ATI RN
Medical Microbiology Test Bank Questions
Question 1 of 5
Among public catering workers examined by doctors of sanitary and epidemiologic station often occur asymptomatic parasite carriers. This means that a healthy person carries cysts that infect other people. Such parasitizing is possible for the following causative agent:
Correct Answer: A
Rationale: Rationale: 1. Dysenteric amoeba (Choice A) is the correct answer because it can exist asymptomatically in carriers and be transmitted through cysts. 2. Malarial plasmodium (Choice B) causes malaria, not carried asymptomatically in cysts. 3. Intestinal trichomonad (Choice C) causes trichomoniasis, not carried asymptomatically in cysts. 4. Dermatotropic leishmania (Choice D) causes skin lesions, not carried asymptomatically in cysts.
Question 2 of 5
2 weeks since the blood transfusion a recepient has developed fever. What protozoal disease can it be?
Correct Answer: B
Rationale: The correct answer is B: Malaria. Fever developing 2 weeks post-blood transfusion is characteristic of malaria due to the incubation period of the parasite. Trypanosomiasis presents earlier, amebiasis usually causes GI symptoms, and toxoplasmosis typically manifests with flu-like symptoms. Malaria is the most likely cause based on the timing and clinical presentation.
Question 3 of 5
Several patients with similar complaints came to the doctor. They all present with weakness, pain in the intestines, indigestion. Feces analysis revealed the need for urgent hospitalization of the patient, who had microbial cysts with four nuclei detected in his samples. Such cysts are characteristic of the following protozoon:
Correct Answer: A
Rationale: The correct answer is A: Entamoeba histolytica. This protozoon is known to cause amoebic dysentery, presenting symptoms of weakness, intestinal pain, and indigestion. The presence of microbial cysts with four nuclei in fecal samples is characteristic of Entamoeba histolytica. These cysts are the infective form of the parasite and can cause severe invasive disease in the intestines. Incorrect choices: B: Entamoeba coli does not typically cause invasive disease or severe symptoms like those described in the question. C: Balantidium is a ciliated protozoan that causes balantidiasis, which presents differently from the symptoms described in the question. D: Trichomonad is a flagellated protozoan that typically infects the urogenital tract, not the intestine, and does not form cysts with four nuclei. In summary, the key clues in the question were the symptoms of weakness, intestinal pain,
Question 4 of 5
A patient of oral surgery department has developed a purulent complication. Bacteriological analysis of the wound discharge allowed to isolate a culture producing a blue-and-green pigment. Which of the listed microorganisms may be a causative agent of the infection?
Correct Answer: A
Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is known for producing a blue-green pigment called pyocyanin, which is characteristic of its colonies. This bacterium is commonly associated with purulent infections, especially in immunocompromised patients. Proteus vulgaris (B) is not typically associated with blue-green pigment production. Bacillus subtilis (C) is not a common pathogen in wound infections. Klebsiella pneumoniae (D) does not produce blue-green pigment and is more commonly associated with respiratory infections. Therefore, based on the clinical presentation and pigment production, Pseudomonas aeruginosa is the most likely causative agent in this case.
Question 5 of 5
Before a surgery the patient was prescribed a synthetic antiprotozoal drug for prevention of wound infection. The prescribed drug is highly effective against Helicobacter pylori. Name this drug:
Correct Answer: A
Rationale: Step-by-step rationale: 1. Metronidazole is a synthetic antiprotozoal drug commonly used for wound infection prevention. 2. It is highly effective against Helicobacter pylori, a bacterium that causes stomach ulcers. 3. Metronidazole works by disrupting DNA structure in bacteria, leading to their death. 4. Chingamin (Chloroquine) is an antimalarial drug, not effective against Helicobacter pylori. 5. Doxycycline hydrochloride is an antibiotic used for bacterial infections, not specifically for H. pylori. 6. Aciclovir is an antiviral drug used for herpes infections, not effective against H. pylori. Summary: Metronidazole is the correct answer as it is specifically effective against H. pylori and commonly used for wound infection prevention. Other choices are incorrect as they target different types of infections.