ATI RN
microbiology chapter 11 test bank Questions
Question 1 of 9
Which antibiotics against Parvovirus B19 can be found during the first 10-14 days of the infection:
Correct Answer: D
Rationale: The correct answer is D: IgM. IgM antibodies are the first type of antibodies produced by the immune system in response to an acute infection, such as Parvovirus B19. During the first 10-14 days of the infection, IgM antibodies are usually detectable in the blood, indicating a recent or ongoing infection. IgG antibodies (choice A) are produced later in the immune response and indicate past infection or immunity. IgA (choice B) is more commonly associated with mucosal immunity and may not be as prominent in the early stages of systemic infections. IgD (choice C) is primarily found on the surface of B cells and is involved in B cell activation but is not typically used as a marker for acute infections like IgM.
Question 2 of 9
Which bacteria are most commonly associated with hospital-acquired infections?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Hospital-acquired infections can be caused by a variety of bacteria commonly found in healthcare settings. Staphylococcus aureus is a common cause of surgical site infections. Escherichia coli can cause urinary tract infections. Klebsiella pneumoniae is associated with pneumonia and bloodstream infections. Therefore, all three bacteria are frequently implicated in hospital-acquired infections due to their prevalence and ability to cause different types of infections in healthcare settings. Thus, the correct answer is D, as all of the listed bacteria are commonly associated with hospital-acquired infections.
Question 3 of 9
Many peptic ulcers are due to:
Correct Answer: B
Rationale: The correct answer is B, Helicobacter pylori. This bacterium is the main cause of peptic ulcers by damaging the protective lining of the stomach and duodenum. It secretes enzymes that weaken the mucosal barrier, allowing stomach acid to cause damage. Salmonella typhi (A) causes typhoid fever, not peptic ulcers. Shigella boydii (C) causes dysentery, not peptic ulcers. Salmonella enterica (D) causes food poisoning, not peptic ulcers. Therefore, the correct answer is B based on its direct association with peptic ulcer formation.
Question 4 of 9
Which antibiotics against Parvovirus B19 can be found during the first 10-14 days of the infection:
Correct Answer: D
Rationale: The correct answer is D: IgM. IgM antibodies are the first type of antibodies produced by the immune system in response to an acute infection, such as Parvovirus B19. During the first 10-14 days of the infection, IgM antibodies are usually detectable in the blood, indicating a recent or ongoing infection. IgG antibodies (choice A) are produced later in the immune response and indicate past infection or immunity. IgA (choice B) is more commonly associated with mucosal immunity and may not be as prominent in the early stages of systemic infections. IgD (choice C) is primarily found on the surface of B cells and is involved in B cell activation but is not typically used as a marker for acute infections like IgM.
Question 5 of 9
A blood culture from a patient with sepsis revealed Gram-positive cocci in clusters. The bacteria were catalase-positive and coagulase-negative. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus epidermidis. This is supported by the characteristics of Gram-positive cocci in clusters, catalase-positive, and coagulase-negative. Staphylococcus epidermidis fits all these criteria, as it is a common skin commensal that can cause infections in immunocompromised individuals. Staphylococcus aureus (choice B) is catalase-positive and coagulase-positive. Streptococcus pyogenes (choice C) is catalase-negative. Enterococcus faecalis (choice D) is catalase-negative and not typically seen in clusters. Therefore, based on the given information, Staphylococcus epidermidis is the most likely causative agent.
Question 6 of 9
During examination of a 3-month old infant a pediatrician revealed that the baby's oral mucosa and tongue were covered with a thick white deposit. In the material taken from the affected site a bacteriologist revealed the presence of yeast fungi giving the reasons for suspecting a fungal infection which occurs most often in children of this age, namely:
Correct Answer: A
Rationale: The correct answer is A: Candidiasis. In infants, a thick white deposit on the oral mucosa and tongue is indicative of oral thrush, which is caused by the yeast fungus Candida. Infants are particularly susceptible to Candidiasis due to their developing immune systems and use of antibiotics. Favus (B) is a chronic fungal infection of the scalp caused by Trichophyton schoenleinii, typically not seen in infants. Epidermophytosis (C) refers to superficial fungal infections of the skin caused by dermatophytes, not commonly found in the oral cavity of infants. Actinomycosis (D) is a bacterial infection caused by Actinomyces species, not a fungal infection.
Question 7 of 9
Transduction is:
Correct Answer: B
Rationale: Transduction is the transfer of genetic material between bacterial cells with the help of a phage (virus). This process involves a phage infecting a bacterial cell, replicating inside it, and then transferring bacterial DNA along with phage DNA to another bacterial cell. This is different from transformation (choice A) which involves the uptake of naked DNA by a bacterial cell and plasmid transfer (choice C) which involves the transfer of small, circular DNA molecules. Therefore, the correct answer is B because it specifically describes the process of transduction in bacteria, while choices A and C describe different mechanisms of genetic transfer.
Question 8 of 9
A patient was admitted to the hospital on the 7th day of the disease with complaints of high temperature, headache, pain in the muscles, especially in calf muscles. Dermal integuments and scleras are icteric. There is hemorrhagic rash on the skin. Urine is bloody. The patient was fishing two weeks ago. What is the most likely diagnosis?
Correct Answer: A
Rationale: The most likely diagnosis is A: Leptospirosis. Leptospirosis is caused by the spirochete Leptospira interrogans and is commonly transmitted through contact with water contaminated by animal urine, such as in this case of fishing. The symptoms described match those of leptospirosis, including high fever, headache, muscle pain, jaundice, hemorrhagic rash, and bloody urine. The calf muscle pain is a characteristic symptom of leptospirosis known as "Weil's disease." Yersiniosis (B) typically presents with abdominal symptoms, Salmonellosis (C) with gastrointestinal symptoms, and Brucellosis (D) with flu-like symptoms. Therefore, based on the symptoms and history provided, Leptospirosis is the most likely diagnosis.
Question 9 of 9
A 4 year old child had Mantoux test. 60 hours after tuberculin introduction a focal skin hardening and redness 15 mm in diameter appeared. It was regarded as positive test. What type of hypersensitivity reaction is this test based upon?
Correct Answer: A
Rationale: The correct answer is A: Delayed-type hypersensitivity. The Mantoux test is a type IV hypersensitivity reaction, which is also known as delayed-type hypersensitivity. This reaction typically occurs 48-72 hours after exposure to an antigen, such as tuberculin in this case. The focal skin hardening and redness that appeared 60 hours after tuberculin introduction align with the timeline and characteristics of a delayed-type hypersensitivity reaction. Summary: - Choice A (Delayed-type hypersensitivity): Correct, as explained above. - Choice B (Immune complex-mediated hypersensitivity): Incorrect, as this reaction involves immune complexes and typically presents with tissue damage and inflammation. - Choice C (Complement-mediated cytotoxic hypersensitivity): Incorrect, as this reaction involves the activation of complement proteins leading to cell lysis. - Choice D (Immediate hypersensitivity): Incorrect, as this reaction, such as in allergies, occurs within minutes to hours of exposure to an antigen and involves IgE-mediated mast