ATI RN
microbiology basic and clinical principles test bank Questions
Question 1 of 5
A sputum smear from a patient with pneumonia revealed Gram-positive cocci in pairs with pointed ends and capsules. What is the likely microorganism?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. The description of Gram-positive cocci in pairs with pointed ends and capsules matches the morphology of S. pneumoniae. This bacterium is known to cause pneumonia, especially in individuals with underlying conditions like COPD. Staphylococcus aureus (B) typically appears in clusters, not pairs. Klebsiella pneumoniae (C) is a Gram-negative rod, not a cocci. Neisseria meningitidis (D) is a Gram-negative diplococcus, not a cocci. Hence, based on the morphology and clinical context, Streptococcus pneumoniae is the likely microorganism causing pneumonia in this patient.
Question 2 of 5
A blood culture from a patient with sepsis revealed 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. Step 1: Gram-negative diplococci - characteristic of Neisseria species. Step 2: Oxidase-positive - Neisseria species are oxidase-positive. Step 3: Fermentative - Neisseria meningitidis is a fermentative bacterium. Therefore, Neisseria meningitidis is the most likely causative agent. Summary: - B: Neisseria gonorrhoeae is also a Neisseria species but is not fermentative. - C: Moraxella catarrhalis is oxidase-positive but not fermentative. - D: Haemophilus influenzae is not a Neisseria species and is not typically fermentative.
Question 3 of 5
Which are the epidemic typhus vectors:
Correct Answer: A
Rationale: The correct answer is A: Head lice. Epidemic typhus is transmitted by the body louse, Pediculus humanus humanus, which is different from the head louse, Pediculus humanus capitis. Head lice are not known to transmit epidemic typhus. Body lice are the primary vectors for transmitting epidemic typhus. Fleas are vectors for other diseases such as plague, not epidemic typhus. Ticks are vectors for various diseases but not for epidemic typhus. Therefore, the correct vector for epidemic typhus transmission is body lice, making choice A the correct answer.
Question 4 of 5
Complex communities of microorganisms on surfaces are called
Correct Answer: B
Rationale: The correct answer is B: biofilms. Biofilms refer to complex communities of microorganisms that adhere to surfaces. They are characterized by a protective matrix that allows the microorganisms to communicate and cooperate. Colonies (A) typically refer to groups of a single species, not diverse communities. Biospheres (C) refer to the regions of the Earth where life exists, not specific microbial communities. Flora (D) generally refers to the plant life in a particular region, not microbial communities on surfaces.
Question 5 of 5
Etiological cause of bacteremia could be:
Correct Answer: D
Rationale: The correct answer is D because bacteremia can be caused by a variety of bacteria including S.epidermidis, E.coli, S.aureus, P.aeruginosa, K.pneumoniae, and resident skin diphtheroids. Bacteremia refers to the presence of bacteria in the bloodstream, which can occur due to infections from various sources. Choices A and B include common bacteria known to cause bacteremia, while choice C refers to resident skin diphtheroids that can also enter the bloodstream under certain conditions. Therefore, the correct answer is D as it encompasses all the possible etiological causes of bacteremia.
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