ATI RN
Microbiology Chapter 12 Test Bank Questions
Question 1 of 5
The first grade pupils were examined in order to sort out children for tuberculosis revaccination. What test was applied for this purpose?
Correct Answer: A
Rationale: The correct answer is A: Mantoux test. The Mantoux test is used to detect tuberculosis infection by injecting a small amount of tuberculin under the skin and checking for a reaction. This test helps identify individuals who have been exposed to tuberculosis. The other choices are incorrect because: B: Schick test is used to determine immunity to diphtheria, not tuberculosis. C: Anthraxine test is used for anthrax, not tuberculosis. D: Burnet test is not a recognized medical test for tuberculosis.
Question 2 of 5
A 40-year-old female farmworker has been diagnosed with brucellosis and administered causal chemotherapy. What group of drugs will be used for this purpose?
Correct Answer: A
Rationale: The correct answer is A: Antibiotic. Brucellosis is a bacterial infection, and antibiotics are the primary treatment to target and eliminate the bacteria causing the disease. Antibiotics such as doxycycline and rifampin are commonly used for brucellosis treatment. Donor immunoglobulin (B) is not used to treat brucellosis as it is not caused by a deficiency in antibodies. Inactivated therapeutic vaccine (C) is used for prevention, not for treating active infections. Antitoxic serum (D) is used to neutralize toxins produced by bacteria, not to directly kill the bacteria themselves in cases like brucellosis.
Question 3 of 5
On the 8th day since the patient was inoculated with antitetanic serum because of dirty wound of his foot he has developed rising temperature up to 380% , pains in the joints, rash and itch. The blood tests revealed leukopenia and thrombocytopenia. Allergic reaction of what type has developed in this case?
Correct Answer: D
Rationale: The correct answer is D: Immunocomplex. In this case, the patient's symptoms of fever, joint pains, rash, and itch along with leukopenia and thrombocytopenia indicate a serum sickness reaction. This is a type III hypersensitivity reaction where antigen-antibody complexes deposit in tissues, leading to inflammation and tissue damage. The symptoms typically occur 1-2 weeks after exposure to the antigen. Anaphylactic reaction (choice A) is immediate and involves IgE antibodies. Cytotoxic reaction (choice B) involves destruction of cells by antibodies. Delayed hypersensitivity (choice C) usually takes 48-72 hours to develop and involves T-cells. Therefore, the correct answer is D as it aligns with the symptoms and timeline of a type III hypersensitivity reaction.
Question 4 of 5
A laboratory received a food product that had been taken from the focus of food poisoning and presumably contained botulinum toxin. To identify the type of toxin, the neutralization reaction must be performed on white mice. What biological product is used in this reaction?
Correct Answer: A
Rationale: The correct answer is A: Antitoxic serum. In the neutralization reaction to identify botulinum toxin, antitoxic serum is used to neutralize the toxin in white mice. Antitoxic serum contains antibodies that specifically target and neutralize the botulinum toxin. Normal serum (B) does not contain the necessary antibodies to neutralize the toxin. Antibacterial serum (C) is not effective against toxins like botulinum. Diagnosticum (D) is a general term and does not specifically refer to the biological product required for this reaction.
Question 5 of 5
A family has two children. The younger child is under the year. The child has developed spastic cough attacks. Similar clinical presentation was observed in the elder preschool child one month ago. The doctor suspects pertussis infection. What method enables retrospective diagnostics of this disease?
Correct Answer: A
Rationale: The correct answer is A: Serological. Serological testing involves analyzing blood samples for specific antibodies produced in response to the pertussis infection. This method can detect past infections by identifying the presence of antibodies against the pertussis bacteria in the blood. In this case, since the doctor suspects pertussis infection in both children, serological testing can confirm if they have been exposed to the bacteria. Summary: B: Biological testing does not specifically target pertussis antibodies in the blood. C: Bacteriological testing involves culturing bacteria from samples, which may not be as sensitive for retrospective diagnosis. D: Molecular biological testing focuses on genetic material of the bacteria, which may not provide direct evidence of past infection.