ATI RN
microbiology a systems approach test bank Questions
Question 1 of 9
Which of the following bacteria is associated with causing bacterial meningitis?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Neisseria meningitidis, Haemophilus influenzae, and Streptococcus pneumoniae are all bacteria associated with causing bacterial meningitis. Neisseria meningitidis commonly causes meningococcal meningitis, Haemophilus influenzae can cause H. influenzae type b meningitis, and Streptococcus pneumoniae is a common cause of pneumococcal meningitis. Therefore, all three bacteria are known to be causative agents of bacterial meningitis. The other choices are incorrect as they do not encompass all the bacteria associated with causing bacterial meningitis.
Question 2 of 9
A patient with convulsive contractions of facial muscles was admitted to the infectious disease ward. From a scratch on his lower right extremity analysts isolated bacteria with terminal endospores that gave them drumstick appearance. What bacteria are compliant with given description?
Correct Answer: A
Rationale: Step-by-step rationale for the correct answer (A - Clostridium tetani): 1. The patient has convulsive contractions of facial muscles, indicating tetanus. 2. Isolation of bacteria with terminal endospores that have a drumstick appearance is characteristic of Clostridium tetani. 3. Clostridium tetani produces tetanospasmin toxin causing muscle spasms. 4. Therefore, the correct answer is Clostridium tetani (A). Summary of why other choices are incorrect: B: Clostridium botulinum causes botulism, not tetanus. C: Clostridium perfringens causes gas gangrene, not tetanus. D: Bacillus anthracis causes anthrax, not tetanus.
Question 3 of 9
A bacteriological laboratory has been investigating a sample of homemade dried fish that was the cause of severe food poisoning. Microscopy of the culture inoculated in Kitt-Tarozzi medium revealed microorganisms resembling a tennis racket. What diagnosis can be made?
Correct Answer: A
Rationale: The correct answer is A: Botulism. The tennis racket appearance seen under the microscope is characteristic of Clostridium botulinum, the bacterium responsible for botulism. This bacterium produces spores that resemble a tennis racket shape. Botulism is a type of food poisoning caused by the ingestion of the toxin produced by Clostridium botulinum. Summary: B: Salmonellosis is caused by Salmonella bacteria, which do not exhibit a tennis racket appearance. C: Cholera is caused by Vibrio cholerae, which also does not resemble a tennis racket under the microscope. D: Dysentery is typically caused by bacteria such as Shigella or Entamoeba histolytica, neither of which exhibit the characteristic tennis racket appearance.
Question 4 of 9
After starting treatment for pulmonary tuberculosis a patient complained about red tears and urine. What drug could cause such changes?
Correct Answer: A
Rationale: The correct answer is A: Rifampicin. Rifampicin is known to cause red discoloration of bodily fluids, including tears and urine, due to its side effect of harmless color changes. Benzylpenicillins (B and C) and Biseptol-480 do not typically cause such discoloration. Rifampicin's mechanism of action involves binding to bacterial RNA polymerase, leading to inhibition of RNA synthesis, which is unrelated to the mechanism of the other drugs. Thus, based on the unique side effect profile of Rifampicin and its mechanism of action, it is the most likely drug causing red tears and urine in this scenario.
Question 5 of 9
The food preparation process in which not all microorganisms are killed, but the number of microbes capable of spoiling the food or causing disease is reduced, is called
Correct Answer: B
Rationale: The correct answer is B: pasteurization. This process involves heating food to a specific temperature to kill harmful bacteria while preserving the flavor and quality of the food. Sanitation (A) refers to maintaining cleanliness to prevent contamination. Disinfection (C) involves killing most, but not all, microbes on surfaces. Purification (D) typically refers to the process of removing impurities, not specifically targeting microbes. In this case, pasteurization best describes the process of reducing harmful microbes in food without completely eliminating all microorganisms.
Question 6 of 9
A fecal smear from a patient with chronic diarrhea revealed cysts with four nuclei. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Entamoeba histolytica. This protozoan parasite causes amoebic dysentery and is characterized by cysts with four nuclei in fecal smears. It is commonly associated with chronic diarrhea. Balantidium coli (B) presents with large ciliated trophozoites, not cysts. Giardia lamblia (C) has trophozoites with flagella and causes giardiasis, not cysts with four nuclei. Trichomonas hominis (D) typically has a pear-shaped trophozoite and is not associated with cysts with four nuclei.
Question 7 of 9
The following spore-forming bacteria can be preserved in soil over a long period of time: clostridia of tetanus, botulism, anaerobic gas infection. Name the way with which these microorganisms get into soil.
Correct Answer: A
Rationale: Step 1: Clostridia of tetanus, botulism, anaerobic gas infection are spore-forming bacteria. Step 2: Spores are resistant structures that allow bacteria to survive in harsh conditions. Step 3: Feces contain these spore-forming bacteria due to contamination. Step 4: When feces are deposited on soil, the spores of these bacteria enter the soil. Step 5: Spores can remain dormant in soil for long periods. Summary: Choice A is correct as spore-forming bacteria enter soil through feces, which act as a source of contamination. Choices B, C, and D are incorrect as they do not involve the direct introduction of spores into soil like feces do.
Question 8 of 9
What is the role of coagulase in bacteria like Staphylococcus aureus?
Correct Answer: C
Rationale: The correct answer is C because coagulase helps bacteria like Staphylococcus aureus to form clots, allowing them to evade the host immune response. This mechanism helps the bacteria to hide from the immune system and establish infection. A. Adhesion to surfaces is usually facilitated by other factors like adhesins. B. Breaking down red blood cells is not a function of coagulase. D. Antibiotic resistance is typically mediated by other mechanisms like efflux pumps or enzymatic inactivation, not coagulase.
Question 9 of 9
Which of the following bacteria is responsible for causing syphilis?
Correct Answer: A
Rationale: Step 1: Treponema pallidum is a spirochete bacterium known to cause syphilis. Step 2: It is sexually transmitted and can cause various stages of disease. Step 3: Neisseria gonorrhoeae causes gonorrhea, not syphilis. Step 4: Chlamydia trachomatis causes chlamydia, not syphilis. Step 5: Escherichia coli is a common gut bacterium and not responsible for syphilis. Treponema pallidum is the correct answer as it is the specific bacterium known to cause syphilis.