ATI RN
mastering microbiology test bank Questions
Question 1 of 9
Bacteria causing bacillary dysentery can be isolated from the patient's blood:
Correct Answer: A
Rationale: Rationale: 1. Bacillary dysentery primarily affects the intestinal tract, not the bloodstream. 2. Bacteremia is rare in bacillary dysentery, as the infection is localized. 3. Isolating bacteria from the blood is not a typical diagnostic feature. 4. Therefore, the correct answer is A. Summary: Bacteria causing bacillary dysentery are not typically isolated from the patient's blood due to the localized nature of the infection. Choices B and C are incorrect as they suggest specific timeframes, which are not relevant to bacteremia in this context. Choice D is incorrect as bacteremia is not associated with bacillary dysentery.
Question 2 of 9
A 40-year-old patient presents with abdominal pain, frequent loose stools with mucus and blood. Stool analysis revealed vegetative forms of some protozoa sized 30-40 microns, with short pseudopodia, containing large amounts of phagocytosed erythrocytes. What protozoan disease does the patient have?
Correct Answer: A
Rationale: The correct answer is Amebiasis. The patient's symptoms of abdominal pain, loose stools with mucus and blood, along with the presence of protozoa containing phagocytosed erythrocytes in stool analysis are indicative of Entamoeba histolytica infection. The size (30-40 microns) and pseudopodia characteristics match E. histolytica. Amebiasis commonly presents with dysentery, while Leishmaniasis (B) typically causes skin ulcers. Trichomoniasis (C) is a sexually transmitted infection, not associated with the described symptoms. Giardiasis (D) is characterized by foul-smelling diarrhea and steatorrhea, not bloody diarrhea as seen in this case.
Question 3 of 9
Tuberculosis can be treated by means of combined chemotherapy that includes substances with different mechanisms of action. What antituberculous medication inhibits transcription of RNA into DNA in mycobacteria?
Correct Answer: A
Rationale: Rifampicin is the correct answer because it inhibits RNA transcription in mycobacteria by binding to the bacterial RNA polymerase. This prevents the synthesis of RNA, leading to the inhibition of protein production essential for bacterial growth. Isoniazid inhibits mycolic acid synthesis, Streptomycin inhibits protein synthesis, and Ethionamide disrupts mycolic acid synthesis. These mechanisms are different from inhibiting RNA transcription, making them incorrect choices.
Question 4 of 9
Etiological factors for the infectious diseases are often microorganisms with various ultrastructure. Which of the following microorganism groups relates to the eukaryotes?
Correct Answer: A
Rationale: The correct answer is A: Protozoa. Protozoa are eukaryotic microorganisms, meaning they have a true nucleus and membrane-bound organelles. This relates to the question as eukaryotes are organisms with complex cells containing these features. Viruses (B) are non-living entities that require a host cell to replicate, lacking cellular structures. Viroids (C) are smaller than viruses and consist of only RNA, lacking a protein coat. Prions (D) are misfolded proteins causing diseases but are not considered microorganisms nor do they have cellular structure. Thus, protozoa are the only eukaryotic microorganism group among the options.
Question 5 of 9
An inflammatory disease that can develop as a complication following a group A streptococcal infection is:
Correct Answer: B
Rationale: The correct answer is B: rheumatic fever. Rheumatic fever is an inflammatory disease that can occur as a complication following a group A streptococcal infection. This is known as a post-streptococcal complication. It typically affects the heart, joints, skin, and brain. Endocarditis (choice A) is also a complication of streptococcal infections, but it is an infection of the heart valves, not an inflammatory disease like rheumatic fever. Nephritis (choice C) is inflammation of the kidneys and is not directly related to streptococcal infections. Cytomegalovirus (choice D) is a different viral infection and is not associated with streptococcal infections.
Question 6 of 9
A patient has a suspected pneumonia. In his sputum there were revealed gram-positive diplococci, prolonged with the slightly pointed opposite ends. What microorganisms are revealed in the sputum?
Correct Answer: A
Rationale: Rationale: The description matches that of Streptococcus pneumoniae, which appears as gram-positive diplococci with slightly pointed opposite ends. Staphylococcus aureus, Neisseria gonorrhoeae, and Neisseria meningitidis do not match the specific characteristics described in the question. Staphylococcus aureus appears in grape-like clusters, while Neisseria species are typically seen as diplococci but lack the pointed shape described. Therefore, the correct answer is A: Staphylococcus aureus.
Question 7 of 9
Which of the following is a general-purpose medium?
Correct Answer: A
Rationale: The correct answer is A: Tryptic soy agar is a general-purpose medium suitable for cultivating a wide range of microorganisms. It provides essential nutrients for growth without inhibiting specific types of bacteria. Blood agar (B), Mannitol salt agar (C), and MacConkey agar (D) are selective or differential media designed to promote the growth of specific types of bacteria or differentiate between different bacterial species. Therefore, they are not considered general-purpose mediums.
Question 8 of 9
When examining a patient presumptively diagnosed with food toxicoinfection, a doctor on duty has detected symptoms characteristic of botulism. The patient named the meals he ate the day before. What is the most probable cause of infection?
Correct Answer: A
Rationale: The correct answer is A: Homemade canned meat. Botulism is caused by the Clostridium botulinum bacteria, which thrives in low-oxygen environments like improperly canned food. Homemade canned meat poses a higher risk of contamination as it may not have been processed correctly, allowing the bacteria to grow and produce toxins. Custard pastry, sour cream, and strawberries are less likely to cause botulism as they are not typically associated with the bacteria unless improperly handled or stored. Homemade canned meat is the most probable cause based on the characteristic symptoms of botulism and the conditions that favor the growth of Clostridium botulinum in canned food.
Question 9 of 9
Poxviruses are the largest viruses, almost visible on a light microscope.
Correct Answer: A
Rationale: The correct answer is A: TRUE. Poxviruses are indeed the largest viruses, ranging from 200-450 nm in size, which is close to the resolution limit of a light microscope. This makes them almost visible under a light microscope. The other choices are incorrect because poxviruses are not smaller or uncertain in size (choices B and C), nor are they partially visible - they are almost visible due to their relatively large size.