ATI RN
OpenStax Microbiology Test Bank Questions
Question 1 of 5
A 10-year-old child cut his leg with a glass shard, when playing, and was delivered to outpatient department to receive anti-tetanus serum. To prevent development of anaphylactic shock the serum was introduced by Bezredka method. This method of organism hyposensitization is based on the following mechanism:
Correct Answer: C
Rationale: The correct answer is C: Binding of mast cell-fixed IgE. The Bezredka method involves introducing small amounts of the antigen to which the individual is allergic, leading to the binding of mast cell-fixed IgE. This process desensitizes the immune system and prevents anaphylactic shock by reducing the release of histamine and other mediators from mast cells. Rationale: 1. A: Stimulation of antigen-specific IgG2 is incorrect because the Bezredka method primarily targets IgE, not IgG2. 2. B: Stimulation of the immunological antigen tolerance is incorrect as this method aims to block the allergic response rather than induce tolerance. 3. D: Blocking of mast cell mediators synthesis is incorrect because the Bezredka method does not directly inhibit the synthesis of mast cell mediators, but rather blocks their release by binding IgE.
Question 2 of 5
A patient suffers from pulmonary tuberculosis. During treatment neuritis of visual nerve arose. What drug has caused this by-effect?
Correct Answer: B
Rationale: The correct answer is B: Ethambutol. Ethambutol is known to cause optic neuritis, affecting the visual nerve. It is a well-documented side effect of this drug. Isoniazid (Choice A) is associated with peripheral neuropathy, not optic neuritis. Kanamycin (Choice C) is known for its side effects on the inner ear, causing hearing loss. Rifampicin (Choice D) is not typically associated with optic neuritis but can cause other adverse effects like hepatitis. By process of elimination and knowledge of drug side effects, Ethambutol is the most likely culprit.
Question 3 of 5
A patient has been brought to the hospital with the complaints of headache, pain in left hypochondrium. He has been ill for 1,5 weeks. The sudden illness began with the increase of body temperature up to 39, 90C. In 3 hours the temperature decreased and hydropoiesis began. The attacks repeat rhythmically in 48 hours. The patient had visited one an African country. The doctors have suspected malaria. What method of laboratory diagnostics is necessary to use?
Correct Answer: A
Rationale: The correct method of laboratory diagnostics for suspected malaria is blood examination. Malaria is diagnosed by detecting the presence of the Plasmodium parasite in the patient's blood. This can be done through microscopy to identify the parasite in a blood smear or through rapid diagnostic tests (RDTs) that detect specific antigens produced by the parasite. Blood examination allows for the direct visualization of the parasite, making it the most accurate method for diagnosing malaria. Immunological tests, stool examination, and urine examination are not suitable for diagnosing malaria as the parasite primarily resides in the red blood cells. Stool and urine examinations are more commonly used for diagnosing gastrointestinal or urinary tract infections, respectively.
Question 4 of 5
The sepsis is:
Correct Answer: D
Rationale: The correct answer is D. Sepsis is a systemic response to infection resulting in organ dysfunction. A: Sepsis can be caused by bacterial infection, but it is not solely defined by the presence of bacteria in the blood. B: Bacteremia is the presence of bacteria in the blood, which can be a component of sepsis, but sepsis involves a broader systemic response beyond just bacteremia. C: Sepsis can lead to the release of toxins and organ failure, but sepsis itself is not defined solely by the massive proliferation of toxins. Therefore, the correct answer is D, as sepsis can involve the presence of bacteria, bacteremia, systemic manifestations, and organ failure.
Question 5 of 5
A patient diagnosed with botulism has been prescribed antibotulinic serum for treatment. What immunity will be formed in the given patient?
Correct Answer: A
Rationale: The correct answer is A: Antitoxic passive immunity. Antibotulinic serum contains pre-formed antibodies against the botulinum toxin, providing immediate protection to the patient. This is passive immunity as the patient does not produce their antibodies but receives them externally. Choice B is incorrect as botulism is not an infection, so the patient does not develop infection immunity. Choice C is incorrect because active immunity involves the body producing its antibodies after exposure to an antigen, which is not the case here. Choice D is incorrect as antimicrobic immunity relates to protection against microbes, not toxins like in botulism.
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