ATI RN
microbiology chapter 14 test bank Questions
Question 1 of 5
Agglutination reaction is one of the following
Correct Answer: A
Rationale: The correct answer is A: Ascoli ring test. Agglutination reaction in the Ascoli ring test is characterized by the formation of a visible ring at the interface of antigen and antibody. This reaction specifically tests for the presence of specific antibodies against antigens in serum, indicating a recent or current infection. The other options, Western blot, ELISA, and Reaction type Gruber, do not involve the agglutination reaction. Western blot and ELISA are immunoassay techniques that detect specific antibodies or antigens, while Reaction type Gruber is not a recognized method in immunology. Therefore, the Ascoli ring test is the correct choice for a test involving agglutination reaction.
Question 2 of 5
An adult patient with type 2 diabetes attends the emergency room. He reported that two days ago he was accidentally injured in the left leg, but he did not seek medical care. At the time of examination, an infected wound was found, surrounded by a large area of inflammation with characteristic tissue crepitation on palpation and with foul odor. Blood (for hemoculture) and wound secretions were taken for microbiological testing. The microscopic examination reveals large Gram-positive bacteria, with centrally located spores. These bacteria were unable to grow in vitro at presence of oxygen. The most likely cause of this disease is:
Correct Answer: B
Rationale: The correct answer is B: Clostridium perfringens. In this case, the patient's presentation of infected wound with tissue crepitation, foul odor, and Gram-positive bacteria with centrally located spores that cannot grow in the presence of oxygen is indicative of gas gangrene caused by Clostridium perfringens. This anaerobic bacterium produces various toxins that lead to tissue destruction and gas production in the affected area. Clostridium tetani (choice A) causes tetanus, characterized by muscle stiffness and spasms. Clostridium botulinum (choice C) causes botulism, leading to muscle paralysis. Clostridium difficile (choice D) is associated with antibiotic-associated diarrhea. These choices are incorrect as they do not match the clinical presentation described in the question.
Question 3 of 5
Viruses that are mainly transmitted through sexual contact are:
Correct Answer: C
Rationale: The correct answer is C: Papillomaviruses. Papillomaviruses are primarily transmitted through sexual contact, as they infect the skin and mucous membranes of the genital area. This transmission route is well-documented through research and epidemiological studies. Arenaviruses (A) are primarily transmitted through contact with infected rodents, not sexual contact. Togaviruses (B) are mainly transmitted by mosquitoes and ticks. Polyomaviruses (D) are typically spread through respiratory secretions or contaminated urine, not through sexual contact. Therefore, the most appropriate choice for viruses transmitted mainly through sexual contact is Papillomaviruses (C).
Question 4 of 5
In serologic reactions used in virology, a diagnostic antibody response should be taken into account if:
Correct Answer: D
Rationale: The correct answer is D because a fourfold increase in titer in the second serum sample indicates a significant rise in specific antibodies, which is crucial for diagnosing viral infections accurately. This increase is considered significant in serologic reactions as it shows a strong antibody response to the virus. A: A threshold increase may not be substantial enough to confirm a diagnostic antibody response. B: Dismissing the increase in titer would overlook important diagnostic information. C: A twofold increase may not be as indicative of a strong antibody response compared to a fourfold increase.
Question 5 of 5
The compact structure in which the genome of the bacteria is located is called:
Correct Answer: A
Rationale: The correct answer is A: Nucleoid. The bacterial genome is located in the nucleoid, a region within the bacterial cell where the genetic material is condensed and organized. This structure is not the same as a nucleus found in eukaryotic cells. The other choices (B: Nucleotide and C: ATP) are incorrect because nucleotide refers to a building block of DNA or RNA, and ATP is a molecule used for energy transfer in cells, neither of which specifically houses the bacterial genome. Choice D: None of the above is incorrect as well, as the correct term for the compact structure containing the bacterial genome is the nucleoid.