ATI RN
Microbiology An Introduction Test Bank Questions
Question 1 of 5
UN volunteers have arrived in Nigeria to assist the locals in aftermath of earthquakes. What drug should they prescribe for individual chemoprophylaxis of malaria?
Correct Answer: D
Rationale: The correct answer is D: Primaquine. Primaquine is used for individual chemoprophylaxis of malaria caused by Plasmodium vivax and Plasmodium ovale. It is effective in preventing the relapse of these malaria species by eliminating the liver forms of the parasites. Chingamin (A) is not a commonly used drug for malaria prophylaxis. Pyrantel (B) is an anthelmintic drug used for treating parasitic worm infections, not malaria. Pyrimethamine (Chloridinum) (C) is primarily used in combination with sulfadoxine for treating uncomplicated malaria, not for chemoprophylaxis.
Question 2 of 5
A Gram-stained smear from a wound revealed Gram-positive rods with terminal spores. The bacteria were anaerobic and produced gas. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Clostridium perfringens. This bacterium is an anaerobic, Gram-positive rod that forms terminal spores and produces gas. It is commonly associated with wound infections and gas gangrene. Clostridium botulinum causes botulism and does not typically present with gas production. Bacillus anthracis is an aerobic, Gram-positive spore-forming bacterium causing anthrax. Clostridium tetani causes tetanus and does not produce gas. Thus, based on the characteristics described in the question, Clostridium perfringens is the most likely causative agent.
Question 3 of 5
For which family the following morphological features are typical: filamentous spiral nucleocapsid, linear unsegmented single strand (-) RNA and lipid bilayer membrane of cellular origin:
Correct Answer: B
Rationale: Step-by-step rationale: 1. Filamentous spiral nucleocapsid is characteristic of Filoviridae, such as Ebola virus. 2. Linear unsegmented single strand (-) RNA is a key feature of Filoviridae genomes. 3. The lipid bilayer membrane of cellular origin is found in Filoviridae viruses. 4. Therefore, the correct answer is B (Filoviridae) due to the alignment of all three morphological features. Summary: - A (Picornaviridae): Has an icosahedral capsid, not filamentous spiral. - C (Orthomyxoviridae): Has a segmented genome, not linear unsegmented. - D (Togaviridae): Has a spherical capsid, not filamentous spiral.
Question 4 of 5
A patient with severe abdominal pain had a stool culture revealing non-lactose-fermenting, Gram-negative rods that produce gas in nutrient broth. What is the most likely causative agent?
Correct Answer: D
Rationale: The correct answer is D: Proteus vulgaris. This is because Proteus species are non-lactose-fermenting, Gram-negative rods that produce gas in nutrient broth. They are known to cause severe abdominal pain due to their ability to invade the intestinal mucosa. A: Salmonella enterica is a lactose-fermenting organism and typically does not produce gas in nutrient broth. B: Shigella dysenteriae is a lactose-negative organism but does not produce gas in nutrient broth. C: Escherichia coli is a lactose-fermenting organism and does not typically produce gas in nutrient broth. In summary, the presence of non-lactose-fermenting, gas-producing Gram-negative rods points towards Proteus vulgaris as the most likely causative agent of the severe abdominal pain.
Question 5 of 5
Which of the following bacteria produces a neurotoxin that causes botulism?
Correct Answer: A
Rationale: The correct answer is A: Clostridium botulinum. Clostridium botulinum produces the neurotoxin that causes botulism. This bacterium thrives in anaerobic conditions and contaminated food. The neurotoxin blocks acetylcholine release at the neuromuscular junction, leading to muscle paralysis. Choices B, C, and D are incorrect because Clostridium tetani causes tetanus, Escherichia coli can cause food poisoning but not botulism, and Staphylococcus aureus produces enterotoxins causing food poisoning, not botulism.
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