microbiology chapter 12 test bank

Correct Answer: D

Rationale: The correct answer is D: Non-tender chancre (ulcus durum). In the primary stage of syphilis, an individual typically develops a painless ulcer known as a chancre at the site of infection. This ulcer is usually firm, round, and clean with well-defined borders. It is important to note that it is non-tender, which distinguishes it from other skin conditions. This characteristic helps healthcare providers differentiate syphilis from other sexually transmitted infections. Explanation for other choices: A: Diffuse maculopapular rash - This is more commonly associated with secondary syphilis. B: Purulent exudation from the urethra - This is not a typical presentation of primary syphilis. C: Syphilitic granulomas (gummas) - Gummas typically develop in the tertiary stage of syphilis, not in the primary stage.

Correct Answer: B

Rationale: The correct answer is B: Agglutination reaction. This is the most suitable serological reaction for the quick determination of the antigen of the epizootic agent causing mass rodent deaths. In agglutination reaction, antibodies cause the clumping of antigens, allowing for easy visual detection of the presence of the specific antigen. This is efficient for rapid diagnosis in cases of suspected infectious diseases like plague. A: Precipitation reaction is more suitable for identifying soluble antigens, not for quick determination of a specific antigen in this scenario. C: Reaction of passive hemagglutination is used for measuring the presence of antibodies, not antigens. D: Bordet-Gengou test is a specific test for the identification of Bordetella pertussis bacterium, not suitable for this scenario.

Correct Answer: D

Rationale: The correct answer is D. Cytoplasmic inclusions in bacteria refer to substances like granules. These granules can be excess products of metabolism or reserve substances stored for future use. Therefore, all of the choices are correct as cytoplasmic inclusions can be any of these substances. A is correct as it directly refers to cytoplasmic inclusions. B is correct as some granules can be excess metabolic products. C is correct as certain granules can serve as reserve substances. Therefore, the correct answer is D, as it encompasses all the possible types of substances found as cytoplasmic inclusions in bacteria.

Correct Answer: A

Rationale: The correct answer is A: Bacillus anthracis. The presence of Gram-positive rods in chains with central spores on the Gram stain indicates Bacillus anthracis. This bacterium is known to cause severe pneumonia. Clostridium tetani does not typically cause pneumonia but rather tetanus. Streptococcus pneumoniae is a Gram-positive cocci, not rods. Klebsiella pneumoniae is a Gram-negative bacterium commonly associated with pneumonia, but it does not form central spores.

Correct Answer: A

Rationale: The correct answer is A: Type IV hypersensitivity reaction. This type of reaction is characterized by a delayed response involving T cells. In this case, the appearance of a papule after 48 hours indicates a delayed hypersensitivity reaction, which is typical of a Type IV reaction. The other choices are incorrect because: B: Arthus phenomenon is a localized immune complex-mediated reaction, not seen in tuberculin tests. C: Seroreaction typically involves antibodies reacting with soluble antigens, not seen in this scenario. D: Type II hypersensitivity reactions involve antibodies targeting specific cells or tissues, which is not the mechanism at play in this case.