The normal microflora is related to the defense in pathogens in

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mcgraw hill microbiology test bank Questions

Question 1 of 9

The normal microflora is related to the defense in pathogens in

Correct Answer: C

Rationale: The normal microflora plays a crucial role in defending against pathogens in the skin and mucus. This is because the skin and mucus act as physical barriers and the normal microflora outcompetes potential pathogens, preventing their colonization. In contrast, the circulatory system (A), hepatobiliary tract (B), and CNS (D) are not typically colonized by normal microflora, so they do not directly contribute to defense against pathogens in those areas.

Question 2 of 9

Which of the following viruses can cause hemorrhagic cystitis in immunocompromised patients:

Correct Answer: B

Rationale: The correct answer is B: BKV. BK virus can cause hemorrhagic cystitis in immunocompromised patients by infecting the urinary tract. It primarily affects the renal tubular epithelial cells, leading to hemorrhagic cystitis. EBV (A) causes infectious mononucleosis, HSV1 (C) causes oral and genital herpes, and JCV (D) causes progressive multifocal leukoencephalopathy, none of which are associated with hemorrhagic cystitis.

Question 3 of 9

Microscopy of sputum revealed acid-fast bacilli stained red against a blue background using Ziehl-Neelsen staining. What disease does this finding suggest?

Correct Answer: A

Rationale: The presence of acid-fast bacilli stained red against a blue background indicates mycobacteria, specifically Mycobacterium tuberculosis in this case. Ziehl-Neelsen staining is commonly used to detect tuberculosis. Diphtheria is caused by Corynebacterium diphtheriae, which does not stain with Ziehl-Neelsen. Pneumonia is a general term for lung infections caused by various pathogens. Leprosy is caused by Mycobacterium leprae, which requires special staining methods different from Ziehl-Neelsen.

Question 4 of 9

What is the function of bacterial flagella?

Correct Answer: B

Rationale: The correct answer is B: Motility. Bacterial flagella function in providing motility to bacteria, allowing them to move towards nutrients or away from harmful substances. Flagella are long, whip-like appendages that rotate to propel the bacteria through their environment. Incorrect choices: A: Protein synthesis - Bacterial flagella are not involved in protein synthesis. C: Adhesion to surfaces - While some bacteria use flagella for attachment, their main function is not adhesion. D: DNA replication - Flagella do not play a role in DNA replication, which occurs in the bacterial cell's nucleus.

Question 5 of 9

A 16-year-old boy from the rural area entered the technical school. During a regular Mantoux test, it turned out that this boy had a negative reaction. What tactics should the doctor choose as the most rational in this case?

Correct Answer: D

Rationale: The correct answer is D: BCG vaccination. BCG vaccination is recommended for individuals with a negative Mantoux test result, especially in countries where tuberculosis is prevalent. This vaccination can help provide protection against tuberculosis. Choice A is incorrect because repeating the Mantoux test in a month is unnecessary since the boy already had a negative reaction. Choice B is incorrect as serodiagnosis of tuberculosis is not the first-line approach for diagnosis, especially in this scenario. Choice C is incorrect because urgent isolation is not necessary based solely on the Mantoux test result. Isolation is typically reserved for individuals with active tuberculosis.

Question 6 of 9

Which bacteria is known for causing the disease cholera?

Correct Answer: B

Rationale: The correct answer is B: Vibrio cholerae. Cholera is caused by Vibrio cholerae, a gram-negative bacterium that produces a toxin leading to severe watery diarrhea. Shigella dysenteriae causes dysentery, not cholera. Salmonella enterica causes salmonellosis, not cholera. Clostridium perfringens is associated with food poisoning, not cholera. In summary, Vibrio cholerae is the correct answer because it is the specific bacterium known to cause cholera, while the other choices are associated with different diseases.

Question 7 of 9

A patient with pulmonary tuberculosis is prescribed the most effective antituberculosis antibiotic. Name this drug:

Correct Answer: C

Rationale: Rifampicin is the correct answer because it is a first-line antibiotic for treating pulmonary tuberculosis. It has excellent bactericidal activity and penetrates well into lung tissues where the infection is located. Rifampicin is also known for preventing the development of resistance. Tetracycline (A) and Furasolidone (B) are not commonly used for tuberculosis treatment. Bactrim (D) is a combination of sulfamethoxazole and trimethoprim, not effective for tuberculosis treatment.

Question 8 of 9

During examination of the patient's oral cavity a dentist noticed deformation of the teeth and a crescent indentation of the upper right incisor. The teeth are undersized, barrel-shaped – tooth cervix is wider than its edge. The patient uses a hearing aid, suffers from visual impairment. What type of syphilis affects teeth in such way?

Correct Answer: D

Rationale: The correct answer is D, Late congenital syphilis. This is because the patient presents with Hutchinson's teeth, which are a characteristic feature of late congenital syphilis. Hutchinson's teeth are small, barrel-shaped teeth with a wider cervix and notched incisors. The patient's history of visual impairment and hearing aid use also support the diagnosis of late congenital syphilis, as these are common manifestations of this stage of the disease. Choice A, Primary syphilis, is incorrect because it typically presents with a painless sore at the site of infection, not dental abnormalities. Choice B, Early congenital syphilis, is incorrect as dental abnormalities in this stage are usually more severe, such as mulberry molars. Choice C, Neurosyphilis, is incorrect as it primarily affects the central nervous system and does not typically present with dental abnormalities.

Question 9 of 9

The polymerase chain reaction CAN NOT be applied:

Correct Answer: C

Rationale: The correct answer is C: To determine the antibiotic susceptibility of microorganisms. PCR is not suitable for determining antibiotic susceptibility as it is a technique used to amplify DNA/RNA, not to test for antibiotic resistance. To prove latent infection (A), PCR can be used to detect low levels of pathogens. For rapid diagnosis of infectious diseases (B), PCR is commonly used due to its sensitivity and specificity. To demonstrate DNA and RNA molecules (D), PCR is ideal as it can amplify and detect specific sequences. Therefore, choice C is incorrect as PCR is not designed for determining antibiotic susceptibility.

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