ATI RN
microbiology chapter 12 test bank Questions
Question 1 of 5
Which of the following statements for measles is NOT true?
Correct Answer: C
Rationale: The correct answer is C. Negri bodies are not associated with measles but with rabies. Step 1: Measles is a childhood infection with a rash (A). Step 2: Koplik spots are small white spots on a red base found inside the mouth and are characteristic of measles (B). Step 3: Negri bodies are eosinophilic cytoplasmic inclusions found in neurons infected with rabies virus, not measles (C). Step 4: Prophylaxis for measles is through the MMR vaccine, which is a live attenuated vaccine (D). Therefore, choice C is incorrect as it does not pertain to measles.
Question 2 of 5
Sanitary and bacteriological examination of air in drug-store premises revealed increased content of sanitary representative microorganisms. What microorganisms are these?
Correct Answer: A
Rationale: The correct answer is A (Golden staphylococcus and hemolytic streptococcus) because these microorganisms are commonly found in the air of contaminated environments like drug-store premises. Golden staphylococcus and hemolytic streptococcus are pathogenic bacteria associated with infections in humans, indicating poor sanitation. The other choices are incorrect because: B: Diphtheria and tuberculosis bacilli are not commonly found in the air in drug-store premises. C: Colon and blue pus bacilli are not typical microorganisms associated with air contamination. D: Epidermal staphylococcus and sarcina are not likely to be present in high amounts in the air of drug-store premises.
Question 3 of 5
When cultured on solid growth media, bacteria with long O-specific chains form:
Correct Answer: A
Rationale: The correct answer is A: Smooth S colonies. Bacteria with long O-specific chains are known as smooth strains, and when cultured on solid growth media, they form smooth colonies due to the presence of the O antigen. This gives them a glossy appearance. Rough R colonies (Choice B) lack O antigen and appear rough. Mucoid -M colonies (Choice C) are associated with capsules, not O-specific chains. H colonies (Choice D) are not relevant to the O-specific chains. Smooth S colonies are the characteristic phenotype of bacteria with long O-specific chains when cultured on solid media.
Question 4 of 5
Microscopy of a sputum smear from a pneumonia patient revealed Gram-positive diplococci with pointed ends surrounded by a capsule. What is the causative agent?
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. 1. Gram-positive diplococci with pointed ends: characteristic morphology of Streptococcus pneumoniae. 2. Surrounded by a capsule: S. pneumoniae is encapsulated, important for virulence. 3. Klebsiella pneumoniae (B) is a Gram-negative rod, Neisseria meningitidis (C) is a Gram-negative diplococcus, and Staphylococcus aureus (D) is a Gram-positive cocci in clusters, not diplococci.
Question 5 of 5
A patient with fever, chills, and neck stiffness had a cerebrospinal fluid sample with Gram-negative diplococci. What is the likely diagnosis?
Correct Answer: A
Rationale: The likely diagnosis is Meningococcal meningitis (Choice A) due to the presence of Gram-negative diplococci in the cerebrospinal fluid. Neisseria meningitidis is a Gram-negative diplococcus commonly associated with meningococcal meningitis. Fever, chills, and neck stiffness are classic symptoms of bacterial meningitis, and Neisseria meningitidis often presents with these symptoms. Pneumococcal meningitis (Choice B) is caused by Streptococcus pneumoniae, a Gram-positive organism. Haemophilus influenzae (Choice C) is also a Gram-negative organism but typically presents with a different clinical picture. Listeria monocytogenes (Choice D) is a Gram-positive rod and is more commonly associated with meningitis in neonates, elderly, and immunocompromised individuals.
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