ATI RN
Microbiology Chapter 10 Test Bank Questions
Question 1 of 9
An infectious diseases hospital admitted a veterinarian with assumed brucellosis. What serologic test can confirm this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Wright's agglutination reaction. For brucellosis diagnosis, this test detects antibodies against Brucella species. Wright's test specifically targets agglutinins, which are produced in response to Brucella infection. The other choices are incorrect because: B: Widal's test is used for typhoid fever caused by Salmonella typhi. C: Ascoli's test is for pneumococcal infections. D: Weigl's test is used for typhus fever caused by Rickettsia prowazekii.
Question 2 of 9
A man was admitted to the hospital on the 5th day of disease that manifested itself by jaundice, muscle aching, chill, nose bleedings. In course of laboratory diagnostics a bacteriologist performed darkfield microscopy of the patient's blood drop. Name a causative agent of this disease:
Correct Answer: A
Rationale: The correct answer is A: Leptospira interrogans. Darkfield microscopy is used to visualize spirochetes, which are spiral-shaped bacteria. Leptospira is a spirochete bacterium that causes leptospirosis, which presents with jaundice, muscle aching, chill, and nosebleeds. Leptospira is commonly transmitted through contact with contaminated water or soil. B: Borrelia dutlonii causes Lyme disease, which is transmitted by ticks and does not typically present with jaundice or nosebleeds. C: Calymmatobacterium granulomatis causes granuloma inguinale, a sexually transmitted infection that does not present with the symptoms described. D: Bartonella bacilloformis causes Carrion's disease, which presents with fever, anemia, and skin lesions but not jaundice or nosebleeds.
Question 3 of 9
A puncture sample has been taken from the inguinal lymph nodes of a patient provisionally diagnosed with plague. The sample was inoculated into a hard nutrient medium. What shape will the colonies have, if the diagnosis is confirmed?
Correct Answer: B
Rationale: The correct answer is B: Shagreen leather. Yersinia pestis, the bacterium causing plague, forms colonies resembling shagreen leather on a hard nutrient medium due to its distinctive morphology. This morphology includes a rough, irregular, and raised appearance, similar to the texture of shagreen leather. A: Dewdrops - Incorrect. Dewdrops do not accurately describe the colony morphology of Yersinia pestis. C: Lace handkerchief - Incorrect. Lace handkerchief does not accurately describe the colony morphology of Yersinia pestis. D: Mercury drops - Incorrect. Mercury drops do not accurately describe the colony morphology of Yersinia pestis.
Question 4 of 9
A patient presented with fever, malaise, and an ulcerated lesion. A Gram stain of the lesion revealed large, Gram-positive rods. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Bacillus anthracis. Bacillus anthracis is the likely causative agent as it is a Gram-positive rod-shaped bacterium known to cause ulcerated lesions with associated fever and malaise. Anthrax typically presents with these symptoms and fits the description given in the question. Clostridium perfringens (Choice B) causes gas gangrene and typically presents with different symptoms. Clostridium tetani (Choice C) causes tetanus and is not associated with ulcerated lesions. Bacillus cereus (Choice D) is known for causing food poisoning and does not typically present with the symptoms described in the question.
Question 5 of 9
“Rabbit fever,†a zoonotic disease, is caused by:
Correct Answer: C
Rationale: Rabbit fever, or tularemia, is caused by Francisella tularensis. This bacterium is known to infect a wide range of animals, including rabbits. The other choices, Bartonella henselae (causes cat scratch fever), Spirillum minus (causes rat bite fever), and Yersinia pestis (causes plague) are not associated with rabbit fever. Therefore, the correct answer is C based on the specific pathogen responsible for causing tularemia.
Question 6 of 9
The main target of toxin produced by Vibrio cholerae are:
Correct Answer: B
Rationale: The correct answer is B because the main target of the toxin produced by Vibrio cholerae is the epithelial cells of the small intestine. This toxin, known as cholera toxin, binds to the surface of these cells and disrupts their normal function, leading to the characteristic watery diarrhea seen in cholera. The other choices are incorrect because macrophages are not the main target, RBCs are not directly affected by the toxin, and the stomach epithelial cells are not specifically targeted by Vibrio cholerae toxin.
Question 7 of 9
The function of catalase in bacteria is to:
Correct Answer: A
Rationale: The correct answer is A: decompose hydrogen peroxide. Catalase is an enzyme that breaks down hydrogen peroxide into water and oxygen. This is important in bacteria to protect them from the harmful effects of hydrogen peroxide, a byproduct of metabolism. Choice B is incorrect as peptidoglycan synthesis is not the function of catalase. Choice C is incorrect as oxidative phosphorylation is a metabolic process unrelated to catalase function. Choice D is incorrect as endotoxin production is not a role of catalase.
Question 8 of 9
A sputum smear from a patient with pneumonia revealed Gram-positive diplococci with pointed ends surrounded by capsules. What microorganism is most likely?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Gram-positive diplococci with pointed ends indicate Streptococcus pneumoniae. 2. Presence of capsules supports the likelihood of S. pneumoniae. 3. S. pneumoniae is a common cause of pneumonia. 4. Klebsiella pneumoniae is Gram-negative and does not form diplococci. 5. Neisseria meningitidis typically causes meningitis, not pneumonia. 6. Staphylococcus aureus is Gram-positive but does not typically present as diplococci in pneumonia cases.
Question 9 of 9
Microscopic examination of pus from a wound revealed Gram-positive cocci in grape-like clusters. The bacteria were catalase- and coagulase-positive. Identify the microorganism.
Correct Answer: A
Rationale: Step 1: Gram-positive cocci in grape-like clusters suggest Staphylococcus. Step 2: Catalase-positive indicates Staphylococcus (negative for Streptococcus). Step 3: Coagulase-positive is specific for Staphylococcus aureus. Summary: B: Streptococcus pyogenes is catalase-negative. C: Enterococcus faecalis does not form grape-like clusters. D: Micrococcus luteus is catalase-positive but not coagulase-positive.