ATI RN
microbiology an introduction 12th edition test bank Questions
Question 1 of 5
Gram-negative, capsulated bacteria with capsule, lactose-positive colonies. Isolated for the first time in pneumonia, but have more important role in urinary infections, otitis, meningitides, sepsis, nosocomial infections:
Correct Answer: B
Rationale: The correct answer is B: Klebsiella pneumoniae. This bacterium is gram-negative, capsulated, and forms lactose-positive colonies. It was first isolated in pneumonia but is more commonly associated with urinary infections, otitis, meningitides, sepsis, and nosocomial infections. Klebsiella pneumoniae fits all the characteristics mentioned in the question, making it the correct choice. Incorrect choices: A: Staphylococcus aureus is gram-positive and does not have a capsule. C: Streptococcus pneumoniae is also gram-positive and does not fit the description given. D: Mycobacterium tuberculosis is an acid-fast bacterium associated with tuberculosis, but it is neither gram-negative nor lactose-positive.
Question 2 of 5
The optochin sensitivity test demonstrates:
Correct Answer: B
Rationale: The optochin sensitivity test is used to differentiate Pneumococcal (Streptococcus pneumoniae) from other streptococci. Optochin sensitivity is a characteristic feature of Pneumococcal, as it inhibits its growth. The test involves placing optochin discs on a culture plate and observing the zone of inhibition around the disc for Pneumococcal. Neisseria gonorrhoeae, Staphylococci, and Group A streptococci do not exhibit optochin sensitivity, making them incorrect choices. In summary, the optochin sensitivity test is specific to Pneumococcal, making choice B the correct answer.
Question 3 of 5
A patient with fever, enlarged lymph nodes, and bacteremia was diagnosed with plague. The Gram-stained smear revealed bipolar-staining, Gram-negative rods. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Yersinia pestis. Y. pestis is the causative agent of plague, characterized by fever, enlarged lymph nodes, and bacteremia. The bipolar-staining, Gram-negative rods seen on Gram stain are typical of Y. pestis. Incorrect choices: B: Francisella tularensis causes tularemia, not plague. C: Brucella abortus causes brucellosis, not plague. D: Clostridium botulinum causes botulism, not plague. In summary, the key features of the patient's presentation and the Gram stain findings align with Yersinia pestis as the correct causative agent of plague.
Question 4 of 5
A patient with diarrhea had stool microscopy revealing large, oval protozoa with a single nucleus and four flagella. What is the most likely causative agent?
Correct Answer: A
Rationale: Step 1: Large, oval protozoa with a single nucleus and four flagella indicate Giardia lamblia. Step 2: Giardia lamblia is a flagellated protozoan causing diarrhea. Step 3: It has a distinct appearance under microscopy. Step 4: Entamoeba histolytica causes dysentery with no flagella. Step 5: Balantidium coli is a ciliated protozoan with a larger size. Step 6: Trichomonas vaginalis lacks a cyst stage and causes genitourinary infections.
Question 5 of 5
Gram-negative, capsulated bacteria with capsule, lactose-positive colonies. Isolated for the first time in pneumonia, but have more important role in urinary infections, otitis, meningitides, sepsis, nosocomial infections:
Correct Answer: B
Rationale: The correct answer is B: Klebsiella pneumoniae. This bacterium is gram-negative, capsulated, and forms lactose-positive colonies. It was first isolated in pneumonia but is more commonly associated with urinary infections, otitis, meningitides, sepsis, and nosocomial infections. Klebsiella pneumoniae fits all the characteristics mentioned in the question, making it the correct choice. Incorrect choices: A: Staphylococcus aureus is gram-positive and does not have a capsule. C: Streptococcus pneumoniae is also gram-positive and does not fit the description given. D: Mycobacterium tuberculosis is an acid-fast bacterium associated with tuberculosis, but it is neither gram-negative nor lactose-positive.
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