McGraw Hill Microbiology Test Bank

Questions 82

ATI RN

ATI RN Test Bank

McGraw Hill Microbiology Test Bank Questions

Question 1 of 5

A 23 year old female patient complains about periodical chill and body temperature rise up to 40oC, sense of heat taking turns with profuse sweating. The patient has had already 3 attacks that came once in two days and lasted 12 hours. She has lived in Africa for the last 2 months. Liver and spleen are enlarged. In blood: erythrocytes - 2,5x1012/l. What is the most probable diagnosis?

Correct Answer: A

Rationale: The most probable diagnosis is A: Malaria. The patient's symptoms of periodic chills, high fever, and profuse sweating, along with living in Africa where malaria is endemic, strongly suggest malaria. The enlarged liver and spleen are consistent with malaria infection. The low erythrocyte count indicates hemolysis, a common feature of malaria. Spotted fever and sepsis do not typically present with the same pattern of symptoms and travel history as seen in this case. Haemolytic anaemia would not explain the patient's fever episodes and other symptoms. Therefore, based on the symptoms, travel history, and laboratory findings, malaria is the most likely diagnosis.

Question 2 of 5

During examination of the patient's oral cavity a dentist noticed deformation of the teeth and a crescent indentation of the upper right incisor. The teeth are undersized, barrel-shaped – tooth cervix is wider than its edge. The patient uses a hearing aid, suffers from visual impairment. What type of syphilis affects teeth in such way?

Correct Answer: D

Rationale: The correct answer is D, Late congenital syphilis. This is because the patient presents with Hutchinson's teeth, which are a characteristic feature of late congenital syphilis. Hutchinson's teeth are small, barrel-shaped teeth with a wider cervix and notched incisors. The patient's history of visual impairment and hearing aid use also support the diagnosis of late congenital syphilis, as these are common manifestations of this stage of the disease. Choice A, Primary syphilis, is incorrect because it typically presents with a painless sore at the site of infection, not dental abnormalities. Choice B, Early congenital syphilis, is incorrect as dental abnormalities in this stage are usually more severe, such as mulberry molars. Choice C, Neurosyphilis, is incorrect as it primarily affects the central nervous system and does not typically present with dental abnormalities.

Question 3 of 5

Matrix formed outside the plasma membrane is referred to as:

Correct Answer: B

Rationale: The correct answer is B: glycocalyx. The glycocalyx is a matrix formed outside the plasma membrane that consists of glycoproteins and glycolipids. It plays crucial roles in cell-cell recognition, protection, and immune response. Cytoplasm (A) is the gel-like substance inside the cell, not outside. Exoplasm (C) is not a recognized term in biology. Cell wall (D) is a rigid structure found in plant cells, not outside the plasma membrane in all cells.

Question 4 of 5

What is the most appropriate method for diagnosis of listeriosis

Correct Answer: A

Rationale: The correct answer is A: cultivating on artificial media and biochemical identification. This method is appropriate for diagnosing listeriosis because it allows for the isolation and growth of Listeria species on selective media, followed by biochemical tests to confirm the identity. Serological diagnosis with ELISA (choice B) is not as specific for Listeria and may yield false positives. Choice C, serological diagnosis with agglutination hype Widal, is not typically used for listeriosis diagnosis. Cultivating in cell cultures (choice D) is not the primary method for diagnosing listeriosis as it is less specific compared to cultivating on artificial media and biochemical identification.

Question 5 of 5

Diatoms, major components of marine phytoplankton, belong to:

Correct Answer: A

Rationale: The correct answer is A: Chrysophyta. Diatoms are classified under the division Chrysophyta due to their unique characteristics, such as possessing a cell wall made of silica (siliceous frustule) and containing chlorophyll a and c for photosynthesis. Chrysophyta includes golden-brown algae, which diatoms are a part of. Rhodophyta (B) includes red algae, Chlorophyta (C) includes green algae, and Phaeophyta (D) includes brown algae. These choices are incorrect as they do not align with the specific characteristics and classification of diatoms within the kingdom Protista.

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