ATI RN
OpenStax Microbiology Test Bank Questions
Question 1 of 5
A patient suffers from pulmonary tuberculosis. During treatment neuritis of visual nerve arose. What drug has caused this by-effect?
Correct Answer: B
Rationale: The correct answer is B: Ethambutol. Ethambutol is known to cause optic neuritis, affecting the visual nerve. It is a well-documented side effect of this drug. Isoniazid (Choice A) is associated with peripheral neuropathy, not optic neuritis. Kanamycin (Choice C) is known for its side effects on the inner ear, causing hearing loss. Rifampicin (Choice D) is not typically associated with optic neuritis but can cause other adverse effects like hepatitis. By process of elimination and knowledge of drug side effects, Ethambutol is the most likely culprit.
Question 2 of 5
During fibergastroscopy a patient with ulcer disease of the stomach, the mucosal biopsy is taken from the area of an ulcer. Impression smear is prepared from biopsy material and stained by Gram method; the rest of biopsy material is tested for urease activity. Microscopy of the impression smear revealed gram- negative spiral-shaped microorganisms, urease activity test is positive. What bacteria were detected?
Correct Answer: A
Rationale: The correct answer is A: Helicobacter pylori. Rationale: 1. Gram-negative spiral-shaped microorganisms match the morphology of Helicobacter pylori. 2. Positive urease activity is a characteristic feature of Helicjsonacter pylori. 3. Helicobacter pylori is specifically associated with gastric ulcers and is a common pathogen in the gastrointestinal tract. Summary: Choice B, Campilobacter jejuni, is a gram-negative curved bacterium but is not typically associated with gastric ulcers or urease activity. Choice C, Treponema pallidum, is a spirochete bacterium causing syphilis, which is not related to gastric ulcers. Choice D, Spirilla minor, is a generic term for spiral-shaped bacteria and is not a specific pathogen associated with gastric ulcers or urease activity.
Question 3 of 5
Which one of the following microbiological diagnostic methods is the most suitable for detection of genitourinary chlamydiosis
Correct Answer: D
Rationale: The correct answer is D: PCR. PCR (Polymerase Chain Reaction) is the most suitable method for detecting genitourinary chlamydiosis due to its high sensitivity and specificity in detecting the genetic material of Chlamydia trachomatis. PCR can detect even low levels of the pathogen, providing accurate results. A: Cultural diagnostic is not as sensitive as PCR and may take longer to produce results. B: ELISA detects antibodies, which may not be present in early stages of infection, leading to false-negative results. C: CFT (Complement Fixation Test) is an older method with lower sensitivity compared to PCR for detecting chlamydiosis.
Question 4 of 5
A dentist has detected symptoms of parodontosis in a patient. What antiprotozoal drug should be prescribed?
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. Parodontosis is a condition caused by bacterial infection, not protozoal infection. Metronidazole is an effective antibiotic commonly used to treat bacterial infections in the oral cavity, including those associated with parodontosis. Levamisole is an anthelmintic drug used to treat parasitic worm infections, not suitable for parodontosis. Griseofulvin is an antifungal medication used for fungal infections, not indicated for parodontosis. Mykoseptin is not a recognized drug and is likely a distractor. Therefore, based on the bacterial nature of parodontosis, Metronidazole is the appropriate choice.
Question 5 of 5
A patient with diarrhea had stool microscopy revealing flagellated protozoa with two nuclei. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Giardia lamblia. Giardia lamblia is a flagellated protozoan with two nuclei, known as the "falling leaf" appearance. It causes diarrhea in humans through ingestion of contaminated water or food. Entamoeba histolytica causes amoebic dysentery, characterized by bloody diarrhea and colitis. Trichomonas vaginalis is a sexually transmitted protozoan causing vaginal discharge but is not found in stool. Balantidium coli is a ciliated protozoan causing diarrhea but does not have flagellated forms.
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