ATI RN
microbiology chapter 12 test bank Questions
Question 1 of 9
Which of the following has a higher resistance to environmental stresses than the others?
Correct Answer: A
Rationale: The correct answer is A: Bacterial endospores. Bacterial endospores have a higher resistance to environmental stresses due to their unique structure, which includes a tough outer layer that protects the spore from harsh conditions such as heat, chemicals, and radiation. This protective layer allows endospores to remain dormant and survive in unfavorable environments until conditions improve. Summary: B: Fungal spores - While fungal spores can also survive in harsh conditions, they are generally not as resistant as bacterial endospores due to differences in their protective structures. C: Enveloped viruses - Enveloped viruses are susceptible to environmental stresses as their lipid envelope can easily be damaged by heat, chemicals, and other factors. D: Vegetative bacterial cells - Vegetative bacterial cells are more susceptible to environmental stresses compared to endospores, as they do not have the same level of protective mechanisms to survive in unfavorable conditions.
Question 2 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 3 of 9
Infection of several persons without any epidemiological link is
Correct Answer: B
Rationale: The correct answer is B: sporadic disease. Infection of several persons without any epidemiological link is considered sporadic because it occurs in a random and isolated manner, with no clear pattern or connection between cases. It is not classified as an epidemic (A) because it does not involve a sudden increase in the number of cases within a specific population. It is also not endemic (C) as endemic diseases are constantly present in a particular region or population. Lastly, it is not a pandemic (D) which refers to a global outbreak affecting a large number of people across different countries.
Question 4 of 9
A family has two children. The younger child is under the year. The child has developed spastic cough attacks. Similar clinical presentation was observed in the elder preschool child one month ago. The doctor suspects pertussis infection. What method enables retrospective diagnostics of this disease?
Correct Answer: A
Rationale: The correct answer is A: Serological. Serological testing involves analyzing blood samples for specific antibodies produced in response to the pertussis infection. This method can detect past infections by identifying the presence of antibodies against the pertussis bacteria in the blood. In this case, since the doctor suspects pertussis infection in both children, serological testing can confirm if they have been exposed to the bacteria. Summary: B: Biological testing does not specifically target pertussis antibodies in the blood. C: Bacteriological testing involves culturing bacteria from samples, which may not be as sensitive for retrospective diagnosis. D: Molecular biological testing focuses on genetic material of the bacteria, which may not provide direct evidence of past infection.
Question 5 of 9
Which of the following organelles contain oxidative enzymes capable of oxidizing toxic substances?
Correct Answer: D
Rationale: The correct answer is D: peroxisomes. Peroxisomes contain oxidative enzymes, such as catalase and peroxidase, that are capable of oxidizing toxic substances. These enzymes help detoxify harmful molecules by breaking them down into harmless products. Lysosomes (choices B and C) contain hydrolytic enzymes for breaking down cellular waste, not oxidative enzymes. Therefore, the correct choice is peroxisomes due to their specific function in detoxification through oxidation reactions.
Question 6 of 9
The biosafety level necessary in water testing facilities is level
Correct Answer: A
Rationale: The correct answer is A: 1. Water testing facilities typically handle low-risk microorganisms, hence requiring Biosafety Level 1. BSL 1 is suitable for working with well-characterized agents not known to consistently cause disease in healthy adults. BSL 2 is for moderate-risk agents, BSL 3 for high-risk agents, and BSL 4 for dangerous pathogens. Therefore, choices B, C, and D are incorrect for water testing facilities due to the low risk involved in handling the microorganisms found in water samples.
Question 7 of 9
A patient presents with diarrhea and dehydration. A fecal smear stained by Gram's method revealed Gram-negative, comma-shaped bacteria. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Vibrio cholerae. Vibrio cholerae is the causative agent of cholera, which presents with severe watery diarrhea leading to dehydration. The characteristic comma-shaped (curved rod) appearance of Gram-negative bacteria is typical of Vibrio cholerae. This bacterium produces the cholera toxin, leading to the excessive secretion of fluid into the intestines. Salmonella typhi causes typhoid fever with symptoms like sustained fever, not watery diarrhea. Shigella dysenteriae causes bloody diarrhea and abdominal cramps. Escherichia coli can cause various types of infections, but typically not severe watery diarrhea like cholera.
Question 8 of 9
A 40-year-old female farmworker has been diagnosed with brucellosis and administered causal chemotherapy. What group of drugs will be used for this purpose?
Correct Answer: A
Rationale: The correct answer is A: Antibiotic. Brucellosis is a bacterial infection, and antibiotics are the primary treatment to target and eliminate the bacteria causing the disease. Antibiotics such as doxycycline and rifampin are commonly used for brucellosis treatment. Donor immunoglobulin (B) is not used to treat brucellosis as it is not caused by a deficiency in antibodies. Inactivated therapeutic vaccine (C) is used for prevention, not for treating active infections. Antitoxic serum (D) is used to neutralize toxins produced by bacteria, not to directly kill the bacteria themselves in cases like brucellosis.
Question 9 of 9
Your patient is a 22-year-old man. The patient reports that two weeks after unprotected sexual contact, a small ulcer appeared on its penis. The local inguinal lymph nodes are enlarged. Dark field microscopic examination of the ulcer secretions was performed. The test reveals presence of motile, curved spirochete. The most common causative agent of the disease is:
Correct Answer: B
Rationale: The correct answer is B: Treponema pallidum. The scenario describes symptoms of primary syphilis, which is caused by Treponema pallidum. The presence of a painless ulcer (chancre) and enlarged inguinal lymph nodes are characteristic of syphilis. Dark field microscopic examination showing motile, curved spirochetes is highly specific for Treponema pallidum. Incorrect explanations: A: Chlamydia trachomatis typically causes urethritis or cervicitis, not painless ulcers. C: Neisseria gonorrhoeae causes gonorrhea, which presents with purulent discharge, not painless ulcers. D: Herpes simplex virus type 2 causes genital herpes, leading to painful ulcers and vesicles, not painless ulcers seen in syphilis.