ATI RN
microbiology chapter 12 test bank Questions
Question 1 of 9
Which of the following bacteria is known for causing pneumonia?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This bacteria is known for causing pneumonia due to its ability to infect the lungs and cause inflammation leading to pneumonia symptoms. It is a common cause of community-acquired pneumonia. Mycobacterium tuberculosis (B) causes tuberculosis, not pneumonia. Escherichia coli (C) is associated with urinary tract infections and gastrointestinal infections, not pneumonia. Pseudomonas aeruginosa (D) is known to cause infections in immunocompromised individuals but is not a common cause of pneumonia.
Question 2 of 9
A sputum sample from a patient with pneumonia revealed Gram-positive cocci in pairs with a capsule. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is the most likely causative agent for pneumonia in this case due to the presence of Gram-positive cocci in pairs with a capsule, which is a typical characteristic of S. pneumoniae. This pathogen is a common cause of community-acquired pneumonia and is known for its encapsulated morphology. Staphylococcus aureus (B) is a Gram-positive cocci but does not typically present in pairs with a capsule in pneumonia cases. Klebsiella pneumoniae (C) is a Gram-negative bacterium and does not match the description provided. Pseudomonas aeruginosa (D) is a Gram-negative bacterium that is not typically associated with Gram-positive cocci in pneumonia samples.
Question 3 of 9
A patient with diarrhea had stool culture revealing non-lactose-fermenting, Gram-negative rods. The bacteria produced gas in a nutrient broth. What is the most likely causative agent?
Correct Answer: D
Rationale: The correct answer is D: Proteus vulgaris. Non-lactose-fermenting, Gram-negative rods that produce gas in a nutrient broth are characteristic of Proteus species. Proteus vulgaris is known for its swarming motility and ability to produce hydrogen sulfide gas. Salmonella typhi and Shigella dysenteriae are Enterobacteriaceae that do not produce gas in a nutrient broth. Escherichia coli is a lactose-fermenting bacterium and would not be expected to produce gas in a nutrient broth.
Question 4 of 9
A fecal smear from a patient with chronic diarrhea revealed cysts with four nuclei. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Entamoeba histolytica. The presence of cysts with four nuclei is characteristic of Entamoeba histolytica, a protozoan parasite causing amoebic dysentery. It forms cysts with four nuclei before maturing into trophozoites. Balantidium coli (B) is a ciliated protozoan causing balantidiasis, not known for four-nuclei cysts. Giardia lamblia (C) forms cysts with two nuclei, causing giardiasis. Trichomonas hominis (D) is a non-pathogenic flagellate found in the human colon, not associated with four-nuclei cysts.
Question 5 of 9
All the statements about Pseudomonas aeruginosa are correct, EXCEPT:
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 6 of 9
Shigella sonnei can escape phagocytic clearance by which mechanism?
Correct Answer: A
Rationale: The correct answer is A because Shigella sonnei escapes phagocytic clearance by lysing the phagosome and replicating in the cytoplasm. This allows the bacterium to avoid being destroyed by the acidic environment and enzymes in the phagolysosome. Choice B is incorrect as Shigella does not have a capsule. Choice C is incorrect because Shigella actually induces phagosome-lysosome fusion to facilitate its escape. Choice D is incorrect as protein A is a component of Staphylococcus aureus, not Shigella sonnei.
Question 7 of 9
What is the mechanism of action of the exotoxin C. Diphtheriae?
Correct Answer: C
Rationale: The correct answer is C: Inhibits protein synthesis. Exotoxin of C. Diphtheriae acts by inhibiting protein synthesis in host cells. This disrupts cellular functions and leads to tissue damage. Choice A is incorrect because acetylcholine release is not affected. Choice B is incorrect as it does not involve neurotransmitters. Choice D is incorrect as the exotoxin does have a specific mechanism.
Question 8 of 9
A Gram-stained sputum smear revealed Gram-positive rods in chains with central spores. The patient presented with severe pneumonia. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Bacillus anthracis. The presence of Gram-positive rods in chains with central spores on the Gram stain indicates Bacillus anthracis. This bacterium is known to cause severe pneumonia. Clostridium tetani does not typically cause pneumonia but rather tetanus. Streptococcus pneumoniae is a Gram-positive cocci, not rods. Klebsiella pneumoniae is a Gram-negative bacterium commonly associated with pneumonia, but it does not form central spores.
Question 9 of 9
Bacillary dysentery is also called:
Correct Answer: B
Rationale: Bacillary dysentery is caused by the bacterium Shigella, hence it is also known as shigellosis. Shigella is the primary pathogen responsible for this infectious disease, leading to severe diarrhea with blood and mucus. Salmonellosis (A) is caused by Salmonella bacteria, not Shigella. Typhoid fever (C) is caused by Salmonella typhi, not Shigella. Campylobacteriosis (D) is caused by Campylobacter bacteria, not Shigella. Therefore, the correct answer is B because Shigella is the specific bacterium associated with bacillary dysentery.