ATI RN
microbiology chapter 14 test bank Questions
Question 1 of 9
Which bacteria is commonly associated with urinary tract infections (UTIs)?
Correct Answer: A
Rationale: The correct answer is A: Escherichia coli. E. coli is commonly associated with UTIs due to its ability to colonize the urinary tract. It possesses adhesins that allow it to attach to the bladder wall, causing infection. E. coli is also a common inhabitant of the intestinal tract, making it easily able to migrate to the urinary system. Explanation of incorrect choices: B: Clostridium botulinum - This bacterium causes botulism, a rare foodborne illness, not UTIs. C: Staphylococcus aureus - Often associated with skin infections and abscesses, not UTIs. D: Bacillus cereus - Known for causing food poisoning, not UTIs.
Question 2 of 9
A smear of a patient's sputum suspected for tuberculosis was prepared and stained. The smear showed red bacilli against a blue background. What staining method was used?
Correct Answer: A
Rationale: The correct answer is A: Ziehl-Neelsen staining method. This method is used to detect acid-fast bacteria like Mycobacterium tuberculosis. Step-by-step rationale: 1. Acid-fast bacteria resist decolorization with acid-alcohol. 2. The red bacilli seen in the smear indicate acid-fast bacteria. 3. Ziehl-Neelsen stain uses carbol fuchsin to stain acid-fast bacteria red. 4. The blue background is likely the counterstain methylene blue. Incorrect choices: B: Gram stain is for categorizing bacteria into Gram-positive or Gram-negative, not specific for acid-fast bacteria. C: Giemsa stain is used for blood films and detecting parasites, not acid-fast bacteria. D: Neisser stain is not a standard microbiological staining method.
Question 3 of 9
Agents associated with human disease but generally not a serious health risk are classified in which of the following risk groups?
Correct Answer: B
Rationale: The correct answer is B: RG2. RG2 is appropriate for agents associated with human disease that pose a moderate health risk. These agents may cause disease of varying severity, but generally do not result in serious health consequences. Other choices are incorrect because: A: RG1 is for agents not associated with disease in healthy adults, C: RG3 is for agents associated with serious or lethal human disease, and D: RG4 is for agents that pose a high risk of life-threatening disease and for which there are no treatments.
Question 4 of 9
Viruses that are mainly transmitted through sexual contact are:
Correct Answer: C
Rationale: The correct answer is C: Papillomaviruses. Papillomaviruses are primarily transmitted through sexual contact, as they infect the skin and mucous membranes of the genital area. This transmission route is well-documented through research and epidemiological studies. Arenaviruses (A) are primarily transmitted through contact with infected rodents, not sexual contact. Togaviruses (B) are mainly transmitted by mosquitoes and ticks. Polyomaviruses (D) are typically spread through respiratory secretions or contaminated urine, not through sexual contact. Therefore, the most appropriate choice for viruses transmitted mainly through sexual contact is Papillomaviruses (C).
Question 5 of 9
A man died from an acute infectious disease accompanied by fever, jaundice, haemorrhagic rash on the skin and mucous membranes as well as by acute renal insufficiency. Histological examination of renal tissue (stained by Romanovsky-Giemsa method) revealed some convoluted bacteria looking like C and S letters. What bacteria were revealed?
Correct Answer: A
Rationale: The correct answer is A: Leptospira. The key features pointing to Leptospira are the presence of convoluted bacteria resembling C and S letters, which is characteristic of Leptospira species. Leptospirosis presents with fever, jaundice, haemorrhagic rash, and acute renal insufficiency. The other choices (B: Treponema, C: Spirilla, D: Borrelia) do not match the histological description or the clinical presentation of the case. Treponema is associated with syphilis, Spirilla with genus Spirochaeta, and Borrelia with Lyme disease, none of which match the given scenario.
Question 6 of 9
The main structure components of Viruses are:
Correct Answer: C
Rationale: The correct answer is C: Nucleic acid and proteins. Viruses contain genetic material in the form of nucleic acids (DNA or RNA) surrounded by a protein coat. This genetic material carries instructions for viral replication. Proteins are also essential components of viruses, serving various functions like facilitating viral entry into host cells. Option A is incorrect as lipids are not main components of viruses. Option B is incorrect as lipids are not typically found in the main structure of viruses. Option D is incorrect as lipids are not primary components of viruses, and glycoproteins are not always present in the main structure of viruses.
Question 7 of 9
A 45-year-old patient has foul-smelling diarrhea. Stool examination revealed large ciliated protozoa with a kidney-shaped macronucleus. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Balantidium coli. This large ciliated protozoa with a kidney-shaped macronucleus is characteristic of Balantidium coli, an intestinal parasite known to cause foul-smelling diarrhea in humans. Balantidium coli is the only option among the choices that fits this specific description. Entamoeba histolytica causes amoebic dysentery, Giardia lamblia causes giardiasis, and Trichomonas hominis is a non-pathogenic protozoa found in the intestinal tract. Therefore, based on the morphology described in the question, Balantidium coli is the correct causative agent.
Question 8 of 9
For enteropathogenic E. coli is true:
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Enteropathogenic E. coli (EPEC) attach to enterocytes via a type III secretion system. 2. Once attached, they form attaching and effacing lesions on the microvilli, leading to microvillus destruction. 3. This mechanism allows EPEC to cause diarrhea by disrupting the normal absorptive function of the intestines. Summary: - B (They are invasive and produce enterotoxin) is incorrect because EPEC are non-invasive and do not produce enterotoxins. - C (Cause disease clinically similar to bacterial) is vague and does not provide specific information about EPEC pathogenesis. - D (None of the above) is incorrect as A is the correct explanation for EPEC pathogenicity.
Question 9 of 9
Production of RNA and DNA is called
Correct Answer: D
Rationale: The correct answer is D: Transcription. This is the process where the DNA sequence is copied into an RNA molecule. It is the initial step in gene expression. A: RNA splicing is the process of removing introns from pre-mRNA to create a mature mRNA molecule. B: Translation is the process of synthesizing proteins using the information from mRNA. C: Transposition is the movement of genetic elements within a genome. In summary, transcription specifically refers to the synthesis of RNA from DNA, making it the correct choice compared to the other options.