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
The effect of which of the following toxins DOES NOT MANIFEST with neurological symptoms:
Correct Answer: D
Rationale: Certainly! The correct answer is D: Pertussis exotoxin. Pertussis toxin primarily affects the respiratory system causing whooping cough. It does not directly target the nervous system like the other toxins listed. Tetanospasmin causes muscle spasms, Diphtheria exotoxin affects the heart and nerves, and Botulinum exotoxin causes paralysis by blocking neurotransmitter release. Therefore, Pertussis exotoxin is the only toxin among the options that does not manifest with neurological symptoms.
Question 3 of 9
Which of the following bacteria is known for producing a capsule that helps it avoid the immune system?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is known for producing a capsule that helps it evade the immune system. The capsule acts as a protective barrier, making it difficult for the immune system to recognize and attack the bacteria. Streptococcus pneumoniae is a common cause of pneumonia and meningitis. Explanation for why other choices are incorrect: B: Escherichia coli does not typically produce a capsule for immune evasion. It is more commonly associated with gastrointestinal infections. C: Salmonella enterica also does not produce a capsule for immune evasion. It is known for causing foodborne illness. D: Bacillus subtilis is a soil bacterium that is not known for producing a capsule to avoid the immune system.
Question 4 of 9
Antibiotics for multiple-resistant microorganisms are:
Correct Answer: D
Rationale: The correct answer is D: Imipenem. Imipenem is a carbapenem antibiotic effective against multiple-resistant microorganisms due to its broad spectrum and resistance to beta-lactamases. It is often used as a last resort for severe infections. Ampicillin (A) and Penicillin (B) are both beta-lactam antibiotics that are less effective against multiple-resistant microorganisms due to widespread resistance mechanisms. Augmentin (C) is a combination of amoxicillin and clavulanic acid, which may have limited efficacy against certain resistant strains but is not as effective as imipenem for treating infections caused by multiple-resistant microorganisms.
Question 5 of 9
A sputum smear stained by Gram's method revealed Gram-positive cocci in clusters. The patient presented with an abscess. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus aureus. Staphylococcus aureus is a Gram-positive bacterium that commonly presents as cocci in clusters. It is a known causative agent of abscesses due to its ability to produce enzymes and toxins that contribute to tissue destruction. In this case, the presence of Gram-positive cocci in clusters aligns with the characteristic morphology of Staphylococcus aureus. Summary of incorrect choices: B: Streptococcus pyogenes is a Gram-positive bacterium that typically presents as cocci in chains, not clusters. It is more commonly associated with pharyngitis and skin infections rather than abscesses. C: Enterococcus faecalis is a Gram-positive bacterium that typically presents as cocci in pairs or short chains, not clusters. It is more commonly associated with urinary tract infections and endocarditis. D: Micrococcus luteus is a Gram-positive bacterium that typically presents as t
Question 6 of 9
The following spore-forming bacteria can be preserved in soil over a long period of time: clostridia of tetanus, botulism, anaerobic gas infection. Name the way with which these microorganisms get into soil.
Correct Answer: A
Rationale: Step 1: Clostridia of tetanus, botulism, anaerobic gas infection are spore-forming bacteria. Step 2: Spores are resistant structures that allow bacteria to survive in harsh conditions. Step 3: Feces contain these spore-forming bacteria due to contamination. Step 4: When feces are deposited on soil, the spores of these bacteria enter the soil. Step 5: Spores can remain dormant in soil for long periods. Summary: Choice A is correct as spore-forming bacteria enter soil through feces, which act as a source of contamination. Choices B, C, and D are incorrect as they do not involve the direct introduction of spores into soil like feces do.
Question 7 of 9
Basing upon the data of laboratory assessment of sanitary state of soil in a certain territory, the soil was found to be low-contaminated according to the sanitary indicative value; contaminated according to the coli titer; low-contaminated according to the anaerobe titer (Cl. perfringens). This is indicative of:
Correct Answer: A
Rationale: Step 1: The soil is low-contaminated according to the sanitary indicative value, which indicates that the contamination is recent. Step 2: The soil is contaminated according to coli titer, suggesting the presence of coliform bacteria typically found in fresh fecal matter. Step 3: The soil is low-contaminated according to the anaerobe titer (Cl. perfringens), which is an indicator of recent fecal contamination. Step 4: Based on the above steps, the correct answer is A: Fresh fecal contamination, as the presence of coliform bacteria and recent anaerobe titer levels point to recent fecal contamination. Summary: B: Old fecal contamination - Incorrect because the indicators suggest recent contamination. C: Insufficient intensity of soil humification - Incorrect as it is not related to the specific indicators mentioned in the question. D: Constant entry of organic protein contaminations - Incorrect as the indicators point towards fecal contamination, not protein
Question 8 of 9
How do people get infected with diphtheria
Correct Answer: C
Rationale: The correct answer is C because diphtheria is primarily spread through respiratory droplets and physical contact with an infected person. The bacteria responsible for diphtheria is transmitted through coughing, sneezing, or sharing personal items. Swimming in contaminated water (A) does not spread diphtheria. Transmission (B) is a broad term and does not specifically address the mode of transmission for diphtheria. Contaminated food (D) is not a typical route of diphtheria transmission. Therefore, option C is the most accurate choice based on the known mode of transmission for diphtheria.
Question 9 of 9
Bacterial infections of the female reproductive system include:
Correct Answer: A
Rationale: Rationale: 1. Vaginitis is a common bacterial infection in the female reproductive system. 2. Toxic shock syndrome can be caused by certain bacterial infections. 3. Endometritis is inflammation of the endometrium often due to bacterial infections. 4. Salpingitis is inflammation of the fallopian tubes, commonly caused by bacteria. Summary: - Choice B: Nephritis is a kidney infection, not related to female reproductive system infections. - Choice C: Nephritis and cystitis are not specific to the female reproductive system. - Choice D: Cystitis is a bladder infection, not typically considered part of female reproductive system infections.