ATI RN
microbiology chapter 13 test bank Questions
Question 1 of 5
Which description matches most to adenoviruses:
Correct Answer: A
Rationale: Step-by-step rationale: 1. Adenoviruses are DNA viruses, so choices B and C (ssRNA and DNA) are incorrect. 2. Adenoviruses have a middle-sized, naked icosahedral capsid, making choice A the correct description. 3. Choice D is incorrect as adenoviruses do have specific characteristics, making "None of the above" an inaccurate option. In summary, the correct answer A is supported by the fact that adenoviruses have a middle-sized, naked icosahedral capsid and contain double-stranded DNA. Choices B, C, and D are incorrect as they do not align with the characteristics of adenoviruses.
Question 2 of 5
Gram-positive cocci arranged in chains were found in a wound smear. The bacteria were catalase-negative and beta-hemolytic on blood agar. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pyogenes. This bacterium fits all the given characteristics: Gram-positive cocci arranged in chains, catalase-negative, and beta-hemolytic on blood agar. Streptococcus pyogenes is known for causing skin and soft tissue infections. Staphylococcus aureus (B) is catalase-positive and typically forms clusters, not chains. Enterococcus faecalis (C) is catalase-negative but not beta-hemolytic. Micrococcus luteus (D) is catalase-positive and not typically associated with wound infections.
Question 3 of 5
A 25-year-old patient was delivered to an infectious diseases unit on the 3rd day of illness with complaints of headache, pain in lumbar spine and gastrocnemius muscles, high fever, chill. Objectively: condition of moderate severity. Scleras are icteric. Pharynx is hyperemic. Tongue is dry with dry brown coating. Abdomen is distended. Liver is enlarged by 2 cm. Spleen is not enlarged. Palpation of muscles, especially gastrocnemius muscles, is painful. Urine is dark in color. Stool is normal in color. The most likely diagnosis is:
Correct Answer: A
Rationale: The correct diagnosis is Leptospirosis. Leptospirosis presents with headache, fever, muscle pain, jaundice, and kidney involvement. The patient's symptoms of headache, lumbar and muscle pain, high fever, icteric scleras, and dark urine are classic for Leptospirosis. The enlarged liver could be due to liver involvement in the disease. The absence of splenic enlargement and normal stool color rule out malaria. Infectious mononucleosis typically presents with sore throat and lymphadenopathy, which are absent in this case. Viral hepatitis A may present with similar symptoms, but the presence of muscle pain and dark urine is more indicative of Leptospirosis. Therefore, based on the patient's symptoms and clinical findings, Leptospirosis is the most likely diagnosis.
Question 4 of 5
Drugs needed for diseases with fewer than 200,000 patients, and that fail to receive attention for development because of cost and need, are called:
Correct Answer: C
Rationale: The correct answer is C: orphan drugs. Orphan drugs are medications developed to treat rare diseases affecting fewer than 200,000 patients. These diseases often lack attention from pharmaceutical companies due to the high cost and limited market potential. Orphan drugs receive special incentives and regulatory support to encourage their development. A: Secondary drugs do not specifically refer to medications for rare diseases. B: Minor drugs is not a recognized term in the context of rare disease medications. D: Specialty drugs typically refer to high-cost medications used to treat complex or chronic conditions, but not necessarily rare diseases.
Question 5 of 5
A patient with severe abdominal pain and vomiting had a blood culture that revealed Gram-negative rods producing gas. What is the most likely causative agent?
Correct Answer: B
Rationale: The correct answer is B: Salmonella enteritidis. In this case, the presence of Gram-negative rods producing gas in the blood culture indicates a likelihood of Salmonella infection, as it is a common cause of severe abdominal pain, vomiting, and gas production. Salmonella enteritidis is a known pathogen that can cause gastroenteritis and systemic infections. Escherichia coli (choice A) can also cause similar symptoms, but it is less likely to produce gas in blood culture. Clostridium perfringens (choice C) typically causes food poisoning with rapid onset and less likely to be isolated from blood cultures. Campylobacter jejuni (choice D) is associated with gastroenteritis but is less likely to cause systemic infections with gas-producing Gram-negative rods in blood culture.
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