Questions 9

ATI RN

ATI RN Test Bank

microbiology a systems approach test bank Questions

Question 1 of 5

What is the primary purpose of a bacterial capsule?

Correct Answer: C

Rationale: The correct answer is C: Enhancing virulence by preventing phagocytosis. Bacterial capsules help bacteria evade the immune system by preventing phagocytosis, a process where immune cells engulf and destroy pathogens. This enhances the bacteria's virulence and ability to cause infections. Choices A, B, and D are incorrect because bacterial capsules do not directly contribute to protein synthesis, protect against desiccation, or facilitate motility.

Question 2 of 5

A 49-year-old countryman got an itching papule on the dorsum of his right hand. In the centre there is a vesicle with serosanginous exudate. Within the next 2 days the patient developed a painless edema of hand and forearm. On the 4th day the temperature rose to 38,5oC, in the right axillary region a large painful lymph node was found. One daybefore the onset of the disease the patient had examined a dead calf. What is the most likely diagnosis?

Correct Answer: D

Rationale: The most likely diagnosis is D: Lymphocutaneous tularemia. The key clues include exposure to a dead animal, vesicle with serosanginous exudate, painless edema progressing to lymph node involvement, and fever. Tularemia is caused by Francisella tularensis, commonly acquired through contact with infected animals. The characteristic ulcer at the site of entry, lymphadenopathy, and systemic symptoms point towards tularemia. Cutaneous anthrax (A) presents with a painless ulcer and black eschar. Bubonic plague (B) typically presents with buboes (swollen lymph nodes) and fever. Carbuncle (C) is a deep skin infection typically caused by Staphylococcus aureus.

Question 3 of 5

A patient with convulsive contractions of facial muscles was admitted to the infectious disease ward. From a scratch on his lower right extremity analysts isolated bacteria with terminal endospores that gave them drumstick appearance. What bacteria are compliant with given description?

Correct Answer: A

Rationale: Step-by-step rationale for the correct answer (A - Clostridium tetani): 1. The patient has convulsive contractions of facial muscles, indicating tetanus. 2. Isolation of bacteria with terminal endospores that have a drumstick appearance is characteristic of Clostridium tetani. 3. Clostridium tetani produces tetanospasmin toxin causing muscle spasms. 4. Therefore, the correct answer is Clostridium tetani (A). Summary of why other choices are incorrect: B: Clostridium botulinum causes botulism, not tetanus. C: Clostridium perfringens causes gas gangrene, not tetanus. D: Bacillus anthracis causes anthrax, not tetanus.

Question 4 of 5

The function of beta-lactamase in bacteria is to:

Correct Answer: A

Rationale: The correct answer is A: Break down antibiotics like penicillin. Beta-lactamase is an enzyme produced by bacteria to inactivate beta-lactam antibiotics like penicillin by breaking the beta-lactam ring. This mechanism helps bacteria resist the antibiotic's effects. The other choices are incorrect because beta-lactamase does not enhance protein synthesis, facilitate DNA replication, or transport nutrients. It specifically targets and deactivates beta-lactam antibiotics, making choice A the most appropriate answer.

Question 5 of 5

Antibodies against influenza viruses in a patient's serum can be determined by;

Correct Answer: C

Rationale: The correct answer is C: Reaction haemagglutination inhibition. This method is used to detect antibodies against influenza viruses by measuring the ability of the patient's serum to inhibit haemagglutination. This is a specific and sensitive technique for detecting influenza antibodies. A: Agglutination reaction is not specific for influenza viruses and may give false positives. B: Precipitation reaction in agar gel is not typically used for detecting influenza antibodies. D: Ration haemagglutination is not a standard method for detecting influenza antibodies.

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