A patient with fever and chills had blood cultures revealing Gram-negative rods that were oxidase-positive and lactose non-fermenters. What is the most likely causative agent?

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microbiology an introduction 13th edition test bank Questions

Question 1 of 9

A patient with fever and chills had blood cultures revealing Gram-negative rods that were oxidase-positive and lactose non-fermenters. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas aeruginosa. This is because Pseudomonas is a Gram-negative rod, oxidase-positive, and a lactose non-fermenter. The presence of fever and chills suggests a systemic infection, which is common with Pseudomonas. Salmonella typhi, Shigella dysenteriae, and Escherimalia coli are all Gram-negative rods but are typically lactose fermenters and do not match the characteristics described in the question.

Question 2 of 9

Which of the following bacteria produces endotoxins that can lead to septic shock?

Correct Answer: D

Rationale: The correct answer is D (All of the above). All three bacteria (Escherichia coli, Salmonella enterica, Pseudomonas aeruginosa) produce endotoxins that can lead to septic shock. Endotoxins are part of the outer membrane of Gram-negative bacteria and can trigger a strong immune response, leading to septic shock when released in large amounts. Escherichia coli and Salmonella enterica are common causes of bacterial septic shock, while Pseudomonas aeruginosa is known for its ability to produce endotoxins that contribute to severe infections and septic shock. Therefore, all three choices are correct in this context.

Question 3 of 9

A sample of a finished dosage form was found to be contaminated with some microorganisms exhibiting the following properties: greenish fluorescent colonies of gram-negative nonsporeforming bacilli that grew on the medium for the detection of pyocyanin. The bacilli release the bluegreen pigment into the medium. What microorganisms contaminated the finished dosage form?

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is a gram-negative bacilli that produce pyocyanin, a blue-green pigment. The presence of greenish fluorescent colonies of gram-negative nonsporeforming bacilli that release blue-green pigment matches the characteristics of Pseudomonas aeruginosa. Now, let's analyze the other choices: B: Enterobacteriaceae - While some Enterobacteriaceae can be gram-negative bacilli, they do not typically produce pyocyanin or exhibit the specific characteristics described in the question. C: Staphylococcus aureus - Staphylococcus aureus is a gram-positive cocci, not a gram-negative bacilli. It does not match the given description. D: Staphylococcus epidermidis - Staphylococcus epidermidis is also a gram-positive cocci, not a gram-negative bacilli. It does

Question 4 of 9

There was a record of some anthrax cases among animals in a countryside. The spread of disease can be prevented by means of immunization. What kind of vaccine should be used?

Correct Answer: B

Rationale: The correct answer is B: BCG vaccine. Bacille Calmette-Guérin (BCG) vaccine is used to prevent tuberculosis, which is caused by a bacterium related to anthrax. BCG vaccine can provide cross-protection against anthrax due to its similar mechanisms of action. STI live vaccine (choice A) is used for sexually transmitted infections, not anthrax. Salk vaccine (choice C) is used for polio, and Sabin's vaccine (choice D) is also for polio, not anthrax. Therefore, BCG vaccine is the most appropriate choice for preventing the spread of anthrax among animals in the countryside.

Question 5 of 9

Staphylococcal scalded skin syndrome is most common in:

Correct Answer: A

Rationale: The correct answer is A: infants. Staphylococcal scalded skin syndrome is most common in infants because their immune systems are not fully developed, making them more susceptible to Staphylococcus aureus infections. This bacteria produces exotoxins that cause the skin to blister and peel, characteristic of the syndrome. Adolescents, young adults, and the elderly have more mature immune systems, making them less vulnerable to this specific infection. Therefore, infants are at a higher risk for developing Staphylococcal scalded skin syndrome compared to other age groups.

Question 6 of 9

A 32-year-old patient who lives in the countryside consulted a doctor about a painful swelling and a fistula in the submandibular region. Examination revealed an infiltration with a fistula discharging thick pus and containing white granules. On dissection the infiltration tissues turned out to be dense, yellow-green and had honeycomb structure because of multiple abscesses. What is the most likely diagnosis?

Correct Answer: A

Rationale: The most likely diagnosis is Actinomycosis. This is because the patient's presentation of a painful swelling with a fistula containing white granules and yellow-green honeycomb-like tissue is classic for Actinomycosis. Actinomyces is a gram-positive anaerobic bacterium that forms sulfur granules in tissues. Tuberculosis (B) typically presents with caseating granulomas, not sulfur granules. Leprosy (C) presents with skin lesions and nerve damage, not characteristic of this case. Syphilis (D) usually presents with painless ulcers and rash, not the painful swelling and fistula seen in this patient.

Question 7 of 9

Characteristic features of infectious process:

Correct Answer: D

Rationale: Step-by-step rationale: 1. Infectious process triggers an immune response to fight off the invading pathogen. 2. The immune response can lead to inflammation, fever, and production of antibodies. 3. Hypersensitivity reactions can also occur in response to the infection. 4. Options A, B, and C are not defining features of the infectious process. Summary: Option D is correct because an infectious process typically leads to an immune response and possibly hypersensitivity reactions. Options A, B, and C are incorrect as they do not specifically relate to the immune response or hypersensitivity reactions in the context of an infectious process.

Question 8 of 9

The effects of different kinds of radiation depend on the following factors:

Correct Answer: B

Rationale: The correct answer is B because intensity, frequency, and thickness of the sample are key factors that determine the effects of different kinds of radiation. Intensity refers to the amount of energy carried by the radiation, frequency indicates the number of waves per unit time, and the thickness of the sample affects the penetration of radiation. These factors directly influence the interactions of radiation with matter, such as ionization and heating effects. A is incorrect because wavelength is not a major factor in determining the effects of radiation. C is incorrect because distance and nature of the sample are not as significant as intensity, frequency, and thickness. D is incorrect because chemical composition and shielding, while important in certain contexts, are not the primary factors affecting the effects of radiation.

Question 9 of 9

Chemically, most enzymes are

Correct Answer: A

Rationale: The correct answer is A: proteins. Enzymes are mostly composed of proteins due to their complex structure and specific amino acid sequences that are essential for their catalytic activity. Proteins have active sites that bind to substrates and facilitate chemical reactions. Lipids (B), nucleic acids (C), and carbohydrates (D) do not possess the necessary properties and structures to function as enzymes. Lipids serve as energy storage molecules and cell membrane components, nucleic acids store genetic information, and carbohydrates are primarily used for energy production.

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