ATI RN
microbiology chapter 10 test bank Questions
Question 1 of 5
A patient returning from Congo republic a week ago is with fever, headache vomiting and diarrhea, Three days after his admission to the infectious ward, despite antibiotic therapy, severe hemorrhagic syndrome developed and as well as CNS involvement, The diagnosis is hemorrhagic fever. Which of these viruses can be a causative agent?
Correct Answer: C
Rationale: The correct answer is C: Ebola virus. The patient's symptoms align with Ebola virus infection, including fever, severe hemorrhagic syndrome, and CNS involvement. Ebola virus is known to cause hemorrhagic fevers with high mortality rates. A: SARS CoV causes Severe Acute Respiratory Syndrome, which typically presents with respiratory symptoms, not hemorrhagic fever. B: Lymphocytic choriomeningitis virus usually causes a mild illness with flu-like symptoms, not severe hemorrhagic syndrome. D: ECHO 9 virus is associated with aseptic meningitis, not hemorrhagic fever.
Question 2 of 5
A patient with pneumonia had sputum cultured revealing Gram-negative diplococci. The bacteria were oxidase-positive and fermentative. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Neisseria meningitidis. This bacterium fits the description of Gram-negative diplococci that are oxidase-positive and fermentative. Neisseria meningitidis commonly causes pneumonia and meningitis. Choice B: Neisseria gonorrhoeae is also a Gram-negative diplococci but is not fermentative. Choice C: Moraxella catarrhalis is oxidase-positive but not fermentative. Choice D: Haemophilus influenzae is not fermentative and typically appears as pleomorphic rods, not diplococci.
Question 3 of 5
The anticodons are located in
Correct Answer: A
Rationale: The correct answer is A: tRNA. Anticodons are sequences of nucleotides found on tRNA molecules that complement the codons on mRNA during translation. tRNA molecules carry specific amino acids to the ribosome based on the codon-anticodon pairing. Option B, rRNA, forms the structure of the ribosome and is not directly involved in anticodon recognition. Option C, mRNA, contains codons but not anticodons. Option D, ribosomes, are the site of protein synthesis but do not contain the anticodons themselves.
Question 4 of 5
Microscopic examination of pus from a wound revealed Gram-positive cocci in grape-like clusters. The bacteria were catalase- and coagulase-positive. Identify the microorganism.
Correct Answer: A
Rationale: Step 1: Gram-positive cocci in grape-like clusters suggest Staphylococcus. Step 2: Catalase-positive indicates Staphylococcus (negative for Streptococcus). Step 3: Coagulase-positive is specific for Staphylococcus aureus. Summary: B: Streptococcus pyogenes is catalase-negative. C: Enterococcus faecalis does not form grape-like clusters. D: Micrococcus luteus is catalase-positive but not coagulase-positive.
Question 5 of 5
What drug should be administered?
Correct Answer: A
Rationale: The correct answer is A: Doxycycline. It is a broad-spectrum antibiotic effective against a wide range of bacteria, including those causing infections like Lyme disease and pneumonia. Doxycycline is often the first-line treatment for these infections due to its efficacy and low risk of resistance. Chloramphenicol (B) has serious side effects and is reserved for specific cases. Penicillin (C) is not effective against all bacteria and may not cover the specific infection. Streptomycin (D) is mainly used for certain types of bacterial infections and is not the optimal choice for the conditions mentioned in the question.
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