ATI RN
microbiology an introduction 12th edition test bank Questions
Question 1 of 9
In which of the following especially dangerous infections, the respiratory tract is not damaged:
Correct Answer: D
Rationale: The correct answer is D, Cholera. Cholera is caused by the bacterium Vibrio cholerae and primarily affects the intestines, leading to severe watery diarrhea and dehydration. It does not damage the respiratory tract. Choice A, Tularemia, affects the respiratory tract and other organs. Choice B, Plague, can cause respiratory symptoms like cough and difficulty breathing. Choice C, Anthrax, can affect the respiratory tract if inhaled in its spore form.
Question 2 of 9
The causative agent of typhoid fever is:
Correct Answer: C
Rationale: The correct answer is C: Salmonella typhi. Typhoid fever is caused by the bacterium Salmonella typhi, specifically transmitted through contaminated food and water. Shigella dysenteriae causes bacillary dysentery, Vibrio cholerae causes cholera, and Escherichia coli can cause various gastrointestinal illnesses, but not typhoid fever. Identifying the causative agent is crucial for effective treatment and prevention strategies.
Question 3 of 9
Widal test is used to diagnose
Correct Answer: B
Rationale: The Widal test is used to diagnose typhoid fever caused by the bacteria Salmonella typhi. The test detects antibodies produced in response to the bacteria. Positive results indicate a current or past infection with typhoid fever. Choice A (Syphilis) is incorrect as it is diagnosed using different tests like RPR or TPPA. Choice C (AIDS) is diagnosed with HIV tests like ELISA or Western blot. Choice D (Lyme disease) is diagnosed using tests like ELISA or Western blot specific for Borrelia burgdorferi.
Question 4 of 9
A patient with a productive cough and fever had a Gram-positive cocci isolated from a sputum sample. The bacteria were catalase-positive and coagulase-negative. What is the likely microorganism?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus epidermidis. 1. Gram-positive cocci suggest a staphylococcal species. 2. Catalase-positive indicates it belongs to the Staphylococcus genus. 3. Coagulase-negative rules out Staphylococcus aureus. 4. Staphylococcus epidermidis is a common cause of infections in immunocompromised patients. Summary: - B: Staphylococcus aureus is coagulase-positive. - C: Streptococcus pneumoniae is a Gram-positive diplococci. - D: Neisseria meningitidis is a Gram-negative diplococci.
Question 5 of 9
Which organism produces a toxin that blocks neuromuscular transmission in cholinergic motor neurons:
Correct Answer: D
Rationale: The correct answer is D: Clostridium botulinum. This bacterium produces botulinum toxin, which blocks neuromuscular transmission by inhibiting the release of acetylcholine at the neuromuscular junction. This leads to muscle weakness and paralysis. Shigella dysenteriae (A) causes dysentery but does not affect neuromuscular transmission. Clostridium tetani (B) produces tetanus toxin, which affects inhibitory neurons in the spinal cord, leading to muscle spasm. Corynebacterium diphtheriae (C) produces diphtheria toxin, which affects protein synthesis in cells, not neuromuscular transmission.
Question 6 of 9
A 32-year-old patient undergoing dental examination was found to have some rash-like lesions resembling secondary syphilis in the oral cavity. The patient was referred for the serological study with the purpose of diagnosis confirmation. In order to detect antibodies in the serum, living Treponema were used as diagnosticum. What serological test was performed?
Correct Answer: B
Rationale: The correct answer is B: Passive hemagglutination. In this test, red blood cells coated with Treponema antigens agglutinate in the presence of patient's serum antibodies. This indicates the presence of antibodies against Treponema, confirming the diagnosis. A: Immobilization test uses live Treponema to detect specific antibodies, but it is not commonly used for syphilis diagnosis. C: Precipitation test is not commonly used for syphilis diagnosis. D: Complement binding test is not specific for syphilis and is used more for autoimmune diseases. Therefore, passive hemagglutination is the most appropriate serological test in this case due to its specificity and relevance to the presentation of the patient.
Question 7 of 9
The eukaryotes known for the presence of a macronucleus and a micronucleus are:
Correct Answer: C
Rationale: The correct answer is C: protozoans. Protozoans are eukaryotic organisms that possess both a macronucleus, responsible for general cell functions, and a micronucleus, involved in genetic processes like reproduction. Algae (choice A) typically have a single nucleus, fungi (choice B) lack distinct macronucleus and micronucleus structures, and slime molds (choice D) do not have the same nucleus organization as protozoans. Thus, protozoans are the only group among the choices that exhibit the specific characteristics of having both a macronucleus and a micronucleus.
Question 8 of 9
Which of the following bacteria produce a neurotoxin that affects the nervous system?
Correct Answer: C
Rationale: Rationale: Both Clostridium botulinum and Clostridium tetani produce neurotoxins. Botulinum toxin affects the nervous system by blocking neurotransmitter release, causing paralysis. Tetanus toxin affects the nervous system by interfering with neurotransmitter release, leading to muscle stiffness and spasms. Therefore, Choice C is correct. Choices A and B alone are incorrect because they only mention one of the bacteria that produces a neurotoxin. Choice D is incorrect because both bacteria mentioned in Choices A and B produce neurotoxins.
Question 9 of 9
Infectious process is:
Correct Answer: C
Rationale: Rationale: 1. Infectious process involves interactions between macro and microorganisms. 2. It is not limited to manifested diseases or typical symptoms. 3. The process can occur without leading to a full-blown infectious disease. 4. Choice C correctly captures the dynamic relationship between different organisms. Summary: - A: Incorrect - Infectious process is not solely about clinically manifested diseases. - B: Incorrect - Not all infectious diseases have typical symptoms. - D: Incorrect - Ambulatory form is a specific type, not encompassing all infectious processes.