ATI RN
microbiology an introduction 13th edition test bank Questions
Question 1 of 9
Infections that may result from the use of catheters are classified as:
Correct Answer: A
Rationale: The correct answer is A: iatrogenic infections. Iatrogenic infections are those caused by medical interventions like catheter use. Catheters can introduce pathogens into the body, leading to infections. Local infections (B) refer to infections confined to a specific area, not necessarily caused by catheters. Exogenous infections (C) come from an external source, not specifically related to medical interventions. Endogenous infections (D) arise from the body's own flora and are not directly related to catheter use.
Question 2 of 9
Plasmodium is a type of:
Correct Answer: B
Rationale: The correct answer is B: slime mold. Plasmodium is a type of slime mold, specifically a parasitic protist that causes malaria in humans. Slime molds are a group of organisms that share characteristics of both fungi and protozoa. Plasmodium does not belong to the other categories listed: A) protozoan refers to a broad category of single-celled eukaryotic organisms, C) spirochetes are a type of bacteria, and D) helminths are parasitic worms. Therefore, the correct classification for Plasmodium is slime mold.
Question 3 of 9
Koch's postulate means:
Correct Answer: C
Rationale: The correct answer is C because Koch's postulate states that a microorganism must be isolated in pure culture, grown in a laboratory setting, and then inoculated into animals to reproduce the same disease seen in the original host. This step demonstrates a direct cause-and-effect relationship between the isolated microorganism and the disease. Choice A is incorrect because not all cases of a disease may have the same microorganism present. Choice B is incorrect as isolating the microorganism alone does not prove its pathogenicity. Choice D is incorrect as it does not address the need for experimental reproduction of the disease in a new host.
Question 4 of 9
A Gram-positive cocci in chains was isolated from a patient with a throat infection. The bacteria were catalase-negative and beta-hemolytic. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pyogenes. Rationale: 1. Gram-positive cocci in chains: S. pyogenes is a Gram-positive cocci in chains. 2. Catalase-negative: S. pyogenes is catalase-negative. 3. Beta-hemolytic: S. pyogenes exhibits beta-hemolysis. Summary of other choices: B: Streptococcus pneumoniae is alpha-hemolytic and optochin-sensitive. C: Enterococcus faecalis is catalase-negative, but not typically beta-hemolytic. D: Staphylococcus aureus is catalase-positive and coagulase-positive.
Question 5 of 9
A 65 y.o. woman complains of complicated mouth opening following foot trauma 10 days ago. Next day she ate with difficulties, there were muscles tension of back, the back of the head and abdomen. On the third day there was tension of all muscle groups, generalized convulsions every 10-15 min. What is the most probable diagnosis?
Correct Answer: A
Rationale: The most probable diagnosis is Tetanus (Choice A) based on the symptoms described. Tetanus is characterized by muscle stiffness, difficulty opening the mouth (trismus), muscle spasms, and convulsions. The progression of symptoms from muscle tension to generalized convulsions every 10-15 min is classic for tetanus. Tetania (Choice B) is similar but typically presents with more subtle muscle contractions rather than convulsions. Meningoencephalitis (Choice C) presents with fever, headache, and altered mental status, not the muscle symptoms described. Hemorrhagic stroke (Choice D) presents with sudden onset neurological deficits like weakness or sensory changes, not the muscle symptoms described.
Question 6 of 9
There was a record of some anthrax cases among animals in a countryside. The spread of disease can be prevented by means of immunization. What kind of vaccine should be used?
Correct Answer: B
Rationale: The correct answer is B: BCG vaccine. Bacille Calmette-Guérin (BCG) vaccine is used to prevent tuberculosis, which is caused by a bacterium related to anthrax. BCG vaccine can provide cross-protection against anthrax due to its similar mechanisms of action. STI live vaccine (choice A) is used for sexually transmitted infections, not anthrax. Salk vaccine (choice C) is used for polio, and Sabin's vaccine (choice D) is also for polio, not anthrax. Therefore, BCG vaccine is the most appropriate choice for preventing the spread of anthrax among animals in the countryside.
Question 7 of 9
Which bacteria is responsible for causing syphilis?
Correct Answer: A
Rationale: Step 1: Treponema pallidum is a spirochete bacterium known to cause syphilis, a sexually transmitted infection. Step 2: Neisseria gonorrhoeae causes gonorrhea, not syphilis. Step 3: Chlamydia trachomatis is responsible for causing chlamydia, not syphilis. Step 4: Escherichia coli is commonly found in the gut and can cause gastrointestinal infections, not syphilis. Summary: Treponema pallidum is the correct answer as it is the specific bacterium associated with syphilis, while the other choices are responsible for different infections.
Question 8 of 9
A 32-year-old patient who lives in the countryside consulted a doctor about a painful swelling and a fistula in the submandibular region. Examination revealed an infiltration with a fistula discharging thick pus and containing white granules. On dissection the infiltration tissues turned out to be dense, yellow-green and had honeycomb structure because of multiple abscesses. What is the most likely diagnosis?
Correct Answer: A
Rationale: The most likely diagnosis is Actinomycosis. This is because the patient's presentation of a painful swelling with a fistula containing white granules and yellow-green honeycomb-like tissue is classic for Actinomycosis. Actinomyces is a gram-positive anaerobic bacterium that forms sulfur granules in tissues. Tuberculosis (B) typically presents with caseating granulomas, not sulfur granules. Leprosy (C) presents with skin lesions and nerve damage, not characteristic of this case. Syphilis (D) usually presents with painless ulcers and rash, not the painful swelling and fistula seen in this patient.
Question 9 of 9
Microorganisms that show optimal growth in moderate temperatures (between 25° C and 40° C) are called:
Correct Answer: C
Rationale: The correct answer is C: mesophiles. Mesophiles are microorganisms that thrive in moderate temperatures, typically between 25°C and 40°C. This temperature range is ideal for their growth and reproduction. Thermophiles (A) prefer high temperatures, psychrophiles (B) thrive in cold temperatures, and psychrotrophs (D) can grow at refrigeration temperatures but have an optimal range above 20°C. Therefore, the mesophiles are the best fit for organisms that show optimal growth in moderate temperatures.