ATI RN
microbiology chapter 10 test bank Questions
Question 1 of 9
A tube with bacterial culture is very cloudy on the surface but clear in the rest. This shows that:
Correct Answer: A
Rationale: The correct answer is A because the cloudy surface indicates that the bacteria are growing where oxygen is present (aerobes), causing turbidity. The clear bottom suggests that the bacteria are not growing in the absence of oxygen. Choices B, C, and D are incorrect because the observed phenomena do not necessarily indicate the need for an anaerobic chamber, enzyme deficiencies, or the microorganism being non-aerotolerant.
Question 2 of 9
Tularemia is most often a:
Correct Answer: B
Rationale: The correct answer is B: Zoonosis. Tularemia is primarily a zoonotic disease, meaning it is transmitted from animals to humans. The bacterium that causes tularemia, Francisella tularensis, commonly infects animals like rabbits, rodents, and ticks, which serve as reservoir hosts. Humans can get infected through direct contact with infected animals, insect bites, or contaminated water or soil. This zoonotic nature of tularemia distinguishes it from anthroponosis (A), which is transmitted only between humans, and sapronosis (C), which is transmitted through non-living environmental sources. Choice D is incorrect because there is a correct answer, which is zoonosis.
Question 3 of 9
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 4 of 9
During a microscopy session, spiral-shaped bacteria with loose coils and pointed ends were observed in a blood smear. What is the most likely diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Leptospirosis. Spiral-shaped bacteria with loose coils and pointed ends are characteristic of Leptospira interrogans, the causative agent of Leptospirosis. This bacterium is typically found in contaminated water or soil and can infect humans through contact with infected animals or water. Syphilis (Choice A) is caused by the spirochete Treponema pallidum, which has a more tightly coiled shape and does not typically appear loose or pointed. Relapsing fever (Choice C) is caused by Borrelia species, which are also spirochetes but do not have the loose coils and pointed ends described. Lyme disease (Choice D) is caused by Borrelia burgdorferi, which, like Relapsing fever, does not match the morphology described.
Question 5 of 9
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.
Question 6 of 9
Not many bacterial species in nature form spores. Which of the following genera have this ability?
Correct Answer: C
Rationale: The correct answer is C: Bacillus, Clostridium. Both Bacillus and Clostridium are known to form spores. Bacillus species produce endospores, which are resistant structures for survival in harsh conditions, while Clostridium species also form spores for protection and dispersal. The other choices are incorrect because Borrelia and Treponema are spirochetes and do not form spores, Bacteroides and Fusobacterium are anaerobic bacteria that do not produce spores, and Bordetella and Brucella are non-spore forming bacteria as well.
Question 7 of 9
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 8 of 9
A 35-year-old man was diagnosed with cutaneous leishmaniasis. What is the vector of the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Sandfly. Cutaneous leishmaniasis is transmitted by the bite of infected sandflies. These tiny insects are known vectors for Leishmania parasites. Sandflies are active during dusk and night, feeding on blood from mammals, including humans. Tick (B), mosquito (C), and tsetse fly (D) are not vectors for Leishmania parasites. Ticks transmit diseases like Lyme disease, mosquitoes transmit diseases like malaria, and tsetse flies transmit African trypanosomiasis. Therefore, the correct vector for cutaneous leishmaniasis is the sandfly due to its specific role in transmitting the Leishmania parasite.
Question 9 of 9
A bloodborne training program for certain professions was established by and is required by
Correct Answer: A
Rationale: The correct answer is A: OSHA. The Occupational Safety and Health Administration (OSHA) is responsible for setting and enforcing safety standards in the workplace, including bloodborne pathogen training requirements. OSHA's Bloodborne Pathogens Standard mandates training for certain at-risk professions to prevent exposure to bloodborne diseases. The CDC (Choice B) focuses on disease prevention and control, not regulatory enforcement. NIA (Choice C) is the National Institute on Aging and not relevant to bloodborne training. WHO (Choice D) is the World Health Organization, which sets global health standards but does not regulate workplace safety in the same capacity as OSHA.