microbiology chapter 1 test bank

Correct Answer: A

Rationale: The correct answer is A: Shigella dysenteriae. It is the likely causative agent because it is a non-lactose-fermenting, Gram-negative rod commonly associated with severe diarrhea. Shigella dysenteriae specifically causes bacillary dysentery. Other choices are incorrect because: B: Escherichia coli is a lactose-fermenting bacterium commonly found in the gut and not typically associated with severe diarrhea. C: Salmonella typhi causes typhoid fever, not severe diarrhea. D: Proteus mirabilis is a urease-positive bacterium associated with urinary tract infections, not severe diarrhea.

Correct Answer: A

Rationale: The correct answer is A: Balantidiasis. The large ciliated protozoa with a kidney-shaped macronucleus described in the stool sample is consistent with Balantidium coli, the causative agent of balantidiasis. Balantidium coli is the only ciliated protozoan parasite that infects humans and presents with these specific characteristics. Giardiasis (B) is caused by Giardia intestinalis, which is flagellated, not ciliated. Amoebiasis (C) is caused by Entamoeba histolytica, which has an amoeboid shape, not ciliated. Trichomoniasis (D) is caused by Trichomonas vaginalis, which is a flagellated protozoan and does not have a kidney-shaped macronucleus. Hence, the correct diagnosis in this case is Balantidiasis.

Correct Answer: C

Rationale: Rationale: 1. Candida is a fungus commonly isolated from clinical specimens. 2. Sabouraud agar is the most suitable medium for Candida due to its low pH and high dextrose content. 3. Low pH inhibits bacterial growth, while dextrose promotes fungal growth. 4. Zeisler media, Chocolate agar, and Muller-Hinton agar are not specific for fungal isolation. Summary: - Zeisler media is used for anaerobic bacteria. - Chocolate agar is used for fastidious organisms like Haemophilus. - Muller-Hinton agar is for antibiotic susceptibility testing, not fungal isolation.

Correct Answer: A

Rationale: The correct answer is A: Brill's disease. Brill's disease is a relapse of typhus that occurs in patients who had typhus in their youth. The patient's history of having typhus at 15 years old is a key indicator. Brill's disease is characterized by symptoms such as rash, fever, and dizziness, which align with the patient's current presentation. Summary of other choices: B: Typhoid fever - While typhoid fever may present with similar symptoms to typhus, the patient's history of having typhus in the past makes this less likely. C: Measles - Measles does not typically present with dizziness, and the patient's history of typhus in the past is more indicative of Brill's disease. D: Rubella - Rubella does not typically cause dizziness, and the patient's history of typhus in the past points more towards Brill's disease.

Correct Answer: C

Rationale: Step-by-step rationale for why choice C (Adenoviridae) is correct: 1. Adenoviruses commonly cause respiratory illnesses such as the common cold and bronchitis. 2. They are highly contagious and easily spread through respiratory secretions. 3. Adenoviruses are a common cause of viral conjunctivitis as well. 4. Other choices are incorrect because herpesviruses (choice A) typically cause different types of infections, papovaviruses (choice B) are not common respiratory pathogens, and poxviruses (choice D) are not typically associated with respiratory illnesses.