ATI RN
microbiology a systems approach test bank Questions
Question 1 of 9
Generalization of an intestine infection can be seen in
Correct Answer: A
Rationale: Rationale: 1. Salmonella typhi causes typhoid fever, which can lead to intestinal infections. 2. Shigella flexneri causes dysentery, primarily affecting the colon. 3. Helicobacter pylori causes stomach ulcers, not intestine infections. Summary: A is correct as Salmonella typhi causes intestine infection. B and C are incorrect as they cause different gastrointestinal issues. D is incorrect as A is a valid choice.
Question 2 of 9
Microscopic analysis of a smear stained by Ziehl-Neelsen method revealed bright red bacilli. What microorganism is being tested for?
Correct Answer: A
Rationale: The Ziehl-Neelsen stain is specific for acid-fast bacteria like Mycobacterium tuberculosis. The bright red bacilli seen in the smear indicate the presence of acid-fast organisms, which is characteristic of Mycobacterium tuberculosis. Staphylococcus aureus, Clostridium tetani, and Escherichia coli are not acid-fast bacteria and would not be stained red using the Ziehl-Neelsen method. Therefore, the correct answer is A: Mycobacterium tuberculosis.
Question 3 of 9
Bacterial replication is accomplished primarily by:
Correct Answer: D
Rationale: Binary fission is the correct answer for bacterial replication because it is the process by which bacteria divide into two identical daughter cells. During binary fission, the bacterial cell replicates its DNA, forms a septum dividing the cell into two, and eventually splits into two daughter cells. This process is specific to prokaryotic cells such as bacteria and is different from mitosis and meiosis, which are processes specific to eukaryotic cells. Cytokinesis is the final step of cell division in both eukaryotes and prokaryotes, but it is not the primary mechanism of bacterial replication.
Question 4 of 9
Which of the following is a characteristic feature of Gram-positive bacteria?
Correct Answer: C
Rationale: The correct answer is C: Thick peptidoglycan layer. Gram-positive bacteria have a thick peptidoglycan layer in their cell wall, which retains the crystal violet stain during Gram staining. This thick layer is a key characteristic feature that helps differentiate Gram-positive bacteria from Gram-negative bacteria. Rationale: 1. Gram-positive bacteria retain the crystal violet stain due to their thick peptidoglycan layer. 2. This thick layer provides structural support and protection to the cell. 3. Gram-positive bacteria lack an outer membrane, which is a feature of Gram-negative bacteria (Choice A). 4. Thin peptidoglycan layer is a characteristic of Gram-negative bacteria, not Gram-positive (Choice B). 5. Presence of LPS (lipopolysaccharide) is a feature of Gram-negative bacteria, not Gram-positive (Choice D). In summary, the presence of a thick peptidoglycan layer is a characteristic feature of Gram-positive
Question 5 of 9
A 40 year old man noticed a reddening and an edema of skin in the area of his neck that later developed into a small abscess. The incised focus is dense, yellowish-green. The pus contains white granules. Histological examination revealed drusen of a fungus, plasmatic and xanthome cells, macrophages. What type of mycosis is the most probable?
Correct Answer: D
Rationale: The correct answer is D: Sporotrichosis. Sporotrichosis is caused by the fungus Sporothrix schenckii, which commonly presents as a subcutaneous infection. In the given case, the presence of a small abscess with yellowish-green pus containing white granules is indicative of sporotrichosis. The histological examination showing drusen of a fungus, plasmatic and xanthome cells, and macrophages further supports the diagnosis of sporotrichosis. Choice A: Actinomycosis is a bacterial infection caused by Actinomyces species, not a fungal infection. Choice B: Aspergillosis is caused by Aspergillus species and typically presents as a pulmonary infection, not a subcutaneous abscess as described in the case. Choice C: Candidosis is caused by Candida species and usually presents as mucocutaneous infections, not a subcutaneous abscess with the
Question 6 of 9
The function of beta-lactamase in bacteria is to:
Correct Answer: A
Rationale: The correct answer is A: Break down antibiotics like penicillin. Beta-lactamase is an enzyme produced by bacteria to inactivate beta-lactam antibiotics like penicillin by breaking the beta-lactam ring. This mechanism helps bacteria resist the antibiotic's effects. The other choices are incorrect because beta-lactamase does not enhance protein synthesis, facilitate DNA replication, or transport nutrients. It specifically targets and deactivates beta-lactam antibiotics, making choice A the most appropriate answer.
Question 7 of 9
Non - complete phagocytosis is observed during infections with:
Correct Answer: D
Rationale: Rationale: 1. Mycobacterium tuberculosis, Legionella pneumophila, Brucella melitensis can evade complete phagocytosis. 2. Mycobacterium tuberculosis inhibits phagosome-lysosome fusion. 3. Legionella pneumophila can prevent phagosome maturation. 4. Brucella melitensis can survive and replicate within phagocytes. 5. A + B + C together represent non-complete phagocytosis. Summary: - A, B, C individually cause incomplete phagocytosis. - Only when all three are present together (D) is non-complete phagocytosis observed.
Question 8 of 9
Which of the following is a preferred mode of transmission of HIV from a mother to a child
Correct Answer: D
Rationale: The correct answer is D because HIV can be transmitted from a mother to a child through multiple modes: during delivery through mixing of blood, during pregnancy through the placenta, and via breastmilk during lactation. Each mode presents a risk of transmission due to the presence of the virus in bodily fluids. Therefore, all of the above options are preferred modes of transmission for HIV from a mother to a child. Choices A, B, and C alone do not fully encompass all the possible routes of transmission, making them incorrect.
Question 9 of 9
A disease that is generally present in a given population is:
Correct Answer: D
Rationale: The correct answer is D: endemic. Endemic refers to a disease that is consistently present in a particular population or region at a relatively stable level. This means the disease is always present in that specific area. Pandemic (A) refers to a disease that spreads across multiple countries or continents. Epidemic (B) refers to a sudden increase in the number of cases of a disease above what is normally expected in that population. Sporadic (C) refers to occasional cases of a disease occurring irregularly in a population. Therefore, the correct choice is D as it specifically describes a disease that is generally present in a given population.