microbiology an introduction 13th edition test bank

Questions 80

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ATI RN Test Bank

microbiology an introduction 13th edition test bank Questions

Question 1 of 5

A 70-year-old man was admitted to the hospital after suffering extensive third-degree burns. Three days later he spiked a fever and there was pus on the dressing that had blue-green colour. Gram stain of the pus revealed gram-negative rods. The most possible cause of these findings is:

Correct Answer: A

Rationale: The correct answer is A: The pyocyanin released by Pseudomonas aeruginosa. Pyocyanin is a blue-green pigment produced by Pseudomonas aeruginosa, a common cause of nosocomial infections in burn patients. The presence of blue-green pus and gram-negative rods in the wound along with fever suggests an infection with Pseudomonas aeruginosa. The other choices are incorrect because E. Coli typically causes gastrointestinal infections and releases enterotoxins, Staphylococcus aureus releases hemolysins causing hemolysis of red blood cells, and Shigella dysenteriae releases shigatoxin causing bloody diarrhea, none of which match the clinical presentation described in the question.

Question 2 of 5

A 65 y.o. woman complains of complicated mouth opening following foot trauma 10 days ago. Next day she ate with difficulties, there were muscles tension of back, the back of the head and abdomen. On the third day there was tension of all muscle groups, generalized convulsions every 10-15 min. What is the most probable diagnosis?

Correct Answer: A

Rationale: The most probable diagnosis is Tetanus (Choice A) based on the symptoms described. Tetanus is characterized by muscle stiffness, difficulty opening the mouth (trismus), muscle spasms, and convulsions. The progression of symptoms from muscle tension to generalized convulsions every 10-15 min is classic for tetanus. Tetania (Choice B) is similar but typically presents with more subtle muscle contractions rather than convulsions. Meningoencephalitis (Choice C) presents with fever, headache, and altered mental status, not the muscle symptoms described. Hemorrhagic stroke (Choice D) presents with sudden onset neurological deficits like weakness or sensory changes, not the muscle symptoms described.

Question 3 of 5

Which bacteria is responsible for causing syphilis?

Correct Answer: A

Rationale: Step 1: Treponema pallidum is a spirochete bacterium known to cause syphilis, a sexually transmitted infection. Step 2: Neisseria gonorrhoeae causes gonorrhea, not syphilis. Step 3: Chlamydia trachomatis is responsible for causing chlamydia, not syphilis. Step 4: Escherichia coli is commonly found in the gut and can cause gastrointestinal infections, not syphilis. Summary: Treponema pallidum is the correct answer as it is the specific bacterium associated with syphilis, while the other choices are responsible for different infections.

Question 4 of 5

A wound culture grew Gram-positive rods with central spores. The bacteria were catalase-positive and aerobic. Identify the microorganism.

Correct Answer: A

Rationale: The correct answer is A: Bacillus anthracis. The presence of Gram-positive rods with central spores, catalase-positive, and aerobic growth characteristics are indicative of Bacillus anthracis. Bacillus anthracis is known for its central spores and ability to grow aerobically. Summary of why other choices are incorrect: B: Clostridium tetani is a Gram-positive rod with terminal spores and is anaerobic. C: Streptococcus pyogenes is a Gram-positive cocci and catalase-negative. D: Klebsiella pneumoniae is a Gram-negative rod and catalase-positive, but is not associated with central spores.

Question 5 of 5

Differential growth media are:

Correct Answer: A

Rationale: The correct answer is A because differential growth media, such as Endo agar and MacConkey agar, contain specific indicators or substrates that allow for the differentiation of microorganisms based on their metabolic properties. For example, Eosin methylene blue agar differentiates between lactose fermenting and non-fermenting bacteria based on color changes. Levine's formulation is selective for Gram-negative bacteria due to bile salts and crystal violet. In contrast, the other choices do not have specific indicators for differentiation among microorganisms. Lowenstein-Jensen and SS agar are selective media for mycobacteria and Salmonella/Shigella species, respectively. ACA and BPLS agar are selective but not differential, and Nutrient agar and Peptone water are general-purpose media without differential properties.

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