ATI RN
Microbiology Chapter 14 Test Bank Questions
Question 1 of 5
A woman gave birth to a stillborn baby with numerous malformations. What protozoan disease could cause intrauterine death?
Correct Answer: A
Rationale: The correct answer is A: Toxoplasmosis. Toxoplasmosis is caused by the protozoan Toxoplasma gondii, which can be transmitted from mother to fetus during pregnancy leading to stillbirth and malformations. This parasite can cross the placenta and infect the fetus, causing severe complications. Leishmaniasis (B), Malaria (C), and Amebiasis (D) are not known to cause intrauterine death or malformations in the same way as Toxoplasmosis. Leishmaniasis is transmitted by sandflies, Malaria by mosquitoes, and Amebiasis by contaminated food or water.
Question 2 of 5
Some of the viruses have a cubic type of symmetry, which in the shape of
Correct Answer: D
Rationale: The correct answer is D: icosahedral structure. Icosahedral symmetry is common in viruses due to its efficient packing of genetic material. It consists of 20 equilateral triangular faces and 12 vertices. This symmetry allows viruses to have a stable structure and optimal capacity for encapsulating their genetic material. A: Tetrahedral structure is incorrect as it consists of 4 faces and is not commonly found in viruses. B: Hexahedral structure is incorrect as it consists of 6 faces and is not a common symmetry type in viruses. C: Dodecahedral structure is incorrect as it consists of 12 faces and is not typically seen in viruses. In summary, the icosahedral structure is the correct choice due to its stability, efficient packing, and common presence in viral structures compared to the other options.
Question 3 of 5
Allergies to sea food, eggs, etc are an example of:
Correct Answer: A
Rationale: The correct answer is A: Type 1 hypersensitivity reaction. In this type of reaction, allergens trigger the production of IgE antibodies, leading to mast cell and basophil degranulation and release of inflammatory mediators like histamine. This causes immediate allergic symptoms. Seafood and eggs are common allergens that can elicit this response. B: Type 2 hypersensitivity reaction involves antibodies targeting cell surface or extracellular matrix antigens, leading to cell destruction or dysfunction. This is not the mechanism in seafood or egg allergies. C: Type 3 hypersensitivity reaction involves immune complex deposition in tissues, leading to inflammation and tissue damage. This is not the mechanism in seafood or egg allergies. D: Type 4 hypersensitivity reaction is cell-mediated and involves T cells causing inflammation and tissue damage. This is not the mechanism in seafood or egg allergies.
Question 4 of 5
A wound culture from a patient with an infected ulcer revealed Gram-positive cocci in clusters. The bacteria were catalase-positive and coagulase-negative. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus epidermidis. The presence of Gram-positive cocci in clusters, catalase-positive, and coagulase-negative characteristics indicate Staphylococcus species. Specifically, Staphylococcus epidermidis is a common skin commensal and a frequent cause of wound infections. Staphylococcus aureus is catalase-positive and coagulase-positive, making it less likely in this scenario. Streptococcus pyogenes and Enterococcus faecalis are both Gram-positive cocci but are catalase-negative, making them less likely causative agents.
Question 5 of 5
A 23-year old medical student arrives in the student health clinic complaining of difficult in swallowing, sore throat, and chills. Upon examination, she is found to be running a fever and has white patches on her tonsils. A throat swab is positive for streptococcus pyogenes (group A). A diagnosis of acute pharyngitis is made. Her past medical history is unremarkable except an anaphylactic reaction to cefaclor two years ago. Which of the following would be a safe alternative for treating?
Correct Answer: D
Rationale: The correct answer is D: Clindamycin. Clindamycin is a lincosamide antibiotic that is safe to use in patients with a history of anaphylaxis to beta-lactam antibiotics like cefaclor. Clindamycin is effective against streptococcus pyogenes and is a suitable alternative in this case. Amoxicillin (choice A) is a beta-lactam antibiotic similar to cefaclor and may cause a cross-reactive allergic reaction. Meropenem (choice B) is a carbapenem antibiotic and not typically used for acute pharyngitis. Cephalexin (choice C) is a cephalosporin antibiotic and may also cause cross-reactivity in patients with a history of anaphylaxis to cefaclor.
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