ATI RN
McGraw Hill Microbiology Test Bank Questions
Question 1 of 5
A patient with suspected liver abscess was admitted to the surgical department. The patient had been staying for a long time on business in one of African countries and fell repeatedly ill with acute gastrointestinal disorders. What protozoal disease may the patient be now ill with?
Correct Answer: A
Rationale: Rationale: The correct answer is Amebiasis (choice A) because the patient's symptoms of acute gastrointestinal disorders and prolonged stay in an African country suggest exposure to Entamoeba histolytica, the causative agent of amebiasis. This protozoal infection commonly occurs in tropical regions, including Africa. Trypanosomosis (choice B) is caused by Trypanosoma species transmitted by tsetse flies, primarily found in sub-Saharan Africa. Leishmaniasis (choice C) is transmitted by sandflies and presents with skin lesions or visceral involvement, not acute gastrointestinal symptoms. Malaria (choice D) is caused by Plasmodium parasites transmitted by mosquitoes and typically presents with fever, not acute gastrointestinal disorders. Therefore, choices B, C, and D are incorrect based on the patient's clinical presentation and travel history.
Question 2 of 5
Which of the following is a key feature of Mycobacterium tuberculosis?
Correct Answer: C
Rationale: The correct answer is C: Acid-fast cell wall. Mycobacterium tuberculosis is characterized by its unique cell wall composition, containing high levels of mycolic acids which make it acid-fast. This property allows it to resist decolorization during acid-fast staining procedures. This distinguishes it from other bacteria. A: Producing spores is not a key feature of Mycobacterium tuberculosis. Spore formation is more commonly associated with bacterial species such as Bacillus and Clostridium. B: Mycobacterium tuberculosis is not Gram-negative. It is classified as acid-fast Gram-positive. D: Mycobacterium tuberculosis does not produce toxins as a key feature. Its pathogenicity is more closely related to its ability to evade host immune responses and persist in host tissues.
Question 3 of 5
Transcription of viral nucleic acid to mRNA is not needed in the case of:
Correct Answer: D
Rationale: The correct answer is D: Positive strand RNA viruses. These viruses have RNA genomes that can be directly translated by host ribosomes without the need for transcription. In contrast, single-strand DNA and double-strand DNA viruses require transcription to generate mRNA for translation. Choice A is incorrect as there is a correct answer. Choice B and C are incorrect because both single-strand DNA and double-strand DNA viruses require transcription for mRNA synthesis.
Question 4 of 5
During examination of the patient's oral cavity a dentist noticed deformation of the teeth and a crescent indentation of the upper right incisor. The teeth are undersized, barrel-shaped – tooth cervix is wider than its edge. The patient uses a hearing aid, suffers from visual impairment. What type of syphilis affects teeth in such way?
Correct Answer: D
Rationale: The correct answer is D, Late congenital syphilis. This is because the patient presents with Hutchinson's teeth, which are a characteristic feature of late congenital syphilis. Hutchinson's teeth are small, barrel-shaped teeth with a wider cervix and notched incisors. The patient's history of visual impairment and hearing aid use also support the diagnosis of late congenital syphilis, as these are common manifestations of this stage of the disease. Choice A, Primary syphilis, is incorrect because it typically presents with a painless sore at the site of infection, not dental abnormalities. Choice B, Early congenital syphilis, is incorrect as dental abnormalities in this stage are usually more severe, such as mulberry molars. Choice C, Neurosyphilis, is incorrect as it primarily affects the central nervous system and does not typically present with dental abnormalities.
Question 5 of 5
Which of the following eyewash/safety showers should be used for immediate flushing only, until the victim reaches another safety unit?
Correct Answer: B
Rationale: The correct answer is B: Personal eyewash. Personal eyewash is designed for immediate flushing until the victim reaches a more suitable safety unit. It provides a controlled flow of water to safely flush eyes while transporting the victim. The emergency shower (A) is meant for full-body coverage, not just for the eyes. Handheld drench hose (C) may not provide adequate flushing pressure. Combination unit (D) may not be easily portable for immediate use.
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