Which bacterium is responsible for causing pneumonia?

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Question 1 of 9

Which bacterium is responsible for causing pneumonia?

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is the most common cause of bacterial pneumonia in adults. It is a leading cause of community-acquired pneumonia. Streptococcus pneumoniae is known for its ability to infect the respiratory tract and cause inflammation in the lungs leading to pneumonia. Mycobacterium tuberculosis causes tuberculosis, not pneumonia. Escherichia coli is associated with urinary tract infections and gastrointestinal illnesses, not pneumonia. Clostridium botulinum causes botulism, a severe form of food poisoning, but not pneumonia. Therefore, the correct choice is Streptococcus pneumoniae as it is specifically known for causing pneumonia.

Question 2 of 9

Which of the following media is used to isolate Neisseria gonorrhoeae?

Correct Answer: B

Rationale: The correct answer is B: Thayer-Martin agar. This selective media contains antibiotics that inhibit the growth of other organisms while allowing Neisseria gonorrhoeae to grow. The antibiotics in Thayer-Martin agar include vancomycin, colistin, nystatin, and trimethoprim, which target different types of bacteria, ensuring the isolation of N. gonorrhoeae. Phenylethyl alcohol agar (A) is used to isolate gram-positive organisms, not N. gonorrhoeae. MacConkey agar (C) is selective for gram-negative enteric bacteria. Mannitol salt agar (D) is used for isolating Staphylococcus species based on their ability to ferment mannitol.

Question 3 of 9

A patient working at a pig farm complains about paroxysmal abdominal pain, liquid feces with admixtures of mucus and blood, headache, weakness, fever. Examination of large intestine revealed ulcers from 1 mm up to several cm large, feces contained oval unicellular organisms with cilia. What disease should be suspected?

Correct Answer: A

Rationale: Rationale: The symptoms described are consistent with Balantidiasis, caused by the parasite Balantidium coli. The presence of ciliated oval organisms in the feces is characteristic of this disease. Ulcers in the large intestine are common in Balantidiasis due to tissue invasion by the parasite. Headache, fever, and abdominal pain are typical symptoms. Other choices can be ruled out: B) Amebiasis presents with similar symptoms but usually involves the liver. C) Toxoplasmosis typically presents with lymphadenopathy and flu-like symptoms. D) Lambliasis usually causes watery diarrhea without blood or mucus. Therefore, the correct answer is A: Balantidiasis.

Question 4 of 9

A child with diarrhea had stool microscopy revealing cysts with four nuclei. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This pathogen is known to cause amoebic dysentery, characterized by diarrhea with bloody or mucoid stools. The presence of cysts with four nuclei in the stool microscopy is a characteristic feature of Entamoeba histolytica. Other choices are incorrect because Giardia lamblia typically presents with binucleate cysts, Balantidium coli is a ciliated protozoan, and Trichomonas hominis is a non-pathogenic parasite found in the human intestine.

Question 5 of 9

How soon do symptoms typically appear after a person is infected with rabies virus

Correct Answer: D

Rationale: The correct answer is D: 1-2 years. Rabies has a long incubation period before symptoms appear due to the slow progression of the virus within the body. The virus travels along nerve fibers to the brain, which can take months to years. During this time, the virus replicates and spreads, eventually leading to symptoms. Choices A, B, and C are incorrect as they underestimate the incubation period of rabies. Symptoms typically do not appear as early as 48 hours, 1 week, or 1 month after infection with the rabies virus.

Question 6 of 9

Which of the following statements is FALSE regarding B cells?

Correct Answer: B

Rationale: B cells develop in the bone marrow, not the thymus. Firstly, hematopoietic stem cells in the bone marrow give rise to B cells. They undergo maturation and selection processes in the bone marrow, not in the thymus. Therefore, choice B is false. On the other hand, choices A, C, and D are correct. A is true because B cells with high affinity to self-antigens undergo apoptosis to prevent autoimmunity. C is true since B cells synthesize antibodies which can be displayed on their surface as B cell receptors. D is true because B cells can undergo class switching to produce different types of antibodies based on the immune response requirements.

Question 7 of 9

Which structure is used by bacteria for movement?

Correct Answer: B

Rationale: The correct answer is B: Flagella. Flagella are whip-like appendages used by bacteria for movement. They rotate in a corkscrew motion to propel the bacteria through their environment. Pili (choice A) are hair-like structures used for attachment, not movement. Capsules (choice C) are protective layers around bacteria, not involved in movement. Fimbriae (choice D) are also used for attachment and biofilm formation, not for movement. Therefore, the correct choice is B as flagella are specifically adapted for bacterial motility.

Question 8 of 9

Which type of bacteria can survive in extreme salty environments?

Correct Answer: B

Rationale: The correct answer is B: Halophiles. Halophiles are bacteria that can survive in extreme salty environments. They have adapted to thrive in high salt concentrations. Psychrophiles (A) thrive in cold temperatures, Thermophiles (C) thrive in high temperatures, and Mesophiles (D) thrive in moderate temperatures. Therefore, they are not adapted to survive in extreme salty environments like Halophiles.

Question 9 of 9

After a prolonged isoniazid treatment, the patient developed polyneuritis, paresthesia, memory disorders, and convulsions. What is the most likely mechanism of the described isoniazid side-effects?

Correct Answer: D

Rationale: The correct answer is D. Isoniazid inhibits pyridoxal phosphate synthesis, which is the active form of vitamin B6. Pyridoxal phosphate is essential for various enzymatic reactions, including neurotransmitter synthesis and myelin formation. Therefore, isoniazid-induced pyridoxal phosphate deficiency can lead to neurological symptoms like polyneuritis, paresthesia, memory disorders, and convulsions. A: Disruption of cell membrane synthesis - This is not the mechanism of isoniazid side-effects. B: Inhibition of protein synthesis - Isoniazid does not directly inhibit protein synthesis. C: Inhibition of RNA-synthesis - Isoniazid does not inhibit RNA synthesis; it affects vitamin B6 metabolism.

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