Microbiology An Introduction 13th Edition Test Bank

Correct Answer: A

Rationale: The correct answer is A: Metronidazole. It is the drug of choice for treating systemic amebiasis due to its high efficacy against Entamoeba histolytica. Metronidazole is well-absorbed, reaches therapeutic levels in the intestines, liver, and lungs, making it effective in treating the multi-organ involvement in this case. Choice B: Quiniofone is not a recommended treatment for amebiasis. Choice C: Tetracycline is not the first-line treatment for systemic amebiasis. Choice D: Quingamine is not a recognized drug for treating amebiasis.

Correct Answer: A

Rationale: The correct answer is A: Acid resistance. Tuberculosis mycobacteria have a unique cell wall structure that makes them resistant to acid-fast staining methods like Ziehl-Neelsen. This is due to the high lipid content of their cell walls, specifically mycolic acids, which prevent the penetration of stains and acids. The red bacilli observed in the smear indicate that the mycobacteria retained the primary stain (carbolfuchsin) after acid-alcohol decolorization, confirming their acid resistance. Summary: - Choice A: Acid resistance is correct due to the unique cell wall structure of tuberculosis mycobacteria. - Choice B: Alkali resistance is incorrect as mycobacteria are not known for being resistant to alkalis. - Choice C: Alcohol resistance is incorrect as mycobacteria are not specifically resistant to alcohols. - Choice D: Encapsulation is incorrect as mycobacteria are not encapsulated bacteria.

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus epidermidis. The presence of Gram-positive cocci arranged in clusters, catalase-positive, and coagulase-negative characteristics are indicative of Staphylococcus species. Staphylococcus epidermidis is a common skin commensal that causes wound infections. Staphylococcus aureus is coagulase-positive and often causes more aggressive infections. Streptococcus pyogenes is catalase-negative and typically forms chains, not clusters. Enterococcus faecalis is catalase-negative and commonly found in the GI tract, not a common cause of wound infections.

Correct Answer: A

Rationale: The correct answer is A: Clostridium botulinum. This bacterium produces the neurotoxin responsible for botulism. Clostridium perfringens causes gas gangrene, not botulism. Escherichia coli and Salmonella enterica are not associated with botulism. Clostridium botulinum is the only bacterium known to produce the toxin causing botulism.

Correct Answer: C

Rationale: The correct answer is C: leg swelling. Endocarditis is an infection of the inner lining of the heart chambers and valves. Symptoms typically include fever, chills, weight loss, and muscle aches due to the body's immune response to the infection. Leg swelling is not a common symptom of endocarditis. It may occur in conditions like heart failure but is not directly associated with endocarditis. Therefore, choice C is the correct answer. Choices A, B, and D are incorrect because fever and chills, weight loss, and muscle aches are commonly seen in endocarditis due to the systemic inflammatory response to the infection.