Questions 9

ATI RN

ATI RN Test Bank

foundations in microbiology test bank Questions

Question 1 of 5

Which of the following stains is the most widely used differential stain in hematology laboratories?

Correct Answer: D

Rationale: The correct answer is D: Kinyoun stain. This stain is the most widely used differential stain in hematology labs because it is specifically designed for acid-fast bacteria like Mycobacterium tuberculosis. It differentiates these bacteria from others based on their cell wall composition. Carbolfuchsin stain (A) is used for acid-fast bacteria in microbiology. Wright's stain (B) is used for blood cell morphology. Ziehl-Neelsen stain (C) is also used for acid-fast bacteria but is less commonly used compared to Kinyoun stain in hematology labs.

Question 2 of 5

A 32 year old patient complains about heartburn and dull pain in the epigastrium that appear 2-3 hours after meal. Exacerbations happen in spring and in autumn. The patient has food intolerance of eggs and fish. Objectively: stomach palpation reveals painfulness in the gastroduodenal area. Electrophasoduodenoscopy revealed a 5 mm ulcer on the anterior wall of duodenum. Urease test is positive. What is the most probable leading mechanism of disease development?

Correct Answer: A

Rationale: The correct answer is A: Helicobacterial infection. This is the most probable leading mechanism of disease development in this case because the patient's symptoms, such as heartburn, epigastric pain, food intolerance, and presence of a duodenal ulcer with a positive urease test, are classic signs of Helicobacter pylori infection. This bacterium colonizes the stomach lining, leading to inflammation and ulcer formation. The exacerbations in spring and autumn could be due to seasonal variations in immune response. Choice B: Dietary allergy is incorrect because the symptoms and findings in the patient are more indicative of an infectious etiology rather than an allergic reaction to specific foods. Choice C: Autoantibody production is unlikely as there are no indications of an autoimmune process in this case. Choice D: Reduced prostaglandin synthesis is not the leading mechanism as the symptoms and findings are more consistent with an infectious cause rather than a deficiency in prostaglandin synthesis.

Question 3 of 5

Which statement for immunomodulators is correct

Correct Answer: C

Rationale: Rationale: Choice C is correct because immunomodulators can indeed be natural (e.g., cytokines) or artificial compounds (e.g., synthetic peptides). They work by modulating the immune response, enhancing or suppressing it as needed. Choice A is incorrect because immunomodulators can stimulate both humoral and cellular immune responses. Choice B is incorrect as isoniazid is primarily an antibiotic used to treat tuberculosis, not an immunomodulator. Choice D is incorrect because immunomodulators can have varying effects on the immune response, not just suppress it.

Question 4 of 5

Ionizing radiation involves all of the following except

Correct Answer: A

Rationale: Ionizing radiation has enough energy to remove tightly bound electrons from atoms, creating charged particles (ions). UV light does not have enough energy to ionize atoms, making choice A the correct answer. Gamma rays, electron beams, and X-rays all have sufficient energy to cause ionization. Gamma rays are very high-energy electromagnetic radiation, electron beams are streams of high-energy electrons, and X-rays are high-energy electromagnetic radiation as well.

Question 5 of 5

A 60-year-old patient was hospitalized to the surgical department because of infection caused by blue pus bacillus (Pseudomonas aeruginosa) which is sensative to penicillin antibiotics. Indicate which of the given penicillins has marked activity to the Pseudomonas aeruginosa?

Correct Answer: A

Rationale: The correct answer is A: Carbenicillin disodium. Carbenicillin is a semisynthetic penicillin that has marked activity against Pseudomonas aeruginosa. This is due to its extended spectrum of activity and increased stability against beta-lactamases produced by Pseudomonas aeruginosa. Carbenicillin is commonly used to treat infections caused by this bacterium. Choice B: Benzylpenicillin (Penicillin G) has limited activity against Pseudomonas aeruginosa. Choice C: Methicillin is not effective against Pseudomonas aeruginosa. Choice D: Oxacillin also has limited activity against Pseudomonas aeruginosa. In summary, Carbenicillin is the correct choice due to its marked activity against Pseudomonas aeruginosa compared to the other penicillins listed.

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