ATI RN
free microbiology test bank questions pdf Questions
Question 1 of 9
Family Parvoviridae can cause all of these, except:
Correct Answer: B
Rationale: The correct answer is B: Herpangina. Family Parvoviridae includes Parvovirus B19, which causes Fifth disease, aplastic crisis in chronic anemia, and fetal infections. Herpangina is caused by Enteroviruses, not Parvoviridae. Parvovirus B19 specifically targets erythroid progenitor cells, leading to anemia in susceptible individuals. Fetal infections can result in hydrops fetalis. Aplastic crisis occurs in patients with chronic anemia due to suppression of erythropoiesis by the virus.
Question 2 of 9
A 47-year-old patient came to see a doctor on the 7th day of disease. The disease developed very fast: after the chill body temperature rose to 40oC and lasted up to 7 hours, then dropped abruptly, which caused profuse sweat. There were three such attacks occur in once in two days. Two days ago the patient arrived from Africa. Objectively: pale skin, subicteric sclera, significantly enlarged liver and spleen. What is the cause of fever attacks in this disease?
Correct Answer: A
Rationale: The correct answer is A: Erythrocytic schizogony. In this case, the patient most likely has malaria, specifically caused by Plasmodium falciparum. The fever attacks every 2 days (tertian fever) are characteristic of P. falciparum infection. The cycle of erythrocytic schizogony in P. falciparum is around 48 hours, leading to the recurring fever pattern. Choices B, C, and D are incorrect as tissue schizogony does not cause the characteristic fever pattern, exotoxins are not typically involved in malaria fever, and gametocytes do not directly cause fever attacks.
Question 3 of 9
Routes for transmission of nosocomial infections are
Correct Answer: D
Rationale: The correct answer is D because nosocomial infections can be transmitted through various routes, including air droplets, fecal-oral mechanism, contact mechanism, and parenteral mechanism. Air droplets can carry infectious agents through the air, while contact with contaminated surfaces or individuals can spread infections. Fecal-oral transmission occurs through ingesting contaminated food or water. Parenteral transmission involves the introduction of pathogens directly into the bloodstream. Therefore, all the options listed in D are correct routes for transmission of nosocomial infections. Choices A, B, and C are incorrect because they do not encompass all possible routes of transmission for nosocomial infections.
Question 4 of 9
Which is the most prominent immunoglobulin class present in external secretions
Correct Answer: C
Rationale: The correct answer is C: IgA. IgA is the most prominent immunoglobulin class present in external secretions like saliva, tears, and mucus. It plays a crucial role in mucosal immunity by preventing pathogens from entering the body. IgG is mainly found in the blood and tissues, IgM is the first antibody produced in response to an infection, and IgE is involved in allergic reactions. IgA's presence in external secretions helps protect the body from infections at mucosal surfaces, making it the correct choice in this context.
Question 5 of 9
The movement of molecules through a membrane from an area of high hydrostatic pressure to an area of lower hydrostatic pressure is:
Correct Answer: D
Rationale: The correct answer is D: simple diffusion. In simple diffusion, molecules move from an area of high concentration to low concentration without the need for energy input. Hydrostatic pressure is a form of passive transport that drives molecules to equalize concentration. Filtration (A) involves the movement of solutes through a membrane under pressure. Exocytosis (B) is the process by which cells release substances outside the cell using energy. Osmosis (C) is the movement of water molecules across a selectively permeable membrane. Therefore, simple diffusion is the most appropriate choice in this scenario.
Question 6 of 9
Urine examination of a patient with acute cystitis revealed leukocytes and a lot of gram-negative bacilli. Inoculation resulted in growth of colonies of mucous nature that formed green soluble pigment. What microorganism is the most probable cause of the disease?
Correct Answer: C
Rationale: Rationale: 1. Presence of gram-negative bacilli suggests Enterobacteriaceae family, which includes E. coli. 2. Green soluble pigment indicates pyocyanin production, characteristic of E. coli. 3. E. coli is the most common cause of acute cystitis due to its ability to colonize the urinary tract. Summary: A: Pseudomonas aeruginosa is not typically associated with acute cystitis and does not produce mucous colonies. B: Klebsiella pneumoniae may cause UTIs, but does not produce green pigment and is less common than E. coli. D: Salmonella enteritidis is associated with gastrointestinal infections, not cystitis.
Question 7 of 9
Acne is caused by:
Correct Answer: D
Rationale: The correct answer is D: Propionibacterium acnes. This bacterium plays a key role in acne formation by colonizing hair follicles, leading to inflammation and acne lesions. It produces fatty acids that contribute to the development of acne. Staphylococcus aureus (A) and Staphylococcus epidermidis (B) are not directly linked to acne. Streptococcus pyogenes (C) is associated with skin infections but not acne. In summary, Propionibacterium acnes is the primary bacterium responsible for acne due to its ability to induce inflammation and follicular blockages.
Question 8 of 9
Which of the following bacteria is capable of forming spores to survive in extreme conditions?
Correct Answer: B
Rationale: The correct answer is B: Clostridium botulinum. This bacterium is capable of forming spores as a survival mechanism in harsh conditions. Spore formation allows it to remain dormant until conditions become favorable for growth again. Staphylococcus aureus (A), Escherichia coli (C), and Neisseria gonorrhoeae (D) do not form spores and rely on other mechanisms for survival. Staphylococcus aureus is a common skin bacterium, Escherichia coli is a gut bacterium, and Neisseria gonorrhoeae is a sexually transmitted bacterium.
Question 9 of 9
The human pinworm Enterobius vermicularis lives in the __________ of humans.
Correct Answer: D
Rationale: The correct answer is D: rectum. Pinworms typically inhabit the rectum area in humans, where they lay their eggs. This is because the female pinworm migrates to the rectum at night to deposit her eggs near the anus. Other choices are incorrect because pinworms do not reside in the duodenum (A), ileum (B), or transverse colon (C) as their primary location is in the lower gastrointestinal tract near the anus.