The main structure components of viruses are

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Question 1 of 9

The main structure components of viruses are

Correct Answer: A

Rationale: The correct answer is A: nucleic acid and proteins. Viruses consist of genetic material (nucleic acid) surrounded by a protein coat. The nucleic acid carries the viral genetic information, while the proteins form the capsid that protects the genetic material. This combination is essential for the virus to infect host cells and replicate. Lipids (choice B) are not typically part of the main structure of viruses. Lipids are more commonly found in the host cell membrane. Lipids and proteins (choice C) may be present in the viral envelope but are not the main structural components. Proteins and glycoproteins (choice D) are important for viral attachment and entry into host cells but do not constitute the main structural components of viruses.

Question 2 of 9

A 40-year-old patient presents with abdominal pain, frequent loose stools with mucus and blood. Stool analysis revealed vegetative forms of some protozoa sized 30-40 microns, with short pseudopodia, containing large amounts of phagocytosed erythrocytes. What protozoan disease does the patient have?

Correct Answer: A

Rationale: The correct answer is Amebiasis. The patient's symptoms of abdominal pain, loose stools with mucus and blood, along with the presence of protozoa containing phagocytosed erythrocytes in stool analysis are indicative of Entamoeba histolytica infection. The size (30-40 microns) and pseudopodia characteristics match E. histolytica. Amebiasis commonly presents with dysentery, while Leishmaniasis (B) typically causes skin ulcers. Trichomoniasis (C) is a sexually transmitted infection, not associated with the described symptoms. Giardiasis (D) is characterized by foul-smelling diarrhea and steatorrhea, not bloody diarrhea as seen in this case.

Question 3 of 9

The First-line tuberculosis drugs include:

Correct Answer: A

Rationale: The correct answer is A: Isoniazid and rifampicin. These drugs are considered first-line treatment for tuberculosis due to their high efficacy and low toxicity. Isoniazid targets the cell wall of the tuberculosis bacteria, while rifampicin inhibits RNA synthesis. They are recommended by WHO as the first choice for treating tuberculosis. Choice B (Penicillin and erythromycin) is incorrect because these antibiotics are not effective against tuberculosis bacteria. Choice C (Trimethoprim and third generation cephalosporins) is incorrect because they are not considered first-line drugs for tuberculosis treatment. Choice D (All the listed above can be used depending on their resistance profile) is incorrect because only isoniazid and rifampicin are universally recognized as first-line drugs for tuberculosis regardless of resistance profile.

Question 4 of 9

Which of the following pathogens has the widest infectious spectrum

Correct Answer: A

Rationale: The correct answer is A, Anthrax bacillus, because it has the widest infectious spectrum among the options provided. Anthrax bacillus can infect a wide range of hosts, including humans and various animals. It is known for its ability to survive in different environments and cause disease through various routes of exposure. In contrast, choices B, C, and D have more limited infectious spectra. Mumps virus primarily infects humans, the causative agent of gonorrhea mainly affects humans through sexual contact, and the rabies virus typically infects mammals through bites from infected animals. Therefore, Anthrax bacillus is the correct choice due to its broader range of hosts and modes of transmission compared to the other options.

Question 5 of 9

While examining the feces of a patient with diarrhea, cysts with four nuclei were found. What protozoan is most likely causing the condition?

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This protozoan causes amoebiasis, which presents with symptoms like diarrhea. The cysts with four nuclei found in the feces are characteristic of Entamoeba histolytica. This protozoan is known to cause invasive infection, leading to tissue destruction and ulcers in the intestines. Lamblia (choice B) typically presents with cysts containing two nuclei. Trichomonas (choice C) is a sexually transmitted parasite and does not form cysts. Balantidium (choice D) is a ciliated protozoan that does not have four nuclei in its cyst form.

Question 6 of 9

Pseudomonas aeruginosa can cause:

Correct Answer: A

Rationale: Step-by-step rationale for answer A: 1. Pseudomonas aeruginosa is known to cause burn wounds infections due to its ability to survive in moist environments. 2. It can cause severe pneumonia in patients with cystic fibrosis due to its resistance to antibiotics and ability to form biofilms. 3. It is a common cause of nosocomial infections in hospitals due to its ability to colonize medical equipment and surfaces. Summary of other choices: B. Pseudomonas aeruginosa typically does not cause food poisoning, as it is not a common pathogen associated with foodborne illnesses. C. Bacterial pharyngitis is usually caused by Streptococcus pyogenes, not Pseudomonas aeruginosa, making this choice incorrect. D. None of the above is incorrect as Pseudomonas aeruginosa is associated with specific infections mentioned in option A.

Question 7 of 9

Production of auto-antibodies may be due to:

Correct Answer: D

Rationale: Production of auto-antibodies can be due to various factors. Mutant B cell clones can lead to the production of self-reactive antibodies. Antibodies against hidden tissues can also trigger autoimmune responses. Genetic factors play a crucial role in predisposing individuals to autoimmunity. Therefore, the correct answer is D, as all these factors can contribute to the production of auto-antibodies. Choice A is incorrect as it only addresses one possible cause. Choice B is incorrect as it focuses solely on antibodies against hidden tissues. Choice C is incorrect as it overlooks the other potential reasons for auto-antibody production.

Question 8 of 9

What is the primary mode of transmission for tetanus?

Correct Answer: C

Rationale: The correct answer is C: Contaminated wounds. Tetanus is caused by the bacterium Clostridium tetani, which enters the body through breaks in the skin such as wounds or cuts. The bacteria produce a toxin that affects the nervous system, leading to muscle stiffness and spasms. Ingestion of contaminated food (choice A) is not a mode of transmission for tetanus. Inhalation of droplets (choice B) is more relevant for respiratory infections. Direct physical contact (choice D) is not the primary mode of transmission for tetanus as the bacteria need a portal of entry such as a wound to cause infection.

Question 9 of 9

After the second abortion a 23 year old woman has been diagnosed with toxoplasmosis. Which drug should be used for toxoplasmosis treatment?

Correct Answer: A

Rationale: The correct answer is A: Co-trimoxazole. This drug combination is the first-line treatment for toxoplasmosis due to its efficacy against Toxoplasma gondii. Co-trimoxazole consists of sulfamethoxazole and trimethoprim, which work synergistically to inhibit bacterial and protozoal folate synthesis, effectively treating toxoplasmosis. B: Itraconazole is an antifungal medication and not effective against toxoplasmosis. C: Mebendazole is an anthelmintic drug used for treating parasitic worm infections, not toxoplasmosis. D: Azidothimidine, also known as AZT, is used for treating HIV, not toxoplasmosis.

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