ATI RN
microbiology an introduction 13th edition test bank Questions
Question 1 of 9
A patient with pneumonia had sputum stained with Gram's method, revealing purple-stained diplococci with pointed ends. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium appears as purple-stained diplococci with pointed ends on Gram staining. S. pneumoniae is a common cause of pneumonia. It is encapsulated and has a lancet-shaped appearance, which is characteristic of the pointed ends seen in the staining. Staphylococcus aureus (B) typically appears as clusters of gram-positive cocci, not diplococci. Klebsiella pneumoniae (C) is a gram-negative rod, not a diplococci. Neisseria meningitidis (D) is a gram-negative diplococci but typically lacks the pointed ends seen in the staining of S. pneumoniae.
Question 2 of 9
Which of the following specific immune mechanisms offer NO protection against infection
Correct Answer: C
Rationale: Correct Answer: C - Immunological tolerance to the pathogen Rationale: 1. Immunological tolerance is when the immune system does not mount a response against specific antigens to prevent autoimmunity. 2. In the context of infection, tolerance to the pathogen means the immune system does not recognize the pathogen as a threat and does not initiate a protective response. 3. This lack of response leaves the host vulnerable to infection as there is no specific immune defense mechanism activated against the pathogen. Summary of incorrect choices: A: Opsonic action of antibody - enhances phagocytosis of pathogens B: Viral neutralization by specific antibody - prevents viral entry into host cells D: Neutralization of protein exotoxin - prevents the harmful effects of toxins produced by pathogens.
Question 3 of 9
Which of the following bacteria is associated with foodborne illnesses caused by contaminated water?
Correct Answer: A
Rationale: Step 1: Vibrio cholerae is a bacterium known to cause cholera, a foodborne illness transmitted through contaminated water. Step 2: Cholera outbreaks are often linked to unsanitary water sources, making Vibrio cholerae the correct choice. Step 3: Clostridium difficile causes gastrointestinal infections, not typically associated with contaminated water. Step 4: Mycobacterium tuberculosis causes tuberculosis, a respiratory disease, not related to foodborne illnesses. Step 5: Neisseria gonorrhoeae is a sexually transmitted bacterium, not linked to foodborne illnesses from contaminated water.
Question 4 of 9
A Gram-stained smear from a wound infection revealed Gram-positive cocci arranged in clusters. The bacteria were catalase-positive and coagulase-negative. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus epidermidis. The presence of Gram-positive cocci arranged in clusters, catalase-positive, and coagulase-negative characteristics are indicative of Staphylococcus species. Staphylococcus epidermidis is a common skin commensal that causes wound infections. Staphylococcus aureus is coagulase-positive and often causes more aggressive infections. Streptococcus pyogenes is catalase-negative and typically forms chains, not clusters. Enterococcus faecalis is catalase-negative and commonly found in the GI tract, not a common cause of wound infections.
Question 5 of 9
A patient with pneumonia had sputum stained with Gram's method, revealing purple-stained diplococci with pointed ends. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium appears as purple-stained diplococci with pointed ends on Gram staining. S. pneumoniae is a common cause of pneumonia. It is encapsulated and has a lancet-shaped appearance, which is characteristic of the pointed ends seen in the staining. Staphylococcus aureus (B) typically appears as clusters of gram-positive cocci, not diplococci. Klebsiella pneumoniae (C) is a gram-negative rod, not a diplococci. Neisseria meningitidis (D) is a gram-negative diplococci but typically lacks the pointed ends seen in the staining of S. pneumoniae.
Question 6 of 9
What drug should be administered for individual prevention of malaria?
Correct Answer: A
Rationale: The correct answer is A: Chingamin. Chingamin is a type of antimalarial drug that is commonly used for individual prevention of malaria. It works by targeting the malaria parasite in the body, preventing its growth and spread. Rifampicin (B), Ampicillin (C), and Gentamicin (D) are not effective for preventing malaria as they are antibiotics that target bacterial infections, not parasitic infections like malaria. Therefore, Chingamin is the most appropriate choice for individual prevention of malaria due to its specific antimalarial properties.
Question 7 of 9
A 5-year-old child presents with a sore throat and a grayish pseudomembrane in the throat. Microscopic examination of a smear revealed dark blue-staining rods with polar granules. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Corynebacterium diphtheriae. This bacterium causes diphtheria, characterized by a grayish pseudomembrane in the throat. The dark blue-staining rods with polar granules seen in microscopic examination are known as metachromatic granules, which are specific to Corynebacterium diphtheriae. Streptococcus pyogenes (choice B) causes strep throat but does not produce pseudomembranes. Haemophilus influenzae (choice C) can cause respiratory infections but does not typically present with a pseudomembrane. Neisseria gonorrhoeae (choice D) is a sexually transmitted bacterium and is not associated with the symptoms described.
Question 8 of 9
The complex invaginations of the prokaryotic cytoplasmic membrane are called:
Correct Answer: D
Rationale: The correct answer is D: Mesosomes. Mesosomes are infoldings of the prokaryotic cytoplasmic membrane that play a role in cell division and respiration. This structure is not found in eukaryotic cells. Cristae (A) are infoldings of the mitochondrial inner membrane in eukaryotic cells. Granum (B) refers to stacks of thylakoid membranes in chloroplasts. Flagella (C) are whip-like structures used for movement and are not related to cytoplasmic membrane invaginations. Therefore, the correct answer is D as mesosomes are unique to prokaryotic cells and are involved in various cellular processes.
Question 9 of 9
Infection of many people with known epidemiological link' is:
Correct Answer: C
Rationale: The correct answer is C: Epidemic. This term refers to the widespread occurrence of an infectious disease in a specific community or region at a particular time. In this scenario, the infection of many people with a known epidemiological link indicates a localized outbreak within a defined population. Explanation: 1. Epidemic specifically refers to a sudden increase in the number of cases of a disease above what is normally expected in a population. 2. The term "known epidemiological link" suggests a clear connection between the cases, indicating a common source or mode of transmission within a specific group. 3. Endemic (choice A) refers to the constant presence of a disease within a specific geographic area or population. 4. Pandemic (choice B) refers to a global outbreak of a disease that spreads across countries and continents. 5. Sporadic disease (choice D) refers to isolated cases that occur infrequently and without a clear pattern. In summary, an epidemic best describes the situation of many people being