ATI RN
Microbiology Chapter 11 Test Bank Questions
Question 1 of 5
A veterenary attendant working at a cattle farm complains of joint pain, fever, indisposition and sweating at nighttime that he has been experiencing for a month. Giving the regard to such presentations and occupational history the doctor suspected brucellosis. What material taken from this patient is to be analyzed in a common microbiological laboratory?
Correct Answer: A
Rationale: The correct answer is A: Blood serum. In suspected cases of brucellosis, blood serum is typically analyzed in a common microbiological laboratory. This is because the bacteria causing brucellosis, Brucella species, can be detected through serological tests in the blood serum. The presence of specific antibodies against Brucella in the serum confirms the diagnosis. Spinal fluid (choice B) would be analyzed in cases of suspected central nervous system infections, which are not typical for brucellosis. Vomit mass (choice C) is not a common sample for microbiological analysis in cases of brucellosis. Urine (choice D) is not the preferred sample for detecting Brucella antibodies; blood serum is the primary choice for serological testing.
Question 2 of 5
A 42-year-old female has foamy purulent vaginal discharges. The smear stained by Romanovsky- Giemsa's method has been found to include flagellated bacteria. What is the most likely microorganism that has been found by the doctor?
Correct Answer: A
Rationale: The correct answer is A: Trichomonas vaginalis. Trichomonas vaginalis is a flagellated protozoan parasite commonly found in vaginal infections. The presence of flagellated bacteria in the vaginal discharge stained with Romanovsky-Giemsa method indicates a protozoan infection, ruling out bacterial or viral causes. Choices B, C, and D are not correct as Leishmania donovani causes leishmaniasis, Trypanosoma gambiense causes African sleeping sickness, and Trihomonas hominis is a non-pathogenic flagellate found in the human intestine, not typically associated with vaginal infections.
Question 3 of 5
Cytoplasmic membrane of the prokaryotes consists of:
Correct Answer: D
Rationale: The correct answer is D: All of the above. The cytoplasmic membrane of prokaryotes consists of phospholipids which form a lipid bilayer, providing structure and selective permeability. Proteins are embedded in this membrane, serving various functions like transport and signaling. Carbohydrates may also be present on the surface for cell recognition. Therefore, all three components (phospholipids, proteins, and carbohydrates) are essential parts of the prokaryotic cytoplasmic membrane. Option A, B, and C individually do not fully encapsulate the complexity and composition of the prokaryotic cytoplasmic membrane.
Question 4 of 5
Examination of duodenal contents revealed some pyriform protozoa with twin nuclei and four pairs of flagella. There were two supporting filaments between the nuclei and a suctorial disc on the ventral side. What representative of protozoa was revealed in this patient?
Correct Answer: A
Rationale: Rationale for Correct Answer A (Lamblia): 1. Pyriform protozoa with twin nuclei, four pairs of flagella, and a suctorial disc match the characteristics of Giardia lamblia. 2. The presence of two supporting filaments between the nuclei is a unique feature of Giardia lamblia. 3. Giardia lamblia is known to infect the duodenum and cause symptoms such as diarrhea and abdominal pain. Summary of Incorrect Choices: B: Toxoplasma - Toxoplasma gondii is not characterized by four pairs of flagella or supporting filaments in the nuclei. C: Leishmania - Leishmania species do not typically have the described morphology or location in the duodenum. D: Intestinal trichomonad - Intestinal trichomonads do not exhibit the specific features mentioned in the question, such as twin nuclei and supporting filaments.
Question 5 of 5
Rocky Mountain spotted fever is caused by:
Correct Answer: B
Rationale: The correct answer is B: Rickettsia rickettsii. Rocky Mountain spotted fever is caused by Rickettsia rickettsii, a bacterium transmitted by ticks. This pathogen primarily affects the endothelial cells of blood vessels, leading to vasculitis. Borrelia burgdorferi (choice A) causes Lyme disease, not Rocky Mountain spotted fever. Rickettsia prowazekii (choice C) causes epidemic typhus, and Ehrlichia chaffeensis (choice D) causes human monocytic ehrlichiosis, both of which are distinct from Rocky Mountain spotted fever. Therefore, the correct choice is B based on the specific etiology of the disease.
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