ATI RN
microbiology an introduction test bank Questions
Question 1 of 5
A child presented with foul-smelling diarrhea. Stool microscopy revealed trophozoites with two nuclei and flagella. 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. The trophozoites of Giardia lamblia have two nuclei and flagella, which are characteristic features seen on stool microscopy. The presence of these specific features helps differentiate Giardia lamblia from the other options. Entamoeba histolytica (B) typically presents with one nucleus and lacks flagella. Trichomonas vaginalis (C) is a sexually transmitted parasite with a different morphology. Balantidium coli (D) is a ciliated parasite, not flagellated like Giardia lamblia.
Question 2 of 5
Rheumatic fever is usually a complication of a(n) __________ infection.
Correct Answer: B
Rationale: Rationale: 1. Streptococcus pyogenes is the causative agent of strep throat. 2. If untreated, strep throat can lead to rheumatic fever. 3. Rheumatic fever is an autoimmune complication of streptococcal infections. 4. E. coli, S. epidermidis, and S. aureus are not typically associated with rheumatic fever.
Question 3 of 5
The patient 25 y.o. was admitted on the 1st day of the disease with complaints of double vision in the eyes, heavy breathing. The day before the patient ate homemade mushrooms. On objective examination: paleness, widened pupils, disorder of swallowing, bradycardia, constipation are marked. What is the diagnosis?
Correct Answer: A
Rationale: The correct answer is A: Botulism. Botulism is a rare but serious illness caused by a toxin produced by the bacterium Clostridium botulinum. In this case, the patient's symptoms align with botulism due to the ingestion of homemade mushrooms. The symptoms of double vision, heavy breathing, paleness, widened pupils, swallowing difficulties, bradycardia, and constipation are all classic signs of botulism poisoning. The toxin affects the nervous system and can lead to paralysis. The other choices (B: Yersiniosis, C: Leptospirosis, D: Salmonellosis) do not match the patient's symptoms and history of consuming mushrooms, making them incorrect.
Question 4 of 5
Resident microflora is found in
Correct Answer: C
Rationale: The correct answer is C: urethra. Resident microflora refers to the normal, beneficial bacteria that inhabit a specific area of the body without causing harm. The urethra is one of the locations where resident microflora are commonly found. These bacteria play a vital role in maintaining a healthy balance and preventing harmful pathogens from colonizing the urethra. Blood (A), lung (B), and cerebro-spinal fluid (D) are not typical locations for resident microflora as these areas are usually sterile or have very limited microbial presence to prevent infections.
Question 5 of 5
A Gram-negative bacterium producing a blue-green pigment and having a fruity odor was isolated from a patient's wound infection. What is the likely causative agent?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Blue-green pigment + fruity odor are characteristic of Pseudomonas aeruginosa. 2. P. aeruginosa is a Gram-negative bacterium commonly associated with wound infections. 3. P. aeruginosa is known for its ability to produce pyocyanin (blue-green pigment) and a sweet, fruity odor. 4. Other choices like E. coli, K. pneumoniae, and P. mirabilis do not typically produce blue-green pigment or fruity odor. 5. Therefore, based on the characteristics observed, the likely causative agent is Pseudomonas aeruginosa. Summary of other choices: - Escherichia coli: Does not produce blue-green pigment or fruity odor. - Klebsiella pneumoniae: Does not typically produce blue-green pigment or fruity odor. - Proteus mirabilis: Does not produce blue-green pigment or fruity odor.
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