ATI RN
microbiology a systems approach test bank Questions
Question 1 of 9
Which type of bacteria is responsible for causing tuberculosis?
Correct Answer: B
Rationale: The correct answer is B: Mycobacterium tuberculosis. Mycobacterium tuberculosis is the bacteria responsible for causing tuberculosis. This bacterium has unique cell wall components that make it resistant to the body's immune defenses, allowing it to survive and multiply within the host. Streptococcus pyogenes (Choice A), Escherichia coli (Choice C), and Bacillus anthracis (Choice D) are not associated with tuberculosis. Streptococcus pyogenes is known for causing strep throat and skin infections, Escherichia coli is commonly involved in gastrointestinal infections, and Bacillus anthracis causes anthrax.
Question 2 of 9
A 49-year-old countryman got an itching papule on the dorsum of his right hand. In the centre there is a vesicle with serosanginous exudate. Within the next 2 days the patient developed a painless edema of hand and forearm. On the 4th day the temperature rose to 38,5oC, in the right axillary region a large painful lymph node was found. One daybefore the onset of the disease the patient had examined a dead calf. What is the most likely diagnosis?
Correct Answer: D
Rationale: The most likely diagnosis is D: Lymphocutaneous tularemia. The key clues include exposure to a dead animal, vesicle with serosanginous exudate, painless edema progressing to lymph node involvement, and fever. Tularemia is caused by Francisella tularensis, commonly acquired through contact with infected animals. The characteristic ulcer at the site of entry, lymphadenopathy, and systemic symptoms point towards tularemia. Cutaneous anthrax (A) presents with a painless ulcer and black eschar. Bubonic plague (B) typically presents with buboes (swollen lymph nodes) and fever. Carbuncle (C) is a deep skin infection typically caused by Staphylococcus aureus.
Question 3 of 9
A specimen stained by Ozheshko method contains rod-like microorganisms stained blue with round terminal components stained red. What are these components called?
Correct Answer: A
Rationale: The correct answer is A: Spores. In the Ozheshko staining method, spores appear blue with red terminal components. Spores are reproductive structures produced by some bacteria, fungi, and protozoa. Cilia are short, hair-like structures used for movement. Flagella are long, whip-like structures also used for movement. Capsules are outer protective layers surrounding some bacteria. In this case, the description of rod-like microorganisms with blue staining and red terminal components aligns with the characteristics of spores, making it the correct answer.
Question 4 of 9
What is the name of the enzyme that allows the bacteria to become resistant to most penicillins?
Correct Answer: C
Rationale: The correct answer is C: Beta lactamase. This enzyme is produced by bacteria to break down the beta-lactam ring structure of penicillins, rendering them ineffective. Beta lactam ring (A) is part of the penicillin molecule, not an enzyme. MRSA (B) stands for methicillin-resistant Staphylococcus aureus, a type of bacteria resistant to certain antibiotics, not an enzyme. Aminoglycoside ring (D) refers to a different class of antibiotics and is not related to penicillin resistance in bacteria.
Question 5 of 9
A patient with severe abdominal pain and diarrhea had a stool sample cultured. The bacteria were Gram-negative rods that did not ferment lactose. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Salmonella enterica. This is because Salmonella are Gram-negative rods that do not ferment lactose, which fits the description in the question. Additionally, Salmonella is a common cause of severe abdominal pain and diarrhea. Shigella dysenteriae is a Gram-negative rod that also causes severe diarrhea but it does not share the characteristic of not fermenting lactose. Escherichia coli is a Gram-negative rod that does ferment lactose. Proteus vulgaris is also a Gram-negative rod but it is not commonly associated with severe abdominal pain and diarrhea, making it an unlikely causative agent in this scenario.
Question 6 of 9
The food preparation process in which not all microorganisms are killed, but the number of microbes capable of spoiling the food or causing disease is reduced, is called
Correct Answer: B
Rationale: The correct answer is B: pasteurization. This process involves heating food to a specific temperature to kill harmful bacteria while preserving the flavor and quality of the food. Sanitation (A) refers to maintaining cleanliness to prevent contamination. Disinfection (C) involves killing most, but not all, microbes on surfaces. Purification (D) typically refers to the process of removing impurities, not specifically targeting microbes. In this case, pasteurization best describes the process of reducing harmful microbes in food without completely eliminating all microorganisms.
Question 7 of 9
Group II category diseases as established by the NIAID include:
Correct Answer: D
Rationale: The correct answer is D: reemerging diseases. Group II category diseases by the NIAID are those that have reemerged or have the potential to reemerge. This classification helps prioritize research and resources. Choice A is incorrect because new foodborne pathogens fall under different categories. Choice B is incorrect as eradicated diseases are not part of the reemerging group. Choice C is incorrect because bioterrorism agents are classified separately. Therefore, the correct answer is D as it aligns with the purpose of Group II category diseases.
Question 8 of 9
Which of the following bacteria is responsible for causing syphilis?
Correct Answer: A
Rationale: Step 1: Treponema pallidum is a spirochete bacterium known to cause syphilis. Step 2: It is sexually transmitted and can cause various stages of disease. Step 3: Neisseria gonorrhoeae causes gonorrhea, not syphilis. Step 4: Chlamydia trachomatis causes chlamydia, not syphilis. Step 5: Escherichia coli is a common gut bacterium and not responsible for syphilis. Treponema pallidum is the correct answer as it is the specific bacterium known to cause syphilis.
Question 9 of 9
The complex of all biological processes/mechanisms is responsible for the state of steady internal, physical, chemical conditions in the living systems and defense against all foreign agents is known as:
Correct Answer: C
Rationale: Rationale for Correct Answer (C - Immunity): 1. Immunity refers to the body's ability to defend against foreign agents. 2. Homeostasis is the state of steady internal conditions, not specifically related to defense. 3. Infection is the invasion and multiplication of pathogens, not the overall defense mechanism. 4. Commensalism is a symbiotic relationship where one organism benefits without harming the other.