ATI RN
mcgraw hill microbiology test bank Questions
Question 1 of 9
The most common causative agent of nosocomial infections are:
Correct Answer: C
Rationale: Rationale: Choice C is correct because Staphylococcus epidermidis, Escherichia coli, and Enterococcus spp. are common causative agents of nosocomial infections due to their presence on the skin, in the gut, and in healthcare settings. S. aureus and L. monocytogenes (Choice A) are also important pathogens but are less common in nosocomial infections. Enterobacteriaceae (Choice B) are a large family of bacteria that can cause infections but are not as commonly associated with nosocomial infections compared to the organisms in Choice C. The correct answer (Choice C) encompasses pathogens commonly found in healthcare settings, making it the most suitable option.
Question 2 of 9
Specimen of a patient's sputum was stained with the following dyes and reagents: Ziehl's solution, methylene blue solution, 5% solutoin of sulfuric acid. What staining method was applied?
Correct Answer: A
Rationale: The correct answer is A: Ziehl-Neelsen staining method was applied. 1. Ziehl's solution is used as a primary stain in Ziehl-Neelsen staining for acid-fast organisms like Mycobacterium tuberculosis. 2. Sulfuric acid is used as a decolorizer to remove excess stain. 3. Methylene blue is not part of the Ziehl-Neelsen staining method. 4. Burri's, Gram's, and Peshkov's staining methods are not used for acid-fast staining.
Question 3 of 9
The following viruses are referred to the Filoviridae family:
Correct Answer: C
Rationale: Step-by-step rationale: 1. The Filoviridae family includes Marburg virus and Ebola virus. 2. Both viruses are characterized by filamentous, enveloped structure. 3. They cause severe hemorrhagic fever in humans. 4. Lassa virus and lymphocytic choriomeningitis viruses belong to Arenaviridae. 5. Chikungunya virus and Sindbis virus are alphaviruses. 6. Crimean-Congo virus and Hantaan virus are bunyaviruses. 7. Therefore, the correct answer is C.
Question 4 of 9
Microscopic examination of a patient's duodenal contents revealed protozoa with two nuclei, four flagella, and a ventral adhesive disc. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Giardia lamblia. This protozoan matches the description of the causative agent because it has two nuclei, four flagella, and a ventral adhesive disc. Giardia lamblia is commonly found in the duodenum and causes giardiasis. The other choices can be eliminated because Leishmania donovani causes visceral leishmaniasis, not the described symptoms. Entamoeba coli is a non-pathogenic amoeba found in the large intestine. Trypanosoma gambiense causes African trypanosomiasis and is transmitted by the tsetse fly, not matching the described characteristics.
Question 5 of 9
Which statement is correct? Yersinia pestis is the causative agent of:
Correct Answer: C
Rationale: The correct answer is C: Plague. Yersinia pestis is a bacterium that causes plague, a serious infectious disease transmitted through infected fleas or direct contact with infected animals. Yersinia pestis does not cause Cholera (choice A) or AIDS (choice B). Choice D, None of the above, is incorrect as Yersinia pestis is indeed the causative agent of plague.
Question 6 of 9
The bacteria that cause Lyme disease is:
Correct Answer: B
Rationale: The correct answer is B: Borrelia burgdorferi. Borrelia burgdorferi is the bacteria responsible for causing Lyme disease. It is transmitted to humans through the bite of infected black-legged ticks. Treponema pallidum causes syphilis, Leptospira interrogans causes leptospirosis, and Rickettsia rickettsii causes Rocky Mountain spotted fever. Borrelia burgdorferi is specifically associated with Lyme disease due to its transmission through tick bites and the characteristic symptoms it causes.
Question 7 of 9
Which bacteria are known for producing toxins that can cause severe gastrointestinal illness?
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Clostridium botulinum produces botulinum toxin causing botulism, Vibrio cholerae produces cholera toxin leading to severe diarrhea, and certain strains of Escherichia coli produce toxins causing gastrointestinal illness. Therefore, all three bacteria are known for producing toxins that can cause severe gastrointestinal illness. Choices A, B, and C individually represent bacteria known for producing toxins that can cause severe gastrointestinal illness, making them incorrect individual choices.
Question 8 of 9
The causative agent of syphilis is:
Correct Answer: B
Rationale: The correct answer is B: Treponema pallidum. 1. Treponema pallidum is a spirochete bacterium known to cause syphilis. 2. Borrelia burgdorferi causes Lyme disease, not syphilis. 3. Leptospira interrogans causes leptospirosis, not syphilis. 4. Rickettsia rickettsii causes Rocky Mountain spotted fever, not syphilis. Therefore, Treponema pallidum is the causative agent of syphilis, making it the correct answer.
Question 9 of 9
A 23 year old female patient complains about periodical chill and body temperature rise up to 40oC, sense of heat taking turns with profuse sweating. The patient has had already 3 attacks that came once in two days and lasted 12 hours. She has lived in Africa for the last 2 months. Liver and spleen are enlarged. In blood: erythrocytes - 2,5x1012/l. What is the most probable diagnosis?
Correct Answer: A
Rationale: The most probable diagnosis is A: Malaria. The patient's symptoms of periodic chills, high fever, and profuse sweating, along with living in Africa where malaria is endemic, strongly suggest malaria. The enlarged liver and spleen are consistent with malaria infection. The low erythrocyte count indicates hemolysis, a common feature of malaria. Spotted fever and sepsis do not typically present with the same pattern of symptoms and travel history as seen in this case. Haemolytic anaemia would not explain the patient's fever episodes and other symptoms. Therefore, based on the symptoms, travel history, and laboratory findings, malaria is the most likely diagnosis.