ATI RN
microbiology chapter 1 test bank Questions
Question 1 of 9
Which of the following has a fecal-oral route of transmission
Correct Answer: C
Rationale: The correct answer is C: ECHO virus infection. ECHO virus is transmitted via the fecal-oral route, meaning the virus is passed from feces to the mouth. This transmission occurs through contaminated food, water, or surfaces. Relapsed fever and spotted fever are generally transmitted by arthropod vectors like ticks. Pertussis, also known as whooping cough, spreads through respiratory droplets. Therefore, the fecal-oral route is not applicable to these diseases.
Question 2 of 9
A patient with a respiratory infection had sputum cultured on Endo agar, revealing green colonies. The bacteria were Gram-negative rods. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is known to produce green colonies on Endo agar due to its pyoverdin pigment. It is also a Gram-negative rod. P. aeruginosa commonly causes respiratory infections in immunocompromised patients. Escherichia coli (B) typically produces pink colonies on Endo agar and is more associated with gastrointestinal infections. Salmonella typhi (C) and Shigella dysenteriae (D) are both Enterobacteriaceae that usually do not produce green colonies on Endo agar and are more associated with gastrointestinal infections as well.
Question 3 of 9
Hand-washing guidelines have been established by
Correct Answer: B
Rationale: The correct answer is B: CDC. The Centers for Disease Control and Prevention (CDC) is responsible for establishing hand-washing guidelines in healthcare settings to prevent infections. CDC is a leading authority in public health and provides evidence-based recommendations. OSHA (A) focuses on workplace safety, NIAD (C) is not a recognized organization, and WHO (D) provides global health guidelines but CDC is the primary authority for hand hygiene in the US healthcare system.
Question 4 of 9
In which of the following diseases is bacteremia observed:
Correct Answer: B
Rationale: The correct answer is B: Typhoid fever, Brucellosis. Both Typhoid fever and Brucellosis are bacterial infections that can lead to bacteremia, the presence of bacteria in the bloodstream. In Typhoid fever, the causative agent Salmonella typhi can enter the bloodstream, causing bacteremia. Similarly, Brucellosis, caused by Brucella species, can also result in bacteremia. Choice A is incorrect because bacteremia is not typically observed in Diphtheria. Choice C, Cholera, is caused by a toxin-producing bacterium and does not usually lead to bacteremia. Choice D, Dysentery, is a condition characterized by bloody diarrhea and is primarily caused by parasites or bacteria that typically do not lead to bacteremia.
Question 5 of 9
A bioterrorist has mailed an envelope with a powder that is suspected to contain anthrax causative agent. This envelope can remain dangerous for a long time, because anthrax causative agent:
Correct Answer: C
Rationale: Step 1: Anthrax causative agent is Bacillus anthracis, which forms spores. Step 2: Spores are highly resistant structures that can survive for a long time. Step 3: These spores can germinate into active bacteria when conditions are favorable. Step 4: The presence of spores in the powder makes it dangerous even long after being mailed. Summary: A: Incorrect - Anthrax does not form a protein capsule. B: Incorrect - Anthrax does not form a polysaccharide capsule. C: Correct - Anthrax forms spores that are highly resistant. D: Incorrect - Anthrax does not form flagella.
Question 6 of 9
Saprophytic microorganism from the environment, which can cause exogenous infections and diseases only when the host is severely damaged, are called:
Correct Answer:
Rationale: Correct Answer: C: opportunists Rationale: 1. Opportunistic microorganisms cause infections only when the host's immune system is compromised. 2. They are typically harmless in healthy individuals but can become pathogenic in weakened hosts. 3. Saprophytic microorganisms are environmental decomposers, not inherently pathogenic. 4. Facultative pathogens can cause disease in both healthy and compromised hosts. 5. Obligate pathogens always cause disease regardless of the host's condition. Summary: A: Facultative pathogens can cause disease in healthy hosts. B: Saprophytes are not inherently pathogenic. D: Obligate pathogens always cause disease.
Question 7 of 9
Peritrichous bacteria:
Correct Answer: B
Rationale: The correct answer is B because peritrichous bacteria have flagella distributed all over their surface, allowing them to move in various directions. Choice A is incorrect because bacteria with a single flagellum at one pole are called monotrichous. Choice C is incorrect as bacteria with a single flagellum at each pole are known as amphitrichous. Choice D is incorrect because peritrichous bacteria have multiple flagella all over their surface, not limited to one or both poles.
Question 8 of 9
A child with an enlarged, painful lymph node had Gram-negative rods with a safety pin appearance. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Yersinia pestis. Y. pestis causes bubonic plague, characterized by enlarged, painful lymph nodes called buboes. The Gram-negative rods with a safety pin appearance are seen on Gram stain of Y. pestis. The other choices are incorrect because Francisella tularensis causes tularemia, not lymphadenitis with safety pin appearance. Brucella abortus causes brucellosis, which typically does not present with lymphadenitis. Clostridium botulinum causes botulism, which is not associated with lymphadenitis or safety pin appearance.
Question 9 of 9
A child with diarrhea had stool microscopy revealing flagellated protozoa with two nuclei. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Giardia lamblia. Giardia is a flagellated protozoa with two nuclei, causing diarrhea. It is commonly found in contaminated water sources. Entamoeba histolytica (B) causes amoebic dysentery with trophozoites in stool. Trichomonas vaginalis (C) causes sexually transmitted infections, not diarrhea. Balantidium coli (D) is a ciliated protozoa causing dysentery with ciliated trophozoites. Therefore, Giardia lamblia is the most likely causative agent in this case.