ATI RN
microbiology chapter 1 test bank Questions
Question 1 of 9
Which one is true about the laboratory diagnosis of urinary tract infections
Correct Answer: D
Rationale: The correct answer is D because it encompasses the true statements regarding the laboratory diagnosis of urinary tract infections. A: Bacteriuria of less than 10^5 can be significant in treated patients due to the development of antibiotic resistance. B: Staphylococcus aureus, Salmonella typhi, and Mycobacterium tuberculosis may be significant regardless of quantity due to their pathogenic nature. C: Leukocyturia indicates inflammation, and even a lower number of leukocytes can be clinically significant. Therefore, option D covers all these aspects making it the correct choice.
Question 2 of 9
In a maternity hospital a newborn should receive vaccination against tuberculosis. What vaccine should be chosen?
Correct Answer: A
Rationale: The correct answer is A: BCG vaccine. Step 1: BCG vaccine is specifically designed to protect against tuberculosis, making it the appropriate choice for newborns. Step 2: STI vaccine is for sexually transmitted infections, not tuberculosis. Step 3: EV vaccine is not a recognized vaccine. Step 4: DPT vaccine protects against diphtheria, pertussis, and tetanus, not tuberculosis. In summary, BCG vaccine is the correct choice as it targets tuberculosis specifically, while the other options are designed for different purposes.
Question 3 of 9
In which of the following GIT infections, the pathogenesis consists mainly of invasion and intraepithelial multiplication without generalization of infectious process:
Correct Answer: C
Rationale: Rationale: 1. Shigella invades and multiplies within the intestinal epithelial cells, causing inflammation and tissue damage locally. 2. It does not spread systemically, unlike Yersinia enterocolitica and Listeria monocytogenes. 3. Shigella's pathogenesis is focused on invasion and multiplication at the site of infection, leading to symptoms of dysentery. 4. Yersinia enterocolitica and Listeria monocytogenes can disseminate beyond the gastrointestinal tract, causing systemic infections. Summary: - A (Yersinia enterocolitica) and B (Listeria monocytogenes) are incorrect as they can generalize the infectious process. - C (Shigella) is correct as it mainly involves invasion and intraepithelial multiplication without spreading systemically.
Question 4 of 9
Which of the following growth media is most suitable for isolation of Candida:
Correct Answer: C
Rationale: Rationale: 1. Candida is a fungus commonly isolated from clinical specimens. 2. Sabouraud agar is the most suitable medium for Candida due to its low pH and high dextrose content. 3. Low pH inhibits bacterial growth, while dextrose promotes fungal growth. 4. Zeisler media, Chocolate agar, and Muller-Hinton agar are not specific for fungal isolation. Summary: - Zeisler media is used for anaerobic bacteria. - Chocolate agar is used for fastidious organisms like Haemophilus. - Muller-Hinton agar is for antibiotic susceptibility testing, not fungal isolation.
Question 5 of 9
Which is the preferred mode of transmission of HIV from a mother to a child?
Correct Answer: D
Rationale: The correct answer is D: All of the above. HIV can be transmitted from mother to child during delivery through mixing of blood, during pregnancy through the placenta, and via breastmilk during lactation. Each mode of transmission carries a risk of HIV transmission to the child due to the presence of the virus in the mother's blood and bodily fluids. It is important to note that all three modes contribute to the risk of mother-to-child transmission of HIV, and preventive measures should be taken to reduce this risk. Option A, during delivery through mixing of blood, is correct as HIV can be transmitted through exposure to infected blood during childbirth. Option B, during pregnancy through placenta, is also correct as the virus can cross the placenta and infect the fetus. Option C, via breastmilk during lactation, is correct as HIV can be present in breastmilk and transmitted to the child through breastfeeding. Therefore, the preferred mode of transmission of HIV from a mother to a child
Question 6 of 9
Which bacterium can contaminate foods and grow at refrigerator temperatures (4°C-8°C)
Correct Answer: D
Rationale: The correct answer is D: Yersinia enterocolitica. This bacterium can contaminate foods and grow at refrigerator temperatures due to its psychrotrophic nature. Yersinia enterocolitica is known to cause foodborne illnesses even when stored at cold temperatures. Shigella sonnei is a human pathogen transmitted through fecal-oral route, Campylobacter jejuni is typically found in poultry and causes food poisoning, and E. coli can cause foodborne illnesses but does not grow well at refrigerator temperatures.
Question 7 of 9
A patient with a sore throat had a throat culture revealing Gram-positive cocci in pairs with a capsule. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is the most likely causative agent because it is a Gram-positive cocci in pairs with a capsule, which matches the description provided. S. pneumoniae is a common cause of bacterial pharyngitis and can present with sore throat. Summary of other choices: B: Staphylococcus aureus is a Gram-positive cocci in clusters, not pairs, and is not typically associated with sore throat. C: Neisseria meningitidis is a Gram-negative diplococcus and more commonly causes meningitis or septicemia, not sore throat. D: Klebsiella pneumoniae is a Gram-negative rod bacterium, not a Gram-positive cocci, and is not a common cause of sore throat.
Question 8 of 9
A patient has been suffering from elevated temperature and attacks of typical cough for 10 days. Doctor administered inoculation of mucus from the patient's nasopharynx on the agar. What microorganism is presumed?
Correct Answer: A
Rationale: The correct answer is A: Pertussis bacillus. The symptoms described - elevated temperature and typical cough - are indicative of whooping cough, caused by Bordetella pertussis. By inoculating mucus from the nasopharynx on agar, the doctor is trying to isolate the causative agent, which is likely to be Pertussis bacillus. Summary of other choices: B: Pfeiffer's bacillus (Haemophilus influenzae): Unlikely as symptoms do not match. C: Listeria: Unlikely as it typically causes foodborne illness, not respiratory infections. D: Klebsiella: Unlikely as it is more commonly associated with pneumonia in immunocompromised individuals.
Question 9 of 9
A patient with a respiratory infection had a sputum culture revealing Gram-negative diplococci. The bacteria were oxidase-positive and fermentative. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Neisseria meningitidis. This bacterium is a Gram-negative diplococcus, oxidase-positive, and fermentative. Neisseria meningitidis is known to cause respiratory infections and is commonly found in sputum cultures of patients with such infections. Neisseria gonorrhoeae (B) is also a Gram-negative diplococcus but is not fermentative. Moraxella catarrhalis (C) is oxidase-positive but not fermentative. Haemophilus influenzae (D) is not a diplococcus and is not fermentative. Therefore, Neisseria meningitidis is the most likely causative agent based on the given characteristics.