microbiology chapter 13 test bank

Correct Answer: D

Rationale: The correct answer is D, chemotherapy combined with surgical therapy. Actinomycosis is a bacterial infection that requires a combination of antibiotics to target the bacteria and surgery to remove abscesses or infected tissues. Antibiotics alone may not penetrate abscesses effectively. Waiting for self-clearance can lead to complications. Surgical treatment alone may not eradicate the infection entirely. Therefore, the most effective therapeutic plan is to combine chemotherapy to treat the infection systemically and surgery to remove localized infections.

Correct Answer: A

Rationale: The correct answer is A: Capnophilic. Brucella requires a CO2 enriched atmosphere for cultivation, making it capnophilic. This is because Brucella is a microaerophilic bacterium that thrives in low oxygen conditions and elevated CO2 levels. Choice B (Facultative anaerobic) and D (Obligate aerobic) are incorrect as Brucella does not grow well under aerobic conditions. Choice C (Obligate anaerobic) is also incorrect as Brucella can grow in the presence of oxygen, although it prefers low oxygen environments.

Correct Answer: A

Rationale: The correct answer is A: Hyperresponsiveness reaction type IV. This type of reaction, also known as delayed-type hypersensitivity, is characterized by the activation of T lymphocytes and macrophages, leading to inflammation at the site of antigen exposure. In the case of the Mantoux test, the appearance of a papule 48 hours later indicates a delayed hypersensitivity reaction mediated by T cells. Choice B: Reaction of Arthus phenomenon type is incorrect as this type of reaction involves immune complexes forming in the blood vessels leading to tissue damage, which is not the mechanism seen in the Mantoux test reaction. Choice C: Reaction of serum sickness type is incorrect as this type of reaction involves the formation of immune complexes in the blood leading to systemic symptoms like fever, rash, and joint pain, which is not typically seen in the Mantoux test reaction. Choice D: Atopic reaction is incorrect as atopic reactions involve IgE antibodies and mast cell degranulation, which are not the mechanisms

Correct Answer: A

Rationale: The correct answer is A: Toxoplasmosis. Toxoplasmosis is a parasitic infection caused by Toxoplasma gondii, which can be transmitted from mother to fetus during pregnancy, leading to congenital toxoplasmosis. This infection can result in stillbirth, multiple developmental defects, and intrauterine death. Leishmaniasis (B), Malaria (C), and Amebiasis (D) are caused by different parasites and do not typically lead to intrauterine death or developmental defects in the fetus.

Correct Answer: A

Rationale: Step 1: Pear-shaped protozoa with two nuclei, four pairs of flagella, two axostyles, and a ventral adhesive disc match the characteristics of Giardia lamblia. Step 2: Giardia lamblia is commonly found in the duodenum and causes giardiasis. Step 3: Lamblia is the correct answer as it specifically matches all the described characteristics. Summary: B, Toxoplasma, is incorrect as it does not match the described features. C, Leishmania, does not have the specific characteristics mentioned. D, Intestinal trichomonad, does not match the detailed descriptions given.