microbiology an introduction test bank

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ATI RN

ATI RN Test Bank

microbiology an introduction test bank Questions

Question 1 of 5

A child with a sore throat had a throat smear revealing Gram-positive cocci in pairs with a capsule. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. The presence of Gram-positive cocci in pairs with a capsule is characteristic of Streptococcus pneumoniae. Step 1: Gram-positive cocci in pairs indicate a Streptococcus species. Step 2: The presence of a capsule suggests S. pneumoniae specifically. Summary: B: Staphylococcus aureus is a Gram-positive cocci but does not typically present in pairs with a capsule. C: Neisseria gonorrhoeae is a Gram-negative diplococcus, not a Gram-positive cocci. D: Klebsiella pneumoniae is a Gram-negative rod, not a cocci.

Question 2 of 5

Pili are also called:

Correct Answer: B

Rationale: The correct answer is B: microvilli. Pili are hair-like structures found on the surface of some bacteria, while microvilli are microscopic cellular projections that increase surface area for absorption in cells like intestinal cells. Pili are involved in bacterial adhesion, while microvilli are important for nutrient absorption. Therefore, the correct answer is B. Incorrect choices: A: Fimbriae are short, thin appendages found on the surface of some bacteria, mainly used for adhesion. C: Cilia are hair-like structures found on the surface of some eukaryotic cells, often involved in movement or sensory functions. D: Flagella are long, whip-like appendages used for bacterial motility.

Question 3 of 5

Comma-shaped rod, causes high volume watery diarrhea is:

Correct Answer: B

Rationale: The correct answer is B: Vibrio cholerae. Vibrio cholerae is a comma-shaped rod bacterium that causes high volume watery diarrhea by producing cholera toxin. This toxin leads to the secretion of large amounts of fluid into the intestines. Campylobacter jejuni (A) typically causes bloody diarrhea. Pseudomonas aeruginosa (C) and Proteus mirabilis (D) are not associated with high volume watery diarrhea.

Question 4 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 5 of 5

A patient with a severe case of pneumonia had sputum stained using the Gram method. The smear revealed Gram-positive cocci arranged in pairs with a capsule. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is a common cause of pneumonia and is characterized by being Gram-positive cocci arranged in pairs with a capsule, as described in the question. The presence of a capsule is a key characteristic of Streptococcus pneumoniae, distinguishing it from the other choices. Staphylococcus aureus (B) is a Gram-positive cocci, but it typically forms clusters, not pairs. Klebsiella pneumoniae (C) is a Gram-negative rod, not a Gram-positive cocci. Enterococcus faecalis (D) is a Gram-positive cocci, but it does not typically present with a capsule in the same way Streptococcus pneumoniae does.

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