ATI RN
Microbiology Test Bank Questions
Question 1 of 5
A 13 year old child complains about poor appetite, pain in the right subcostal area. Microscopical examination of duodenal contents revealed big pyriform cells with two nuclei. What microorganism was revealed?
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.
Question 2 of 5
A Gram-negative, motile, comma-shaped bacterium was isolated from a stool sample of a patient with diarrhea. What is the most likely causative agent?
Correct Answer: B
Rationale: Step 1: Gram-negative, comma-shaped bacterium suggests a curved rod morphology, typical of Campylobacter jejuni. Step 2: Motility is a characteristic of Campylobacter species. Step 3: Campylobacter jejuni is a common cause of bacterial diarrhea in humans. Step 4: Vibrio cholerae causes cholera, not typically associated with comma-shaped morphology. Shigella dysenteriae and Escherichia coli are not comma-shaped.
Question 3 of 5
During an outbreak of cholera, a fecal smear revealed Gram-negative, comma-shaped, motile bacteria. What staining method would best confirm the diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Gram staining. This method is used to differentiate bacteria based on their cell wall composition. In cholera, the causative agent is Vibrio cholerae, which is Gram-negative. By performing Gram staining, the bacteria will appear pink/red under the microscope, confirming the presence of Gram-negative bacteria. Choice B: Neisser's staining is used for staining capsules of bacteria, not suitable for confirming cholera diagnosis. Choice C: Ziehl-Neelsen staining is used for acid-fast bacteria like Mycobacterium tuberculosis, not for confirming cholera diagnosis. Choice D: Burri-Gins staining is not a standard staining method in microbiology and is not relevant for confirming cholera diagnosis.
Question 4 of 5
A 12 year old girl complains about abrupt weakness, nausea, dizziness, vision impairment. The day before she ate home-made stockfish, beef. Examination revealed skin pallor, a scratch on the left knee, dryness of mucous membranes of oral pharynx, bilateral ptosis, mydriatic pupils. The girl is unable to read a simple text (mist over the eyes). What therapy would be the most adequate in this case?
Correct Answer: D
Rationale: The correct answer is D: Parenteral introduction of antitetanus serum. The symptoms described in the question, such as bilateral ptosis, mydriatic pupils, and difficulty reading, are indicative of tetanus infection. The source of infection could be the scratch on the knee, which allowed the tetanus bacteria to enter the body. The most appropriate therapy for tetanus is the administration of antitetanus serum to neutralize the tetanus toxin. Antibotulinic serum (choice A) is not appropriate as it is used for botulism, which presents differently. Disintoxication (choice B) is too general and does not address the specific cause of the symptoms. Antibiotics (choice C) are not effective in treating tetanus because it is caused by a toxin, not a bacterial infection. Therefore, the correct course of action is to administer antitetanus serum to the patient.
Question 5 of 5
The actual genetic makeup of an organism is referred to as its
Correct Answer: B
Rationale: The correct answer is B: genotype. The genotype refers to the actual genetic makeup of an organism, including all the genes and alleles present in its DNA. This determines the traits and characteristics of an organism. Phenotype (A) is the observable physical or biochemical characteristics of an organism. Conjugation (C) is a process in bacteria involving the transfer of genetic material. Construct (D) is not a term related to genetics. Therefore, the correct choice is B as it specifically refers to the genetic composition of an organism.
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