foundations in microbiology test bank

Questions 82

ATI RN

ATI RN Test Bank

foundations in microbiology test bank Questions

Question 1 of 5

Which of the following stains is the most widely used differential stain in hematology laboratories?

Correct Answer: D

Rationale: The correct answer is D: Kinyoun stain. This stain is the most widely used differential stain in hematology labs because it is specifically designed for acid-fast bacteria like Mycobacterium tuberculosis. It differentiates these bacteria from others based on their cell wall composition. Carbolfuchsin stain (A) is used for acid-fast bacteria in microbiology. Wright's stain (B) is used for blood cell morphology. Ziehl-Neelsen stain (C) is also used for acid-fast bacteria but is less commonly used compared to Kinyoun stain in hematology labs.

Question 2 of 5

Which of the following is characteristic of Gram-negative bacteria?

Correct Answer: B

Rationale: The correct answer is B: Outer membrane containing lipopolysaccharides. Gram-negative bacteria have an outer membrane that contains lipopolysaccharides, which are important for protection and pathogenicity. This outer membrane is a unique feature of Gram-negative bacteria and is not present in Gram-positive bacteria, making it a key characteristic. A: Incorrect because Gram-negative bacteria have a thin peptidoglycan layer compared to Gram-positive bacteria. C: Incorrect because teichoic acids are a characteristic of Gram-positive bacteria, not Gram-negative bacteria. D: Incorrect because all bacteria, including Gram-negative bacteria, have a cell wall.

Question 3 of 5

An 18-year-old patient has enlarged inguinal lymph nodes, they are painless, thickened on palpation. In the area of genital mucous membrane there is a small-sized ulcer with thickened edges and "laquer"bottom of greyish colour. What is the most probable diagnosis?

Correct Answer: A

Rationale: The correct answer is A: Syphilis. The presentation of painless inguinal lymph nodes, along with a small-sized ulcer with thickened edges and a "laquer" bottom of greyish color on the genital mucous membrane, is classic for primary syphilis. The painless nature of the lymph nodes and the specific characteristics of the ulcer are key features of syphilitic infection. Primary syphilis is caused by the bacterium Treponema pallidum and typically presents with a single, painless ulcer known as a chancre. It is important to consider syphilis in the differential diagnosis of genital ulcers. Summary of other choices: B: Tuberculosis - Unlikely, as tuberculosis typically presents with pulmonary symptoms and does not cause genital ulcers. C: Lepra - Unlikely, as leprosy does not typically present with painless inguinal lymph nodes and the specific ulcer characteristics described. D: Trophic ulcer - Unlikely

Question 4 of 5

A defined microorganism can be isolated in pure culture:

Correct Answer: C

Rationale: The correct answer is C because isolating a defined microorganism in pure culture involves obtaining a single, distinct colony on solid media. This ensures that only one type of microorganism is present in the culture, preventing contamination. Liquid media can harbor multiple organisms, making it challenging to isolate a specific microorganism. Therefore, choice A is incorrect. Choice B is also incorrect as liquid nutrient media does not provide the necessary isolation required for pure culture. Choice D is incorrect because isolating from single colonies on solid media allows for the pure culture of the defined microorganism.

Question 5 of 5

A 60-year-old patient was hospitalized to the surgical department because of infection caused by blue pus bacillus (Pseudomonas aeruginosa) which is sensative to penicillin antibiotics. Indicate which of the given penicillins has marked activity to the Pseudomonas aeruginosa?

Correct Answer: A

Rationale: The correct answer is A: Carbenicillin disodium. Carbenicillin is a semisynthetic penicillin that has marked activity against Pseudomonas aeruginosa. This is due to its extended spectrum of activity and increased stability against beta-lactamases produced by Pseudomonas aeruginosa. Carbenicillin is commonly used to treat infections caused by this bacterium. Choice B: Benzylpenicillin (Penicillin G) has limited activity against Pseudomonas aeruginosa. Choice C: Methicillin is not effective against Pseudomonas aeruginosa. Choice D: Oxacillin also has limited activity against Pseudomonas aeruginosa. In summary, Carbenicillin is the correct choice due to its marked activity against Pseudomonas aeruginosa compared to the other penicillins listed.

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