ATI RN
microbiology test bank Questions
Question 1 of 5
During the staining of sputum smear of a patient with suspected croupous pneumonia the following reactives and stainers were used: gentian violet solution, Lugol's solution, 960 spiritus and water fuchsin. What method of staining is used in this case?
Correct Answer: A
Rationale: The correct answer is A: Leffler's method. In this staining method, gentian violet solution is used as the primary stain, followed by Lugol's solution as a mordant, 960 spiritus as a decolorizer, and water fuchsin as a counterstain. Gentian violet stains the organisms purple, Lugol's solution helps in fixing the dye, 960 spiritus decolorizes non-specifically, and water fuchsin acts as a counterstain to help visualize the bacteria. Leffler's method is specifically used for staining sputum smears in suspected cases of croupous pneumonia. Summary: B: Gram's staining uses crystal violet, iodine, alcohol, and safranin. It is mainly used for distinguishing between Gram-positive and Gram-negative bacteria. C: Ziehl-Neelsen's staining is used for acid-fast bacteria like Mycobacterium tuberculosis using carbol fuchsin and acid-alcohol
Question 2 of 5
The most common causes of urinary tract infections are:
Correct Answer: A
Rationale: The correct answer is A: Bacteria. Urinary tract infections (UTIs) are primarily caused by the invasion of bacteria into the urinary tract. Bacteria, especially Escherichia coli (E. coli), are the most common culprits. They enter the urinary tract through the urethra and can multiply in the bladder, leading to infection. Viruses (choice B) and fungi (choice C) are not typical causes of UTIs. "None of the above" (choice D) is incorrect as bacteria are indeed the main cause of UTIs.
Question 3 of 5
One of the defense mechanisms in place in the organs/tissues of the reproductive tract that prevent microbial infection includes:
Correct Answer: B
Rationale: The correct answer is B: acidic pH. The reproductive tract's acidic pH serves as a defense mechanism by creating an environment hostile to many pathogens, preventing microbial infection. The acidic pH helps to inhibit the growth and survival of harmful microorganisms. A: Alkaline pH would actually be more favorable for microbial growth as most pathogens thrive in neutral to alkaline pH environments. C: High sugar concentration can actually promote microbial growth as many pathogens feed on sugars. D: High body temperature may help in some cases, but it is not as effective as an acidic pH in preventing microbial infection in the reproductive tract.
Question 4 of 5
During a microscopy session, students examined sputum samples stained using Gram's method. Purple-stained diplococci with a capsule were observed. What microorganism is most likely present?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Purple-stained diplococci suggest Gram-positive cocci. 2. Capsule presence is a characteristic of Streptococcus pneumoniae. 3. S. pneumoniae is known to form diplococci arrangements. 4. Therefore, the microorganism most likely present is Streptococcus pneumoniae. Summary: - B: Klebsiella pneumoniae is a Gram-negative rod, not a cocci. - C: Neisseria meningitidis is a Gram-negative diplococcus, not a capsule producer. - D: Escherichia coli is a Gram-negative rod, not a cocci or capsule producer.
Question 5 of 5
A 5-year-old kindergartener has diphtheria. To find the carriers of the disease among the kindergarten staff, samples of pharyngeal mucus were obtained from the employers. One of the employers had gram-positive bacilli in her sample. They were situated at an angle to each other and colored unevenly, when stained according to Loeffler. What method can confirm that this carrier is dangerous to other people?
Correct Answer: A
Rationale: The correct answer is A: Toxin production test. Rationale: 1. Diphtheria is caused by a toxin produced by Corynebacterium diphtheriae. 2. To confirm if the carrier is dangerous, we need to test if they are producing the toxin. 3. The toxin production test directly assesses if the bacteria are producing the harmful toxin. 4. Positive results indicate the carrier is dangerous and can transmit the disease to others. Summary of other choices: B: Mouse neutralization test - Used to detect diphtheria antitoxin levels in blood, not to confirm if the carrier is dangerous. C: Immunofluorescence test - Used to detect specific antigens or antibodies, not directly related to confirming the carrier's danger. D: Complement fixation test - Measures immune response, not specific to toxin production confirmation.
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