ATI RN
Microbiology Chapter 10 Test Bank Questions
Question 1 of 9
Urinalysis of a patient with acute cystitis shows leukocytes and a large number of gram-negative bacilli. Inoculation has resulted in the growth of mucous colonies that produce a green soluble pigment. What microorganism is the most likely cause of the patient's disorder?
Correct Answer: C
Rationale: The correct answer is C: Escherichia coli. E. coli is the most common cause of acute cystitis. It typically presents with leukocytes and gram-negative bacilli in the urine. The green pigment production indicates pyocyanin, which is a characteristic of E. coli. Pseudomonas aeruginosa (A) can also produce green pigment, but it is less common in urinary tract infections. Proteus mirabilis (B) is associated with a swarming motility pattern on agar, not mucous colonies. Klebsiella pneumoniae (D) is associated with pneumonia and other respiratory infections, not cystitis.
Question 2 of 9
In a compound light microscope the lens closest to the eye is the __________ lens.
Correct Answer: A
Rationale: The correct answer is A: ocular lens. The ocular lens is the lens closest to the eye in a compound light microscope. This lens is responsible for magnifying the image produced by the objective lens. It typically has a magnification power of 10x. The objective lens, choice B, is positioned closer to the specimen and provides the primary magnification of the image. The condenser, choice C, is located beneath the stage and helps focus light onto the specimen. The stage, choice D, is where the specimen is placed for observation. Therefore, the ocular lens is the correct choice as it is the lens closest to the eye and responsible for further magnifying the image.
Question 3 of 9
Examination of a child revealed some whitish spots looking like coagulated milk on the mucous membrane of his cheeks and tongue. Analysis of smears revealed gram-positive oval yeast-like cells. What causative agents are they?
Correct Answer: A
Rationale: The correct answer is A: Candida. The whitish spots resembling coagulated milk on the mucous membranes are characteristic of oral thrush, a condition caused by Candida species. Candida is a gram-positive oval yeast-like fungus commonly found in the oral cavity. Staphylococci (B) are gram-positive cocci, not yeast-like cells. Diphtheria bacillus (C) causes diphtheria, not oral thrush. Actinomycetes (D) are filamentous bacteria, not yeast-like cells typically seen in oral thrush. Therefore, A is the correct answer based on the clinical presentation and microscopic findings.
Question 4 of 9
Which one is NOT included in the non-specific immune response
Correct Answer: B
Rationale: Memory cells are not part of the non-specific immune response because they are a component of the specific immune response. Non-specific immune responses are immediate and target a broad range of pathogens, whereas memory cells are formed after exposure to a specific pathogen to provide a quicker and stronger response upon subsequent exposure. Lysozyme (A), Interferon (C), and Phagocytosis (D) are all part of the non-specific immune response. Lysozyme is an enzyme that destroys bacterial cell walls, interferon helps to inhibit viral replication, and phagocytosis involves the engulfing and destruction of pathogens by phagocytes. These responses are not specific to particular pathogens and are the body's first line of defense.
Question 5 of 9
A patient with a wound infection had a Gram-positive cocci isolated from the sample. The bacteria were catalase-positive and coagulase-positive. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus aureus. This is because Staphylococcus aureus is Gram-positive, catalase-positive, and coagulase-positive, which matches the characteristics described in the question. Staphylococcus epidermidis is also Gram-positive but is coagulase-negative. Streptococcus pneumoniae is Gram-positive but is catalase-negative. Enterococcus faecalis is Gram-positive but is catalase-negative and coagulase-negative. Therefore, based on the given information, Staphylococcus aureus is the likely causative agent of the wound infection.
Question 6 of 9
The bacterial species that is resistant to novobiocin is:
Correct Answer: C
Rationale: The correct answer is C: Staphylococcus saprophyticus. The rationale is that Staphylococcus saprophyticus is the only one among the listed species that is known to be resistant to novobiocin. This resistance is due to the specific mechanism of action of novobiocin, which targets DNA gyrase, and Staphylococcus saprophyticus possesses an altered DNA gyrase enzyme that renders it resistant to the antibiotic. Staphylococcus aureus and Staphylococcus epidermidis are susceptible to novobiocin, making choices A and B incorrect. Choice D, "none of the listed," is also incorrect as Staphylococcus saprophyticus is indeed resistant to novobiocin.
Question 7 of 9
What are the structural units of nucleic acids?
Correct Answer: C
Rationale: The correct answer is C: nucleotides. Nucleotides are the structural units of nucleic acids, consisting of a nitrogenous base, a sugar molecule, and a phosphate group. The nitrogenous base can be adenine, thymine, cytosine, guanine, or uracil. Histones (B) are proteins that DNA wraps around in chromosomes, not structural units of nucleic acids. Nucleosides (A) are composed of a nitrogenous base and a sugar molecule but lack the phosphate group present in nucleotides. N-bases (D) is not a recognized term in biology and does not accurately describe the structural units of nucleic acids.
Question 8 of 9
What preventive medications should be injected to a patient with open maxillofacial trauma provided that he has never got prophylactic vaccination before?
Correct Answer: C
Rationale: Step 1: Antitetanus serum is crucial for patients with open maxillofacial trauma to prevent tetanus infection from contaminated wounds. Step 2: Antibiotics are needed to prevent infection in the wound. Step 3: Antitetanus serum provides immediate passive immunity while antibiotics help combat potential infections. Step 4: Antitetanus immunoglobulin is not mentioned in the question and is not typically used for prophylaxis. Step 5: Anticonvulsive drugs are not preventive medications for maxillofacial trauma. Step 6: Diphtheria, tetanus, and pertussis vaccines are not specifically indicated for immediate prevention in this scenario.
Question 9 of 9
Secondary immune response produces much more antibodies than a primary immune response but it is slower than the primary one.
Correct Answer: B
Rationale: The correct answer is B: FALSE. The statement is incorrect because the secondary immune response is actually faster than the primary immune response. This is due to memory cells that are formed during the primary response, allowing for a quicker and more robust reaction upon re-exposure to the same antigen. The secondary response produces more antibodies and is more effective in clearing the pathogen. Choice A is incorrect because the secondary response is faster, not slower. Choice C is incorrect because the statement is objectively false, regardless of the situation. Choice D is incorrect as the correct answer is B.