ATI RN
microbiology a systems approach test bank Questions
Question 1 of 9
Which of the following microorganisms require a moist environment to survive and most often live in ponds, streams, lakes, and oceans?
Correct Answer: D
Rationale: The correct answer is D: Blastospores. Blastospores are a type of fungal spore that requires a moist environment to survive. They are commonly found in water bodies like ponds, streams, lakes, and oceans. Mycorrhizae (A) are symbiotic associations between fungi and plant roots, not solely dependent on a moist environment. Armillaria gallica (B) is a type of fungus that can survive in various environmental conditions, not specifically reliant on a moist environment. Choice C is a duplicate of Blastospores, making it incorrect.
Question 2 of 9
When doctors of a sanitary and epidemiologic institution examine employees of public catering establishments they often reveal asymptomatic parasitosis, that is when a healthy person is a carrier of cysts that infect other people. What causative agent can parasitize in such a way?
Correct Answer: A
Rationale: The correct answer is A: Dysenteric amoeba. This is because dysenteric amoebas can cause asymptomatic parasitosis, where a healthy person carries cysts that can infect others. Dysenteric amoebas are known to infect the intestines and can be transmitted through contaminated food or water. Choice B, Malarial plasmodium, causes malaria transmitted through mosquitoes. Choice C, Enteral trichomonad, causes diarrhea and is transmitted through contaminated water. Choice D, Dermatotropic leishmania, causes skin lesions and is transmitted through sandfly bites. These choices do not fit the scenario of asymptomatic parasitosis in public catering establishments.
Question 3 of 9
The effect of which of the following toxins DOES NOT MANIFEST with neurological symptoms:
Correct Answer: D
Rationale: Certainly! The correct answer is D: Pertussis exotoxin. Pertussis toxin primarily affects the respiratory system causing whooping cough. It does not directly target the nervous system like the other toxins listed. Tetanospasmin causes muscle spasms, Diphtheria exotoxin affects the heart and nerves, and Botulinum exotoxin causes paralysis by blocking neurotransmitter release. Therefore, Pertussis exotoxin is the only toxin among the options that does not manifest with neurological symptoms.
Question 4 of 9
A patient who suffered form syphilis took a course of antibiotic therapy and fully recovered. Some time later he was infected again with Treponema pallidum. What form of infection is it?
Correct Answer: A
Rationale: The correct answer is A: Reinfection. This is because the patient fully recovered from the initial syphilis infection after antibiotic therapy, indicating the elimination of the pathogen. Subsequently getting infected again with Treponema pallidum suggests a new exposure to the same pathogen, resulting in a new infection. Recurrence (B) would imply the reactivation of the same infection, which is not the case here. Superinfection (C) refers to a new infection that occurs on top of an existing infection, which is not the scenario described. Secondary infection (D) typically refers to an infection that occurs after an initial infection weakens the immune system, which is not the case in this scenario.
Question 5 of 9
Infections of the CNS can be caused by:
Correct Answer: D
Rationale: The correct answer is D because all three choices, Clostridium botulinum, Morbillivirus morbillorum, and Clostridium tetani, can cause infections of the CNS. Clostridium botulinum can lead to botulism, affecting the nervous system. Morbillivirus morbillorum can cause measles, which can lead to encephalitis. Clostridium tetani can cause tetanus, affecting the central nervous system. Therefore, all three choices can cause infections of the CNS. Choices A, B, and C are incorrect individually because each pathogen can cause CNS infections.
Question 6 of 9
Microscopic analysis of tissue sampling from affected area of mucous membrane of oral cavity revealed bacillus in form of accumulations that looked like a pack of cigarettes. Ziehl-Neelsen staining gives them red colour. What kind of pathogenic organism was most likely revealed in tissue sampling?
Correct Answer: B
Rationale: The correct answer is B: M.tuberculosis. The description of bacillus in the form of accumulations resembling a pack of cigarettes and staining red with Ziehl-Neelsen staining is characteristic of Mycobacterium tuberculosis. M.leprae (Choice A) is associated with leprosy and does not typically appear as described. A.bovis (Choice C) is a type of Mycobacterium but is not typically found in the oral cavity. A.israilii (Choice D) is not associated with the characteristics mentioned in the question. Therefore, based on the specific characteristics described, M.tuberculosis is the most likely pathogenic organism revealed in the tissue sampling.
Question 7 of 9
Cholera is a serious gastrointestinal illness caused by bacteria of the genus:
Correct Answer: C
Rationale: The correct answer is C: Vibrio. Cholera is caused by Vibrio cholerae bacteria. These bacteria produce a toxin that causes severe diarrhea and dehydration. Escherichia (choice A) and Salmonella (choice B) are known for causing other types of gastrointestinal infections but not cholera. Acinetobacter (choice D) typically causes respiratory infections, not gastrointestinal illnesses like cholera. Therefore, the correct choice is Vibrio as it is specifically associated with cholera.
Question 8 of 9
A sputum smear stained by Gram's method revealed Gram-positive cocci in clusters. The patient presented with an abscess. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus aureus. Staphylococcus aureus is a Gram-positive bacterium that commonly presents as cocci in clusters. It is a known causative agent of abscesses due to its ability to produce enzymes and toxins that contribute to tissue destruction. In this case, the presence of Gram-positive cocci in clusters aligns with the characteristic morphology of Staphylococcus aureus. Summary of incorrect choices: B: Streptococcus pyogenes is a Gram-positive bacterium that typically presents as cocci in chains, not clusters. It is more commonly associated with pharyngitis and skin infections rather than abscesses. C: Enterococcus faecalis is a Gram-positive bacterium that typically presents as cocci in pairs or short chains, not clusters. It is more commonly associated with urinary tract infections and endocarditis. D: Micrococcus luteus is a Gram-positive bacterium that typically presents as t
Question 9 of 9
After starting treatment for pulmonary tuberculosis a patient complained about red tears and urine. What drug could cause such changes?
Correct Answer: A
Rationale: The correct answer is A: Rifampicin. Rifampicin is known to cause red discoloration of bodily fluids, including tears and urine, due to its side effect of harmless color changes. Benzylpenicillins (B and C) and Biseptol-480 do not typically cause such discoloration. Rifampicin's mechanism of action involves binding to bacterial RNA polymerase, leading to inhibition of RNA synthesis, which is unrelated to the mechanism of the other drugs. Thus, based on the unique side effect profile of Rifampicin and its mechanism of action, it is the most likely drug causing red tears and urine in this scenario.