Questions 9

ATI RN

ATI RN Test Bank

Microbiology Chapter 11 Test Bank Questions

Question 1 of 5

A woman hospitalized in the surgical department complains of pain in her lower abdomen and in the small of her back, frequent and painful urination. Urine culture test revealed gram-negative oxidase- positive bacilli that formed green mucoid colonies with specific smell. What causative agent can be suspected?

Correct Answer: D

Rationale: The correct answer is D: Proteus mirabilis. The patient's symptoms of lower abdominal pain, back pain, frequent/painful urination, and the presence of gram-negative oxidase-positive bacilli forming green mucoid colonies with a specific smell suggest a urinary tract infection caused by Proteus mirabilis. This bacterium is known for causing UTIs and is characterized by its swarming motility and distinctive odor. A: Pseudomonas aeruginosa is commonly associated with hospital-acquired infections but does not typically cause UTIs with the specific characteristics described. B: Mycoplasma pneumonia is a bacterium that causes respiratory infections, not UTIs. C: Str.pyogenes (Streptococcus pyogenes) is a common cause of strep throat and skin infections, not UTIs. D: Helicobacter pylori is associated with gastritis and peptic ulcers, not UTIs.

Question 2 of 5

A fecal smear from a patient with severe diarrhea revealed motile Gram-negative rods with a comma shape. What is the likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Vibrio cholerae. This bacterium is the likely causative agent because it is known to cause severe diarrhea, and it is characterized by its motile, comma-shaped Gram-negative rods. Vibrio cholerae produces cholera toxin, leading to profuse watery diarrhea. Shigella dysenteriae causes dysentery with bloody diarrhea, Salmonella typhi causes typhoid fever, and Escherichia coli can cause various types of diarrhea but typically does not have a comma shape.

Question 3 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.

Question 4 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 5 of 5

The typhoid fever is produced mainly by:

Correct Answer: D

Rationale: The correct answer is D: Salmonella typhi. Typhoid fever is caused by the bacterium Salmonella typhi. This bacterium is responsible for causing the systemic infection that leads to symptoms such as high fever, abdominal pain, and diarrhea. Yersinia pestis (choice A) causes plague, Shigella dysenteriae (choice B) causes dysentery, and Escherichia coli (choice C) can cause various gastrointestinal infections, but not typhoid fever. Salmonella typhi specifically targets the intestines and is transmitted through contaminated food or water. Therefore, choice D is the correct answer for the cause of typhoid fever.

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