ATI RN
Microbiology An Introduction 12th Edition Test Bank Questions
Question 1 of 5
Microscopical examination of an infiltrate removed from the submandibular skin area of a 30 y.o. man revealed foci of purulent fluxing surrounded by maturing granulations and mature connective tissue, the pus contains druses consisting of multiple short rod-like elements with one end attached to the homogenous centre. What disease is it?
Correct Answer: A
Rationale: The correct answer is A: Actinomycosis. This is supported by the presence of purulent foci with druses consisting of short rod-like elements attached to a homogenous center, which is characteristic of Actinomyces species. Actinomycosis commonly presents with granulation tissue and connective tissue formation. B: Tuberculosis does not typically present with druses containing short rod-like elements. C: Syphilis does not typically present with purulent foci or druses. D: Candidosis does not typically present with the described features of purulent fluxing and druses with short rod-like elements.
Question 2 of 5
Trichinosis is an infection caused by ingestion of a:
Correct Answer: A
Rationale: The correct answer is A: nematode. Trichinosis is caused by the roundworm Trichinella spiralis, a type of nematode. Nematodes are multicellular parasites commonly found in raw or undercooked meat. Viruses, bacteria, and fungi do not cause trichinosis. Viruses are not parasitic worms, bacteria are single-celled organisms, and fungi are eukaryotic organisms distinct from nematodes. Therefore, the ingestion of nematodes, not viruses, bacteria, or fungi, leads to trichinosis.
Question 3 of 5
Which bacteria produce a toxin that inhibits protein synthesis?
Correct Answer: A
Rationale: The correct answer is A: Shigella dysenteriae. This bacteria produces the Shiga toxin, which inhibits protein synthesis by interfering with the ribosomes. Shigella dysenteriae causes severe gastrointestinal illness. The other choices, B: Clostridium botulinum, produces a neurotoxin that blocks neurotransmitter release. C: Streptococcus pneumoniae causes pneumonia and other respiratory infections. D: Mycobacterium tuberculosis causes tuberculosis by infecting the lungs. Thus, based on the toxin production and mode of action, Shigella dysenteriae is the correct answer.
Question 4 of 5
A child with foul-smelling diarrhea had trophozoites with two nuclei and flagella identified in stool microscopy. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Giardia lamblia. Giardia lamblia is a protozoan parasite that causes foul-smelling diarrhea with trophozoites having two nuclei and flagella in stool microscopy. The presence of flagella and two nuclei is characteristic of Giardia lamblia. Entamoeba histolytica (Choice B) causes amoebic dysentery with trophozoites containing ingested RBCs. Trichomonas vaginalis (Choice C) is a sexually transmitted protozoan causing vaginitis with a distinctive pear-shaped trophozoite. Balantidium coli (Choice D) is a ciliated protozoan causing diarrhea with trophozoites containing a single nucleus.
Question 5 of 5
Which one of the following is a normal skin flora?
Correct Answer: B
Rationale: The correct answer is B: Staphylococcus epidermidis. This bacterium is a normal skin flora commonly found on human skin. It is part of the skin microbiota and helps protect against pathogenic organisms. Streptococcus pyogenes (A), Pseudomonas aeruginosa (C), and Acinetobacter baumannii (D) are not normal skin flora. Streptococcus pyogenes is a pathogenic bacterium causing various infections, Pseudomonas aeruginosa is an opportunistic pathogen commonly found in water and soil, and Acinetobacter baumannii is associated with healthcare-associated infections.
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