ATI RN
Microbiology An Introduction Tortora Test Bank Questions
Question 1 of 5
A patient has got pain in the axillary area, rise of temperature developed 10 hours ago. On examination: shaky gait is evident, the tongue is coated with white deposit. The pulse is frequent. The painful lymphatic nodes are revealed in the axillary area. The skin over the lymph nodes is erythematous and glistering. What is the most probable diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Acute purulent lymphadenitis. The symptoms described indicate an acute bacterial infection of the lymph nodes. The presence of painful lymph nodes, erythema, and shiny appearance of the skin overlying the nodes suggest an inflammatory process. The rise in temperature and frequent pulse indicate an active infection. The white-coated tongue may be a sign of systemic involvement. The shaky gait may indicate systemic toxicity. Bubonic plague (A) presents with buboes, not just painful lymph nodes. Lymphogranulomatosis (C) is a type of lymphoma and would not present with these acute bacterial infection symptoms. Anthrax (D) typically presents with a black eschar and is less likely in this context.
Question 2 of 5
Infectious mononucleosis most often occurs in:
Correct Answer: B
Rationale: The correct answer is B: adolescents. Infectious mononucleosis is commonly caused by the Epstein-Barr virus, which is transmitted through saliva. Adolescents are more likely to engage in activities like kissing and sharing drinks, increasing the chances of virus transmission. Infants have maternal antibodies for protection, young adults may have developed immunity, and the elderly have had more exposure to the virus and may have built immunity over time.
Question 3 of 5
The degree or extent of disease-evoking power that a microorganism has is referred to as:
Correct Answer: A
Rationale: The correct answer is A: virulence. Virulence refers to the degree or extent of disease-evoking power that a microorganism possesses. This term specifically describes the ability of a microorganism to cause disease in a host. It is a crucial factor in understanding the pathogenicity of different microorganisms. Choice B: strength is incorrect because it does not specifically relate to the disease-causing potential of a microorganism. Choice C: resistance refers to the ability of an organism to withstand the effects of a particular agent, such as a drug or environmental factor. Choice D: competence is not directly related to the disease-causing ability of a microorganism, but rather refers to the ability of an organism to perform a specific function effectively.
Question 4 of 5
The role of adhesins in gram positive bacteria is carried out by:
Correct Answer: A
Rationale: Adhesins in gram positive bacteria are typically carried out by surface structures such as lipoteichoic acids. These molecules help the bacteria adhere to host cells or tissues. Lipoteichoic acids are specific to gram positive bacteria and play a crucial role in initiating infections. Fimbriae, flagella, and short chain mycolic acids are not primarily responsible for adhesion in gram positive bacteria. Fimbriae are more commonly found in gram negative bacteria, flagella are involved in motility, and short chain mycolic acids are specific to mycobacteria. Therefore, the correct answer is A, lipoteichoic acids.
Question 5 of 5
The most common causative agents of bacterial meningitis are:
Correct Answer: B
Rationale: The correct answer is B because Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae are the most common causative agents of bacterial meningitis. Streptococcus pneumoniae is a leading cause in adults, Neisseria meningitidis is common in adolescents and young adults, and Haemophilus influenzae is more frequent in children. The other choices, Rubella virus (C) and Herpangina (D), are not bacterial agents known to cause meningitis.
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