ATI RN
microbiology chapter 14 test bank Questions
Question 1 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.
Question 2 of 5
A patient with fever and diarrhea had a stool sample that revealed Gram-negative rods that fermented lactose. What is the most likely causative agent?
Correct Answer: A
Rationale: The correct answer is A: Escherichia coli. E. coli is a Gram-negative rod that ferments lactose. It is a common cause of gastroenteritis presenting with fever and diarrhea. Salmonella typhi does not ferment lactose and causes typhoid fever. Shigella dysenteriae causes dysentery and does not ferment lactose. Proteus vulgaris does not typically cause gastroenteritis and is not known for lactose fermentation.
Question 3 of 5
On examination of a patient with disease onset 5 days ago the doctor suspected tularemia and prescribed the patient tularin intracutaneously. What is the purpose of this drug administration in the patient?
Correct Answer: C
Rationale: The correct answer is C: Treatment. Tularin is a specific immunizing agent used for the treatment of tularemia. The purpose of tularin administration in this patient is to provide a targeted treatment against the suspected tularemia infection. It helps the patient's immune system to recognize and fight against the bacteria causing the disease. Explanation for other choices: A: Allergy diagnostics - Tularin is not used for allergy diagnostics, as it is specifically indicated for tularemia treatment. B: Prognosis for the disease - Tularin is not used to predict the outcome of the disease but rather to treat the infection. D: Treatment evaluation - Tularin is not used for evaluating the effectiveness of treatment but for actively treating the tularemia infection.
Question 4 of 5
Some of the viruses have a cubic type of symmetry, which in the shape of
Correct Answer: D
Rationale: The correct answer is D: icosahedral structure. Icosahedral symmetry is common in viruses due to its efficient packing of genetic material. It consists of 20 equilateral triangular faces and 12 vertices. This symmetry allows viruses to have a stable structure and optimal capacity for encapsulating their genetic material. A: Tetrahedral structure is incorrect as it consists of 4 faces and is not commonly found in viruses. B: Hexahedral structure is incorrect as it consists of 6 faces and is not a common symmetry type in viruses. C: Dodecahedral structure is incorrect as it consists of 12 faces and is not typically seen in viruses. In summary, the icosahedral structure is the correct choice due to its stability, efficient packing, and common presence in viral structures compared to the other options.
Question 5 of 5
Which of the following best describes the Gram stain process?
Correct Answer: C
Rationale: The Gram stain process involves staining bacterial cells with crystal violet and iodine, followed by decolorization and counterstaining. The primary differentiation is based on the cell wall structure, distinguishing bacteria into Gram-positive (retain purple color) and Gram-negative (lose purple color). This classification is crucial in microbiology for treatment decisions as it correlates with different antibiotic susceptibilities. Choices A, B, and D are incorrect because the Gram stain process does not primarily focus on flagella, shape, or motility of bacteria.
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