ATI RN
medical microbiology test bank Questions
Question 1 of 9
Which of these is an early symptom of rabies
Correct Answer: D
Rationale: The correct answer is D because all of the symptoms mentioned (short period of depression, nausea, restlessness) can be early signs of rabies. Rabies typically presents with a variety of non-specific symptoms in the early stages, including behavioral changes such as depression and restlessness, as well as gastrointestinal symptoms like nausea. Therefore, it is important to consider the combination of these symptoms collectively rather than individually when suspecting rabies. Choices A, B, and C alone may not definitively indicate rabies, but when seen together, they should raise suspicion and prompt further evaluation and testing for rabies.
Question 2 of 9
The female reproductive system includes the following organs/structures:
Correct Answer: D
Rationale: The correct answer is D because the female reproductive system consists of the uterus, ovaries, vagina, and fallopian tubes. The ovaries produce eggs, the fallopian tubes transport the eggs to the uterus, where fertilization can occur. The vagina is the birth canal and where sperm is deposited during intercourse. The uterus is where a fertilized egg implants and a fetus develops. Choice A is incorrect because it includes the kidneys, which are part of the urinary system, not the reproductive system. Choice B is incorrect because it includes the bladder and duodenum, which are part of the urinary and digestive systems, respectively, not the reproductive system. Choice C is incorrect because it includes the bladder and ureter, which are part of the urinary system, not the reproductive system.
Question 3 of 9
The lipopolysaccharides of gram negative bacteria consists of all the following types except:
Correct Answer: D
Rationale: The correct answer is D: Protoplast. Lipopolysaccharides of Gram-negative bacteria consist of three main components: O-specific polysaccharide chain, R-specific polysaccharide chain, and Lipid A. Protoplast is not a component of lipopolysaccharides. O-specific polysaccharide chain is responsible for serotype specificity, R-specific polysaccharide chain varies among strains, and Lipid A is the endotoxin component. Protoplast refers to a bacterial cell devoid of a cell wall, which is not a component of lipopolysaccharides.
Question 4 of 9
The AST reaction (anti-streptolysin titer):
Correct Answer: B
Rationale: The correct answer is B because the AST reaction, or anti-streptolysin titer, is used in the diagnostic of post-streptococcal sequelae, such as rheumatic fever and glomerulonephritis. This test measures the level of antibodies produced by the body in response to Streptolysin O, a toxin produced by Group A Streptococcus bacteria. It helps in identifying if a patient has had a recent Streptococcus infection that could lead to these complications. A: Incorrect. The AST reaction does not require urine samples, but rather blood samples. C: Incorrect. The AST reaction specifically targets antibodies produced in response to Group A Streptococcus. D: Incorrect. The AST reaction does not directly identify isolated streptococci but rather measures the body's immune response to Streptolysin O.
Question 5 of 9
The glycocalyx (slime), which is produced in some bacteria, is:
Correct Answer: C
Rationale: The correct answer is C: Weakly bound to the cell wall. The glycocalyx in bacteria is a protective layer that can be loosely attached to the cell wall or membrane. This loose attachment allows for flexibility and protection against desiccation and immune responses. Choice A is incorrect because the glycocalyx is not strongly bound to the cell wall, as it needs to be able to be shed easily for bacteria to escape host immune responses. Choice B is incorrect because the glycocalyx is not directly involved in bacterial movement, but rather serves as a protective barrier. Choice D is incorrect as the glycocalyx does play a role in bacterial physiology.
Question 6 of 9
In an urban settlement situated on the riverbank, an outbreak of hepatitis A was registered. The disease might have water origin. This assumption can be confirmed by growth of the following values of water quality:
Correct Answer: D
Rationale: The correct answer is D: Index of fecal coli-forms. Fecal coli-forms are bacteria found in the intestines of warm-blooded animals, including humans. Their presence in water indicates fecal contamination, which is a common source of hepatitis A transmission. Monitoring the index of fecal coli-forms can help identify potential sources of contamination and assess the risk of disease transmission. A: Number of coli-phages - Coli-phages are viruses that infect coliform bacteria and are not directly related to fecal contamination. B: Escherichia coli index - While E. coli is a type of coliform bacteria found in the intestines of warm-blooded animals, it alone may not be a reliable indicator of fecal contamination in water sources. C: Oxidability - Oxidability is a measure of the water's ability to react with oxygen and does not provide direct information about fecal contamination or the presence of pathogens like hepatitis A. In summary,
Question 7 of 9
The function of the bacterial endospore is to:
Correct Answer: C
Rationale: The correct answer is C: ensure survival under harsh conditions. Bacterial endospores are dormant, resistant structures that form under adverse conditions to protect the bacterial DNA and allow the bacterium to survive extreme environments. This function is crucial for the bacterium's long-term survival. Choice A is incorrect as endospores do not directly produce exotoxins. Choice B is incorrect as endospores do not store nutrients but rather protect the bacterium's genetic material. Choice D is incorrect as endospores do not enhance motility but rather enable survival during unfavorable conditions.
Question 8 of 9
Which of these is an early symptom of rabies
Correct Answer: D
Rationale: The correct answer is D because all of the symptoms mentioned (short period of depression, nausea, restlessness) can be early signs of rabies. Rabies typically presents with a variety of non-specific symptoms in the early stages, including behavioral changes such as depression and restlessness, as well as gastrointestinal symptoms like nausea. Therefore, it is important to consider the combination of these symptoms collectively rather than individually when suspecting rabies. Choices A, B, and C alone may not definitively indicate rabies, but when seen together, they should raise suspicion and prompt further evaluation and testing for rabies.
Question 9 of 9
A patient consulted a dentist about limited (restricted) mouth opening (trismus). He has a history of a stab wound of the lower extremity. What infection may cause these symptoms?
Correct Answer: A
Rationale: The correct answer is A: Tetanus. Tetanus is caused by the bacterium Clostridium tetani, which produces a neurotoxin leading to muscle stiffness, including trismus (restricted mouth opening). The patient's history of a stab wound increases the likelihood of tetanus infection due to the spores entering the body through the wound. Incorrect Choices: B: Brucellosis does not typically present with trismus and is more commonly associated with fever, joint pain, and fatigue. C: Whooping cough presents with severe coughing fits but does not cause trismus. D: Wound anaerobic infection may cause localized symptoms at the wound site but is less likely to cause trismus compared to tetanus.