ATI RN
medical microbiology test bank Questions
Question 1 of 5
Which ones of the following symptoms are not typical of botulism:
Correct Answer: D
Rationale: The correct answer is D. Botulism typically presents with symptoms such as dry mouth, difficulty swallowing, blurred vision, diplopia, and descending flaccid paralysis. Chills, fever, and loss of consciousness are not typical of botulism. Botulism is caused by a neurotoxin produced by Clostridium botulinum bacteria, which affects the nervous system leading to muscle weakness and paralysis, not fever or altered consciousness. Therefore, choice D is the correct answer.
Question 2 of 5
The bacterial endospore is primarily composed of:
Correct Answer: B
Rationale: The correct answer is B: peptidoglycan and calcium dipicolinate. Bacterial endospores are resistant structures formed by certain bacterial species under unfavorable conditions. Peptidoglycan provides structural support, while calcium dipicolinate aids in heat resistance. Lipid bilayers (choice A) are not a primary component. Capsular polysaccharides (choice C) are part of the bacterial capsule, not the endospore. Teichoic acid (choice D) is a component of the cell wall, not the endospore.
Question 3 of 5
A 32 y.o. man is divorced, has an irregular sexual life. He complains of falling out of hair in the region of eyelashes, eyebrows, scalp. Objectively: diffuse alopecia is observed, eyebrow margin is absent, eyelashes are stair-like (Pinkus' sign). What examination should be carried out first of all?
Correct Answer: A
Rationale: The correct answer is A: Wasserman test, IFT. The patient's symptoms of diffuse alopecia and Pinkus' sign are suggestive of secondary syphilis. The Wasserman test and Immunofluorescence Test (IFT) are used to detect antibodies against Treponema pallidum, the bacterium causing syphilis. This would confirm or rule out syphilis as the underlying cause of the patient's symptoms. Choice B (T.pallidum Immobilization Test) is similar to the Wasserman test but less commonly used. Choice C (Detection of the nasal mucous membrane for M.leprae) is irrelevant as leprosy does not present with the described symptoms. Choice D (Consultation of neuropathist) is premature without ruling out syphilis first. Thus, the Wasserman test, IFT should be the initial examination to investigate the likely cause of the patient's symptoms.
Question 4 of 5
A bacteriological laboratory studied the home-made dried fish which had caused a severe food poisoning. Microscopy of the culture grown on the Kitt-Tarozzi medium revealed microorganisms resembling a tennis racket. What is the most likely diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Salmonellosis. The description of microorganisms resembling a tennis racket indicates the presence of Salmonella typhi, which causes salmonellosis. Salmonella bacteria can appear like tennis rackets under a microscope due to their flagella. Botulism (A) is caused by Clostridium botulinum, which does not resemble a tennis racket. Cholera (C) is caused by Vibrio cholerae, which appears as curved rods under the microscope. Dysentery (D) is usually caused by bacteria like Shigella or Entamoeba histolytica, which do not resemble tennis rackets.
Question 5 of 5
Which one of the following microorganisms of genus Bacillus is associated with food intoxication:
Correct Answer: A
Rationale: Rationale: Bacillus cereus is associated with food intoxication due to its ability to produce toxins that cause gastrointestinal symptoms. B. subtilis is not known to cause food intoxication. B. anthracis causes anthrax, not food intoxication. Option D is incorrect as not all Bacillus species cause food intoxication.
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