Microbiology Chapter 14 Test Bank

Correct Answer: A

Rationale: The correct answer is A: Mononuclears, T-lymphocytes and lymphokines. In a Mantoux test reaction, mononuclear cells, mainly T-lymphocytes, are activated by the injected allergen. These T-lymphocytes release lymphokines, leading to the observed swelling, hyperaemia, and tenderness. Granulocytes and IgG (choice B) are not the primary players in this type of delayed hypersensitivity reaction. Plasmatic cells (choice C) are not involved in the initial stages of this reaction. B-lymphocytes and IgM (choice D) are not the key components in the Mantoux test reaction.

Correct Answer: A

Rationale: The correct answer is A: Facultative anaerobes. Facultative anaerobes can survive in both aerobic and anaerobic conditions because they have the metabolic flexibility to switch between utilizing oxygen for respiration in aerobic conditions and using fermentation in anaerobic conditions. Obligate aerobes (B) require oxygen for survival, obligate anaerobes (C) cannot survive in the presence of oxygen, and microaerophiles (D) require low levels of oxygen to grow effectively. Therefore, the ability of facultative anaerobes to adapt to varying oxygen levels makes them the correct choice for this question.

Correct Answer: D

Rationale: The correct answer is D because all three bacteria listed (Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa) can produce endotoxins that can lead to septic shock. Endotoxins are lipopolysaccharides found in the outer membrane of Gram-negative bacteria like E. coli and P. aeruginosa. Staphylococcus aureus, a Gram-positive bacterium, can also produce endotoxins called superantigens that can trigger a massive immune response leading to septic shock. Therefore, all of the above choices are correct. Choices A, B, and C alone are incorrect because they do not account for the fact that all three bacteria listed produce endotoxins that can cause septic shock.

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pyogenes. Rationale: 1. Gram-positive cocci in pairs suggest Streptococcus species. 2. Catalase-negative rules out Staphylococcus. 3. Beta-hemolytic indicates Streptococcus pyogenes due to its beta-hemolytic properties. Summary: B: Streptococcus pneumoniae is catalase-negative but not beta-hemolytic. C: Enterococcus faecalis is not typically beta-hemolytic. D: Staphylococcus aureus is catalase-positive and not typically in pairs.

Correct Answer: C

Rationale: The correct answer is C: gram-negative bacteria have an outer membrane that acts as an extra barrier. This outer membrane in gram-negative bacteria contains lipopolysaccharides and porins, which restrict the entry of antibiotics like penicillin. The outer membrane acts as an additional layer of protection, making it harder for penicillin to penetrate and reach its target, the peptidoglycan layer. Choices A, B, and D do not directly address the specific mechanism of resistance seen in gram-negative bacteria. Choice A focuses on transpeptidase enzyme quantity, which is not the primary reason for penicillin resistance. Choice B refers to β-lactamase enzymes in the periplasmic space, which are actually enzymes that degrade penicillin and contribute to resistance, but this is not unique to gram-negative bacteria. Choice D mentions a thicker cell wall, which is a characteristic of gram-positive bacteria, not gram-negative bacteria.