ATI RN
openstax microbiology test bank Questions
Question 1 of 5
A smear of sputum from the patient with suspected lobar pneumonia was stained with the use of the following stains and reagents: solution of gentian violet, Lugol’s solution, 960 alcohol, watermagenta. What staining method was applied in this case?
Correct Answer: A
Rationale: The correct answer is A: Gram staining method. The rationale is as follows: 1. Gentian violet is a primary stain used in the Gram staining procedure to stain the bacterial cells. 2. Lugol's solution is a mordant that helps to fix the crystal violet stain in Gram-positive bacteria. 3. 95% alcohol is used as a decolorizing agent in the Gram staining process to remove the stain from Gram-negative bacteria. 4. Watermagenta is not a standard reagent in the Gram staining method. Therefore, based on the reagents mentioned, the staining method applied in this case is the Gram staining method. Other choices are incorrect: B: Ziehl-Nielsen's - This staining method is used for acid-fast staining, not for lobar pneumonia. C: Romanovsky - This staining method is used for blood smears, not for bacterial staining in pneumonia. D: Neisser - This staining method is not commonly used in routine bacterial staining procedures.
Question 2 of 5
A 36-year-old man provisionally diagnosed with renal tuberculosis has undergone urinary sediment analysis. Microscopy revealed acid-fast bacteria, but Pryce method detected no cord factor. Name the most reliable method of investigation that can confirm or refute this provisional diagnosis:
Correct Answer: B
Rationale: The correct answer is B: Phage typing of the obtained culture. This method is used for typing Mycobacterium tuberculosis strains based on susceptibility to specific bacteriophages. If the culture shows susceptibility, it confirms the presence of M. tuberculosis. In this case, the absence of cord factor indicates that the bacteria are unlikely to be M. tuberculosis. Option A (Inoculation of laboratory animals) is unethical and not necessary when other methods are available. Option C (Allergy skin test) is not relevant for confirming a diagnosis of renal tuberculosis. Option D (Toxigenicity testing) is not specific for confirming or refuting a diagnosis of M. tuberculosis.
Question 3 of 5
Humoral factors of the natural resistance are:
Correct Answer: B
Rationale: The correct answer is B because lysozyme, lactoferrin, interferon, and complement are all humoral factors involved in natural resistance. Lysozyme and lactoferrin are antimicrobial proteins that help defend against pathogens. Interferon is a signaling protein that inhibits viral replication, while complement is a group of proteins that enhance the immune response by promoting inflammation and opsonization. Choices A, C, and D are incorrect: - Choice A mentions only macrophages, which are not humoral factors but rather phagocytic cells. - Choice C lists immune cells involved in adaptive immunity (B and T lymphocytes, NK cells) rather than humoral factors of natural resistance. - Choice D includes immunoglobulins, which are part of adaptive immunity, not natural resistance.
Question 4 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 5 of 5
The territory of an old burial ground for animal refuse that hasn't been used for over 50 years is meant for house building. But soil investigation showed the presence of viable spores of a causative agent causing a very dangerous disease. What microorganism might have been preserved in soil for such a long period of time?
Correct Answer: A
Rationale: The correct answer is A: Bacillus anthracis. This bacterium is known to form highly resistant spores that can survive for long periods in soil. Bacillus anthracis causes anthrax, a dangerous disease that can be transmitted to humans and animals. The other choices, Francisella tularensis, Brucella abortus, and Yersinia pestis, do not form spores as resistant as Bacillus anthracis. Therefore, only Bacillus anthracis is likely to have survived in the soil of the old burial ground for animal refuse for over 50 years.
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