ATI RN
Microbiology Chapter 11 Test Bank Questions
Question 1 of 5
During bacteriological examination of sputum of a child with choking cough and fever there were revealed glossy smooth colonies growing on casein-charcoal agar and reminding of mercury drops. Microscopic examination revealed short Gram-negative bacteria. What microorganism was secured from the sputum?
Correct Answer: A
Rationale: The correct answer is A: Bordetella pertussis. Glossy smooth colonies growing on casein-charcoal agar resembling mercury drops indicate Bordetella pertussis, the causative agent of whooping cough. The presence of short Gram-negative bacteria further supports this identification. Option B, Haemophilus influenzae, typically grows as small, round, translucent colonies on chocolate agar. Option C, Corynebacterium diphtheriae, forms gray colonies on tellurite agar. Option D, Klebsiella pneumoniae, appears as mucoid colonies on MacConkey agar.
Question 2 of 5
A stool sample from a patient with persistent diarrhea revealed cysts with four nuclei. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Entamoeba histolytica. This is because it is the only choice that matches the description of cysts with four nuclei, characteristic of Entamoeba histolytica. Entamoeba histolytica is a protozoan parasite that causes amoebiasis, leading to symptoms like persistent diarrhea. The other choices can be eliminated for the following reasons: B: Balantidium coli - It is a ciliated protozoan that causes dysentery in humans but does not produce cysts with four nuclei. C: Giardia lamblia - It is a flagellated protozoan that causes giardiasis, but it forms cysts with only two nuclei. D: Trichomonas hominis - It is a flagellated protozoan found in the human intestine, but it does not produce cysts with four nuclei. Therefore, based on the description of cysts with four nuclei in the stool sample,
Question 3 of 5
A blood culture from a patient with sepsis 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. This is supported by the characteristics of Gram-positive cocci in clusters, catalase-positive, and coagulase-negative. Staphylococcus epidermidis fits all these criteria, as it is a common skin commensal that can cause infections in immunocompromised individuals. Staphylococcus aureus (choice B) is catalase-positive and coagulase-positive. Streptococcus pyogenes (choice C) is catalase-negative. Enterococcus faecalis (choice D) is catalase-negative and not typically seen in clusters. Therefore, based on the given information, Staphylococcus epidermidis is the most likely causative agent.
Question 4 of 5
A 35-year-old patient has been admitted to a hospital for pain in the left sternoclavicular and knee joints, lumbar area. The disease has an acute character and is accompanied by fever up to 38oC. Objectively: the left sternoclavicular and knee joints are swollen and painful. In blood: WBCs - 9, 5x109/l, ESR - 40 mm/h, CRP - 1,5 millimole/l, fibrinogen - 4,8 g/l, uric acid - 0,28 millimole/l. Examination of the urethra scrapings reveals chlamydia. What is the most likely diagnosis?
Correct Answer: A
Rationale: The most likely diagnosis is Reiter's syndrome. This is suggested by the presence of joint pain, fever, elevated ESR and CRP levels, and chlamydia infection. Reiter's syndrome is a reactive arthritis triggered by an infection elsewhere in the body, such as chlamydia. The patient's symptoms of joint pain and swelling, along with the positive chlamydia test, support this diagnosis. Rheumatic arthritis (Choice B) is not associated with chlamydia infection, making it less likely. Gout (Choice C) typically presents with elevated uric acid levels, which are normal in this case. Bechterew's disease (Choice D) primarily affects the spine and sacroiliac joints, not the sternoclavicular and knee joints as seen in this patient.
Question 5 of 5
Researchers of a bacteriological laboratory examine tinned meat for botulinic toxin. For this purpose a group of mice was injected with an extract of the material under examination and antitoxic antibotulinic serum of A, B, E types. A control group of mice was injected with the same extract but without antibotulinic serum. What serological reaction was applied?
Correct Answer: A
Rationale: The correct answer is A: Neutralization. In this experiment, the researchers used antitoxic antibotulinic serum of different types to neutralize the botulinic toxin in tinned meat extract injected into mice. Neutralization is the process of rendering a toxin harmless by combining it with specific antibodies. The purpose of injecting the antitoxic serum was to neutralize the toxin and prevent it from causing harm to the mice. This serological reaction of neutralization directly aligns with the objective of the experiment. Summary of other choices: B: Precipitation - Precipitation involves the formation of a visible insoluble complex when an antigen reacts with its corresponding antibody. This process was not described in the scenario. C: Complement binding - Complement binding involves the activation of the complement system by antigen-antibody complexes. This was not the main focus of the experiment described. D: Double immune diffusion - This technique is used to detect the presence of specific antigens or antibodies
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