ATI RN
Microbiology An Introduction 12th Edition Test Bank Questions
Question 1 of 5
A 32-year-old patient undergoing dental examination was found to have some rash-like lesions resembling secondary syphilis in the oral cavity. The patient was referred for the serological study with the purpose of diagnosis confirmation. In order to detect antibodies in the serum, living Treponema were used as diagnosticum. What serological test was performed?
Correct Answer: B
Rationale: The correct answer is B: Passive hemagglutination. In this test, red blood cells coated with Treponema antigens agglutinate in the presence of patient's serum antibodies. This indicates the presence of antibodies against Treponema, confirming the diagnosis. A: Immobilization test uses live Treponema to detect specific antibodies, but it is not commonly used for syphilis diagnosis. C: Precipitation test is not commonly used for syphilis diagnosis. D: Complement binding test is not specific for syphilis and is used more for autoimmune diseases. Therefore, passive hemagglutination is the most appropriate serological test in this case due to its specificity and relevance to the presentation of the patient.
Question 2 of 5
Microscopical examination of an infiltrate removed from the submandibular skin area of a 30 y.o. man revealed foci of purulent fluxing surrounded by maturing granulations and mature connective tissue, the pus contains druses consisting of multiple short rod-like elements with one end attached to the homogenous centre. What disease is it?
Correct Answer: A
Rationale: The correct answer is A: Actinomycosis. This is supported by the presence of purulent foci with druses consisting of short rod-like elements attached to a homogenous center, which is characteristic of Actinomyces species. Actinomycosis commonly presents with granulation tissue and connective tissue formation. B: Tuberculosis does not typically present with druses containing short rod-like elements. C: Syphilis does not typically present with purulent foci or druses. D: Candidosis does not typically present with the described features of purulent fluxing and druses with short rod-like elements.
Question 3 of 5
Which bacteria are capable of forming spores to survive in extreme conditions?
Correct Answer: C
Rationale: The correct answer is C because both Clostridium botulinum and Bacillus anthracis are capable of forming spores to survive in extreme conditions. Clostridium botulinum is known for causing botulism and produces highly heat-resistant spores, while Bacillus anthracis is the causative agent of anthrax and also forms spores. Choice A is incorrect because only Clostridium botulinum is mentioned, not Bacillus anthracis. Choice B is incorrect because only Bacillus anthracis is mentioned, not Clostridium botulinum. Choice D is incorrect as it states that none of the bacteria can form spores, which is false based on the characteristics of Clostridium botulinum and Bacillus anthracis.
Question 4 of 5
For the structure of rubella virus is true that
Correct Answer: A
Rationale: The correct answer is A. Rubella virus has icosahedral type of symmetry due to its spherical shape with 20 faces. This symmetry allows for efficient packaging of genetic material and structural stability. Choice B is incorrect as rubella virus is an ssRNA virus, not ssDNA. Choice C is incorrect as rubella virus does have an envelope derived from the host cell membrane. Choice D is incorrect as rubella virus does have glycoprotein spikes on its surface that aid in host cell recognition and entry.
Question 5 of 5
A child with foul-smelling diarrhea had trophozoites with two nuclei and flagella identified in stool microscopy. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Giardia lamblia. Giardia lamblia is a protozoan parasite that causes foul-smelling diarrhea with trophozoites having two nuclei and flagella in stool microscopy. The presence of flagella and two nuclei is characteristic of Giardia lamblia. Entamoeba histolytica (Choice B) causes amoebic dysentery with trophozoites containing ingested RBCs. Trichomonas vaginalis (Choice C) is a sexually transmitted protozoan causing vaginitis with a distinctive pear-shaped trophozoite. Balantidium coli (Choice D) is a ciliated protozoan causing diarrhea with trophozoites containing a single nucleus.
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