ATI RN
Microbiology Chapter 1 Test Bank Questions
Question 1 of 5
From urine of a 14-year-old boy with the exacerbation of secondary obstructive pyelonephritis Pseudomonas aeruginosa was isolated with a titer of 1000000 microbes per 1 ml. Which antibiotic is most advisable to be administered in this case?
Correct Answer: A
Rationale: The correct answer is A: Ciprofloxacin. Pseudomonas aeruginosa is commonly resistant to Ampicillin, Cefazolinum, and Azithromycin. Ciprofloxacin is a fluoroquinolone antibiotic known for its efficacy against Pseudomonas aeruginosa. Its broad spectrum and ability to penetrate tissues make it the most advisable choice for treating secondary obstructive pyelonephritis caused by this pathogen.
Question 2 of 5
Saprophytic microorganism from the environment, which can cause exogenous infections and diseases only when the host is severely damaged, are called:
Correct Answer:
Rationale: Correct Answer: C: opportunists Rationale: 1. Opportunistic microorganisms cause infections only when the host's immune system is compromised. 2. They are typically harmless in healthy individuals but can become pathogenic in weakened hosts. 3. Saprophytic microorganisms are environmental decomposers, not inherently pathogenic. 4. Facultative pathogens can cause disease in both healthy and compromised hosts. 5. Obligate pathogens always cause disease regardless of the host's condition. Summary: A: Facultative pathogens can cause disease in healthy hosts. B: Saprophytes are not inherently pathogenic. D: Obligate pathogens always cause disease.
Question 3 of 5
The most severe bacillary infections are caused by:
Correct Answer: D
Rationale: The correct answer is D: Shigella dysenteriae I. This bacterium is known to produce Shiga toxin, which is responsible for the most severe bacillary infections. The toxin can cause bloody diarrhea and potentially life-threatening complications like hemolytic uremic syndrome. Shigella boydii, flexneri, and sonnei, while also causing bacillary dysentery, do not produce the same level of severity as Shigella dysenteriae I due to the absence of Shiga toxin.
Question 4 of 5
A patient with dysentery had a stool sample that was cultured on Endo agar, resulting in colorless colonies. The bacteria were Gram-negative rods. What is the most likely causative agent?
Correct Answer: A
Rationale: Rationale: 1. Endo agar inhibits the growth of Gram-positive bacteria. 2. Colorless colonies on Endo agar indicate lactose non-fermenting bacteria. 3. Shigella dysenteriae is a lactose non-fermenting, Gram-negative rod, causing dysentery. 4. Salmonella typhi, Escherichia coli, and Proteus vulgaris are lactose fermenters, so they would produce pink colonies on Endo agar. Therefore, the most likely causative agent is Shigella dysenteriae.
Question 5 of 5
Microscopical examination of discharges from the gums of a patient ill with paradontosis revealed some protozoan pear-shaped organisms 6-13 micrometer long. The parasite has one nucleus and undulating membrane, there are four flagella at the front of its body. What protozoan were found?
Correct Answer: A
Rationale: The correct answer is A: Trichomonads. Trichomonads are pear-shaped protozoa, typically 6-13 micrometers long, with one nucleus, undulating membrane, and four flagella at the front. These characteristics match the description provided in the question. Trichomonads are commonly found in oral cavities and can cause gum infections like periodontosis. Summary: - B: Leishmania - Leishmania is a flagellated protozoan responsible for Leishmaniasis, not typically found in the oral cavity. - C: Amoebae - Amoebae are not pear-shaped and do not have the specific characteristics described in the question. - D: Balantidia - Balantidia are ciliated protozoa, not flagellated like trichomonads, and are not typically associated with gum infections.
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