ATI RN
foundations in microbiology test bank Questions
Question 1 of 9
Examination of a smear from a chancre revealed mobile, long, spiral microorganisms with 8-12 regular coils. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Treponema. The characteristics described match Treponema pallidum, the causative agent of syphilis. Treponema has long, spiral shape with 8-12 regular coils. Leptospira (B) is a spirochete but has fewer coils and causes leptospirosis. Borrelia (C) is another spirochete but typically has irregular coils and causes Lyme disease. Vibrios (D) are curved rods and not spirochetes.
Question 2 of 9
Which bacteria is commonly associated with foodborne illnesses?
Correct Answer: B
Rationale: The correct answer is B: Campylobacter jejuni. This bacteria is commonly associated with foodborne illnesses due to its presence in undercooked poultry and unpasteurized milk. Campylobacteriosis is a leading cause of bacterial gastroenteritis. Streptococcus pneumoniae (A) causes pneumonia, not foodborne illnesses. Mycobacterium tuberculosis (C) causes tuberculosis, not foodborne illnesses. Haemophilus influenzae (D) can cause respiratory infections but is not commonly associated with foodborne illnesses.
Question 3 of 9
Prophylaxis of smallpox and revaccination is performed:
Correct Answer: D
Rationale: The correct answer is D because smallpox vaccination provides long-lasting immunity, often for a lifetime. Revaccination is not necessary as the initial vaccine confers sufficient protection. Choice A is incorrect because yearly revaccination is unnecessary and excessive. Choice B and C are also incorrect as there is no need for revaccination every second or third year. The key is to understand that smallpox vaccination typically provides lifelong immunity, making ongoing revaccination unnecessary.
Question 4 of 9
When using gram staining method fungi stain:
Correct Answer: D
Rationale: The correct answer is D: Fungi do not stain in the gram staining method because they have a unique cell wall composition different from bacteria. Fungi have chitin in their cell walls, which is not easily stained by the gram staining process. This method primarily targets the peptidoglycan layer present in bacterial cell walls. Therefore, fungi will not take up the stain and will remain colorless. The other choices (A: Blue-purple, B: Red, C: Silver) are incorrect because they describe colors that are associated with staining results for bacteria, not fungi.
Question 5 of 9
A patient who came to the doctor because of his infertility was administered to make tests for toxoplasmosis and chronic gonorrhoea. Which reaction should be performed to reveal latent toxoplasmosis and chronic gonorrhoea in this patient?
Correct Answer: C
Rationale: The correct answer is C: IFA - Immunofluorescence assay. Toxoplasmosis and chronic gonorrhea can be detected using serological tests like IFA. IFA detects specific antibodies in the patient's serum by using fluorescently labeled antibodies. This method is highly sensitive and specific for detecting both acute and latent infections. Explanation of Incorrect Choices: A: RIHA - Reverse indirect hemagglutination assay - This test is not commonly used for detecting toxoplasmosis or chronic gonorrhea. B: RDHA - Reverse direct hemagglutination assay - This test is not typically used for these specific infections. D: Immunoblot analysis - While Immunoblot analysis is a useful confirmatory test for certain infections, it is not the primary method for detecting toxoplasmosis or chronic gonorrhea.
Question 6 of 9
A patient with a productive cough and fever had a sputum smear revealing Gram-positive cocci in clusters. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus aureus. Staphylococcus aureus is a Gram-positive cocci bacterium that forms clusters and commonly causes pneumonia with a productive cough and fever. It is frequently found in sputum smears in such cases. Streptococcus pneumoniae (B) is another common cause of pneumonia but typically appears in pairs or chains, not clusters. Neisseria meningitidis (C) is a Gram-negative diplococcus that causes meningitis, not pneumonia. Klebsiella pneumoniae (D) is a Gram-negative bacterium that can cause pneumonia but appears as Gram-negative rods, not Gram-positive cocci in clusters.
Question 7 of 9
Which one is not true for the adaptive immunity:
Correct Answer: A
Rationale: The correct answer is A because adaptive immunity is not mainly observed in the skin and mucous membranes. Adaptive immunity is a systemic response that involves specific immune cells and antibodies targeting specific pathogens. It develops immune memory (B), meaning it can recognize and respond faster upon re-exposure to the same pathogen. Adaptive immunity also has specificity (C), as it can target specific antigens. Lastly, adaptive immunity is not evolutionarily newer in comparison to innate immunity (D), as both systems have co-evolved to provide comprehensive protection against pathogens.
Question 8 of 9
A patient consulted a doctor about bowels disfunction. The doctor established symptoms of duodenitis and enteritis. Laboratory examination helped to make the following diagnosis: lambliosis. What medication should be administered?
Correct Answer: A
Rationale: Rationale: Metronidazole is the drug of choice for treating lambliosis due to its effectiveness against Giardia lamblia, the parasite causing the infection. Metronidazole works by disrupting the DNA structure of the parasite, leading to its death. Erythromycin (choice B) is not effective against Giardia lamblia. Monomycin (choice C) and Chingamin (choice D) are not commonly used for treating lambliosis. Therefore, choice A, Metronidazole, is the correct medication for this patient.
Question 9 of 9
What type of bacteria is responsible for the formation of acid in the stomach?
Correct Answer: B
Rationale: The correct answer is B: Helicobacter pylori. This bacterium is responsible for stomach acid formation by producing an enzyme called urease, which converts urea into ammonia and carbon dioxide, leading to an increase in stomach pH. Staphylococcus aureus (A) does not cause stomach acid formation. Bacillus cereus (C) and Clostridium botulinum (D) are not involved in stomach acid processes.