ATI RN
microbiology basic and clinical principles test bank Questions
Question 1 of 9
The oldest fossils of prokaryotes go back __________ billion years.
Correct Answer: B
Rationale: The correct answer is B: 3.5 to 4.0 billion years. This range aligns with the oldest known fossils of prokaryotes found in ancient rocks. Fossils dating back to this time period provide evidence of early life forms on Earth. Choices A, C, and D are incorrect because they fall outside the established timeline based on scientific evidence and fossil records. A (4.0 to 5.0 billion years) is too early for the oldest prokaryote fossils, as it predates the formation of Earth's atmosphere suitable for life. C (2.5 to 3.0 billion years) and D (2.2 to 2.7 billion years) are too recent for the oldest prokaryote fossils, as life is believed to have originated much earlier.
Question 2 of 9
A 30-year-old patient complains about having abdominal pain and diarrhea for five days; body temperature rise up to 37, 5oC along with chills. The day before a patient had been in a forest and drunk from an open water reservoir. Laboratory analyses enabled to make the following diagnosis: amebic dysentery. What is the drug of choice for its treatment?
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. Rationale: 1. Metronidazole is the drug of choice for amebic dysentery due to its effectiveness against the causative agent, Entamoeba histolytica. 2. Metronidazole has good tissue penetration and is able to reach the site of infection in the gut. 3. It is a bactericidal drug that acts by disrupting the DNA structure of the parasite. 4. Metronidazole is well-absorbed orally and has minimal side effects. Summary of other choices: B: Furazolidonum - Not the drug of choice for amebic dysentery. It is primarily used for treating bacterial diarrhea. C: Levomycetin - Not effective against Entamoeba histolytica and not recommended for amebic dysentery. D: Phthalazol - Not commonly used for amebic dysentery treatment. Metronidazole is preferred due
Question 3 of 9
Salmonellosis is caused by:
Correct Answer: B
Rationale: The correct answer is B: Salmonella enteritidis. Salmonellosis is typically caused by Salmonella species, with Salmonella enteritidis being one of the common culprits. Salmonella typhi causes typhoid fever, not salmonellosis. Shigella flexneri is responsible for causing shigellosis, a different bacterial infection. Choosing "None of the above" is incorrect as Salmonella enteritidis is a known cause of salmonellosis.
Question 4 of 9
Dengue virus is member of a family called
Correct Answer: C
Rationale: The correct answer is C: Flaviviridae. Dengue virus belongs to the Flaviviridae family because it is a flavivirus. Flaviviruses are a group of RNA viruses known to cause diseases in humans, such as dengue fever, Zika virus, and yellow fever. This family is characterized by its single-stranded, positive-sense RNA genome and enveloped virion structure. Hepadnaviridae (choice A), Parvoviridae (choice B), and Picornaviridae (choice D) are all different families of viruses that do not include the dengue virus. Hepadnaviridae includes hepatitis B virus, Parvoviridae includes parvoviruses, and Picornaviridae includes enteroviruses like poliovirus.
Question 5 of 9
The most important mechanism of tetracycline resistance is
Correct Answer: C
Rationale: The correct answer is C: Increased active efflux from the bacterial cell. This is the most important mechanism of tetracycline resistance because it involves the bacteria actively pumping out the antibiotic, reducing its intracellular concentration. This prevents tetracycline from effectively targeting bacterial ribosomes. Choice A is incorrect as tetracycline resistance typically involves active efflux rather than reduced influx. Choice B is incorrect because tetracycline resistance mechanisms do not primarily involve altered cell membrane components affecting passive influx. Choice D is also incorrect as tetracycline resistance mechanisms do not typically involve direct enzymatic inactivation of the antibiotic.
Question 6 of 9
A 28-year-old patient was hospitalized with preliminary diagnosis "influenza". Roseolous-petechial rash appeared on the 5th day of disease on the trunk. The temperature is 41oC. Hyperemia of face, reddening of scleras, tremor of tongue, tachycardia, splenomegaly are present. What is the most likely diagnosis?
Correct Answer: A
Rationale: The most likely diagnosis is Epidemic typhus (Choice A) based on the symptoms described. The presence of roseolous-petechial rash, high fever (41oC), hyperemia of face, reddening of scleras, tremor of the tongue, tachycardia, and splenomegaly are classic signs of epidemic typhus. The rash typically appears around the 5th day of the disease. Summary: - B: Measles typically presents with a maculopapular rash starting on the face and spreading downward. It doesn't usually present with tremor of the tongue or splenomegaly. - C: Alcohol delirium is characterized by confusion, disorientation, and hallucinations due to alcohol consumption. It doesn't match the symptoms described. - D: Leptospirosis presents with fever, muscle pain, and conjunctival suffusion. It doesn't typically present with the specific rash and trem
Question 7 of 9
A 3 month old infant has got a white deposition on the mucous membrane of his mouth, tongue and lips. The doctor suspected candidosis. What nutrient medium should be used for inoculation of the material under examination in order to confirm this diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Sabouraud. Sabouraud agar is specifically designed for the cultivation of fungi and yeasts, making it ideal for identifying Candida species causing candidosis. It contains antibiotics to inhibit bacterial growth, promoting the growth of fungi. Endo, Loewenstein-Jensen, and Roux are not suitable for fungal cultures and are used for different purposes like bacterial isolation or mycobacterial cultures. Sabouraud agar is the best choice for confirming candidosis due to its fungal-selective properties.
Question 8 of 9
Which of the following bacteria is known for causing the disease tetanus?
Correct Answer: A
Rationale: The correct answer is A: Clostridium tetani. This bacterium is known for causing tetanus due to its ability to produce tetanospasmin, a neurotoxin that leads to the characteristic muscle stiffness and spasms seen in tetanus. Clostridium perfringens (Choice B) is associated with gas gangrene, Streptococcus pyogenes (Choice C) causes streptococcal infections, and Escherichia coli (Choice D) is known for causing various gastrointestinal infections. Therefore, Choices B, C, and D are incorrect as they are not the causative agents of tetanus.
Question 9 of 9
Complex communities of microorganisms on surfaces are called
Correct Answer: B
Rationale: The correct answer is B: biofilms. Biofilms refer to complex communities of microorganisms that adhere to surfaces. They are characterized by a protective matrix that allows the microorganisms to communicate and cooperate. Colonies (A) typically refer to groups of a single species, not diverse communities. Biospheres (C) refer to the regions of the Earth where life exists, not specific microbial communities. Flora (D) generally refers to the plant life in a particular region, not microbial communities on surfaces.