ATI RN
microbiology chapter 10 test bank Questions
Question 1 of 9
During the incubation period S. Typhi multiplies in the
Correct Answer: D
Rationale: The correct answer is D because during the incubation period of Salmonella Typhi infection, the bacteria multiply in the macrophages of the Peyer's patches and solitary follicles. This is supported by the fact that S. Typhi is an intracellular pathogen that targets the lymphoid tissues of the intestines. Macrophages in these areas serve as the primary host cells for the bacteria, allowing for their replication and evasion of the host immune response. Choices A, B, and C are incorrect because S. Typhi does not primarily multiply in the small intestine enterocytes, the lumen of the small intestine, or hepatocytes during the initial stages of infection.
Question 2 of 9
Typical brucellosis symptoms include all except:
Correct Answer: B
Rationale: The correct answer is B: Diarrhea. Brucellosis typically presents with symptoms such as arthralgia, headache, and undulating fever, but diarrhea is not a common symptom associated with the disease. Brucellosis is primarily characterized by systemic symptoms like fever, joint pain, and headache due to the bacterial infection. Diarrhea is more commonly seen in gastrointestinal infections rather than brucellosis. Therefore, the absence of diarrhea as a symptom in brucellosis helps in differentiating it from other diseases with similar clinical presentations.
Question 3 of 9
A patient has been hospitalized with provisional diagnosis of botulism. What serological reaction should be used to reveal botulinum toxin?
Correct Answer: A
Rationale: The correct answer is A: Neutralization reaction. This is the most appropriate serological test to reveal botulinum toxin because it involves mixing the patient's serum with known botulinum antitoxin. If the patient's serum contains botulinum toxin, it will neutralize the antitoxin, leading to a lack of toxin-neutralizing ability. The other choices are incorrect because agglutination reaction involves clumping of cells, not suitable for detecting botulinum toxin; Bordet-Gengou test is used to detect antibodies in pertussis infection, not botulinum toxin; and precipitation reaction involves the formation of a solid when two solutions are mixed, not ideal for detecting botulinum toxin.
Question 4 of 9
Degenerative changes resulting from viral propagation in infected cell cultures are referred as:
Correct Answer: B
Rationale: The correct answer is B: cytopathic effect. When viruses infect cell cultures, they induce degenerative changes known as cytopathic effects, which include cell shrinkage, rounding, detachment, and cell death. This term specifically refers to the damage caused by viral replication within the cells. A: Cytolytic effect refers to the destruction of cells by viruses, which is a more specific type of cytopathic effect involving cell lysis. C: Cytotoxic effect typically refers to the toxic effects of substances on cells, not specifically related to viral propagation. D: The statement that all three answers are correct is incorrect as only option B accurately describes the degenerative changes resulting from viral propagation in infected cell cultures.
Question 5 of 9
Which of the following hepatitis viruses is NOT a RNA virus?
Correct Answer: B
Rationale: The correct answer is B: Hepatitis B virus. This is because Hepatitis B virus is a DNA virus, not an RNA virus. The other choices, A (Hepatitis G virus), C (Hepatitis A virus), and D (Hepatitis E virus) are all RNA viruses. Hepatitis B virus is unique as it contains partially double-stranded DNA. DNA viruses replicate through a DNA intermediate, unlike RNA viruses which directly use RNA. Therefore, Hepatitis B virus stands out as the only DNA virus among the given options.
Question 6 of 9
A patient with diarrhea had a stool sample that revealed Gram-negative rods that fermented lactose. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Escherichia coli. Step-by-step rationale: 1. Gram-negative rods: E. coli is a Gram-negative rod bacterium. 2. Fermented lactose: E. coli is known to ferment lactose. 3. Common cause of diarrhea: E. coli is a common causative agent of infectious diarrhea. Summary: B: Salmonella typhi causes typhoid fever, not typically associated with lactose fermentation. C: Shigella dysenteriae causes dysentery, not known for lactose fermentation. D: Proteus vulgaris is not a common cause of infectious diarrhea and does not typically ferment lactose.
Question 7 of 9
Examination of a man revealed a protozoan disease that affected brain and caused vision loss. Blood analysis revealed unicellular half-moon-shaped organisms with pointed end. The causative agent of this disease is:
Correct Answer: A
Rationale: The correct answer is A: Toxoplasma. Toxoplasma gondii is a protozoan parasite that can infect the brain and cause vision loss. The description of half-moon-shaped organisms with a pointed end matches the appearance of Toxoplasma under the microscope. Toxoplasma is known to cause a condition called toxoplasmosis, which can lead to neurological symptoms such as vision loss. Leishmania, Lamblia, Amoeba, and Trichomonad are not known to cause brain infections or vision loss, making them incorrect choices.
Question 8 of 9
Which of the following bacteria are capable of surviving in high-salinity environments?
Correct Answer: A
Rationale: The correct answer is A: Halophiles. Halophiles are bacteria that thrive in high-salinity environments due to their ability to tolerate high salt concentrations. They have adapted mechanisms to maintain osmotic balance and survive in such extreme conditions. Thermophiles (B) thrive in high-temperature environments, not high-salinity. Acidophiles (C) prefer acidic conditions, not high-salinity. Mesophiles (D) grow optimally at moderate temperatures and are not specifically adapted to high-salinity environments.
Question 9 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.