microbiology an evolving science test bank

Questions 81

ATI RN

ATI RN Test Bank

microbiology an evolving science test bank Questions

Question 1 of 5

A patient with a sore throat and fever had a throat culture revealing Gram-positive cocci in pairs with a capsule. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is a Gram-positive cocci that often appear in pairs and can have a capsule. It is a common cause of sore throat and fever, known as streptococcal pharyngitis. Staphylococcus aureus (B) is a Gram-positive cocci but does not typically form pairs. Neisseria meningitidis (C) is a Gram-negative diplococcus and is more associated with meningitis. Klebsiella pneumoniae (D) is a Gram-negative rod and not typically associated with sore throat and fever.

Question 2 of 5

A 47-year-old male patient consulted a dentist about difficult mouth opening (lockjaw or trismus). The patient has a history of a stab wound of the lower extremity. What infection can be manifested by these symptoms?

Correct Answer: A

Rationale: The correct answer is A: Tetanus. Tetanus is caused by the bacterium Clostridium tetani, commonly found in soil, dust, and animal feces. The patient's history of a stab wound increases the risk of tetanus infection as the bacterium can enter the body through the wound. Tetanus infection can lead to symptoms such as lockjaw or trismus, which are characterized by muscle stiffness and difficulty opening the mouth. This is due to the neurotoxin produced by Clostridium tetani affecting the muscles. Summary of incorrect choices: B: Brucellosis is a bacterial infection transmitted from animals to humans through consumption of unpasteurized dairy products. It does not typically manifest with symptoms of lockjaw. C: Whooping cough (Pertussis) is a respiratory infection caused by Bordetella pertussis bacteria. It presents with severe coughing fits but does not cause lockjaw. D: Anaerobic wound infection

Question 3 of 5

A child with fever and a sore throat had a Gram-stained smear revealing Gram-positive cocci in chains. The bacteria were beta-hemolytic. What is the likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pyogenes. The presence of Gram-positive cocci in chains suggests a streptococcal infection. Beta-hemolysis indicates the production of a hemolysin that lyses red blood cells, a characteristic of Streptococcus pyogenes. This bacterium is known to cause strep throat and can present with fever and sore throat. Summary: - B: Streptococcus pneumoniae is a common cause of pneumonia but typically appears as lancet-shaped cocci, not in chains. - C: Staphylococcus aureus is a gram-positive cocci in clusters, not chains, and is not typically beta-hemolytic. - D: Enterococcus faecalis is a gram-positive cocci that are part of the normal gut flora and are not typically beta-hemolytic or found in chains.

Question 4 of 5

Which of the following viruses belong to family Arenaviridae

Correct Answer: A

Rationale: The correct answer is A: Lassa virus. The rationale is as follows: 1. Lassa virus is a member of the Arenaviridae family, known for causing Lassa fever. 2. Arenaviridae family includes viruses with a segmented genome and are transmitted through rodents. 3. Crimean-Congo hemorrhagic fever virus (Choice B) belongs to the Bunyaviridae family, not Arenaviridae. 4. Rabies virus (Choice C) belongs to the Rhabdoviridae family, not Arenaviridae. 5. Epstein-Barr virus (Choice D) belongs to the Herpesviridae family, not Arenaviridae. In summary, Lassa virus is the correct choice as it aligns with the characteristics of the Arenaviridae family, while the other choices belong to different virus families.

Question 5 of 5

Which of the following media is the most selective for Vibrio cholerae?

Correct Answer: D

Rationale: The correct answer is D: TCBS. Thiosulfate-citrate-bile salts-sucrose (TCBS) agar is the most selective for Vibrio cholerae due to its high salt content, bile salts, and sucrose. Vibrio cholerae can grow well in alkaline conditions, which are provided by TCBS agar. MacConkey's agar (A) is selective for gram-negative bacteria, but not specifically for Vibrio cholerae. Chocolate agar (B) is a non-selective medium suitable for fastidious organisms. SS agar (C) is selective for Salmonella and Shigella species, not Vibrio cholerae.

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