During the skill-building session in microbiology the students need to stain the prepared and fixed sputum smears obtained from a tuberculosis patient. What staining technique should be used in this case?

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Microbiology Chapter 13 Test Bank Questions

Question 1 of 9

During the skill-building session in microbiology the students need to stain the prepared and fixed sputum smears obtained from a tuberculosis patient. What staining technique should be used in this case?

Correct Answer: C

Rationale: The correct staining technique for staining sputum smears from a tuberculosis patient is Ziehl-Neelsen staining. This technique uses a carbol fuchsin stain that specifically stains acid-fast organisms like Mycobacterium tuberculosis. The steps involved include staining with carbol fuchsin, decolorizing with acid-alcohol, counterstaining with methylene blue, and then examining under a microscope. This staining method is crucial for detecting the acid-fast bacilli characteristic of tuberculosis. Explanation for incorrect choices: A: Gram staining is used to differentiate bacteria into Gram-positive and Gram-negative, not suitable for acid-fast organisms like Mycobacterium tuberculosis. B: Giemsa staining is used for detecting parasites and certain types of white blood cells, not specific for acid-fast bacteria. D: Burry staining is not a recognized staining technique in microbiology for staining acid-fast organisms.

Question 2 of 9

A 25-year-old patient was delivered to an infectious diseases unit on the 3rd day of illness with complaints of headache, pain in lumbar spine and gastrocnemius muscles, high fever, chill. Objectively: condition of moderate severity. Scleras are icteric. Pharynx is hyperemic. Tongue is dry with dry brown coating. Abdomen is distended. Liver is enlarged by 2 cm. Spleen is not enlarged. Palpation of muscles, especially gastrocnemius muscles, is painful. Urine is dark in color. Stool is normal in color. The most likely diagnosis is:

Correct Answer: A

Rationale: The correct diagnosis is Leptospirosis. Leptospirosis presents with headache, fever, muscle pain, jaundice, and kidney involvement. The patient's symptoms of headache, lumbar and muscle pain, high fever, icteric scleras, and dark urine are classic for Leptospirosis. The enlarged liver could be due to liver involvement in the disease. The absence of splenic enlargement and normal stool color rule out malaria. Infectious mononucleosis typically presents with sore throat and lymphadenopathy, which are absent in this case. Viral hepatitis A may present with similar symptoms, but the presence of muscle pain and dark urine is more indicative of Leptospirosis. Therefore, based on the patient's symptoms and clinical findings, Leptospirosis is the most likely diagnosis.

Question 3 of 9

Which bacterium is known for producing an exotoxin that causes severe diarrhea?

Correct Answer: C

Rationale: Rationale: 1. Vibrio cholerae produces cholera toxin causing severe diarrhea. 2. Clostridium tetani causes tetanus, not diarrhea. 3. Clostridium botulinum causes botulism, not diarrhea. 4. Shigella dysenteriae causes dysentery, not typical diarrhea. Summary: A: Incorrect, causes tetanus. B: Incorrect, causes botulism. C: Correct, produces cholera toxin causing severe diarrhea. D: Incorrect, causes dysentery.

Question 4 of 9

All of the following viruses are enveloped EXCEPT:

Correct Answer: C

Rationale: The correct answer is C: Hepatitis A virus. This is because Hepatitis A virus is a non-enveloped virus, while choices A, B, and D are all enveloped viruses. Enveloped viruses have a lipid bilayer membrane surrounding their protein capsid, aiding in their ability to infect host cells. Hepatitis C, B, and D viruses all possess this lipid envelope, making them enveloped viruses. Hepatitis A virus, on the other hand, lacks this lipid envelope and is classified as a non-enveloped virus. Therefore, the correct answer is C.

Question 5 of 9

As an example of specific human parasites one can name Plasmodium falciparum, human pinworm and some others. The source of parasite invasion is always a human. Such specific human parasites cause the diseases that are called:

Correct Answer: A

Rationale: The correct answer is A: Anthroponoses. This term refers to diseases caused by specific human parasites that are transmitted directly from human to human. In this case, the source of parasite invasion is always a human host. This term specifically describes diseases caused by parasites that exclusively infect humans. Choice B: Zoonoses refers to diseases that can be transmitted from animals to humans. Choice C: Anthropozoonoses is a combination of zoonoses and anthroponoses, which is not applicable in this scenario. Choice D: Infections is a general term that does not specify the source or type of parasite causing the disease.

Question 6 of 9

Coxsackie Viruses can cause:

Correct Answer: B

Rationale: The correct answer is B: Herpangina. Coxsackie Viruses are known to cause Herpangina, which is characterized by sore throat, fever, and painful blisters in the mouth and throat. This is because Coxsackie Viruses typically infect the throat and mouth mucosa. Hemorrhagic conjunctivitis (A) is commonly caused by Adenoviruses, not Coxsackie Viruses. Mumps (C) is caused by the Mumps virus, a completely different virus. Poliomyelitis (D) is caused by the Poliovirus, not Coxsackie Viruses. Therefore, the correct answer is B as it aligns with the known pathogenicity of Coxsackie Viruses.

Question 7 of 9

What is the best therapeutic plan for treating actinomycosis?

Correct Answer: D

Rationale: The correct answer is D, chemotherapy combined with surgical therapy. Actinomycosis is a bacterial infection that requires a combination of antibiotics to target the bacteria and surgery to remove abscesses or infected tissues. Antibiotics alone may not penetrate abscesses effectively. Waiting for self-clearance can lead to complications. Surgical treatment alone may not eradicate the infection entirely. Therefore, the most effective therapeutic plan is to combine chemotherapy to treat the infection systemically and surgery to remove localized infections.

Question 8 of 9

Which of the statements is false:

Correct Answer: A

Rationale: The correct answer is A because spirochaetes are not bacilli; they are spiral-shaped bacteria. Bacilli are rod-shaped bacteria, making statement A false. Statement B is true as diplococci are spherical bacteria occurring in pairs. Statement C is true as rod-shaped bacteria have one diameter longer than the other. Statement D is true as coccobacilli are short, oval-shaped bacteria resembling cocci and rods. In summary, spirochaetes are spiral-shaped, not bacilli, making statement A false.

Question 9 of 9

Which of the following statements is NOT true about influenza viruses?

Correct Answer: D

Rationale: The correct answer is D because there is specific prophylaxis available for influenza, such as the flu vaccine. Choice A is incorrect as influenza viruses are not spherical, they are typically pleomorphic. Choice B is incorrect because hemagglutinin and neuraminidase are indeed antigenically variable, contributing to the need for annual flu vaccines. Choice C is incorrect as the susceptibility of the population to influenza viruses can vary depending on factors such as immunity and vaccination status.

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