ATI RN
microbiology chapter 14 test bank Questions
Question 1 of 5
Which enzyme is one of the most important and constant criteria for pathogenicity of staphylococcus aureus?
Correct Answer: B
Rationale: The correct answer is B: plasma coagulase. This enzyme is essential for the pathogenicity of Staphylococcus aureus as it can convert fibrinogen to fibrin, forming a protective barrier around the bacteria. This helps the bacteria evade the host's immune system. Beta lactamase (A) is not directly related to pathogenicity but rather resistance to beta-lactam antibiotics. Catalase (C) is produced by many bacteria, including Staphylococcus aureus, but it is not a specific indicator of pathogenicity. Choice D is incorrect as plasma coagulase is indeed an important criterion for the pathogenicity of Staphylococcus aureus.
Question 2 of 5
Allergies to sea food, eggs, etc are an example of:
Correct Answer: A
Rationale: The correct answer is A: Type 1 hypersensitivity reaction. In this type of reaction, allergens trigger the production of IgE antibodies, leading to mast cell and basophil degranulation and release of inflammatory mediators like histamine. This causes immediate allergic symptoms. Seafood and eggs are common allergens that can elicit this response. B: Type 2 hypersensitivity reaction involves antibodies targeting cell surface or extracellular matrix antigens, leading to cell destruction or dysfunction. This is not the mechanism in seafood or egg allergies. C: Type 3 hypersensitivity reaction involves immune complex deposition in tissues, leading to inflammation and tissue damage. This is not the mechanism in seafood or egg allergies. D: Type 4 hypersensitivity reaction is cell-mediated and involves T cells causing inflammation and tissue damage. This is not the mechanism in seafood or egg allergies.
Question 3 of 5
A duodenal content smear of a patient with indigestion contains protozoa 10-18 mcm large. They have piriform bodies, 4 pairs of filaments, two symmetrically located nuclei in the broadened part of body. What kind of the lowest organisms is it?
Correct Answer: A
Rationale: The correct answer is A: Lamblia. The description matches the characteristics of Giardia lamblia - a protozoan parasite that causes giardiasis. The piriform bodies, 4 pairs of filaments, and two symmetrically located nuclei are specific to Giardia lamblia. It is important to differentiate it from the other choices. Dysentery ameba (choice B) typically has a single nucleus and lacks the specific characteristics described. Trichomonas (choice C) is a flagellated protozoan with different morphology and does not match the given description. Intestinal ameba (choice D) such as Entamoeba histolytica usually has a single nucleus and different body shape compared to the described organism.
Question 4 of 5
In the micropreparation made from patient's regional lymph node punctate and stained according to Romanovsky-Giemsa method, the doctor found out thin microorganisms with 12-14 equal ringlets and pale- pink sharp pointes 10-13 mkm in length. The pathogen of what disease is it about?
Correct Answer: D
Rationale: The thin microorganisms described with 12-14 equal ringlets and pale-pink sharp points are characteristic of Borrelia spirochetes, the causative agent of relapsing fever. The ringlet appearance corresponds to the characteristic coiled structure of Borrelia spirochetes. The length of 10-13 mkm falls within the typical size range of Borrelia spirochetes. This pathogen is commonly identified in Romanovsky-Giemsa stained samples from patients with relapsing fever. Summary of other choices: A: Leishmaniasis - Leishmania parasites are larger and do not have the described ringlets or pale-pink sharp points. B: Leptospirosis - Leptospira bacteria are not described as having ringlets or pale-pink sharp points. C: Surra - Surra is caused by Trypanosoma evansi, and the description does not match the characteristics of this parasite.
Question 5 of 5
Which of the following statements is accurate in explaining why gram-negative bacteria are generally more resistant to penicillin than gram-positive bacteria
Correct Answer: C
Rationale: The correct answer is C: gram-negative bacteria have an outer membrane that acts as an extra barrier. This outer membrane in gram-negative bacteria contains lipopolysaccharides and porins, which restrict the entry of antibiotics like penicillin. The outer membrane acts as an additional layer of protection, making it harder for penicillin to penetrate and reach its target, the peptidoglycan layer. Choices A, B, and D do not directly address the specific mechanism of resistance seen in gram-negative bacteria. Choice A focuses on transpeptidase enzyme quantity, which is not the primary reason for penicillin resistance. Choice B refers to β-lactamase enzymes in the periplasmic space, which are actually enzymes that degrade penicillin and contribute to resistance, but this is not unique to gram-negative bacteria. Choice D mentions a thicker cell wall, which is a characteristic of gram-positive bacteria, not gram-negative bacteria.
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