes Chagas disease, not skin ulcers.