ATI RN
microbiology an introduction tortora test bank Questions
Question 1 of 5
Microscopy of a sputum smear revealed acid-fast bacilli stained red using the Ziehl-Neelsen method. What is the most likely diagnosis?
Correct Answer: A
Rationale: The presence of acid-fast bacilli stained red using the Ziehl-Neelsen method indicates a mycobacterial infection. Among the choices, tuberculosis is the most common mycobacterial infection affecting the lungs, presenting with acid-fast bacilli in sputum. Leprosy is caused by Mycobacterium leprae, but it typically does not show up in sputum smears. Diphtheria is caused by Corynebacterium diphtheriae, which is not acid-fast. Pneumonia is a general term for lung inflammation caused by various pathogens, not specifically mycobacteria. Therefore, the correct diagnosis is tuberculosis based on the microscopy findings.
Question 2 of 5
For serological diagnostics of the whooping cough it was made large-scale reaction with parapertussis and pertussis diagnosticums. At the bottom of the test-tubes with diagnosticum of Bordetella parapertussis grain-like sediment formed. What antibodies have this reaction revealed?
Correct Answer: B
Rationale: Rationale: 1. The grain-like sediment indicates a precipitation reaction. 2. Precipitins are antibodies that cause precipitation reactions. 3. In serological diagnostics, precipitation reactions are used to detect specific antibodies. 4. Therefore, the reaction revealed in this scenario is due to the presence of precipitins. Summary: A: Bacteriolysins - These antibodies cause bacterial lysis, not precipitation. C: Antitoxins - These antibodies neutralize toxins, not involved in precipitation reactions. D: Opsonins - These antibodies enhance phagocytosis, not related to precipitation reactions.
Question 3 of 5
Planned mass vaccination of all newborn 5-7 day old children against tuberulosis plays an important role in tuberculosis prevention. In this case the following vaccine is applied:
Correct Answer: A
Rationale: The correct answer is A: BCG (Bacille Calmette-Guerin). BCG is the vaccine used for tuberculosis prevention, not only for newborns but also for older children and adults. BCG helps in protecting against severe forms of tuberculosis in infants. Diphteria and tetanus toxoids and pertussis vaccine (choice B) is for protection against diphtheria, tetanus, and pertussis, not tuberculosis. Diphtheria and tetanus anatoxin vaccine (choice C) provides protection against diphtheria and tetanus, not tuberculosis. Adsorbed diphtheria vaccine (choice D) is specifically for diphtheria, not tuberculosis. Therefore, the correct choice is A as it is the only vaccine related to tuberculosis prevention.
Question 4 of 5
Which of the following bacteria is responsible for causing peptic ulcers?
Correct Answer: B
Rationale: The correct answer is B: Helicobacter pylori. This bacterium is known to be the primary cause of peptic ulcers by colonizing the stomach lining and causing inflammation. It produces urease enzyme to neutralize stomach acid and has a flagellum for mobility. Escherichia coli (A) is mainly associated with foodborne illnesses. Streptococcus pyogenes (C) causes strep throat and skin infections. Mycobacterium tuberculosis (D) causes tuberculosis, a respiratory infection. Therefore, Helicobacter pylori is the correct choice for peptic ulcers based on its unique characteristics and pathogenicity.
Question 5 of 5
All of the following are ways the kidney are used for urine formation and drug clearance except:
Correct Answer: C
Rationale: The correct answer is C: Tubular filtration. The kidney does not perform tubular filtration as a method for urine formation and drug clearance. The process of urine formation involves filtration, secretion, and reabsorption. Filtration occurs at the glomerulus, where blood is filtered to form the initial filtrate. Tubular secretion involves the active transport of substances from the blood into the renal tubules to be eliminated in urine. Tubular reabsorption is the process of reclaiming useful substances from the filtrate back into the blood. Therefore, tubular filtration is not a valid process in urine formation and drug clearance, making it the correct answer. Choices A, B, and D are incorrect as they are essential processes in urine formation and drug clearance.
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