microbiology chapter 14 test bank

Questions 79

ATI RN

ATI RN Test Bank

microbiology chapter 14 test bank Questions

Question 1 of 5

Cell mediated immunity has a leading role in:

Correct Answer: A

Rationale: Cell-mediated immunity plays a crucial role in combating infections with intracellular pathogens by activating T cells to directly kill infected cells. Facultative and obligate intracellular pathogens, such as viruses and some bacteria, require cell-mediated immunity for effective clearance. Option A is correct due to the specificity of this immune response. Choices B, C, and D are incorrect as they are primarily associated with humoral immunity involving antibodies and not T cell responses against intracellular pathogens.

Question 2 of 5

Which of the following organisms produces toxins that target cholesterol?

Correct Answer: C

Rationale: Step 1: Escherichia coli is known to produce a toxin called colibactin that targets cholesterol. Step 2: Colibactin disrupts cholesterol metabolism in host cells. Step 3: This disruption can lead to various health issues. Step 4: Streptococcus pyogenes produces different toxins, not specifically targeting cholesterol. Step 5: Corynebacterium diphtheriae produces diphtheria toxin, not targeting cholesterol. Step 6: Aeromonas hydrophila produces various toxins, but not known for targeting cholesterol. Summary: Escherichia coli produces toxins that specifically target cholesterol, making it the correct choice over the other options.

Question 3 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.

Question 4 of 5

Which of the following statements for S. Aureus is FALSE

Correct Answer: A

Rationale: The correct answer is A because Staphylococcus aureus can develop resistance to penicillin over time due to the production of beta-lactamase enzymes. This resistance mechanism makes it no longer susceptible to penicillin. The other choices are correct: B) S. aureus can produce beta hemolysis, C) it produces various toxins like hemolysins, leucocidins, and enterotoxins, and D) it shows a positive catalase reaction due to the presence of catalase enzyme that converts hydrogen peroxide to water and oxygen.

Question 5 of 5

Differentiating media are:

Correct Answer: C

Rationale: The correct answer is C because Endo, Gassner, and Levin are all examples of differential media used in microbiology. These media contain specific components that allow for the differentiation of different types of microorganisms based on their metabolic characteristics or biochemical reactions. Lowenstein-Jensen and Petraniani (choice A) are selective media for mycobacteria, not differential. Apoholate-citrate agar and Brilliant-green phenol-red Lactose agar (choice B) are selective media for Salmonella and E. coli, respectively, not differential. Therefore, the correct choice is C as it includes examples of differential media commonly used for microbial identification.

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