ATI RN
microbiology chapter 11 test bank Questions
Question 1 of 9
Choose which one fo the following microorganisms is an example of obligate parasitism
Correct Answer: A
Rationale: The correct answer is A: HIV. HIV is an example of obligate parasitism because it requires a host cell to replicate and survive. It cannot live independently outside of a host organism. In contrast, choices B, C, and D are not obligate parasites. E. Coli and S. Epidermidis are examples of commensal bacteria that can live in the host without causing harm. Pseudomonas aeruginosa can be both an opportunistic pathogen and a free-living organism, not strictly dependent on a host for survival.
Question 2 of 9
Axial filaments consist of
Correct Answer: A
Rationale: Axial filaments, also known as endoflagella, are composed of proteins. These proteins form a helical structure that enables certain bacteria, such as spirochetes, to move in a corkscrew-like motion. Proteins are the main structural component of axial filaments due to their flexibility and ability to generate movement. Choice B, polyphosphates, are not typically associated with axial filaments, as they are more involved in energy storage and transfer. Choice C, volutin granules, are storage inclusions of inorganic polyphosphate and are not part of axial filaments. Choice D, carbohydrates, are not the primary component of axial filaments which are protein-based structures responsible for bacterial motility.
Question 3 of 9
A fecal smear from a patient with severe diarrhea revealed motile Gram-negative rods with a comma shape. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Vibrio cholerae. This bacterium is the likely causative agent because it is known to cause severe diarrhea, and it is characterized by its motile, comma-shaped Gram-negative rods. Vibrio cholerae produces cholera toxin, leading to profuse watery diarrhea. Shigella dysenteriae causes dysentery with bloody diarrhea, Salmonella typhi causes typhoid fever, and Escherichia coli can cause various types of diarrhea but typically does not have a comma shape.
Question 4 of 9
The pertussis toxin:
Correct Answer: C
Rationale: The pertussis toxin inhibits the adenylate cyclase-mediated conversion of ATP to cyclic AMP, leading to decreased levels of cyclic AMP in the cell. This disrupts important cellular signaling pathways, affecting immune response and causing symptoms of pertussis. Choices A, B, and D are incorrect because the pertussis toxin does not directly affect protein synthesis, provoke overproduction of mucus in tracheal cells, or provoke release of electrolytes.
Question 5 of 9
Which bacteria are most commonly associated with hospital-acquired infections?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Hospital-acquired infections can be caused by a variety of bacteria commonly found in healthcare settings. Staphylococcus aureus is a common cause of surgical site infections. Escherichia coli can cause urinary tract infections. Klebsiella pneumoniae is associated with pneumonia and bloodstream infections. Therefore, all three bacteria are frequently implicated in hospital-acquired infections due to their prevalence and ability to cause different types of infections in healthcare settings. Thus, the correct answer is D, as all of the listed bacteria are commonly associated with hospital-acquired infections.
Question 6 of 9
Specify the microbiological characteristic of the air:
Correct Answer: A
Rationale: The correct answer is A: Contaminated. The air is never completely free of microorganisms, so it is considered contaminated. Microorganisms are ubiquitous in the environment. Permissible limits (B) imply a specific standard, which is not relevant to the general microbiological characteristic of air. Almost pure (C) and pure (D) are not accurate as air always contains some level of microorganisms.
Question 7 of 9
Dwellers of a village noticed mass mortality of rats in some farms. It was suspected that the animals might have died from plague. What postmortal analyses should be conduced in order to establish the causative agent of the infection as soon as possible?
Correct Answer: B
Rationale: The correct answer is B: Agglutination reaction. This test is commonly used to detect specific antibodies or antigens. In this case, it can be used to detect plague antigens in the rat tissues or antibodies in the villagers. This test is rapid, sensitive, and can help establish the presence of the causative agent quickly. A: Ring precipitation reaction is not typically used for diagnosing plague and is more commonly used in other types of infections. C: Passive agglutination reaction is not specific for plague and is more commonly used for detecting specific antibodies in diseases like syphilis. D: Neutralization reaction is not typically used for diagnosing plague and is more commonly used to determine the presence of neutralizing antibodies in viral infections.
Question 8 of 9
A patient was admitted to the hospital on the 7th day of the disease with complaints of high temperature, headache, pain in the muscles, especially in calf muscles. Dermal integuments and scleras are icteric. There is hemorrhagic rash on the skin. Urine is bloody. The patient was fishing two weeks ago. What is the most likely diagnosis?
Correct Answer: A
Rationale: The most likely diagnosis is A: Leptospirosis. Leptospirosis is caused by the spirochete Leptospira interrogans and is commonly transmitted through contact with water contaminated by animal urine, such as in this case of fishing. The symptoms described match those of leptospirosis, including high fever, headache, muscle pain, jaundice, hemorrhagic rash, and bloody urine. The calf muscle pain is a characteristic symptom of leptospirosis known as "Weil's disease." Yersiniosis (B) typically presents with abdominal symptoms, Salmonellosis (C) with gastrointestinal symptoms, and Brucellosis (D) with flu-like symptoms. Therefore, based on the symptoms and history provided, Leptospirosis is the most likely diagnosis.
Question 9 of 9
A smear from a sore throat revealed rod-shaped bacteria with polar granules. What is the most likely causative agent?
Correct Answer: A
Rationale: The most likely causative agent is Corynebacterium diphtheriae. Step 1: Presence of rod-shaped bacteria indicates a bacillus. Step 2: Polar granules suggest metachromatic granules seen in C. diphtheriae. Step 3: C. diphtheriae causes diphtheria, which presents with sore throat. Summary: B is incorrect as S. pneumoniae is a cocci, not a bacillus. C is incorrect as H. influenzae is a pleomorphic coccobacillus. D is incorrect as K. pneumoniae is a large, encapsulated bacillus.