ATI RN
medical microbiology test bank Questions
Question 1 of 9
Saddle nose is characteristic of which of the following congenital infections?
Correct Answer: A
Rationale: Saddle nose is a condition where the bridge of the nose collapses, a characteristic feature of congenital syphilis. This occurs due to inflammation and destruction of cartilage. Syphilis is caused by the bacterium Treponema pallidum. CMV, Rubella, and Toxoplasmosis do not typically cause saddle nose. CMV can result in hearing loss, Rubella can lead to cataracts and heart defects, and Toxoplasmosis may cause hydrocephalus or chorioretinitis.
Question 2 of 9
Which of the following characteristics does not refer to the flu vaccine?
Correct Answer: D
Rationale: The correct answer is D because the flu vaccine mainly stimulates systemic immunity, not local immunity. Systemic immunity refers to the immune response throughout the body, while local immunity is specific to a certain area. Choice A is incorrect because the flu vaccine is indeed recommended. Choice B is incorrect as the flu vaccine can be a subunit vaccine, containing only specific antigens. Choice C is incorrect as the flu vaccine is typically administered parenterally, meaning through injection, nasal spray, or oral routes.
Question 3 of 9
Which of the following bacteria is known to cause gonorrhea?
Correct Answer: B
Rationale: The correct answer is B: Neisseria gonorrhoeae. This bacterium is known to cause gonorrhea, a sexually transmitted infection. Neisseria gonorrhoeae specifically infects the mucous membranes of the reproductive tract in both men and women. It is transmitted through sexual contact. Explanation of other choices: A: Chlamydia trachomatis is a bacterium that causes chlamydia, not gonorrhea. C: Mycoplasma genitalium is associated with non-gonococcal urethritis, not gonorrhea. D: Treponema pallidum is the bacterium that causes syphilis, not gonorrhea. Therefore, Neisseria gonorrhoeae is the correct answer based on its direct association with causing gonorrhea.
Question 4 of 9
A consumptive patient has an open pulmonary form of disease. Choose what sputum staining should be selected for finding out the tubercle (Koch's) bacillus?
Correct Answer: A
Rationale: The correct answer is A. Method of Ziel-Neelsen. This method uses a special stain (carbol fuchsin) to detect acid-fast organisms like Mycobacterium tuberculosis, the causative agent of tuberculosis. The staining procedure involves heating the slide to help penetrate the mycolic acid layer of the bacteria, making them resistant to decolorization by acid-alcohol. The red stained acid-fast bacilli stand out against the blue counterstain. This method is specific for identifying tubercle bacilli in sputum samples. Choice B: Method of Romanowsky-Giemsa is used for staining blood smears and is not suitable for detecting acid-fast bacilli in sputum. Choice C: Method of Gram is used for staining bacteria based on their cell wall composition and is not effective for identifying acid-fast bacilli like Mycobacterium tuberculosis. Choice D: Method of Neisser is not a specific staining method for acid-fast bacilli and is not suitable
Question 5 of 9
Which bacteria produce a toxin that causes botulism?
Correct Answer: B
Rationale: The correct answer is B: Clostridium botulinum. This bacterium produces the botulinum toxin, which causes botulism by blocking nerve functions. Clostridium tetani causes tetanus, not botulism. Staphylococcus aureus produces toxins that cause food poisoning, not botulism. Bacillus anthracis causes anthrax, not botulism. Therefore, the correct choice is Clostridium botulinum because it is the specific bacterium responsible for producing the toxin that leads to botulism.
Question 6 of 9
Saddle nose is characteristic of which of the following congenital infections?
Correct Answer: A
Rationale: Saddle nose is a condition where the bridge of the nose collapses, a characteristic feature of congenital syphilis. This occurs due to inflammation and destruction of cartilage. Syphilis is caused by the bacterium Treponema pallidum. CMV, Rubella, and Toxoplasmosis do not typically cause saddle nose. CMV can result in hearing loss, Rubella can lead to cataracts and heart defects, and Toxoplasmosis may cause hydrocephalus or chorioretinitis.
Question 7 of 9
An 18-year-old patient has developed candidiasis after the case of pneumonia treated with β- lactam antibiotic. What antimycotic agent should be prescribed?
Correct Answer: B
Rationale: The correct answer is B: Fluconazole. Rationale: 1. Candidiasis is a fungal infection, so an antimycotic agent is needed. 2. β-lactam antibiotics like ampicillin can lead to fungal overgrowth, necessitating an antimycotic. 3. Fluconazole is an antifungal agent effective against Candida species. 4. Streptomycin is an antibiotic, not an antifungal. 5. Phthalylsulfathiazole is an antibacterial sulfonamide, not an antifungal. 6. Ampicillin is an antibiotic, not an antifungal.
Question 8 of 9
The AST reaction (anti-streptolysin titer):
Correct Answer: B
Rationale: The correct answer is B because the AST reaction, or anti-streptolysin titer, is used in the diagnostic of post-streptococcal sequelae, such as rheumatic fever and glomerulonephritis. This test measures the level of antibodies produced by the body in response to Streptolysin O, a toxin produced by Group A Streptococcus bacteria. It helps in identifying if a patient has had a recent Streptococcus infection that could lead to these complications. A: Incorrect. The AST reaction does not require urine samples, but rather blood samples. C: Incorrect. The AST reaction specifically targets antibodies produced in response to Group A Streptococcus. D: Incorrect. The AST reaction does not directly identify isolated streptococci but rather measures the body's immune response to Streptolysin O.
Question 9 of 9
Francisella tularensis is:
Correct Answer: D
Rationale: The correct answer is D: Gram-negative coccobacillus. Francisella tularensis is a Gram-negative coccobacillus because it has a unique shape that is between a coccus (spherical) and a bacillus (rod-shaped) and it stains pink/red in the Gram staining process. It is important to note that it is not a coccus (choice B) or a Gram-positive bacterium (choice A). Choice C is too general and does not specify the coccobacillus shape of F. tularensis. So, the correct answer is D due to its specific characteristics as a Gram-negative coccobacillus.