ATI RN
microbiology chapter 13 test bank Questions
Question 1 of 9
Which bacterium is known for producing an exotoxin that causes severe diarrhea?
Correct Answer: C
Rationale: Rationale: 1. Vibrio cholerae produces cholera toxin causing severe diarrhea. 2. Clostridium tetani causes tetanus, not diarrhea. 3. Clostridium botulinum causes botulism, not diarrhea. 4. Shigella dysenteriae causes dysentery, not typical diarrhea. Summary: A: Incorrect, causes tetanus. B: Incorrect, causes botulism. C: Correct, produces cholera toxin causing severe diarrhea. D: Incorrect, causes dysentery.
Question 2 of 9
A 10 year old child was subjected to Mantoux test (with tuberculin). 48 hours later a papule up to 8 mm in diameter appeared on the site of tuberculin injection. What type of hyperesponsiveness reaction has developed after tuberculin injection?
Correct Answer: A
Rationale: The correct answer is A: Hyperresponsiveness reaction type IV. This type of reaction, also known as delayed-type hypersensitivity, is characterized by the activation of T lymphocytes and macrophages, leading to inflammation at the site of antigen exposure. In the case of the Mantoux test, the appearance of a papule 48 hours later indicates a delayed hypersensitivity reaction mediated by T cells. Choice B: Reaction of Arthus phenomenon type is incorrect as this type of reaction involves immune complexes forming in the blood vessels leading to tissue damage, which is not the mechanism seen in the Mantoux test reaction. Choice C: Reaction of serum sickness type is incorrect as this type of reaction involves the formation of immune complexes in the blood leading to systemic symptoms like fever, rash, and joint pain, which is not typically seen in the Mantoux test reaction. Choice D: Atopic reaction is incorrect as atopic reactions involve IgE antibodies and mast cell degranulation, which are not the mechanisms
Question 3 of 9
Which bacteria is responsible for causing cholera?
Correct Answer: B
Rationale: The correct answer is B: Vibrio cholerae. Cholera is caused by this specific bacterium due to its production of cholera toxin, leading to severe watery diarrhea. Shigella dysenteriae causes dysentery, Salmonella enterica causes salmonellosis, and Clostridium perfringens causes food poisoning, none of which present with the characteristic symptoms of cholera.
Question 4 of 9
Which of the following bacteria is known for causing dental caries (cavities)?
Correct Answer: A
Rationale: Step 1: Streptococcus mutans is known for its ability to produce acids that contribute to the demineralization of tooth enamel, leading to dental caries. Step 2: Streptococcus pneumoniae is a common cause of respiratory infections, not dental caries. Step 3: Bacillus anthracis causes anthrax, a serious bacterial infection, not dental caries. Step 4: Clostridium botulinum causes botulism, a severe form of food poisoning, not dental caries. Summary: Streptococcus mutans is the correct answer as it is specifically associated with causing dental caries, while the other choices are linked to different diseases.
Question 5 of 9
How the prepared immunofluorescence slide should be examined?
Correct Answer: A
Rationale: The correct answer is A because immunofluorescence slides are examined under a fluorescence microscope with a x100 oil immersion objective. This is because immunofluorescence relies on the detection of fluorescently labeled antibodies, which emit light when excited by a specific wavelength. Using a fluorescence microscope allows for visualization of these labeled antibodies at high magnification and resolution, enabling precise examination of cellular structures and protein localization. Choice B is incorrect as light microscopes are not suitable for visualizing fluorescence. Choice C is incorrect as electron microscopes use electrons, not light, for imaging, which is not compatible with immunofluorescence. Choice D is incorrect as there is a specific method for examining immunofluorescence slides.
Question 6 of 9
The Marburg virus was originally spread by:
Correct Answer: C
Rationale: The correct answer is C: green monkeys. The Marburg virus was first identified in 1967 in Marburg and Frankfurt, Germany, after outbreaks in lab workers exposed to infected African green monkeys. These monkeys were imported from Uganda. The virus is believed to be originally endemic in certain species of African bats and is transmitted to humans through contact with infected animals. Choice A, laboratory rats, is incorrect as the virus did not originate from rats. Choice B, birds, and Choice D, wild turkeys, are also incorrect as there is no evidence linking these animals to the transmission of the Marburg virus.
Question 7 of 9
Which is the most abundant immunoglobin in a normal healthy adult
Correct Answer: A
Rationale: Step-by-step rationale: 1. IgG is the most abundant immunoglobin in a normal healthy adult due to its long half-life and diverse functions. 2. It plays a crucial role in immune response by neutralizing pathogens and enhancing phagocytosis. 3. IgA is mainly found in mucosal areas, IgE is involved in allergic reactions, and IgD's function is not fully understood. 4. Therefore, IgG is the correct answer as it is the predominant immunoglobin in circulation, providing broad immune protection.
Question 8 of 9
A 9 y.o. child has been taking antibiotics on account of bronchopneumonia for a long time. There appeared pain and burning in the area of mucous membrane of his lips and tongue. Objectively: mucous membrane of lips and tongue has caseous and grey plaques that can be easily removed by a spatula leaving hyperemia foci on their spot. Microscopic examination of the plaques revealed mycelium. What is the most probable diagnosis?
Correct Answer: A
Rationale: The most probable diagnosis is A: Candidous cheilitis. Candidous cheilitis is a fungal infection caused by Candida species. In this case, the presence of mycelium on the plaques indicates a fungal infection. The symptoms of pain, burning, and grey plaques that can be easily removed leaving hyperemia are typical for Candidous cheilitis. Choice B (Exfoliative cheilitis) is characterized by scaling and peeling of the lips, not plaques with mycelium. Choice C (Leukoplakia) is a precancerous condition causing white plaques that cannot be easily removed. Choice D (Contactant allergic cheilitis) is an allergic reaction causing inflammation, not fungal plaques.
Question 9 of 9
Bacteriological laboratory examines canned meat whether it contains botulinum toxin. For this purpose an extract of test specimen and antitoxic antibotulinic serum of A, B, E types were introduced to a group of mice under examination; a control group of mice got the extract without antibotulinic serum. What serological reaction was applied?
Correct Answer: A
Rationale: The correct answer is A: Neutralization. In this scenario, the antibotulinic serum of types A, B, and E were introduced to neutralize the botulinum toxin in the test specimen. The serological reaction applied here involves the neutralization of the toxin by the specific antibodies present in the serum. This process prevents the toxin from causing harm to the mice. Summary of other choices: B: Precipitation - This involves the formation of insoluble complexes between antigen and antibody, not the specific neutralization seen in this case. C: Complement binding - This involves activation of the complement system leading to cell lysis, not the direct neutralization of toxin. D: Double immune diffusion - This technique is used to determine the presence of specific antibodies or antigens based on their diffusion patterns, not the neutralization of toxin as seen in this scenario.