microbiology an introduction test bank

Questions 80

ATI RN

ATI RN Test Bank

microbiology an introduction test bank Questions

Question 1 of 5

Which of the following bacteria is most commonly associated with nosocomial infections?

Correct Answer: C

Rationale: Rationale: 1. Pseudomonas aeruginosa is commonly found in hospital environments. 2. It is an opportunistic pathogen causing various nosocomial infections. 3. Its ability to develop resistance to antibiotics makes it a significant threat. 4. Corynebacterium diphtheriae causes diphtheria, not common nosocomial infections. 5. Shigella sonnei causes foodborne illness, not typically nosocomial infections. 6. "None of the above" is incorrect as Pseudomonas is indeed commonly associated with nosocomial infections.

Question 2 of 5

The patient has developed pain in the axillary area, rise of temperature developed 10 hours ago. On examination: shaky gait is marked, the tongue is coated by white coating. The pulse is frequent. The painful lymphatic nodules are determined in the axillary area. The skin is erythematous and glistering over the lymphatic nodules. What is the most probable diagnosis?

Correct Answer: D

Rationale: The most probable diagnosis is D: Tularemia. Tularemia is a bacterial infection caused by Francisella tularensis. The symptoms described align with tularemia, such as pain in axillary area, fever, shaky gait, coated tongue, frequent pulse, painful lymphatic nodules, and erythematous skin over nodules. The key features pointing towards tularemia are the presence of lymphadenitis in the axillary area and the erythematous, glistering skin over the nodules, which are characteristic of ulceroglandular tularemia. Bubonic plague (A) presents with painful, swollen lymph nodes called buboes but typically lacks the erythematous skin findings. Acute purulent lymphadenitis (B) usually presents with pus-filled lymph nodes but does not typically cause shaky gait or coated tongue. Lymphogranulomatosis (C) is a term for Hodgkin's lymphoma, which does not

Question 3 of 5

Rheumatic fever is usually a complication of a(n) __________ infection.

Correct Answer: B

Rationale: Rationale: 1. Streptococcus pyogenes is the causative agent of strep throat. 2. If untreated, strep throat can lead to rheumatic fever. 3. Rheumatic fever is an autoimmune complication of streptococcal infections. 4. E. coli, S. epidermidis, and S. aureus are not typically associated with rheumatic fever.

Question 4 of 5

The sample used to proving epidemic meningitis is:

Correct Answer: A

Rationale: The correct answer is A because CSF (Cerebrospinal fluid) is the sample used for proving epidemic meningitis. It should be transported at 37�C to maintain its integrity. Blood and nasopharyngeal secretions are not typically used for diagnosing meningitis. Choice B, feces, is unrelated to the diagnosis of meningitis. Choice C, CSF transported at +4�C, is incorrect as it should be transported at 37�C to prevent degradation of the sample. Therefore, A is the correct choice for proving epidemic meningitis due to the specificity of the sample and the proper transport conditions.

Question 5 of 5

A child with a sore throat had a throat smear revealing Gram-positive cocci in pairs with a capsule. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. The presence of Gram-positive cocci in pairs with a capsule is characteristic of Streptococcus pneumoniae. Step 1: Gram-positive cocci in pairs indicate a Streptococcus species. Step 2: The presence of a capsule suggests S. pneumoniae specifically. Summary: B: Staphylococcus aureus is a Gram-positive cocci but does not typically present in pairs with a capsule. C: Neisseria gonorrhoeae is a Gram-negative diplococcus, not a Gram-positive cocci. D: Klebsiella pneumoniae is a Gram-negative rod, not a cocci.

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