ATI RN
microbiology an introduction 13th edition test bank Questions
Question 1 of 9
Staphylococcal scalded skin syndrome is most common in:
Correct Answer: A
Rationale: The correct answer is A: infants. Staphylococcal scalded skin syndrome is most common in infants because their immune systems are not fully developed, making them more susceptible to Staphylococcus aureus infections. This bacteria produces exotoxins that cause the skin to blister and peel, characteristic of the syndrome. Adolescents, young adults, and the elderly have more mature immune systems, making them less vulnerable to this specific infection. Therefore, infants are at a higher risk for developing Staphylococcal scalded skin syndrome compared to other age groups.
Question 2 of 9
Pneumonia can be caused by:
Correct Answer: C
Rationale: The correct answer is C: All answers are correct. Pneumonia can be caused by various pathogens, including Legionella pneumophila and Mycoplasma pneumoniae. Choice C is correct because both A and B are known causative agents of pneumonia. Choice D is incorrect because we know that Legionella pneumophila and Mycoplasma pneumoniae can cause pneumonia, so the statement "None of the above" is not accurate in this context.
Question 3 of 9
Which bacteria are commonly associated with foodborne illnesses?
Correct Answer: D
Rationale: The correct answer is D because all three bacteria - Salmonella enterica, Clostridium botulinum, and Escherichia coli - are commonly associated with foodborne illnesses. Salmonella causes gastroenteritis, Clostridium botulinum causes botulism, and E. coli can lead to severe food poisoning. Each bacterium has different mechanisms of causing illness, but all can be transmitted through contaminated food. Choices A, B, and C alone are incorrect because they do not encompass the full spectrum of bacteria commonly linked to foodborne illnesses.
Question 4 of 9
The bacterial capsule is composed of:
Correct Answer: C
Rationale: The bacterial capsule is composed of polysaccharides. This outer layer helps bacteria evade the host immune system, protect against desiccation, and aid in attachment to host cells. Polysaccharides are long chains of sugar molecules, providing a protective barrier for the bacteria. Lipopolysaccharides (choice A) are found in the outer membrane of Gram-negative bacteria and are not a major component of the capsule. Teichoic acid (choice B) is a component of the cell wall in Gram-positive bacteria, not the capsule. Peptidoglycan (choice D) is another component of the cell wall but is not part of the capsule.
Question 5 of 9
The complex invaginations of the prokaryotic cytoplasmic membrane are called:
Correct Answer: D
Rationale: The correct answer is D: Mesosomes. Mesosomes are infoldings of the prokaryotic cytoplasmic membrane that play a role in cell division and respiration. This structure is not found in eukaryotic cells. Cristae (A) are infoldings of the mitochondrial inner membrane in eukaryotic cells. Granum (B) refers to stacks of thylakoid membranes in chloroplasts. Flagella (C) are whip-like structures used for movement and are not related to cytoplasmic membrane invaginations. Therefore, the correct answer is D as mesosomes are unique to prokaryotic cells and are involved in various cellular processes.
Question 6 of 9
Sputum smears of a patient with chronic pulmonary disease were stained by Ziehl-Neelsen method and analyzed in the bacteriological laboratory. Microscopy revealed red bacillus. What property of tuberculosis myobacteria was found?
Correct Answer: A
Rationale: The correct answer is A: Acid resistance. Tuberculosis mycobacteria have a unique cell wall structure that makes them resistant to acid-fast staining methods like Ziehl-Neelsen. This is due to the high lipid content of their cell walls, specifically mycolic acids, which prevent the penetration of stains and acids. The red bacilli observed in the smear indicate that the mycobacteria retained the primary stain (carbolfuchsin) after acid-alcohol decolorization, confirming their acid resistance. Summary: - Choice A: Acid resistance is correct due to the unique cell wall structure of tuberculosis mycobacteria. - Choice B: Alkali resistance is incorrect as mycobacteria are not known for being resistant to alkalis. - Choice C: Alcohol resistance is incorrect as mycobacteria are not specifically resistant to alcohols. - Choice D: Encapsulation is incorrect as mycobacteria are not encapsulated bacteria.
Question 7 of 9
What is virus Fixe?
Correct Answer: A
Rationale: The correct answer is A: A vaccine strain. Virus Fixe is a specific strain of rabies virus used in the production of rabies vaccines. This strain has been attenuated to be safe for use in vaccines. Choice B, a cell culture, is incorrect as it does not specifically refer to Virus Fixe. Choice C, a wild type of rabies virus, is incorrect as Virus Fixe is not a wild type but a modified strain. Choice D, an infectious disease, is incorrect as Virus Fixe is not a disease but a strain of virus used in vaccines.
Question 8 of 9
A 52-year-old patient has the following diagnosis: systemic amebiasis with involvment of intestines, liver, lungs. What drug should be prescribed?
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. It is the drug of choice for treating systemic amebiasis due to its high efficacy against Entamoeba histolytica. Metronidazole is well-absorbed, reaches therapeutic levels in the intestines, liver, and lungs, making it effective in treating the multi-organ involvement in this case. Choice B: Quiniofone is not a recommended treatment for amebiasis. Choice C: Tetracycline is not the first-line treatment for systemic amebiasis. Choice D: Quingamine is not a recognized drug for treating amebiasis.
Question 9 of 9
A 16 y.o. boy from a countryside entered an educational establishment. Scheduled Manteux test revealed that the boy had negative reaction. What are the most reasonable actions in this case?
Correct Answer: C
Rationale: The correct answer is C: To perform serodiagnostics of tuberculosis. Rationale: The negative reaction to the Mantoux test indicates absence of TB infection. Performing serodiagnostics will further confirm the absence of active infection. This is important to rule out TB before considering vaccination or isolation measures. Summary: A: BCG vaccination is not necessary as the boy shows a negative reaction to the Mantoux test. B: Repeating the test in a month is unnecessary as the initial test already showed a negative reaction. D: Isolating the boy is not warranted as there is no evidence of active TB infection.