ATI RN
mcgraw hill microbiology test bank Questions
Question 1 of 5
Infections of Legionella pneumophila are treated with:
Correct Answer: C
Rationale: The correct answer is C: Macrolides or fluoroquinolones. Legionella pneumophila is a bacterium that causes Legionnaires' disease, a severe form of pneumonia. Macrolides (like azithromycin) and fluoroquinolones (like levofloxacin) are the recommended first-line treatments due to their ability to penetrate into lung tissues where Legionella infects. Penicillins and cephalosporins (choice A) are not effective against Legionella as it is intracellular and resistant to these antibiotics. Ethambutol and isoniazid (choice B) are used to treat tuberculosis, not Legionella infections. Second and third generation cephalosporins (choice D) are also not effective against Legionella. Therefore, the best choice for treating Legionella pneumophila infections is macrolides or fluoroquinolones.
Question 2 of 5
4 days after a patient received a gunshot wound of the middle third of the thigh soft tissues his condition suddenly began deteriorating. There are complaints of bursting pain in the wound; pain increases during the last 12 hours. Edema of skin and hypodermic tissue quickly grows. Body temperature is 38,2oC, heart rate is 102/min. The wound edges gape, are dull in color; the muscles, viable as of day before, now protrude into the wound, look boiled, are dull in color, have dirty-grey coating and fall apart when being held with forceps. What infection has developed in the wound?
Correct Answer: A
Rationale: The correct answer is A: Anaerobic infection. The sudden deterioration, bursting pain, edema, foul appearance of wound, and presence of gas are indicative of gas gangrene caused by anaerobic bacteria like Clostridium perfringens. These bacteria thrive in low oxygen environments, such as deep wound tissues. The symptoms align with the classic presentation of gas gangrene, necessitating immediate surgical intervention. Choice B: Aerobic gram-negative, is incorrect because anaerobic bacteria, not aerobic gram-negative bacteria, are responsible for gas gangrene. Choice C: Putrid, is incorrect as it is a general term referring to foul-smelling decay and does not specify the type of infection. Choice D: Aerobic gram-positive, is incorrect as gas gangrene is typically caused by anaerobic bacteria, not aerobic gram-positive bacteria.
Question 3 of 5
The causative agent of the pertussis (also known as whooping cough) morphologically appears as:
Correct Answer: B
Rationale: The correct answer is B: Gram negative coccobacillus. Bordetella pertussis, the causative agent of pertussis, is a gram-negative coccobacillus. This is because it is a small, rod-shaped bacterium that appears both as a bacillus (rod-shaped) and a coccus (spherical) shape. It does not retain the crystal violet stain in the Gram staining process, indicating its negative gram nature. Choice A is incorrect because pertussis is not a gram-positive bacillus. Choice C is incorrect because pertussis is not a long gram-negative rod-shaped bacterium. Choice D is incorrect as the other options do not accurately describe the morphology of Bordetella pertussis.
Question 4 of 5
Which bacteria are responsible for causing the disease known as 'whooping cough'?
Correct Answer: A
Rationale: The correct answer is A: Bordetella pertussis. Bordetella pertussis is the bacterium responsible for causing whooping cough, also known as pertussis. It produces toxins that damage the respiratory tract, leading to severe coughing fits. Haemophilus influenzae, Streptococcus pneumoniae, and Mycobacterium tuberculosis are not associated with whooping cough. Haemophilus influenzae can cause respiratory infections but not whooping cough. Streptococcus pneumoniae is known for causing pneumonia, and Mycobacterium tuberculosis causes tuberculosis, both different from whooping cough. Therefore, the correct answer is A as it is the specific bacterium linked to the disease in question.
Question 5 of 5
Giardiasis is a waterborne gastrointestinal disease caused by Giardia intestinalis, which is a:
Correct Answer: A
Rationale: Step 1: Giardiasis is caused by Giardia intestinalis, which is a well-known protozoan parasite. Step 2: Protozoans are single-celled eukaryotic organisms commonly found in water sources. Step 3: Giardia intestinalis infects the intestine, causing symptoms like diarrhea and abdominal cramps. Step 4: Bacteria (Choice B) are prokaryotic organisms, different from protozoans. Step 5: Fungi (Choice C) are also eukaryotic but are not responsible for causing Giardiasis. Step 6: Viruses (Choice D) are not cellular and cannot independently cause Giardiasis. In summary, the correct answer is A (protozoan) because Giardia intestinalis is a protozoan parasite specifically known to cause Giardiasis, while the other choices (Bacterium, Fungus, Virus) do not match the characteristics of the