ATI RN
Microbiology Chapter 1 Test Bank Questions
Question 1 of 5
A 30 year old patient consulted a doctor about having diarrhea and stomach aches for 5 days, temperature rise up to 37,50C with chills. The day before the patient was in a forest and drank some water from an open pond. He was diagnosed with amebic dysentery that was bacteriologically confirmed. Name the medication for treatment of this disease:
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. Amebic dysentery is caused by the parasite Entamoeba histolytica, not a bacterium, hence antibiotics like Chloramphenicol or Phthalazole are ineffective. Metronidazole is the drug of choice for treating amebic dysentery due to its efficacy against anaerobic organisms like Entamoeba histolytica. Furasolidone is used for treating bacterial infections, not parasitic ones like amebiasis. The patient's symptoms of diarrhea, stomach aches, and a recent history of drinking water from a potentially contaminated source in the forest are indicative of a parasitic infection, supporting the choice of Metronidazole for treatment.
Question 2 of 5
Soil microflora often includes the representatives of pathogenic microorganisms. Specify the diseases, whose causative agents may say viable in the soil for a long time:
Correct Answer: B
Rationale: The correct answer is B: Tuberculosis and mycobacterioses. Mycobacterium tuberculosis, the causative agent of tuberculosis, and other mycobacteria can survive in the soil for extended periods. Here's the rationale: 1. Mycobacteria have a waxy cell wall that provides resistance to harsh environmental conditions. 2. The slow growth rate of mycobacteria allows them to persist in the soil for long periods. 3. Tuberculosis and mycobacterioses are known to be transmitted through environmental exposure, including soil. 4. Colibacillosis and cholera (Choice C) are caused by enteric bacteria that do not survive well in soil. 5. Leptospirosis and plague (Choice D) are bacterial diseases transmitted through animal hosts and are not known to be soil-borne.
Question 3 of 5
All of the following statements about Borrelia burgdorferi are correct EXCEPT:
Correct Answer: D
Rationale: The correct answer is D because Borrelia burgdorferi cannot be detected with Giemsa stain. Giemsa stain is commonly used to visualize blood smears for malaria parasites but is not effective for Borrelia burgdorferi detection. A: Borrelia burgdorferi can be cultivated on blood agar - This is correct. Borrelia burgdorferi can be grown in culture on a special medium like Barbour-Stoenner-Kelly (BSK) agar. B: Borrelia burgdorferi is flexible, motile spirochete - This is correct. Borrelia burgdorferi is a spiral-shaped bacterium that moves using a corkscrew motion. C: Borrelia burgdorferi is transmitted by arthropods- ticks - This is correct. Borrelia burgdorferi is primarily transmitted to humans through the bite of infected ticks, particularly Ixodes
Question 4 of 5
Which is the preferred mode of transmission of HIV from a mother to a child?
Correct Answer: D
Rationale: The correct answer is D: All of the above. HIV can be transmitted from mother to child during delivery through mixing of blood, during pregnancy through the placenta, and via breastmilk during lactation. Each mode of transmission carries a risk of HIV transmission to the child due to the presence of the virus in the mother's blood and bodily fluids. It is important to note that all three modes contribute to the risk of mother-to-child transmission of HIV, and preventive measures should be taken to reduce this risk. Option A, during delivery through mixing of blood, is correct as HIV can be transmitted through exposure to infected blood during childbirth. Option B, during pregnancy through placenta, is also correct as the virus can cross the placenta and infect the fetus. Option C, via breastmilk during lactation, is correct as HIV can be present in breastmilk and transmitted to the child through breastfeeding. Therefore, the preferred mode of transmission of HIV from a mother to a child
Question 5 of 5
Which of the following growth media is most suitable for isolation of Candida:
Correct Answer: C
Rationale: Rationale: 1. Candida is a fungus commonly isolated from clinical specimens. 2. Sabouraud agar is the most suitable medium for Candida due to its low pH and high dextrose content. 3. Low pH inhibits bacterial growth, while dextrose promotes fungal growth. 4. Zeisler media, Chocolate agar, and Muller-Hinton agar are not specific for fungal isolation. Summary: - Zeisler media is used for anaerobic bacteria. - Chocolate agar is used for fastidious organisms like Haemophilus. - Muller-Hinton agar is for antibiotic susceptibility testing, not fungal isolation.
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