ATI RN
microbiology basic and clinical principles test bank Questions
Question 1 of 9
Which of the following bacteria is known for causing the disease tetanus?
Correct Answer: A
Rationale: The correct answer is A: Clostridium tetani. This bacterium is known for causing tetanus due to its ability to produce tetanospasmin, a neurotoxin that leads to the characteristic muscle stiffness and spasms seen in tetanus. Clostridium perfringens (Choice B) is associated with gas gangrene, Streptococcus pyogenes (Choice C) causes streptococcal infections, and Escherichia coli (Choice D) is known for causing various gastrointestinal infections. Therefore, Choices B, C, and D are incorrect as they are not the causative agents of tetanus.
Question 2 of 9
The oldest fossils of prokaryotes go back __________ billion years.
Correct Answer: B
Rationale: The correct answer is B: 3.5 to 4.0 billion years. This range aligns with the oldest known fossils of prokaryotes found in ancient rocks. Fossils dating back to this time period provide evidence of early life forms on Earth. Choices A, C, and D are incorrect because they fall outside the established timeline based on scientific evidence and fossil records. A (4.0 to 5.0 billion years) is too early for the oldest prokaryote fossils, as it predates the formation of Earth's atmosphere suitable for life. C (2.5 to 3.0 billion years) and D (2.2 to 2.7 billion years) are too recent for the oldest prokaryote fossils, as life is believed to have originated much earlier.
Question 3 of 9
A patient with a sore throat and fever had a throat culture revealing Gram-positive cocci in chains. The bacteria were beta-hemolytic. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pyogenes. 1. Gram-positive cocci in chains suggest streptococci. 2. Beta-hemolytic activity indicates Streptococcus pyogenes. 3. Streptococcus pyogenes is commonly associated with sore throat (pharyngitis) and fever. 4. Streptococcus pneumoniae (choice B) is alpha-hemolytic and mainly causes pneumonia. 5. Enterococcus faecalis (choice C) is not typically associated with sore throat. 6. Staphylococcus aureus (choice D) is not commonly beta-hemolytic and is not a typical cause of pharyngitis.
Question 4 of 9
What reaction is catalyzed by a beta-lactamase enzyme
Correct Answer: C
Rationale: The correct answer is C: the hydrolysis of the four-membered ring present in penicillin. Beta-lactamase enzyme catalyzes the hydrolysis of the four-membered beta-lactam ring present in penicillin, rendering the antibiotic ineffective against bacterial cell walls. This enzyme breaks the bond in the beta-lactam ring, thus inactivating the antibiotic. Incorrect choices: A: the final cross-linking reaction to form the bacterial cell wall - This is incorrect as beta-lactamase does not participate in the formation of bacterial cell walls. B: the biosynthesis of the penicillin structure from the amino acid valine and cysteine - This is incorrect as beta-lactamase is not involved in the biosynthesis of penicillin. D: the hydrolysis of the acyl side chain from penicillin structures - This is incorrect as beta-lactamase specifically targets the beta-lactam ring, not the
Question 5 of 9
A patient with fever and sore throat had a throat culture revealing Gram-positive cocci in chains. The bacteria were catalase-negative and beta-hemolytic. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pyogenes. 1. Gram-positive cocci in chains: characteristic of Streptococcus species. 2. Catalase-negative: Streptococcus species are catalase-negative. 3. Beta-hemolytic: S. pyogenes is beta-hemolytic on blood agar. Therefore, S. pyogenes fits all these criteria. B: Streptococcus pneumoniae is catalase-negative but alpha-hemolytic, not beta-hemolytic. C: Enterococcus faecalis is catalase-negative, but not typically beta-hemolytic or in chains. D: Staphylococcus aureus is catalase-positive and not in chains.
Question 6 of 9
What is the structure of bacterial flagella?
Correct Answer: B
Rationale: The correct answer is B: protein filaments made of flagellin. Bacterial flagella are composed of flagellin proteins arranged in helical filaments. This structure allows for movement and propulsion of bacteria. A: 9+2 microtubule arrangement is incorrect because this structure is typically found in eukaryotic flagella, not bacterial flagella. C: Lipid bilayer is incorrect as it is a structural component of cell membranes, not bacterial flagella. D: Peptidoglycan layer is incorrect as it is a component of bacterial cell walls, not flagella.
Question 7 of 9
Rheumatic fever is an inflammatory disease and rare complication of:
Correct Answer: A
Rationale: Rheumatic fever is caused by untreated strep throat. Step 1: Strep throat is caused by Streptococcus bacteria. Step 2: If strep throat is not treated with antibiotics, it may lead to rheumatic fever due to the body's immune response attacking its own tissues. Summary: Gangrene, brucellosis, and tularemia are not associated with rheumatic fever.
Question 8 of 9
Which of the following methods can be used for diagnosis of respiratory tract infections
Correct Answer: D
Rationale: The correct answer is D: All are correct. Culture of samples from the respiratory tract can identify specific pathogens, Immunofluorescence can detect viral antigens, and PCR can amplify and detect specific DNA/RNA sequences. Using all methods together provides a comprehensive approach for diagnosing respiratory tract infections. Culture alone may miss fastidious organisms, Immunofluorescence has limitations in sensitivity, and PCR requires specific primers. Therefore, combining these methods increases the likelihood of accurate diagnosis by covering a range of pathogens and improving sensitivity and specificity.
Question 9 of 9
Dengue virus is member of a family called
Correct Answer: C
Rationale: The correct answer is C: Flaviviridae. Dengue virus belongs to the Flaviviridae family because it is a flavivirus. Flaviviruses are a group of RNA viruses known to cause diseases in humans, such as dengue fever, Zika virus, and yellow fever. This family is characterized by its single-stranded, positive-sense RNA genome and enveloped virion structure. Hepadnaviridae (choice A), Parvoviridae (choice B), and Picornaviridae (choice D) are all different families of viruses that do not include the dengue virus. Hepadnaviridae includes hepatitis B virus, Parvoviridae includes parvoviruses, and Picornaviridae includes enteroviruses like poliovirus.