microbiology chapter 14 test bank

Correct Answer: A

Rationale: The correct answer is A: Escherichia coli. E. coli is commonly associated with UTIs due to its ability to colonize the urinary tract. It possesses adhesins that allow it to attach to the bladder wall, causing infection. E. coli is also a common inhabitant of the intestinal tract, making it easily able to migrate to the urinary system. Explanation of incorrect choices: B: Clostridium botulinum - This bacterium causes botulism, a rare foodborne illness, not UTIs. C: Staphylococcus aureus - Often associated with skin infections and abscesses, not UTIs. D: Bacillus cereus - Known for causing food poisoning, not UTIs.

Correct Answer: B

Rationale: The correct answer is B: Clostridium perfringens. In this case, the patient's presentation of infected wound with tissue crepitation, foul odor, and Gram-positive bacteria with centrally located spores that cannot grow in the presence of oxygen is indicative of gas gangrene caused by Clostridium perfringens. This anaerobic bacterium produces various toxins that lead to tissue destruction and gas production in the affected area. Clostridium tetani (choice A) causes tetanus, characterized by muscle stiffness and spasms. Clostridium botulinum (choice C) causes botulism, leading to muscle paralysis. Clostridium difficile (choice D) is associated with antibiotic-associated diarrhea. These choices are incorrect as they do not match the clinical presentation described in the question.

Correct Answer: D

Rationale: The correct answer is D: Bacillus cereus. Bacillus intoxication is typically caused by Bacillus cereus, which is a common foodborne pathogen. This bacterium produces toxins that can lead to gastrointestinal illness when ingested. Bacillus subtilis (A) and Bacillus thuringiensis (B) are not known to cause intoxication in humans. Bacillus anthracis (C) causes anthrax, not intoxication. Therefore, Bacillus cereus is the correct choice for Bacillus intoxication.

Correct Answer: A

Rationale: The correct answer is A: Ziehl-Neelsen staining method. This method is used to detect acid-fast bacteria like Mycobacterium tuberculosis. Step-by-step rationale: 1. Acid-fast bacteria resist decolorization with acid-alcohol. 2. The red bacilli seen in the smear indicate acid-fast bacteria. 3. Ziehl-Neelsen stain uses carbol fuchsin to stain acid-fast bacteria red. 4. The blue background is likely the counterstain methylene blue. Incorrect choices: B: Gram stain is for categorizing bacteria into Gram-positive or Gram-negative, not specific for acid-fast bacteria. C: Giemsa stain is used for blood films and detecting parasites, not acid-fast bacteria. D: Neisser stain is not a standard microbiological staining method.

Correct Answer: C

Rationale: Nigrosin is used in negative staining, where the background is stained instead of the cells themselves. This technique helps highlight the morphology and structure of cells that may be damaged by traditional staining methods. Nigrosin is negatively charged and repels the negatively charged bacterial cells, resulting in a clear halo around the cells. This process is particularly useful for observing capsules and determining cell size and shape. The other options are incorrect because simple staining uses a single dye to color the entire cell, gram staining involves a series of dyes to differentiate between gram-positive and gram-negative bacteria, and acid-fast staining is used to detect acid-fast organisms like Mycobacterium.