Medical Microbiology Test Bank

Correct Answer: D

Rationale: The correct answer is D: Pulmonary tuberculosis. The presence of red bacilli stained with Ziehl-Nielsen method indicates acid-fast bacteria, which are characteristic of Mycobacterium tuberculosis, the causative agent of tuberculosis. The size and appearance of the bacilli described match those of M. tuberculosis. Chronic pneumonia, along with the specific staining pattern, strongly suggests tuberculosis as the likely diagnosis. Explanation for other choices: A: Pneumococcal pneumonia is caused by Streptococcus pneumoniae, which would not show red bacilli on Ziehl-Nielsen staining. B: Pulmonary actinomycosis is caused by Actinomyces species, not acid-fast bacteria like M. tuberculosis. C: Pulmonary candidiasis is caused by Candida species, which are fungi and do not appear as red bacilli on staining.

Correct Answer: D

Rationale: The correct answer is D: tinea pedis. Athlete's foot is a fungal infection that affects the feet, specifically the skin between the toes and on the soles. "Tinea pedis" is the medical term for athlete's foot, with "tinea" meaning a fungal infection and "pedis" referring to the foot. A: tinea capitis refers to a fungal infection of the scalp, not the feet. B: tinea corporis refers to a fungal infection of the body, not specifically the feet. C: tinea versicolor refers to a fungal infection that causes discoloration of the skin, not typically on the feet. In summary, the other choices are incorrect because they refer to fungal infections affecting different parts of the body, whereas "tinea pedis" specifically refers to athlete's foot.

Correct Answer: D

Rationale: The correct answer is D: Chlamydia trachomatis. Lymphogranuloma venereum (LGV) is caused by Chlamydia trachomatis serovars L1, L2, and L3. These serovars infect the lymphatic system leading to swelling and inflammation. Choice A, Chlamydia pneumoniae, is associated with respiratory infections, not LGV. Choice B, Chlamydia psittaci, causes psittacosis in birds and humans. Choice C, Mycoplasma genitalium, is a separate STI but is not the causative agent for LGV. The key to the correct answer is understanding the specific pathogen responsible for LGV based on its clinical presentation and mode of transmission.

Correct Answer: A

Rationale: The correct answer is A: Bacterial ribosomes synthesize proteins. Ribosomes are cellular organelles responsible for protein synthesis by translating mRNA into amino acids. They are essential for the production of proteins needed for cell function. Choices B, C, and D are incorrect because ribosomes do not synthesize DNA, degrade toxic substances, or assist in cell division. DNA synthesis is carried out by DNA polymerase, degradation of toxic substances is typically done by enzymes, and cell division is primarily regulated by the cell cycle machinery.

Correct Answer: C

Rationale: The correct answer is C: Bacillus subtilis. Bacillus subtilis is known for its spore-forming ability, which is a survival mechanism to withstand harsh conditions. Spore formation allows the bacteria to become dormant and resistant to heat, chemicals, and radiation. Escherichia coli (A) is not known for spore formation. Staphylococcus aureus (B) does not form spores either. Listeria monocytogenes (D) is a pathogenic bacterium but does not typically form spores.