Which of the following is not a bacterial antibiotic resistance mechanism

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Question 1 of 9

Which of the following is not a bacterial antibiotic resistance mechanism

Correct Answer: B

Rationale: The correct answer is B: Cell-wall regrowth. This is not a bacterial antibiotic resistance mechanism because antibiotics target specific components in bacteria, such as cell wall synthesis, making regrowth impossible in the presence of antibiotics. Reduced permeability (A) decreases antibiotic entry, Over-expression of target (C) reduces antibiotic effectiveness, and Efflux pump (D) actively removes antibiotics from the cell, all contributing to antibiotic resistance. In summary, cell-wall regrowth is not a mechanism of antibiotic resistance, unlike the other choices that actively promote bacterial survival against antibiotics.

Question 2 of 9

While examining the feces of a patient with diarrhea, cysts with four nuclei were found. What protozoan is most likely causing the condition?

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This protozoan causes amoebiasis, which presents with symptoms like diarrhea. The cysts with four nuclei found in the feces are characteristic of Entamoeba histolytica. This protozoan is known to cause invasive infection, leading to tissue destruction and ulcers in the intestines. Lamblia (choice B) typically presents with cysts containing two nuclei. Trichomonas (choice C) is a sexually transmitted parasite and does not form cysts. Balantidium (choice D) is a ciliated protozoan that does not have four nuclei in its cyst form.

Question 3 of 9

A patient with a deep tissue infection had a wound culture revealing Gram-positive cocci in clusters. The bacteria were catalase-positive and coagulase-negative. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus epidermidis. The presence of Gram-positive cocci in clusters that are catalase-positive and coagulase-negative points towards coagulase-negative staphylococci like Staphylococcus epidermidis. Staphylococcus aureus is catalase-positive and coagulase-positive. Streptococcus pyogenes is catalase-negative. Enterococcus faecalis is catalase-negative and not typically seen in clusters. Therefore, the most likely causative agent in this scenario is Staphylococcus epidermidis.

Question 4 of 9

Flagellin is:

Correct Answer: A

Rationale: Flagellin is a protein component of bacterial flagella. It is not a carbohydrate, staining method, or an organelle. The correct answer is A because flagellin is a structural protein that forms the flagellar filament. It helps in bacterial motility and pathogenicity. Therefore, the correct choice is A.

Question 5 of 9

On the 5th day after a surgery for colon injury a patient complains of bursting pain in the postoperative wound, weakness, drowsiness, headache, fever up to 40oC. Objectively: the skin around the wound is swollen, there is gas crepitation. The wound discharges are scarce foul-smelling, of dark-gray color. What is the most likely diagnosis?

Correct Answer: A

Rationale: The correct answer is A: Anaerobic clostridial wound infection. The symptoms and signs described (bursting pain, weakness, drowsiness, fever, swollen skin, gas crepitation, foul-smelling dark-gray discharge) are classic for gas gangrene, caused by Clostridium perfringens. Gas gangrene is an anaerobic infection that thrives in devitalized tissue, such as postoperative wounds. The gas crepitation is due to gas production by the bacteria. Abscess (B) typically presents with localized swelling and fluctuance, not gas crepitation. Postoperative wound infection (C) may present with redness, warmth, and increased wound discharge but not the specific features mentioned. Erysipelas (D) is a superficial bacterial skin infection, typically caused by Streptococcus pyogenes, presenting with well-defined raised borders and redness.

Question 6 of 9

Which bacteria produces an enterotoxin that causes diarrhea?

Correct Answer: A

Rationale: The correct answer is A: Vibrio cholerae. This bacterium produces the cholera toxin, an enterotoxin that causes profuse watery diarrhea by disrupting the normal function of the intestines. Vibrio cholerae is specifically known for causing cholera, a severe diarrheal disease. Clostridium botulinum (B) produces botulinum toxin, causing botulism (paralysis, not diarrhea). Escherichia coli (C) can produce enterotoxins, but the question specifies a specific enterotoxin causing diarrhea, which is not a characteristic of all strains of E. coli. Streptococcus pneumoniae (D) is a common cause of respiratory infections but does not produce an enterotoxin causing diarrhea.

Question 7 of 9

The main structure components of viruses are

Correct Answer: A

Rationale: The correct answer is A: nucleic acid and proteins. Viruses consist of genetic material (nucleic acid) surrounded by a protein coat. The nucleic acid carries the viral genetic information, while the proteins form the capsid that protects the genetic material. This combination is essential for the virus to infect host cells and replicate. Lipids (choice B) are not typically part of the main structure of viruses. Lipids are more commonly found in the host cell membrane. Lipids and proteins (choice C) may be present in the viral envelope but are not the main structural components. Proteins and glycoproteins (choice D) are important for viral attachment and entry into host cells but do not constitute the main structural components of viruses.

Question 8 of 9

Which of the following is a folate antagonist?

Correct Answer: B

Rationale: The correct answer is B: Trimethoprim. Trimethoprim is a folate antagonist that inhibits dihydrofolate reductase, an enzyme essential for folate metabolism in bacteria. This disrupts bacterial DNA synthesis, leading to bacteriostatic effects. Methyl Penicillin (A) is a beta-lactam antibiotic that interferes with bacterial cell wall synthesis. Vancomycin (C) inhibits cell wall synthesis by binding to D-Ala-D-Ala terminus of cell wall precursors. Gentamicin (D) inhibits bacterial protein synthesis by binding to the 30S subunit of the bacterial ribosome.

Question 9 of 9

Which of the following is not a bacterial antibiotic resistance mechanism

Correct Answer: B

Rationale: The correct answer is B: Cell-wall regrowth. This is not a bacterial antibiotic resistance mechanism because antibiotics target specific components in bacteria, such as cell wall synthesis, making regrowth impossible in the presence of antibiotics. Reduced permeability (A) decreases antibiotic entry, Over-expression of target (C) reduces antibiotic effectiveness, and Efflux pump (D) actively removes antibiotics from the cell, all contributing to antibiotic resistance. In summary, cell-wall regrowth is not a mechanism of antibiotic resistance, unlike the other choices that actively promote bacterial survival against antibiotics.

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