microbiology test bank

Correct Answer: D

Rationale: The correct answer is D (15-Oct) because boiling items for at least 15 minutes is necessary to effectively kill most vegetative bacteria and viruses. This duration ensures that the water reaches a high enough temperature to destroy harmful microorganisms. Choices A, B, and C are incorrect because they do not provide a sufficient amount of time for the water to reach the necessary temperature to effectively kill bacteria and viruses. Shorter durations may not be effective in ensuring food safety.

Correct Answer: B

Rationale: The correct answer is B: acidic pH. The reproductive tract's acidic pH serves as a defense mechanism by creating an environment hostile to many pathogens, preventing microbial infection. The acidic pH helps to inhibit the growth and survival of harmful microorganisms. A: Alkaline pH would actually be more favorable for microbial growth as most pathogens thrive in neutral to alkaline pH environments. C: High sugar concentration can actually promote microbial growth as many pathogens feed on sugars. D: High body temperature may help in some cases, but it is not as effective as an acidic pH in preventing microbial infection in the reproductive tract.

Correct Answer: A

Rationale: Rationale: A: Early application of gentamicin is not recommended as a specific treatment for C. difficile-associated post antibiotic diarrhea because it does not have efficacy against C. difficile. B: Metronidazole is recommended as first-line treatment for mild to moderate C. difficile infection. C: Stopping antibiotic treatment and observing the clinical response for 48 hours is not a recommended strategy as prompt treatment is crucial in C. difficile infection. D: Vancomycin per os is an appropriate treatment for severe C. difficile infection. In summary, A is incorrect because gentamicin is not effective against C. difficile, while B, C, and D are potential treatment strategies based on severity of the infection.

Correct Answer: A

Rationale: The correct answer is A: Bacterial vaginosis (gardnerellosis). The presence of clue cells on the Gram-stained smears is characteristic of bacterial vaginosis. Clue cells are vaginal epithelial cells covered with bacteria, specifically Gardnerella vaginalis, which is the causative agent of bacterial vaginosis. The symptoms described by the patient - itching, burning, watery discharge with a fish-like smell - are classic signs of bacterial vaginosis. The absence of alterations in the cervix, uterus, and appendages rules out other sexually transmitted infections like chlamydiosis, gonorrhea, and trichomoniasis. Therefore, the most likely pathology in this case is bacterial vaginosis.

Correct Answer: D

Rationale: The correct answer is D: Agglutination test type Gruber. This is because the Gruber agglutination test is not typically used for the serological identification of Yersinia pestis. The other options (A, B, C) are commonly used methods for serological identification of Y. pestis: A) Precipitation reaction involves the formation of a visible precipitate when Y. pestis antigen reacts with specific antibodies. B) Indirect hemagglutination test detects antibodies against Y. pestis by measuring the agglutination of red blood cells. C) Immunofluorescence test uses fluorescently labeled antibodies to detect specific antigens of Y. pestis. In summary, the Gruber agglutination test is not a standard method for serological identification of Yersinia pestis, unlike the other options provided.