ATI RN
microbiology test bank Questions
Question 1 of 9
Generalized meningococcal infection is usually treated with antibiotic drugs EXCEPT:
Correct Answer: A
Rationale: The correct answer is A: Nystatin. Nystatin is an antifungal medication, not an antibiotic used to treat bacterial infections like generalized meningococcal infection. Penicillin G, macrolides, and chloramphenicol are antibiotics commonly used to treat bacterial infections, including meningococcal infections. Penicillin G is the drug of choice for meningococcal infections, while macrolides and chloramphenicol are alternative options. Nystatin is not effective against bacteria, so it is not a suitable treatment for meningococcal infections.
Question 2 of 9
A smear of dental plaque revealed unicellular organisms with pseudopodia and ingested white blood cells. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Entamoeba gingivalis. This organism matches the description provided in the question - unicellular with pseudopodia and ingested white blood cells, commonly found in dental plaque. Entamoeba gingivalis is known to inhabit the oral cavity and is associated with periodontal disease. Trichomonas vaginalis, Giardia lamblia, and Balantidium coli do not match the characteristics mentioned in the question and are not typically found in the oral cavity.
Question 3 of 9
According to the data of WHO, for about 250 mln of Earth population fall ill with malaria. This disease is mostly spread in tropical and subtropical regions. Range of its spread falls into the area of the following mosquitoes:
Correct Answer: A
Rationale: Step-by-step rationale: 1. Anopheles mosquitoes are the primary vectors for transmitting malaria. 2. They prefer stagnant water for breeding, common in tropical regions. 3. Culex mosquitoes primarily spread diseases like West Nile virus. 4. Aedes mosquitoes transmit diseases like Zika and dengue fever. 5. Mansonia mosquitoes are known for transmitting filarial diseases. Therefore, the correct answer is A (Anopheles), as they are specifically associated with spreading malaria.
Question 4 of 9
Which bacteria are capable of forming spores to survive extreme conditions?
Correct Answer: C
Rationale: Rationale: 1. Both Clostridium botulinum and Bacillus anthracis are known to form spores. 2. Spore formation is a mechanism for survival in harsh conditions. 3. Both bacteria are capable of causing severe diseases in humans. Summary: - Choice A and B are incorrect because each bacteria listed is capable of spore formation. - Choice D is incorrect as both bacteria mentioned can form spores to survive extreme conditions.
Question 5 of 9
Each of the following statements concerning gram-negative rods is correct EXCEPT:
Correct Answer: A
Rationale: Rationale: A is incorrect because whooping cough resurgence is mainly due to decreased vaccine immunity, not changing antigenicity. B is correct as P. aeruginosa can indeed cause infections with blue-green pus due to its pigment production. C is correct as H. influenzae type b capsule is a virulence factor contributing to invasive disease. D is correct as Legionella infection is acquired via inhalation of contaminated water aerosols. Therefore, A is incorrect as the rise in whooping cough is not due to changing antigenicity but vaccine immunity decline.
Question 6 of 9
What role do fimbriae play in bacteria?
Correct Answer: B
Rationale: Fimbriae in bacteria are hair-like appendages that help in adhesion to surfaces. This is essential for colonization and infection. Fimbriae do not provide motility (flagella do), facilitate protein synthesis (ribosomes do), or help in endospore formation (specialized structures do). Adhesion is the primary function of fimbriae, allowing bacteria to stick to host cells or abiotic surfaces.
Question 7 of 9
The specific treatment of the Clostridium difficile - associated post antibiotic diarrhea is based on all the strategies EXCEPT:
Correct Answer: A
Rationale: Rationale: A: Early application of gentamicin is not recommended as a specific treatment for C. difficile-associated post antibiotic diarrhea because it does not have efficacy against C. difficile. B: Metronidazole is recommended as first-line treatment for mild to moderate C. difficile infection. C: Stopping antibiotic treatment and observing the clinical response for 48 hours is not a recommended strategy as prompt treatment is crucial in C. difficile infection. D: Vancomycin per os is an appropriate treatment for severe C. difficile infection. In summary, A is incorrect because gentamicin is not effective against C. difficile, while B, C, and D are potential treatment strategies based on severity of the infection.
Question 8 of 9
During an outbreak of cholera, a fecal smear revealed Gram-negative, comma-shaped, motile bacteria. What staining method would best confirm the diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Gram staining. This method is used to differentiate bacteria based on their cell wall composition. In cholera, the causative agent is Vibrio cholerae, which is Gram-negative. By performing Gram staining, the bacteria will appear pink/red under the microscope, confirming the presence of Gram-negative bacteria. Choice B: Neisser's staining is used for staining capsules of bacteria, not suitable for confirming cholera diagnosis. Choice C: Ziehl-Neelsen staining is used for acid-fast bacteria like Mycobacterium tuberculosis, not for confirming cholera diagnosis. Choice D: Burri-Gins staining is not a standard staining method in microbiology and is not relevant for confirming cholera diagnosis.
Question 9 of 9
A 42-year-old patient with gastric ulcer has a disbalance between the aggressive and defensive factors. Which of the following factors contributes to the development of gastric ulcer?
Correct Answer: A
Rationale: The correct answer is A: Helicobacter pylori. This bacterium is a major cause of gastric ulcers by disrupting the balance between aggressive (acid, pepsin) and defensive (mucus, bicarbonate, prostaglandins) factors in the stomach lining. H. pylori infection leads to inflammation, weakening the protective mucosal barrier, making the stomach more susceptible to damage. Choices B, C, and D are defensive factors that help protect the stomach lining and prevent ulcer formation, so they do not contribute to the development of gastric ulcers.