ATI RN
Microbiology Chapter 12 Test Bank Questions
Question 1 of 5
On the 8th day since the patient was inoculated with antitetanic serum because of dirty wound of his foot he has developed rising temperature up to 380% , pains in the joints, rash and itch. The blood tests revealed leukopenia and thrombocytopenia. Allergic reaction of what type has developed in this case?
Correct Answer: D
Rationale: The correct answer is D: Immunocomplex. In this case, the patient's symptoms of fever, joint pains, rash, and itch along with leukopenia and thrombocytopenia indicate a serum sickness reaction. This is a type III hypersensitivity reaction where antigen-antibody complexes deposit in tissues, leading to inflammation and tissue damage. The symptoms typically occur 1-2 weeks after exposure to the antigen. Anaphylactic reaction (choice A) is immediate and involves IgE antibodies. Cytotoxic reaction (choice B) involves destruction of cells by antibodies. Delayed hypersensitivity (choice C) usually takes 48-72 hours to develop and involves T-cells. Therefore, the correct answer is D as it aligns with the symptoms and timeline of a type III hypersensitivity reaction.
Question 2 of 5
Infection of several persons without any epidemiological link is
Correct Answer: B
Rationale: The correct answer is B: sporadic disease. Infection of several persons without any epidemiological link is considered sporadic because it occurs in a random and isolated manner, with no clear pattern or connection between cases. It is not classified as an epidemic (A) because it does not involve a sudden increase in the number of cases within a specific population. It is also not endemic (C) as endemic diseases are constantly present in a particular region or population. Lastly, it is not a pandemic (D) which refers to a global outbreak affecting a large number of people across different countries.
Question 3 of 5
Which of the following statements regarding S. aureus is not true:
Correct Answer: C
Rationale: Step 1: S. aureus is known to produce hemolysins, leucocidins, and enterotoxin. Step 2: S. aureus colonies usually exhibit golden-yellow pigmentation with beta-hemolytic zones. Step 3: S. aureus has developed resistance to penicillin due to the production of beta-lactamase. Step 4: Therefore, statement C is not true as S. aureus is not always sensitive to penicillin. Summary: Choices A and B are correct statements about S. aureus, while choice C is incorrect due to the increasing penicillin resistance seen in S. aureus.
Question 4 of 5
Sanitary and bacteriological examination of air in drug-store premises revealed increased content of sanitary representative microorganisms. What microorganisms are these?
Correct Answer: A
Rationale: The correct answer is A (Golden staphylococcus and hemolytic streptococcus) because these microorganisms are commonly found in the air of contaminated environments like drug-store premises. Golden staphylococcus and hemolytic streptococcus are pathogenic bacteria associated with infections in humans, indicating poor sanitation. The other choices are incorrect because: B: Diphtheria and tuberculosis bacilli are not commonly found in the air in drug-store premises. C: Colon and blue pus bacilli are not typical microorganisms associated with air contamination. D: Epidermal staphylococcus and sarcina are not likely to be present in high amounts in the air of drug-store premises.
Question 5 of 5
Impression smear of mucosa biopsy material has been obtained from a patient with peptic ulcer disease of the stomach. Gram-negative arcuate bent microorganisms were detected, urease activity test was positive. What microorganisms were detected in the patient?
Correct Answer: A
Rationale: The correct answer is A: Helicobacter. Helicobacter pylori is the main causative agent of peptic ulcer disease and is characterized by its gram-negative arcuate bent shape and positive urease activity. Helicobacter pylori specifically colonizes the stomach mucosa and is associated with various gastrointestinal disorders. Spirochetes (choice B), spirilla (choice C), and Leptospira (choice D) are not typically associated with peptic ulcer disease or stomach mucosa infections, making them incorrect choices in this context.
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