ATI RN
openstax microbiology test bank Questions
Question 1 of 5
The most common test for the diagnosis of Lyme borreliosis is:
Correct Answer: C
Rationale: The correct answer is C: ELISA, Western blot. These tests are commonly used for diagnosing Lyme borreliosis due to their high sensitivity and specificity in detecting antibodies against Borrelia burgdorferi, the causative agent. ELISA is the initial screening test, while Western blot is used for confirmation. Widal agglutination test (A) is used for diagnosing typhoid fever, not Lyme disease. Cultivation on blood and chocolate agar (B) is not commonly used for diagnosing Lyme borreliosis as Borrelia species are difficult to culture. Ascoli thermoprecipitation test (D) is used for diagnosing pneumonia caused by Streptococcus pneumoniae, not Lyme disease.
Question 2 of 5
Tularemia is caused by
Correct Answer: A
Rationale: Step-by-step rationale: 1. Tularemia is caused by Francisella tularensis, a highly infectious bacterium. 2. Francisella tularensis is the only pathogen specifically known to cause tularemia. 3. The other choices (Bordetella pertussis, Brucella suis, Legionella sp.) are not associated with tularemia. 4. Therefore, the correct answer is A - Francisella tularensis.
Question 3 of 5
Which of the following is an active transport mechanism?
Correct Answer: D
Rationale: The correct answer is D: pinocytosis. This is an active transport mechanism where cells engulf fluids or solutes through vesicles. Energy is required to transport substances against a concentration gradient. A is incorrect as pinocytosis is an active process, not passive like pinocytosis. B is incorrect as facilitated diffusion is a passive process that uses carrier proteins to move substances down a concentration gradient. C is incorrect as filtration is a passive process that relies on pressure gradients to move substances across a barrier. Therefore, D is the correct choice as it involves the active transport of substances into the cell.
Question 4 of 5
In a bacteriology lab, bacteria cultured from fecal samples produced red colonies on Endo agar. What is the most likely microorganism?
Correct Answer: A
Rationale: The correct answer is A: Escherichia coli. E. coli typically produces red colonies on Endo agar due to its ability to ferment lactose. This results in the production of acid, causing the colonies to appear red. Salmonella and Shigella are non-lactose fermenters, so they would appear colorless or transparent on Endo agar. Proteus vulgaris is not commonly associated with red colonies on Endo agar. Therefore, based on the characteristic lactose fermentation pattern, E. coli is the most likely microorganism in this scenario.
Question 5 of 5
A 36-year-old man provisionally diagnosed with renal tuberculosis has undergone urinary sediment analysis. Microscopy revealed acid-fast bacteria, but Pryce method detected no cord factor. Name the most reliable method of investigation that can confirm or refute this provisional diagnosis:
Correct Answer: B
Rationale: The correct answer is B: Phage typing of the obtained culture. This method is used for typing Mycobacterium tuberculosis strains based on susceptibility to specific bacteriophages. If the culture shows susceptibility, it confirms the presence of M. tuberculosis. In this case, the absence of cord factor indicates that the bacteria are unlikely to be M. tuberculosis. Option A (Inoculation of laboratory animals) is unethical and not necessary when other methods are available. Option C (Allergy skin test) is not relevant for confirming a diagnosis of renal tuberculosis. Option D (Toxigenicity testing) is not specific for confirming or refuting a diagnosis of M. tuberculosis.
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