ATI RN
mastering microbiology test bank Questions
Question 1 of 9
Which of the following bacteria is a common cause of pneumonia?
Correct Answer: D
Rationale: The correct answer is D: All of the above. - Streptococcus pneumoniae is a common cause of community-acquired pneumonia. - Mycobacterium tuberculosis can cause pulmonary tuberculosis, which can present as pneumonia-like symptoms. - Pseudomonas aeruginosa is an opportunistic pathogen that can cause pneumonia in immunocompromised individuals. Therefore, all three bacteria can cause pneumonia, making option D the correct choice. Options A, B, and C are incorrect because they each represent a bacterium that can cause pneumonia, so only selecting one of them would not encompass all common causes of pneumonia.
Question 2 of 9
Which of the following is a folate antagonist?
Correct Answer: B
Rationale: The correct answer is B: Trimethoprim. Trimethoprim is a folate antagonist that inhibits dihydrofolate reductase, an enzyme essential for folate metabolism in bacteria. This disrupts bacterial DNA synthesis, leading to bacteriostatic effects. Methyl Penicillin (A) is a beta-lactam antibiotic that interferes with bacterial cell wall synthesis. Vancomycin (C) inhibits cell wall synthesis by binding to D-Ala-D-Ala terminus of cell wall precursors. Gentamicin (D) inhibits bacterial protein synthesis by binding to the 30S subunit of the bacterial ribosome.
Question 3 of 9
Which of the following is a feature of Gram-negative bacteria?
Correct Answer: B
Rationale: The correct answer is B: Outer membrane with lipopolysaccharides. Gram-negative bacteria have an outer membrane containing lipopolysaccharides (LPS), which are important in pathogenesis and immune response. This feature is unique to Gram-negative bacteria, distinguishing them from Gram-positive bacteria (choice A). Teichoic acids (choice C) are found in the cell walls of Gram-positive bacteria, not Gram-negative. The statement in choice D, absence of a cell wall, is incorrect as all bacteria have a cell wall, although the composition may vary between Gram-negative and Gram-positive bacteria.
Question 4 of 9
A patient has a suspected pneumonia. In his sputum there were revealed gram-positive diplococci, prolonged with the slightly pointed opposite ends. What microorganisms are revealed in the sputum?
Correct Answer: A
Rationale: Rationale: The description matches that of Streptococcus pneumoniae, which appears as gram-positive diplococci with slightly pointed opposite ends. Staphylococcus aureus, Neisseria gonorrhoeae, and Neisseria meningitidis do not match the specific characteristics described in the question. Staphylococcus aureus appears in grape-like clusters, while Neisseria species are typically seen as diplococci but lack the pointed shape described. Therefore, the correct answer is A: Staphylococcus aureus.
Question 5 of 9
The Staphylococcus aureus toxin, which can cause scalded skin syndrome (SSS), is:
Correct Answer: D
Rationale: The correct answer is D: epidermolytic toxin. This toxin specifically targets the epidermis, leading to exfoliation seen in scalded skin syndrome (SSS). Hemolysis (A) refers to the destruction of red blood cells, not relevant to SSS. Enterotoxins (B) cause food poisoning, not SSS. Leucocidins (C) target white blood cells, not pertinent to SSS. Therefore, the epidermolytic toxin (D) is the correct choice for causing SSS.
Question 6 of 9
A centrifugate of urine sample obtained from patient with suspected renal tuberculosis was used to make a slide mount for microscopy. What method should be used to stain the slide and detect the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Zielh-Neelsen stain. This stain is specifically used to detect acid-fast bacteria like Mycobacterium tuberculosis, the causative agent of renal tuberculosis. The staining process involves using carbol fuchsin to penetrate the mycolic acid layer of the bacterial cell wall, making it resistant to decolorization with acid-alcohol. This allows the red stained bacteria to be visualized under a microscope. Loeffler stain (B) is used for staining bacteria like diphtheria bacilli, Gram stain (C) is used for bacterial classification based on cell wall properties, and Aujeszky stain (D) is not a recognized staining method for detecting acid-fast bacteria.
Question 7 of 9
The virus most commonly transmitted during pregnancy is:
Correct Answer: A
Rationale: The correct answer is A: cytomegalovirus. CMV is the most common virus transmitted during pregnancy, leading to potential serious complications for the fetus. It can cause birth defects, hearing loss, and developmental delays. CMV is commonly spread through bodily fluids. HIV (B) can also be transmitted during pregnancy but is less common. Herpes simplex virus (C) can be transmitted but typically results in localized infection. Epstein-Barr virus (D) is not commonly transmitted during pregnancy.
Question 8 of 9
Rod-shaped bacteria, some of which are endospore forming, are referred to as:
Correct Answer: B
Rationale: The correct answer is B. Bacilli are rod-shaped bacteria, some of which are endospore forming. Cocci are spherical, spirals are spiral-shaped, and vibrios are curved rod-shaped bacteria. Bacilli specifically refer to rod-shaped bacteria, making it the correct answer in this context.
Question 9 of 9
Microscopy of a wound abscess revealed Gram-negative rods producing blue-green pigment with a distinctive odor of jasmine. What is the likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is known for producing a blue-green pigment called pyocyanin, which gives the characteristic color seen in the wound abscess. The distinctive odor of jasmine is also a key feature of Pseudomonas aeruginosa. Proteus vulgaris (B) and Klebsiella pneumoniae (D) do not produce blue-green pigment or have a jasmine-like odor. Escherichia coli (C) typically does not produce blue-green pigment or have a jasmine-like odor.