ATI RN
foundations in microbiology test bank Questions
Question 1 of 5
A blood culture from a patient with sepsis revealed Gram-positive cocci in pairs. The bacteria were catalase-negative and alpha-hemolytic. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This is because the bacterium is Gram-positive cocci in pairs, catalase-negative, and alpha-hemolytic, which are characteristic features of S. pneumoniae. The other choices can be ruled out based on specific characteristics: B) Staphylococcus aureus is catalase-positive, C) Enterococcus faecalis is gamma-hemolytic, and D) Neisseria gonorrhoeae is a Gram-negative diplococcus. Therefore, based on the given information, S. pneumoniae is the most likely causative agent of the sepsis.
Question 2 of 5
The bacterium Yersinia pestis is responsible for causing what disease?
Correct Answer: C
Rationale: The correct answer is C: Plague. Yersinia pestis is the bacterium responsible for causing the bubonic, septicemic, and pneumonic plague. The bacterium is transmitted to humans through infected flea bites or handling infected animals. Tonsillitis (A) is commonly caused by streptococcal bacteria, leprosy (B) is caused by Mycobacterium leprae, and rat fever (D) is another term for leptospirosis, caused by Leptospira bacteria.
Question 3 of 5
Prophylaxis of smallpox and revaccination is performed:
Correct Answer: D
Rationale: The correct answer is D because smallpox vaccination provides long-lasting immunity, often for a lifetime. Revaccination is not necessary as the initial vaccine confers sufficient protection. Choice A is incorrect because yearly revaccination is unnecessary and excessive. Choice B and C are also incorrect as there is no need for revaccination every second or third year. The key is to understand that smallpox vaccination typically provides lifelong immunity, making ongoing revaccination unnecessary.
Question 4 of 5
All statements about plasmids are correct except:
Correct Answer: C
Rationale: The correct answer is C because plasmids do not encode essential bacterial properties. They are non-essential, extra-chromosomal DNA molecules that can replicate independently within bacterial cells. Plasmids mainly contain genes for antibiotic resistance, genetic transfer, and other specific functions. Choice A is correct as many plasmids do carry antibiotic resistance genes. Choice B is also accurate as plasmids are indeed smaller, circular, and exist outside the bacterial chromosome. Choice D is true as plasmids can facilitate bacterial conjugation, allowing the transfer of genetic material between bacteria.
Question 5 of 5
Which of the following viruses could be reactivated under immunosuppressive therapy?
Correct Answer: D
Rationale: The correct answer is D, "None of the above," because viruses like Parotitidis (mumps), Rubella, and Influenza A are not typically associated with reactivation under immunosuppressive therapy. Reactivation is more commonly seen in latent viruses like herpesviruses (e.g., herpes simplex, varicella-zoster), cytomegalovirus, and Epstein-Barr virus. These viruses can remain dormant in the body and reactivate when the immune system is compromised. Therefore, the correct answer is D, as the viruses mentioned in choices A, B, and C do not fit the criteria for reactivation under immunosuppressive therapy.
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