ATI RN
Microbiology Chapter 11 Test Bank Questions
Question 1 of 5
A veterenary attendant working at a cattle farm complains of joint pain, fever, indisposition and sweating at nighttime that he has been experiencing for a month. Giving the regard to such presentations and occupational history the doctor suspected brucellosis. What material taken from this patient is to be analyzed in a common microbiological laboratory?
Correct Answer: A
Rationale: The correct answer is A: Blood serum. In suspected cases of brucellosis, blood serum is typically analyzed in a common microbiological laboratory. This is because the bacteria causing brucellosis, Brucella species, can be detected through serological tests in the blood serum. The presence of specific antibodies against Brucella in the serum confirms the diagnosis. Spinal fluid (choice B) would be analyzed in cases of suspected central nervous system infections, which are not typical for brucellosis. Vomit mass (choice C) is not a common sample for microbiological analysis in cases of brucellosis. Urine (choice D) is not the preferred sample for detecting Brucella antibodies; blood serum is the primary choice for serological testing.
Question 2 of 5
Researchers of a bacteriological laboratory examine tinned meat for botulinic toxin. For this purpose a group of mice was injected with an extract of the material under examination and antitoxic antibotulinic serum of A, B, E types. A control group of mice was injected with the same extract but without antibotulinic serum. What serological reaction was applied?
Correct Answer: A
Rationale: The correct answer is A: Neutralization. In this experiment, the researchers used antitoxic antibotulinic serum of different types to neutralize the botulinic toxin in tinned meat extract injected into mice. Neutralization is the process of rendering a toxin harmless by combining it with specific antibodies. The purpose of injecting the antitoxic serum was to neutralize the toxin and prevent it from causing harm to the mice. This serological reaction of neutralization directly aligns with the objective of the experiment. Summary of other choices: B: Precipitation - Precipitation involves the formation of a visible insoluble complex when an antigen reacts with its corresponding antibody. This process was not described in the scenario. C: Complement binding - Complement binding involves the activation of the complement system by antigen-antibody complexes. This was not the main focus of the experiment described. D: Double immune diffusion - This technique is used to detect the presence of specific antigens or antibodies
Question 3 of 5
During bacteriological examination of sputum of a child with choking cough and fever there were revealed glossy smooth colonies growing on casein-charcoal agar and reminding of mercury drops. Microscopic examination revealed short Gram-negative bacteria. What microorganism was secured from the sputum?
Correct Answer: A
Rationale: The correct answer is A: Bordetella pertussis. Glossy smooth colonies growing on casein-charcoal agar resembling mercury drops indicate Bordetella pertussis, the causative agent of whooping cough. The presence of short Gram-negative bacteria further supports this identification. Option B, Haemophilus influenzae, typically grows as small, round, translucent colonies on chocolate agar. Option C, Corynebacterium diphtheriae, forms gray colonies on tellurite agar. Option D, Klebsiella pneumoniae, appears as mucoid colonies on MacConkey agar.
Question 4 of 5
A patient was admitted to the hospital on the 7th day of the disease with complaints of high temperature, headache, pain in the muscles, especially in calf muscles. Dermal integuments and scleras are icteric. There is hemorrhagic rash on the skin. Urine is bloody. The patient was fishing two weeks ago. What is the most likely diagnosis?
Correct Answer: A
Rationale: The most likely diagnosis is A: Leptospirosis. Leptospirosis is caused by the spirochete Leptospira interrogans and is commonly transmitted through contact with water contaminated by animal urine, such as in this case of fishing. The symptoms described match those of leptospirosis, including high fever, headache, muscle pain, jaundice, hemorrhagic rash, and bloody urine. The calf muscle pain is a characteristic symptom of leptospirosis known as "Weil's disease." Yersiniosis (B) typically presents with abdominal symptoms, Salmonellosis (C) with gastrointestinal symptoms, and Brucellosis (D) with flu-like symptoms. Therefore, based on the symptoms and history provided, Leptospirosis is the most likely diagnosis.
Question 5 of 5
What drug is more advisable for the patient with amebic dysentery?
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. Metronidazole is the drug of choice for amebic dysentery as it effectively targets the protozoa causing the infection. It has good tissue penetration and high efficacy against Entamoeba histolytica. Pyrantel (B) is used for nematode infections, not amebiasis. Levamisole (C) is an anthelmintic for roundworms and not effective against amoebas. Bicillin-5 (D) is a penicillin antibiotic, which is not indicated for treating amebic dysentery.