ATI RN
microbiology chapter 1 test bank Questions
Question 1 of 5
After its formation, the tetanus exotoxins:
Correct Answer: D
Rationale: Step-by-step rationale for why answer D is correct: 1. Tetanus exotoxins are produced by Clostridium tetani bacteria. 2. Once formed, the exotoxins can spread through the bloodstream. 3. Retrograde axonal transport allows the exotoxins to travel to the central nervous system (CNS). 4. In the CNS, the exotoxins can cause the symptoms of tetanus. 5. Options A, B, and C are incorrect as tetanus exotoxins do not follow those pathways. In summary, option D is correct as tetanus exotoxins can spread through the blood and reach the CNS via retrograde axonal transport, while the other options do not align with the known pathophysiology of tetanus.
Question 2 of 5
A patient has been suffering from elevated temperature and attacks of typical cough for 10 days. Doctor administered inoculation of mucus from the patient's nasopharynx on the agar. What microorganism is presumed?
Correct Answer: A
Rationale: The correct answer is A: Pertussis bacillus. The symptoms described - elevated temperature and typical cough - are indicative of whooping cough, caused by Bordetella pertussis. By inoculating mucus from the nasopharynx on agar, the doctor is trying to isolate the causative agent, which is likely to be Pertussis bacillus. Summary of other choices: B: Pfeiffer's bacillus (Haemophilus influenzae): Unlikely as symptoms do not match. C: Listeria: Unlikely as it typically causes foodborne illness, not respiratory infections. D: Klebsiella: Unlikely as it is more commonly associated with pneumonia in immunocompromised individuals.
Question 3 of 5
In a maternity hospital a newborn should receive vaccination against tuberculosis. What vaccine should be chosen?
Correct Answer: A
Rationale: The correct answer is A: BCG vaccine. Step 1: BCG vaccine is specifically designed to protect against tuberculosis, making it the appropriate choice for newborns. Step 2: STI vaccine is for sexually transmitted infections, not tuberculosis. Step 3: EV vaccine is not a recognized vaccine. Step 4: DPT vaccine protects against diphtheria, pertussis, and tetanus, not tuberculosis. In summary, BCG vaccine is the correct choice as it targets tuberculosis specifically, while the other options are designed for different purposes.
Question 4 of 5
Microscopy of a wound smear revealed Gram-positive rods with terminal spores resembling drumsticks. What microorganism is most likely responsible?
Correct Answer: A
Rationale: The correct answer is A: Clostridium tetani. The presence of Gram-positive rods with terminal spores resembling drumsticks indicates Clostridium tetani, the causative agent of tetanus. This bacterium forms spores at one end, giving it a drumstick appearance under the microscope. Clostridium perfringens (B) and Clostridium botulinum (D) do not have terminal spores. Bacillus anthracis (C) forms spores but typically appears as a square-ended or bamboo stick shape. Therefore, based on the microscopy findings, Clostridium tetani is the most likely microorganism responsible for the wound infection.
Question 5 of 5
A patient with foul-smelling diarrhea had a stool sample showing large ciliated protozoa with a kidney-shaped macronucleus. What is the diagnosis?
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.
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