ATI RN
microbiology chapter 11 test bank Questions
Question 1 of 5
Which of the following sites of the human body does not have a normal flora?
Correct Answer: D
Rationale: The correct answer is D: Blood. Normal flora refers to the microorganisms that naturally inhabit specific areas of the body. Blood is considered a sterile environment in healthy individuals, meaning it does not harbor any microorganisms under normal circumstances. In contrast, the intestine, skin, and vagina all have normal flora as they provide suitable environments for various microbial species to thrive. The presence of normal flora in these sites helps maintain a balance and protect against pathogenic invaders. Blood, being a vital and sterile fluid, is not meant to have any resident microbial populations.
Question 2 of 5
A 42-year-old female has foamy purulent vaginal discharges. The smear stained by Romanovsky- Giemsa's method has been found to include flagellated bacteria. What is the most likely microorganism that has been found by the doctor?
Correct Answer: A
Rationale: The correct answer is A: Trichomonas vaginalis. Trichomonas vaginalis is a flagellated protozoan parasite commonly found in vaginal infections. The presence of flagellated bacteria in the vaginal discharge stained with Romanovsky-Giemsa method indicates a protozoan infection, ruling out bacterial or viral causes. Choices B, C, and D are not correct as Leishmania donovani causes leishmaniasis, Trypanosoma gambiense causes African sleeping sickness, and Trihomonas hominis is a non-pathogenic flagellate found in the human intestine, not typically associated with vaginal infections.
Question 3 of 5
Gram (-) bacteria have basal structure consisting of:
Correct Answer: C
Rationale: The correct answer is C: 4-10% of all materials building the cell wall. Gram (-) bacteria have a thin peptidoglycan layer making up 4-10% of the cell wall. This is in contrast to Gram (+) bacteria which have a thicker peptidoglycan layer. Choice A is too high a percentage for Gram (-) bacteria. Choice B is too low as it would not provide enough structural support. Choice D is also too high and would not accurately reflect the composition of Gram (-) bacteria.
Question 4 of 5
What drug is more advisable for the patient with amebic dysentery?
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. Metronidazole is the drug of choice for amebic dysentery as it effectively targets the protozoa causing the infection. It has good tissue penetration and high efficacy against Entamoeba histolytica. Pyrantel (B) is used for nematode infections, not amebiasis. Levamisole (C) is an anthelmintic for roundworms and not effective against amoebas. Bicillin-5 (D) is a penicillin antibiotic, which is not indicated for treating amebic dysentery.
Question 5 of 5
Many peptic ulcers are due to:
Correct Answer: B
Rationale: The correct answer is B, Helicobacter pylori. This bacterium is the main cause of peptic ulcers by damaging the protective lining of the stomach and duodenum. It secretes enzymes that weaken the mucosal barrier, allowing stomach acid to cause damage. Salmonella typhi (A) causes typhoid fever, not peptic ulcers. Shigella boydii (C) causes dysentery, not peptic ulcers. Salmonella enterica (D) causes food poisoning, not peptic ulcers. Therefore, the correct answer is B based on its direct association with peptic ulcer formation.
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