ATI RN
Microbiology Chapter 10 Test Bank Questions
Question 1 of 5
A puncture sample has been taken from the inguinal lymph nodes of a patient provisionally diagnosed with plague. The sample was inoculated into a hard nutrient medium. What shape will the colonies have, if the diagnosis is confirmed?
Correct Answer: B
Rationale: The correct answer is B: Shagreen leather. Yersinia pestis, the bacterium causing plague, forms colonies resembling shagreen leather on a hard nutrient medium due to its distinctive morphology. This morphology includes a rough, irregular, and raised appearance, similar to the texture of shagreen leather. A: Dewdrops - Incorrect. Dewdrops do not accurately describe the colony morphology of Yersinia pestis. C: Lace handkerchief - Incorrect. Lace handkerchief does not accurately describe the colony morphology of Yersinia pestis. D: Mercury drops - Incorrect. Mercury drops do not accurately describe the colony morphology of Yersinia pestis.
Question 2 of 5
A man is suffering from diarrhea. In summer he spent his vacation in the south at the sea coast. Bacteria with the following properties were detected in his feces: gram-negative curved mobile monotrichous bacilli that do not produce spores or capsules. They are undemanding to nutrient medium but require alkaline reaction (Ñ€H 8.5-9.5). Described are the agents of the following enteric infection:
Correct Answer: A
Rationale: Step-by-step rationale for why the correct answer is A (Cholera): 1. Gram-negative curved mobile monotrichous bacilli: Vibrio cholerae, the causative agent of cholera, fits this description. 2. Do not produce spores or capsules: Vibrio cholerae does not produce spores or capsules. 3. Require alkaline reaction (pH 8.5-9.5): Vibrio cholerae thrives in alkaline environments. 4. Enteric infection: Cholera is a classic example of an enteric infection transmitted through contaminated food or water. Summary of why other choices are incorrect: B: Shigellosis is caused by Shigella species, which are gram-negative, but they are not curved bacilli and do not require an alkaline pH. C: Typhoid fever is caused by Salmonella Typhi, which are gram-negative but are not curved bacilli and do not require an alkaline pH.
Question 3 of 5
A patient with a wound infection had Gram-positive cocci in clusters isolated from a wound culture. The organism was catalase-positive and coagulase-positive. What is the likely causative agent?
Correct Answer: A
Rationale: 1. Gram-positive cocci in clusters suggest Staphylococcus species. 2. Catalase-positive and coagulase-positive characteristics match with Staphylococcus aureus. 3. Staphylococcus aureus is a common cause of wound infections due to its virulence factors. 4. Other choices are incorrect: B) S. epidermidis is coagulase-negative and a common contaminant, C) S. pyogenes is catalase-negative, D) Enterococcus faecalis is not typically associated with wound infections.
Question 4 of 5
Ziehl-Neelsen staining is for detection of:
Correct Answer: A
Rationale: Step 1: Ziehl-Neelsen staining is a type of acid-fast staining used to detect acid-resistant bacteria like Mycobacterium species. Step 2: Acid-resistant bacteria have a high lipid content in their cell walls, making them resist decolorization with acid-alcohol. Step 3: Mycobacterium species, such as M. tuberculosis and M. leprae, are examples of acid-resistant bacteria. Step 4: Spores are not typically stained using Ziehl-Neelsen staining, making choice B incorrect. Step 5: Metachromatic bodies are stained using specific techniques like Albert's stain, not Ziehl-Neelsen staining, making choice C incorrect. Summary: Ziehl-Neelsen staining is specifically used for acid-resistant bacteria detection, making choice A the correct answer. Choices B and C are incorrect as they do not align with the purpose of Ziehl-Neelsen staining. Choice D is incorrect as Ziehl
Question 5 of 5
There is a suspicion of active tuberculosis development in patient. The doctor has appointed Mantoux test to make a diagnosis. What immunobiological agent has to be administered?
Correct Answer: A
Rationale: The correct answer is A: Tuberculine. The Mantoux test involves injecting tuberculin, a protein derivative of Mycobacterium tuberculosis, under the skin. This test helps determine if a person has been exposed to the bacteria that cause TB. Administering tuberculin is crucial for the Mantoux test as it triggers a delayed-type hypersensitivity reaction in individuals previously exposed to TB. Choice B (BCG vaccine) is incorrect because BCG does not interfere with the Mantoux test results. Choice C (DPT vaccine) is incorrect as it is used for immunization against diphtheria, pertussis, and tetanus, not for diagnosing TB. Choice D (Tularin test) is incorrect as it is not a recognized immunobiological agent for TB diagnosis.
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