ATI RN
microbiology chapter 1 test bank Questions
Question 1 of 9
Which bacteria are known for causing hospital-acquired infections?
Correct Answer: D
Rationale: The correct answer is D. Staphylococcus aureus, Escherichia coli, and Clostridium difficile are all known for causing hospital-acquired infections. Staphylococcus aureus can cause skin infections and pneumonia. Escherichia coli can lead to urinary tract infections. Clostridium difficile is associated with gastrointestinal infections. Each of these bacteria has been linked to healthcare-associated infections due to their ability to spread in healthcare settings. Therefore, the correct answer is D. Choices A, B, and C are incorrect because each of these bacteria individually is known to cause hospital-acquired infections.
Question 2 of 9
Saprophytic microorganism from the environment, which can cause exogenous infections and diseases only when the host is severely damaged, are called:
Correct Answer:
Rationale: Correct Answer: C: opportunists Rationale: 1. Opportunistic microorganisms cause infections only when the host's immune system is compromised. 2. They are typically harmless in healthy individuals but can become pathogenic in weakened hosts. 3. Saprophytic microorganisms are environmental decomposers, not inherently pathogenic. 4. Facultative pathogens can cause disease in both healthy and compromised hosts. 5. Obligate pathogens always cause disease regardless of the host's condition. Summary: A: Facultative pathogens can cause disease in healthy hosts. B: Saprophytes are not inherently pathogenic. D: Obligate pathogens always cause disease.
Question 3 of 9
A patient with a respiratory infection had sputum cultured on Endo agar, revealing green colonies. The bacteria were Gram-negative rods. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is known to produce green colonies on Endo agar due to its pyoverdin pigment. It is also a Gram-negative rod. P. aeruginosa commonly causes respiratory infections in immunocompromised patients. Escherichia coli (B) typically produces pink colonies on Endo agar and is more associated with gastrointestinal infections. Salmonella typhi (C) and Shigella dysenteriae (D) are both Enterobacteriaceae that usually do not produce green colonies on Endo agar and are more associated with gastrointestinal infections as well.
Question 4 of 9
A stool sample from a patient with severe diarrhea revealed non-lactose-fermenting, Gram-negative rods on Endo agar. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Shigella dysenteriae. It is the likely causative agent because it is a non-lactose-fermenting, Gram-negative rod commonly associated with severe diarrhea. Shigella dysenteriae specifically causes bacillary dysentery. Other choices are incorrect because: B: Escherichia coli is a lactose-fermenting bacterium commonly found in the gut and not typically associated with severe diarrhea. C: Salmonella typhi causes typhoid fever, not severe diarrhea. D: Proteus mirabilis is a urease-positive bacterium associated with urinary tract infections, not severe diarrhea.
Question 5 of 9
The capsule of the bacteria is composed of:
Correct Answer: B
Rationale: The correct answer is B because the capsule of bacteria is mainly composed of polysaccharides or polypeptides. This outer layer helps bacteria evade the host's immune system and protects them from desiccation. Peptidoglycan (choice A) is a component of the bacterial cell wall, not the capsule. Flagellin (choice C) is a protein component of the bacterial flagella, not the capsule. Choice D is incorrect as the capsule is indeed composed of polysaccharides or polypeptides.
Question 6 of 9
From urine of a 14-year-old boy with the exacerbation of secondary obstructive pyelonephritis Pseudomonas aeruginosa was isolated with a titer of 1000000 microbes per 1 ml. Which antibiotic is most advisable to be administered in this case?
Correct Answer: A
Rationale: The correct answer is A: Ciprofloxacin. Pseudomonas aeruginosa is commonly resistant to Ampicillin, Cefazolinum, and Azithromycin. Ciprofloxacin is a fluoroquinolone antibiotic known for its efficacy against Pseudomonas aeruginosa. Its broad spectrum and ability to penetrate tissues make it the most advisable choice for treating secondary obstructive pyelonephritis caused by this pathogen.
Question 7 of 9
The most common viruses causing respiratory illness belong to
Correct Answer: C
Rationale: Step-by-step rationale for why choice C (Adenoviridae) is correct: 1. Adenoviruses commonly cause respiratory illnesses such as the common cold and bronchitis. 2. They are highly contagious and easily spread through respiratory secretions. 3. Adenoviruses are a common cause of viral conjunctivitis as well. 4. Other choices are incorrect because herpesviruses (choice A) typically cause different types of infections, papovaviruses (choice B) are not common respiratory pathogens, and poxviruses (choice D) are not typically associated with respiratory illnesses.
Question 8 of 9
Patient with vomiting, dizziness, sensation of dubble vision, difficult swallowing was admitted to the hospital. Doctor suspects botulism. What diagnostic methods should be used for diagnosis approving?
Correct Answer: C
Rationale: The correct answer is C: Biological test, bacteriological. Botulism is caused by the toxin produced by Clostridium botulinum bacteria. To diagnose botulism, biological tests such as detecting the toxin in patient samples and bacteriological tests to identify the bacteria are crucial. These tests confirm the presence of the bacteria and its toxin, providing a definitive diagnosis. Choice A is incorrect as it does not specify any relevant diagnostic methods. Choice B is incorrect because mycological tests are not relevant for diagnosing botulism caused by a bacterial toxin. Choice D is incorrect as allergic tests and serological tests are not used for diagnosing botulism.
Question 9 of 9
Detection of galactomannan and free mannan is used for diagnosing
Correct Answer: A
Rationale: The correct answer is A: aspergillosis and candidiasis. Detection of galactomannan and free mannan is commonly used in diagnosing these fungal infections. Galactomannan is a component of the cell wall of Aspergillus species, while free mannan is associated with Candida species. This detection method helps in identifying these specific fungal infections accurately. B: Syphilis is caused by a bacterium, Treponema pallidum, and is not diagnosed using galactomannan or free mannan detection. C: Leptospirosis is a bacterial infection caused by the Leptospira species and is not diagnosed using galactomannan or free mannan detection. D: HIV infection is a viral infection caused by the human immunodeficiency virus and is not diagnosed using galactomannan or free mannan detection.