ATI RN
microbiology chapter 10 test bank Questions
Question 1 of 5
A sputum smear from a patient with pneumonia revealed Gram-positive diplococci with pointed ends surrounded by capsules. What microorganism is most likely?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Gram-positive diplococci with pointed ends indicate Streptococcus pneumoniae. 2. Presence of capsules supports the likelihood of S. pneumoniae. 3. S. pneumoniae is a common cause of pneumonia. 4. Klebsiella pneumoniae is Gram-negative and does not form diplococci. 5. Neisseria meningitidis typically causes meningitis, not pneumonia. 6. Staphylococcus aureus is Gram-positive but does not typically present as diplococci in pneumonia cases.
Question 2 of 5
A patient presented with an abscess caused by Gram-positive cocci in clusters, catalase-positive and coagulase-positive. What is the causative agent?
Correct Answer: A
Rationale: Rationale: 1. Gram-positive cocci in clusters point to Staphylococcus or Micrococcus. 2. Catalase-positive eliminates Streptococcus. 3. Coagulase-positive distinguishes Staphylococcus aureus. 4. Thus, the causative agent is Staphylococcus aureus. Summary: - B: Streptococcus pyogenes is catalase-negative. - C: Enterococcus faecalis is catalase-negative. - D: Micrococcus luteus is catalase-positive but coagulase-negative.
Question 3 of 5
A patient presented with fever, malaise, and an ulcerated lesion. A Gram stain of the lesion revealed large, Gram-positive rods. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Bacillus anthracis. Bacillus anthracis is the likely causative agent as it is a Gram-positive rod-shaped bacterium known to cause ulcerated lesions with associated fever and malaise. Anthrax typically presents with these symptoms and fits the description given in the question. Clostridium perfringens (Choice B) causes gas gangrene and typically presents with different symptoms. Clostridium tetani (Choice C) causes tetanus and is not associated with ulcerated lesions. Bacillus cereus (Choice D) is known for causing food poisoning and does not typically present with the symptoms described in the question.
Question 4 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 5 of 5
A patient with a wound infection had a Gram-positive cocci isolated from the sample. The bacteria were catalase-positive and coagulase-positive. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus aureus. This is because Staphylococcus aureus is Gram-positive, catalase-positive, and coagulase-positive, which matches the characteristics described in the question. Staphylococcus epidermidis is also Gram-positive but is coagulase-negative. Streptococcus pneumoniae is Gram-positive but is catalase-negative. Enterococcus faecalis is Gram-positive but is catalase-negative and coagulase-negative. Therefore, based on the given information, Staphylococcus aureus is the likely causative agent of the wound infection.