ATI RN
Microbiology Chapter 11 Test Bank Questions
Question 1 of 9
Specify the microbiological characteristic of the air:
Correct Answer: A
Rationale: The correct answer is A: Contaminated. The air is never completely free of microorganisms, so it is considered contaminated. Microorganisms are ubiquitous in the environment. Permissible limits (B) imply a specific standard, which is not relevant to the general microbiological characteristic of air. Almost pure (C) and pure (D) are not accurate as air always contains some level of microorganisms.
Question 2 of 9
Rocky Mountain spotted fever is caused by:
Correct Answer: B
Rationale: The correct answer is B: Rickettsia rickettsii. Rocky Mountain spotted fever is caused by Rickettsia rickettsii, a bacterium transmitted by ticks. This pathogen primarily affects the endothelial cells of blood vessels, leading to vasculitis. Borrelia burgdorferi (choice A) causes Lyme disease, not Rocky Mountain spotted fever. Rickettsia prowazekii (choice C) causes epidemic typhus, and Ehrlichia chaffeensis (choice D) causes human monocytic ehrlichiosis, both of which are distinct from Rocky Mountain spotted fever. Therefore, the correct choice is B based on the specific etiology of the disease.
Question 3 of 9
A patient's blood culture revealed Gram-positive rods capable of spore formation. They were also motile and produced gas in nutrient broth. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Clostridium perfringens. This bacterium fits all the characteristics mentioned: Gram-positive rods with spore formation, motile, and gas production in nutrient broth. Clostridium perfringens is known to cause gas gangrene, which aligns with the gas production in nutrient broth. Bacillus anthracis (B) causes anthrax and does not typically produce gas. Clostridium tetani (C) causes tetanus and does not form spores that are motile. Bacillus cereus (D) is a common cause of food poisoning and does not cause gas gangrene.
Question 4 of 9
What are the two main targets currently used in anti-HIV therapy?
Correct Answer: B
Rationale: The correct answer is B: Reverse transcriptase and protease. Reverse transcriptase converts viral RNA into DNA, a crucial step in viral replication. Protease is responsible for cleaving viral polyproteins into functional proteins. Targeting both enzymes disrupts viral replication. Choice A is incorrect as integrase is not a main target in current therapy. Choice C is incorrect because protease is targeted along with reverse transcriptase, not integrase. Choice D is incorrect as targeting viral glycoproteins is not a main strategy in anti-HIV therapy.
Question 5 of 9
A blood culture from a patient with sepsis revealed Gram-positive cocci in clusters. The bacteria were catalase-positive and coagulase-negative. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus epidermidis. This is supported by the characteristics of Gram-positive cocci in clusters, catalase-positive, and coagulase-negative. Staphylococcus epidermidis fits all these criteria, as it is a common skin commensal that can cause infections in immunocompromised individuals. Staphylococcus aureus (choice B) is catalase-positive and coagulase-positive. Streptococcus pyogenes (choice C) is catalase-negative. Enterococcus faecalis (choice D) is catalase-negative and not typically seen in clusters. Therefore, based on the given information, Staphylococcus epidermidis is the most likely causative agent.
Question 6 of 9
Laboratory diagnosis of Rotavirus infection includes
Correct Answer: D
Rationale: The correct answer is D: Cell cultures. Rotavirus diagnosis involves detecting viral antigens in stool samples using cell cultures. Cell cultures allow for the replication of the virus, facilitating its identification. A: Egg inoculation and B: Sensitive laboratory animals are not commonly used for Rotavirus diagnosis due to ethical concerns and practical limitations. C: Ascoli test is used for detecting specific proteins in serum, not for Rotavirus detection in stool samples. In summary, cell cultures are the most appropriate method for laboratory diagnosis of Rotavirus infection due to their ability to support viral replication and antigen detection.
Question 7 of 9
The establishment and further spreading of an infectious disease within a new population is a process called:
Correct Answer: A
Rationale: The correct answer is A: emergence. The term emergence refers to the process of a new infectious disease appearing and spreading within a population. It signifies the initial introduction and establishment of the disease in the new population. Explanation for other choices: B: Adoption does not accurately describe the process of a disease spreading within a new population. C: Inclusion is not a term commonly used to describe the spread of infectious diseases. D: Appearance is too vague and does not capture the complexity of the process of establishment and spreading of an infectious disease.
Question 8 of 9
A fecal smear from a patient with severe diarrhea revealed motile Gram-negative rods with a comma shape. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Vibrio cholerae. This bacterium is the likely causative agent because it is known to cause severe diarrhea, and it is characterized by its motile, comma-shaped Gram-negative rods. Vibrio cholerae produces cholera toxin, leading to profuse watery diarrhea. Shigella dysenteriae causes dysentery with bloody diarrhea, Salmonella typhi causes typhoid fever, and Escherichia coli can cause various types of diarrhea but typically does not have a comma shape.
Question 9 of 9
The pertussis toxin:
Correct Answer: C
Rationale: The pertussis toxin inhibits the adenylate cyclase-mediated conversion of ATP to cyclic AMP, leading to decreased levels of cyclic AMP in the cell. This disrupts important cellular signaling pathways, affecting immune response and causing symptoms of pertussis. Choices A, B, and D are incorrect because the pertussis toxin does not directly affect protein synthesis, provoke overproduction of mucus in tracheal cells, or provoke release of electrolytes.