Microbiology Chapter 1 Test Bank

Correct Answer: A

Rationale: Step-by-step rationale for why Answer A (Sabouraud's) is correct: 1. Sabouraud's agar is a selective medium for fungi. 2. Candida is a type of fungus causing candidosis. 3. Sabouraud's agar promotes fungal growth. 4. Candida will grow on Sabouraud's agar, confirming the diagnosis. 5. Other choices are for bacterial culture, not suitable for fungal growth. Summary: - Endo, Jensen's, and Roux are not appropriate for fungal culture. - Sabouraud's agar specifically supports fungal growth, making it the correct choice for confirming candidosis.

Correct Answer: B

Rationale: The correct answer is B: Cholera. Cholera is caused by Gram-negative curved rod-like bacteria called Vibrio cholerae, commonly found in contaminated water or food. The characteristic symptom of cholera is profuse watery diarrhea, which matches the patient's presentation. Typhoid fever (A) is caused by Salmonella typhi, which is not a curved rod-like bacteria. Diphtheria (C) is caused by Corynebacterium diphtheriae, a Gram-positive bacterium, and does not typically cause diarrhea. Intestinal form of plague (D) is caused by Yersinia pestis, which is not a curved rod-like bacteria and does not typically present with diarrhea.

Correct Answer: A

Rationale: The correct answer is A: Balantidiasis. The large ciliated protozoa with a kidney-shaped macronucleus described in the stool sample is consistent with Balantidium coli, the causative agent of balantidiasis. Balantidium coli is the only ciliated protozoan parasite that infects humans and presents with these specific characteristics. Giardiasis (B) is caused by Giardia intestinalis, which is flagellated, not ciliated. Amoebiasis (C) is caused by Entamoeba histolytica, which has an amoeboid shape, not ciliated. Trichomoniasis (D) is caused by Trichomonas vaginalis, which is a flagellated protozoan and does not have a kidney-shaped macronucleus. Hence, the correct diagnosis in this case is Balantidiasis.

Correct Answer: D

Rationale: The correct answer is D: Yersinia enterocolitica. This bacterium can contaminate foods and grow at refrigerator temperatures due to its psychrotrophic nature. Yersinia enterocolitica is known to cause foodborne illnesses even when stored at cold temperatures. Shigella sonnei is a human pathogen transmitted through fecal-oral route, Campylobacter jejuni is typically found in poultry and causes food poisoning, and E. coli can cause foodborne illnesses but does not grow well at refrigerator temperatures.

Correct Answer: A

Rationale: The correct answer is A: Syphilis. Hutchinson's triad is a classic presentation of congenital syphilis. Barrel-shaped teeth, parenchymatous keratitis, and deafness are hallmark signs. These occur due to infection of the fetus by the spirochete Treponema pallidum. Syphilis can lead to various systemic manifestations, including skeletal abnormalities, skin lesions, and neurological complications. Opisthorchiasis, Toxoplasmosis, and Tuberculosis do not typically present with the specific triad described in the question. Opisthorchiasis is a parasitic infection, Toxoplasmosis is caused by a protozoan, and Tuberculosis is a bacterial infection that primarily affects the lungs.