ATI RN
Microbiology A Systems Approach Test Bank Questions
Question 1 of 5
Study of bacteriological sputum specimens stained by the Ziel-Neelsen method revealed some bright-red acid-resistant bacilli that were found in groups or singularly. When inoculated onto the nutrient media, the signs of their growth show up on the 10-15 day. These bacteria relate to the following family:
Correct Answer: A
Rationale: The correct answer is A: Mycobacterium tuberculosis. 1. Bright-red acid-resistant bacilli indicate the presence of mycolic acids in the cell wall, characteristic of Mycobacterium species. 2. Found in groups or singularly suggests the clumping nature of acid-fast bacilli. 3. Growth appearing after 10-15 days on nutrient media is consistent with the slow growth rate of Mycobacterium tuberculosis. 4. Yersinia pseudotuberculosis (B) and Klebsiella rhinoscleromatis (D) are not acid-fast bacilli and do not match the growth characteristics described. 5. Histoplasma dubrosii (C) is a fungus, not a bacterium, and does not exhibit acid-fast staining or the described growth pattern.
Question 2 of 5
Which of the following bacteria is responsible for causing syphilis?
Correct Answer: A
Rationale: Step 1: Treponema pallidum is a spirochete bacterium known to cause syphilis. Step 2: It is sexually transmitted and can cause various stages of disease. Step 3: Neisseria gonorrhoeae causes gonorrhea, not syphilis. Step 4: Chlamydia trachomatis causes chlamydia, not syphilis. Step 5: Escherichia coli is a common gut bacterium and not responsible for syphilis. Treponema pallidum is the correct answer as it is the specific bacterium known to cause syphilis.
Question 3 of 5
During the staining of sputum smear of a patient with suspected croupous pneumonia the following reactives and stainers were used: gentian violet solution, Lugol's solution, 960 spiritus and water fuchsin. What method of staining is used in this case?
Correct Answer: B
Rationale: The correct answer is B: Gram's staining method. The rationale for this is as follows: Gentian violet and Lugol's solution are used as primary and mordant stains in the Gram's staining method. Spiritus 960 is used as a decolorizer, and water fuchsin is used as a counterstain. This staining method is commonly used in microbiology to differentiate bacteria into Gram-positive and Gram-negative based on their cell wall characteristics. A: Leffler's staining method is used for the identification of diphtheria bacilli. C: Ziehl-Neelsen's staining method is used for acid-fast bacteria like Mycobacterium tuberculosis. D: Neisser's staining method is used for the identification of Neisseria species. In summary, the use of specific reactives and stainers in the question indicates the application of the Gram's staining method for bacterial differentiation.
Question 4 of 5
Two weeks after hemotransfusion a patient developed fever. What protozoal disease can be suspected?
Correct Answer: A
Rationale: The correct answer is A: Malaria. Two weeks after hemotransfusion, the onset of fever indicates a possible bloodborne infection. Malaria is a protozoal disease transmitted through infected blood, causing symptoms like fever. Toxoplasmosis, Leishmaniasis, and Amebiasis are not typically associated with fever following hemotransfusion. Malaria fits the timeline and mode of transmission in this scenario.
Question 5 of 5
The branch of pharmacology that addresses drug amounts at various sites in the body after drug administration is called:
Correct Answer: B
Rationale: The correct answer is B: pharmacokinetics. Pharmacokinetics is the study of drug movement in the body, including absorption, distribution, metabolism, and excretion. It focuses on how the body processes a drug over time. Pharmacodynamics (A) is the study of the effects drugs have on the body. Pharmacotherapeutics (C) involves using drugs to treat diseases. Pharmacy (D) is the practice of preparing and dispensing medications. Pharmacokinetics specifically deals with drug concentrations at different body sites after administration, making it the most appropriate choice for this question.
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