ATI RN
microbiology an introduction 13th edition test bank Questions
Question 1 of 5
Chemically, most enzymes are
Correct Answer: A
Rationale: The correct answer is A: proteins. Enzymes are mostly composed of proteins due to their complex structure and specific amino acid sequences that are essential for their catalytic activity. Proteins have active sites that bind to substrates and facilitate chemical reactions. Lipids (B), nucleic acids (C), and carbohydrates (D) do not possess the necessary properties and structures to function as enzymes. Lipids serve as energy storage molecules and cell membrane components, nucleic acids store genetic information, and carbohydrates are primarily used for energy production.
Question 2 of 5
The effects of different kinds of radiation depend on the following factors:
Correct Answer: B
Rationale: The correct answer is B because intensity, frequency, and thickness of the sample are key factors that determine the effects of different kinds of radiation. Intensity refers to the amount of energy carried by the radiation, frequency indicates the number of waves per unit time, and the thickness of the sample affects the penetration of radiation. These factors directly influence the interactions of radiation with matter, such as ionization and heating effects. A is incorrect because wavelength is not a major factor in determining the effects of radiation. C is incorrect because distance and nature of the sample are not as significant as intensity, frequency, and thickness. D is incorrect because chemical composition and shielding, while important in certain contexts, are not the primary factors affecting the effects of radiation.
Question 3 of 5
Sputum smears of a patient with chronic pulmonary disease were stained by Ziehl-Neelsen method and analyzed in the bacteriological laboratory. Microscopy revealed red bacillus. What property of tuberculosis myobacteria was found?
Correct Answer: A
Rationale: The correct answer is A: Acid resistance. Tuberculosis mycobacteria have a unique cell wall structure that makes them resistant to acid-fast staining methods like Ziehl-Neelsen. This is due to the high lipid content of their cell walls, specifically mycolic acids, which prevent the penetration of stains and acids. The red bacilli observed in the smear indicate that the mycobacteria retained the primary stain (carbolfuchsin) after acid-alcohol decolorization, confirming their acid resistance. Summary: - Choice A: Acid resistance is correct due to the unique cell wall structure of tuberculosis mycobacteria. - Choice B: Alkali resistance is incorrect as mycobacteria are not known for being resistant to alkalis. - Choice C: Alcohol resistance is incorrect as mycobacteria are not specifically resistant to alcohols. - Choice D: Encapsulation is incorrect as mycobacteria are not encapsulated bacteria.
Question 4 of 5
A 16 y.o. boy from a countryside entered an educational establishment. Scheduled Manteux test revealed that the boy had negative reaction. What are the most reasonable actions in this case?
Correct Answer: C
Rationale: The correct answer is C: To perform serodiagnostics of tuberculosis. Rationale: The negative reaction to the Mantoux test indicates absence of TB infection. Performing serodiagnostics will further confirm the absence of active infection. This is important to rule out TB before considering vaccination or isolation measures. Summary: A: BCG vaccination is not necessary as the boy shows a negative reaction to the Mantoux test. B: Repeating the test in a month is unnecessary as the initial test already showed a negative reaction. D: Isolating the boy is not warranted as there is no evidence of active TB infection.
Question 5 of 5
A patient presents with fever, chill and cough. From his sputum the ovoid Gram-negative bipolar- stained bacilli with a delicate capsule were secured. What is the most likely diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Plague. The presence of ovoid Gram-negative bipolar-stained bacilli with a delicate capsule in the sputum is characteristic of Yersinia pestis, the causative agent of plague. Plague presents with symptoms like fever, chills, and cough. Plague is a zoonotic disease usually transmitted through fleas from rodents. The other choices (B: Tuberculosis, C: Leptospirosis, D: Brucellosis) can be ruled out based on the specific description of the bacteria in the sputum. Tuberculosis is caused by Mycobacterium tuberculosis, which is not Gram-negative. Leptospirosis is caused by Leptospira, which are spirochetes and not ovoid bacilli. Brucellosis is caused by Brucella species, which are small, coccobacilli and not ovoid bacilli.