Microbiology Test Bank

Correct Answer: A

Rationale: The correct answer is A: Lamblia. The presence of big pyriform cells with two nuclei in the duodenal contents indicates Giardia lamblia infection. This parasite is commonly found in contaminated water and causes symptoms like poor appetite and abdominal pain. Trichomonas, Amoeba, Trypanosoma, and Toxoplasma are not typically associated with these findings and symptoms. Therefore, Lamblia is the most likely microorganism based on the clinical presentation and microscopic examination results.

Correct Answer: A

Rationale: The correct answer is A: Helicobacter pylori. This bacterium is a major cause of gastric ulcers by disrupting the balance between aggressive (acid, pepsin) and defensive (mucus, bicarbonate, prostaglandins) factors in the stomach lining. H. pylori infection leads to inflammation, weakening the protective mucosal barrier, making the stomach more susceptible to damage. Choices B, C, and D are defensive factors that help protect the stomach lining and prevent ulcer formation, so they do not contribute to the development of gastric ulcers.

Correct Answer: D

Rationale: The correct answer is D: To determine the children that need to receive BCG vaccination. The Mantoux test is used to identify individuals who have been exposed to Tuberculosis (TB) and need BCG vaccination for protection. Parotitis (choice A) is a viral infection unrelated to TB. Allergization rate toward rickettsia (choice B) and immune stress toward diphtheria (choice C) are not related to the Mantoux test or BCG vaccination. Therefore, choice D is the correct answer as it aligns with the purpose of the Mantoux test.

Correct Answer: A

Rationale: The correct answer is A: TRUE. The structures and organs listed are indeed part of the immune system. The lymphatic system transports lymph, lymphoid tissue contains immune cells, lymph nodes filter lymph, thymus matures T-cells, and spleen filters blood and produces immune cells. This comprehensive network is crucial for defending the body against pathogens. Choice B is incorrect as all listed structures are components of the immune system. Choice C is also incorrect as the statement is universally true, not situational. Choice D is incorrect as the correct answer is A.

Correct Answer: D

Rationale: The correct answer is D, Klebsiella pneumoniae. Klebsiella pneumoniae is a fermentative gram-negative rod, which means it can ferment sugars. In contrast, Pseudomonas aeruginosa, Acinetobacter baumannii, and Stenotrophomonas maltophilia are non-fermentative gram-negative rods. These organisms do not ferment sugars for energy production. Therefore, Klebsiella pneumoniae is the only fermentative organism among the choices, making it the correct answer.