ATI RN
microbiology a systems approach test bank Questions
Question 1 of 9
The type of antibody that can cross the placenta is:
Correct Answer: C
Rationale: The correct answer is C: IgG. IgG is the only antibody that can cross the placenta due to its small size and unique structure, allowing it to provide passive immunity to the fetus. IgA is mainly found in mucosal secretions, IgM is too large to cross the placental barrier, and IgD plays a role in B cell activation but is not involved in placental transfer.
Question 2 of 9
Which one is true for enteropathogenic E.coli?
Correct Answer: A
Rationale: The correct answer is A because enteropathogenic E. coli (EPEC) have fimbrial adhesins that help them bind to enterocytes in the intestines, leading to colonization and infection. This is a key virulence factor of EPEC. Explanation for why other choices are incorrect: B: EPEC typically cause watery diarrhea in infants, not bloody diarrhea similar to shigellosis. C: EPEC are not part of the normal intestinal flora; they are pathogenic bacteria. D: EPEC are not invasive and do not typically produce enterotoxin; they primarily adhere to the intestinal epithelium.
Question 3 of 9
Acute febrile pharyngitis and pharyngoconjunctival fever are often the clinical presentation of which viral infection:
Correct Answer: D
Rationale: The correct answer is D: Adenovirus. Adenovirus commonly causes acute febrile pharyngitis and pharyngoconjunctival fever. Adenovirus is known to cause respiratory infections and can present with symptoms such as sore throat, fever, and conjunctivitis. VZV (Varicella-Zoster Virus) causes chickenpox and shingles, not these specific symptoms. Measles virus causes a systemic illness with characteristic rash, not typically pharyngitis. Rubella virus causes a mild febrile illness with rash, but not pharyngitis. Therefore, based on the clinical presentation described, adenovirus is the most likely cause.
Question 4 of 9
Which of the following bacteria is known for producing a capsule that helps it avoid the immune system?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is known for producing a capsule that helps it evade the immune system. The capsule acts as a protective barrier, making it difficult for the immune system to recognize and attack the bacteria. Streptococcus pneumoniae is a common cause of pneumonia and meningitis. Explanation for why other choices are incorrect: B: Escherichia coli does not typically produce a capsule for immune evasion. It is more commonly associated with gastrointestinal infections. C: Salmonella enterica also does not produce a capsule for immune evasion. It is known for causing foodborne illness. D: Bacillus subtilis is a soil bacterium that is not known for producing a capsule to avoid the immune system.
Question 5 of 9
How do people get infected with diphtheria
Correct Answer: C
Rationale: The correct answer is C because diphtheria is primarily spread through respiratory droplets and physical contact with an infected person. The bacteria responsible for diphtheria is transmitted through coughing, sneezing, or sharing personal items. Swimming in contaminated water (A) does not spread diphtheria. Transmission (B) is a broad term and does not specifically address the mode of transmission for diphtheria. Contaminated food (D) is not a typical route of diphtheria transmission. Therefore, option C is the most accurate choice based on the known mode of transmission for diphtheria.
Question 6 of 9
Cholera is a serious gastrointestinal illness caused by bacteria of the genus:
Correct Answer: C
Rationale: The correct answer is C: Vibrio. Cholera is caused by Vibrio cholerae bacteria. These bacteria produce a toxin that causes severe diarrhea and dehydration. Escherichia (choice A) and Salmonella (choice B) are known for causing other types of gastrointestinal infections but not cholera. Acinetobacter (choice D) typically causes respiratory infections, not gastrointestinal illnesses like cholera. Therefore, the correct choice is Vibrio as it is specifically associated with cholera.
Question 7 of 9
Non - complete phagocytosis is observed during infections with:
Correct Answer: D
Rationale: Rationale: 1. Mycobacterium tuberculosis, Legionella pneumophila, Brucella melitensis can evade complete phagocytosis. 2. Mycobacterium tuberculosis inhibits phagosome-lysosome fusion. 3. Legionella pneumophila can prevent phagosome maturation. 4. Brucella melitensis can survive and replicate within phagocytes. 5. A + B + C together represent non-complete phagocytosis. Summary: - A, B, C individually cause incomplete phagocytosis. - Only when all three are present together (D) is non-complete phagocytosis observed.
Question 8 of 9
Which of the following is a preferred mode of transmission of HIV from a mother to a child
Correct Answer: D
Rationale: The correct answer is D because HIV can be transmitted from a mother to a child through multiple modes: during delivery through mixing of blood, during pregnancy through the placenta, and via breastmilk during lactation. Each mode presents a risk of transmission due to the presence of the virus in bodily fluids. Therefore, all of the above options are preferred modes of transmission for HIV from a mother to a child. Choices A, B, and C alone do not fully encompass all the possible routes of transmission, making them incorrect.
Question 9 of 9
When doctors of a sanitary and epidemiologic institution examine employees of public catering establishments they often reveal asymptomatic parasitosis, that is when a healthy person is a carrier of cysts that infect other people. What causative agent can parasitize in such a way?
Correct Answer: A
Rationale: The correct answer is A: Dysenteric amoeba. This is because dysenteric amoebas can cause asymptomatic parasitosis, where a healthy person carries cysts that can infect others. Dysenteric amoebas are known to infect the intestines and can be transmitted through contaminated food or water. Choice B, Malarial plasmodium, causes malaria transmitted through mosquitoes. Choice C, Enteral trichomonad, causes diarrhea and is transmitted through contaminated water. Choice D, Dermatotropic leishmania, causes skin lesions and is transmitted through sandfly bites. These choices do not fit the scenario of asymptomatic parasitosis in public catering establishments.