ATI RN
microbiology an evolving science test bank Questions
Question 1 of 5
Which of the following antibodies is synthesized by the infant soon after birth?
Correct Answer: B
Rationale: The correct answer is B: IgM. IgM is the first antibody synthesized by the infant soon after birth. It is produced by B cells in response to initial exposure to antigens. IgA is mainly found in mucosal areas, IgG is transferred from mother to fetus, and IgD functions in the early stages of B cell development. Therefore, IgM is the most suitable choice as the antibody synthesized by the infant soon after birth.
Question 2 of 5
A patient had been provisionally diagnosed with syphilis. A laboratory assistant took the blood serum for an immunologic test based on the detection of antibodies preventing the movement of treponemas and causing their death. What reaction was used for the diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Immobilization. This technique is called the Treponema pallidum immobilization (TPI) test, used to diagnose syphilis. The rationale is as follows: 1. TPI test detects antibodies that prevent the movement of treponemas, causing their death. 2. By immobilizing the treponemas, it indicates the presence of specific antibodies against syphilis. 3. This test is highly specific for syphilis diagnosis as it directly targets the causative agent. Other choices are incorrect: B: Complement binding - Not specific to syphilis, more commonly used for other diseases. C: Agglutination - Detects clumping of particles, not specific to treponemas or syphilis. D: Precipitation - Involves the formation of a solid, not directly related to treponema movement or death.
Question 3 of 5
Which bacteria are known to produce an endotoxin that can cause septic shock?
Correct Answer: D
Rationale: The correct answer is D because all three bacteria (Salmonella enterica, Escherichia coli, Pseudomonas aeruginosa) are known to produce endotoxins, specifically lipopolysaccharides in their cell walls. Endotoxins are released upon bacterial cell death and can trigger an immune response, leading to septic shock. Salmonella and E. coli are common causes of bacterial infections, while Pseudomonas is associated with nosocomial infections. Therefore, all of the above choices are correct in terms of producing endotoxins that can cause septic shock. Choices A, B, and C are incorrect individually because they do not encompass all the bacteria known to produce endotoxins that can lead to septic shock.
Question 4 of 5
A bacteriophage is a(n) ____________ virus.
Correct Answer: D
Rationale: The correct answer is D: complex. Bacteriophages are considered complex viruses because they have a complex structure consisting of a polyhedral head, a helical tail, and tail fibers. The head contains the viral genetic material, while the tail facilitates attachment to the host bacterial cell. This complexity distinguishes bacteriophages from simpler viruses like helical and icosahedral viruses. Helical viruses have a rod-like shape, while icosahedral viruses have a symmetrical, 20-sided structure. Enveloped viruses have a lipid bilayer envelope surrounding their capsid, which bacteriophages lack. Therefore, the unique and intricate structure of bacteriophages classifies them as complex viruses.
Question 5 of 5
A patient with abdominal pain and diarrhea had a stool culture revealing non-lactose-fermenting, Gram-negative rods. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Shigella dysenteriae. Shigella causes dysentery, characterized by bloody diarrhea and abdominal pain. Shigella is a non-lactose-fermenting, Gram-negative rod. B: Salmonella typhi causes typhoid fever, not typically associated with abdominal pain and diarrhea. C: Escherichia coli, a common gut bacteria, can cause diarrhea but typically ferments lactose. D: Proteus vulgaris is not a common cause of gastrointestinal infection and is not typically associated with abdominal pain and diarrhea.
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