ATI RN
microbiology basic and clinical principles test bank Questions
Question 1 of 5
A fecal sample cultured on Endo agar revealed colorless colonies. The bacteria were Gram-negative rods and lactose non-fermenters. What microorganism is most likely?
Correct Answer: C
Rationale: The correct answer is Shigella (Choice C) because it matches the description of being Gram-negative rods and lactose non-fermenters. Shigella is a non-lactose fermenting, Gram-negative rod that typically produces colorless colonies on Endo agar. Salmonella (Choice A) and Escherichia coli (Choice B) are both lactose fermenters and would produce pink colonies on Endo agar. Proteus (Choice D) is also a lactose fermenter and would appear pink on Endo agar. Therefore, based on the characteristics provided, Shigella is the most likely microorganism in this scenario.
Question 2 of 5
Which of the following bacteria produce exotoxins that cause severe gastrointestinal illness?
Correct Answer: D
Rationale: The correct answer is D (All of the above) because all three bacteria listed produce exotoxins that cause severe gastrointestinal illness. Clostridium botulinum produces botulinum toxin causing botulism. Vibrio cholerae produces cholera toxin leading to cholera. Escherichia coli can produce various exotoxins causing different types of severe gastrointestinal illnesses like E. coli O157:H7 causing bloody diarrhea. Therefore, all choices A, B, and C are correct in this case as they all produce exotoxins causing severe gastrointestinal illness.
Question 3 of 5
For tuberculosis prevention the newborns got an injection of a vaccine. What vaccine was used?
Correct Answer: A
Rationale: The correct answer is A: BCG. BCG vaccine is commonly used for tuberculosis prevention because it provides immunity against Mycobacterium tuberculosis. Mantoux is a test, not a vaccine. DTaP vaccine is for diphtheria, tetanus, and pertussis, not tuberculosis. Anatoxin is a type of toxoid vaccine, not used for tuberculosis prevention. BCG vaccine has been shown to be effective in preventing severe forms of tuberculosis in infants, making it the appropriate choice in this scenario.
Question 4 of 5
A source of hospital-acquired infection could be:
Correct Answer: D
Rationale: The correct answer is D because all the choices can contribute to hospital-acquired infections. New patients in the incubation period can spread infections, medical staff can inadvertently transmit infections, and contaminated medical instruments can also be a source of infections. Therefore, it is important to consider all these factors to prevent and control the spread of infections in a hospital setting.
Question 5 of 5
A blood culture from a patient with sepsis revealed Gram-negative diplococci. The organism was oxidase-positive and fermentative. What is the most likely causative agent?
Correct Answer: B
Rationale: The correct answer is B: Neisseria meningitidis. This is because Neisseria meningitidis is a Gram-negative diplococci that is oxidase-positive and fermentative. Neisseria gonorrhoeae (choice A) is also a Gram-negative diplococci but is not fermentative. Haemophilus influenzae (choice C) is not a diplococci and Moraxella catarrhalis (choice D) is oxidase-negative. Thus, Neisseria meningitidis fits all the criteria provided in the question, making it the most likely causative agent for the sepsis in this patient.
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