mastering microbiology test bank

Questions 82

ATI RN

ATI RN Test Bank

mastering microbiology test bank Questions

Question 1 of 5

A patient with a deep tissue infection had a wound culture revealing Gram-positive cocci in clusters. The bacteria were catalase-positive and coagulase-negative. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus epidermidis. The presence of Gram-positive cocci in clusters that are catalase-positive and coagulase-negative points towards coagulase-negative staphylococci like Staphylococcus epidermidis. Staphylococcus aureus is catalase-positive and coagulase-positive. Streptococcus pyogenes is catalase-negative. Enterococcus faecalis is catalase-negative and not typically seen in clusters. Therefore, the most likely causative agent in this scenario is Staphylococcus epidermidis.

Question 2 of 5

Production of auto-antibodies may be due to:

Correct Answer: D

Rationale: Production of auto-antibodies can be due to various factors. Mutant B cell clones can lead to the production of self-reactive antibodies. Antibodies against hidden tissues can also trigger autoimmune responses. Genetic factors play a crucial role in predisposing individuals to autoimmunity. Therefore, the correct answer is D, as all these factors can contribute to the production of auto-antibodies. Choice A is incorrect as it only addresses one possible cause. Choice B is incorrect as it focuses solely on antibodies against hidden tissues. Choice C is incorrect as it overlooks the other potential reasons for auto-antibody production.

Question 3 of 5

What would be the conclusion?

Correct Answer: B

Rationale: Step-by-step rationale for choice B being correct: 1. The conclusion should be based on evidence or observations. 2. "Doubtful" suggests uncertainty, indicating lack of definitive safety. 3. Choice A is too absolute without considering potential risks. 4. Choice C uses extreme language without proper evidence. 5. Choice D is overly definitive without considering varying levels of contamination. Therefore, choice B is the most reasonable conclusion.

Question 4 of 5

A patient has a necrotizing phlegmon of his lower extremity. A doctor suspects a gas gangrene. Microscopy reveals grampositive bacilli. In order to confirm the diagnosis further bacteriological tests should include inoculation of the material into the following nutrient medium:

Correct Answer: A

Rationale: The correct answer is A: Kitt-Tarozzi medium. This medium is specifically designed to culture Clostridium species, the causative agents of gas gangrene. Clostridium species are gram-positive bacilli that produce gas during their metabolism. Inoculating the material into Kitt-Tarozzi medium allows for the selective growth of Clostridium species, aiding in the confirmation of a gas gangrene diagnosis. Other choices are incorrect: B: Endo agar is used for the isolation of gram-negative enteric bacteria. C: Meat-peptone agar is a general-purpose medium and not specific for Clostridium species. D: Levine agar is used for the isolation of Salmonella and Shigella species, not Clostridium.

Question 5 of 5

A 6-year-old child has duodenal ulcer. What antibacterial drug should be co-administered together with metronidazole and De-Nol in order to eradicate Helicobacter pylori infection?

Correct Answer: A

Rationale: The correct answer is A: Amoxicillin. Amoxicillin is commonly used in combination therapy with metronidazole and bismuth compounds like De-Nol to eradicate Helicobacter pylori infection in children. Amoxicillin targets the bacterial cell wall synthesis, working synergistically with metronidazole to effectively eradicate the infection. Tetracycline (choice B) is not recommended in children under 8 years old due to potential tooth discoloration. Oleandomycin (choice C) is not commonly used for H. pylori infection. Biseptol (choice D) is a combination of sulfamethoxazole and trimethoprim, not typically used for H. pylori eradication.

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