ATI RN
mcgraw hill microbiology test bank Questions
Question 1 of 9
Bacterial transformation involves:
Correct Answer: B
Rationale: The correct answer is B: Uptake of naked DNA from the environment. Bacterial transformation is a process where bacteria take up free DNA from their surroundings and incorporate it into their own genome. This process is essential for genetic recombination and the acquisition of new traits. Plasmids are small DNA molecules that can be transferred between bacteria, but not necessarily through pili. Bacteriophages are viruses that infect bacteria and transfer their DNA, but this is not the primary mechanism of bacterial transformation. Binary fission is a method of bacterial reproduction, not related to the uptake of DNA.
Question 2 of 9
A patient with pneumonia had sputum cultured, revealing Gram-negative diplococci. The bacteria were oxidase-positive and fermentative. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Neisseria meningitidis. This is because Neisseria meningitidis is a Gram-negative diplococcus that is oxidase-positive and fermentative. Neisseria gonorrhoeae is also a Gram-negative diplococcus, but it is not fermentative. Moraxella catarrhalis is oxidase-positive but not fermentative. Haemophilus influenzae is Gram-negative but is not a diplococcus, and it is not fermentative. Therefore, based on the characteristics provided in the question, Neisseria meningitidis is the most likely causative agent.
Question 3 of 9
4 days after a patient received a gunshot wound of the middle third of the thigh soft tissues his condition suddenly began deteriorating. There are complaints of bursting pain in the wound; pain increases during the last 12 hours. Edema of skin and hypodermic tissue quickly grows. Body temperature is 38,2oC, heart rate is 102/min. The wound edges gape, are dull in color; the muscles, viable as of day before, now protrude into the wound, look boiled, are dull in color, have dirty-grey coating and fall apart when being held with forceps. What infection has developed in the wound?
Correct Answer: A
Rationale: The correct answer is A: Anaerobic infection. The sudden deterioration, bursting pain, edema, foul appearance of wound, and presence of gas are indicative of gas gangrene caused by anaerobic bacteria like Clostridium perfringens. These bacteria thrive in low oxygen environments, such as deep wound tissues. The symptoms align with the classic presentation of gas gangrene, necessitating immediate surgical intervention. Choice B: Aerobic gram-negative, is incorrect because anaerobic bacteria, not aerobic gram-negative bacteria, are responsible for gas gangrene. Choice C: Putrid, is incorrect as it is a general term referring to foul-smelling decay and does not specify the type of infection. Choice D: Aerobic gram-positive, is incorrect as gas gangrene is typically caused by anaerobic bacteria, not aerobic gram-positive bacteria.
Question 4 of 9
Mycobacteria have in their cell walls:
Correct Answer: C
Rationale: The correct answer is C: High amount of mycolic acids. Mycobacteria are characterized by their unique cell wall composition, which includes a high amount of mycolic acids. Mycolic acids provide the bacteria with resistance to environmental stresses and are crucial for their pathogenicity. Polysaccharides (A) are not a prominent component of mycobacterial cell walls. While lipids (B) are present in mycobacterial cell walls, mycolic acids are the predominant lipid. Proteins (D) are also present but are not the defining feature of mycobacterial cell walls. Therefore, the correct answer is C due to the significant role mycolic acids play in the structure and function of mycobacterial cell walls.
Question 5 of 9
Which bacteria are known for producing toxins that can cause severe gastrointestinal illness?
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Clostridium botulinum produces botulinum toxin causing botulism, Vibrio cholerae produces cholera toxin leading to severe diarrhea, and certain strains of Escherichia coli produce toxins causing gastrointestinal illness. Therefore, all three bacteria are known for producing toxins that can cause severe gastrointestinal illness. Choices A, B, and C individually represent bacteria known for producing toxins that can cause severe gastrointestinal illness, making them incorrect individual choices.
Question 6 of 9
The polymerase chain reaction CAN NOT be applied:
Correct Answer: C
Rationale: The correct answer is C: To determine the antibiotic susceptibility of microorganisms. PCR is not suitable for determining antibiotic susceptibility as it is a technique used to amplify DNA/RNA, not to test for antibiotic resistance. To prove latent infection (A), PCR can be used to detect low levels of pathogens. For rapid diagnosis of infectious diseases (B), PCR is commonly used due to its sensitivity and specificity. To demonstrate DNA and RNA molecules (D), PCR is ideal as it can amplify and detect specific sequences. Therefore, choice C is incorrect as PCR is not designed for determining antibiotic susceptibility.
Question 7 of 9
In order to accurately identify etiology of peptic ulcer disease, polymerase chain reaction (PCR) analysis was performed on gastric biopsy specimen taken from 47-year-old patient. Eventually, the test result was positive for H. pylori. Which of the following was most likely detected in PCR analysis?
Correct Answer: A
Rationale: The correct answer is A: Bacterial DNA. PCR analysis detects specific DNA sequences, so a positive result for H. pylori indicates the presence of the bacterial DNA in the gastric biopsy specimen. This method identifies the genetic material of the bacterium, not the bacterium itself (choice C) or its toxins (choice B). Additionally, PCR does not directly detect bacterial enzymes (choice D) but rather focuses on genetic material for accurate identification. Therefore, in this case, the detection of H. pylori in the PCR analysis points to the presence of bacterial DNA, confirming the etiology of peptic ulcer disease.
Question 8 of 9
Sanitary assessment of a pond, where the children from a recreation summer camp take their swims, detected there oval cysts 50-60 micron in diameter, with 2 nuclei visible in their cytoplasm (macronucleus and micronucleus). What protozoa do these cysts belong to?
Correct Answer: D
Rationale: The correct answer is D: Lamblia. The cysts described match the characteristics of Giardia lamblia, a protozoan parasite. Giardia cysts are oval-shaped, 50-60 microns in diameter, and contain 2 nuclei (macronucleus and micronucleus). Giardia is commonly found in contaminated water sources and can cause gastrointestinal illness in humans. Incorrect choices: A: Toxoplasma - Toxoplasma gondii is a parasite that causes toxoplasmosis, transmitted through ingestion of contaminated food or water, but its cysts do not match the description given in the question. B: Amoeba - Amoebas are single-celled organisms, but they do not typically form cysts with visible nuclei as described. C: Balantidium - Balantidium coli is a ciliated protozoan that can cause dysentery in humans, but its cysts do not
Question 9 of 9
The bacteria that cause Lyme disease is:
Correct Answer: B
Rationale: The correct answer is B: Borrelia burgdorferi. Borrelia burgdorferi is the bacteria responsible for causing Lyme disease. It is transmitted to humans through the bite of infected black-legged ticks. Treponema pallidum causes syphilis, Leptospira interrogans causes leptospirosis, and Rickettsia rickettsii causes Rocky Mountain spotted fever. Borrelia burgdorferi is specifically associated with Lyme disease due to its transmission through tick bites and the characteristic symptoms it causes.