ATI RN
Microbiology An Introduction Tortora Test Bank Questions
Question 1 of 5
For serological diagnostics of the whooping cough it was made large-scale reaction with parapertussis and pertussis diagnosticums. At the bottom of the test-tubes with diagnosticum of Bordetella parapertussis grain-like sediment formed. What antibodies have this reaction revealed?
Correct Answer: B
Rationale: Rationale: 1. The grain-like sediment indicates a precipitation reaction. 2. Precipitins are antibodies that cause precipitation reactions. 3. In serological diagnostics, precipitation reactions are used to detect specific antibodies. 4. Therefore, the reaction revealed in this scenario is due to the presence of precipitins. Summary: A: Bacteriolysins - These antibodies cause bacterial lysis, not precipitation. C: Antitoxins - These antibodies neutralize toxins, not involved in precipitation reactions. D: Opsonins - These antibodies enhance phagocytosis, not related to precipitation reactions.
Question 2 of 5
A patient ill with amebiasis was prescribed a certain drug. The use of alcohol together with this drug is contraindicated because the drug inhibits metabolism of ethyl alcohol. What drug is it?
Correct Answer: A
Rationale: Rationale: 1. Metronidazole is known to inhibit aldehyde dehydrogenase, an enzyme involved in alcohol metabolism. 2. Inhibition of this enzyme leads to accumulation of acetaldehyde, causing unpleasant symptoms when alcohol is consumed. 3. This reaction is known as the disulfiram-like reaction. 4. Reserpine, Clonidine, and Diazepam do not have this specific mechanism of action. Summary: - Option A (Metronidazole) is correct due to its inhibition of alcohol metabolism. - Options B, C, and D are incorrect as they do not exhibit this interaction with alcohol metabolism.
Question 3 of 5
A gynaecologist was examining a patient and revealed symptoms of genital tract inflammation. A smear from vagina contains pyriform protozoa with a spine, flagella at their front; there is also an undulating membrane. What disease can be suspected?
Correct Answer: A
Rationale: The correct answer is A: Urogenital trichomoniasis. The presence of pyriform protozoa with a spine, flagella at their front, and an undulating membrane in a vaginal smear indicates Trichomonas vaginalis, the causative agent of urogenital trichomoniasis. Trichomonas vaginalis is sexually transmitted and causes vaginal discharge, itching, and inflammation. Lambliasis (choice B) is caused by Giardia lamblia, which is not characterized by the described features. Intestinal trichomoniasis (choice C) is caused by a different species, Tritrichomonas foetus, and presents with diarrhea in cattle. Toxoplasmosis (choice D) is caused by Toxoplasma gondii and typically affects the brain and other organs, not the genital tract.
Question 4 of 5
In preparation for business trip abroad the doctor was prescribed a histoschizontocidal antimalarial drug as a personal means of disease prevention. What drug was given to the doctor?
Correct Answer: B
Rationale: The correct answer is B: Mefloquine. Mefloquine is a histoschizontocidal antimalarial drug commonly prescribed for prevention of malaria in travelers. It is effective against the liver stage of the malaria parasite, which is crucial for preventing the development of the disease. Chingamin (A) is not a commonly used antimalarial drug. Biseptol (C) is a combination antibiotic and is not effective against malaria parasites. Quinine (D) is primarily used for treating malaria, not preventing it, and it is not specifically histoschizontocidal.
Question 5 of 5
A 28 y.o. patient without permanent residence was admitted to the hospital with the preliminary diagnosis influenza. On the fith day of illness he got a maculopapular petechial rash on his body and internal surfaces of extremities. Body temperature is 410 C, euphoria, face hyperemia, sclera reddening, tongue tremor, tachycardia, splenomegaly, excitement. What is the most probable diagnosis?
Correct Answer: A
Rationale: Step 1: Initial diagnosis of influenza suggests a viral illness. Step 2: Presence of maculopapular petechial rash and high fever indicates a systemic infection. Step 3: Symptoms like euphoria, hyperemia, tachycardia, splenomegaly, and excitement are characteristic of epidemic typhus. Step 4: Face hyperemia, sclera reddening, and tongue tremor are specific to epidemic typhus. Step 5: Epidemic typhus is transmitted by body lice, which fits the scenario of a patient without permanent residence. Summary: - Delirium alcoholicum is unlikely due to the specific symptoms and lack of history of alcohol abuse. - Leptospirosis typically presents with jaundice and renal symptoms, not seen in this case. - Measles rash is different from the maculopapular petechial rash described.