Mastering Microbiology Test Bank

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A centrifugate of urine sample obtained from patient with suspected renal tuberculosis was used to make a slide mount for microscopy. What method should be used to stain the slide and detect the causative agent?

  • A. Zielh-Neelsen stain
  • B. Loeffler stain
  • C. Gram stain
  • D. Aujeszky stain
Correct Answer: A

Rationale: The correct answer is A: Zielh-Neelsen stain. This stain is specifically used to detect acid-fast bacteria like Mycobacterium tuberculosis, the causative agent of renal tuberculosis. The staining process involves using carbol fuchsin to penetrate the mycolic acid layer of the bacterial cell wall, making it resistant to decolorization with acid-alcohol. This allows the red stained bacteria to be visualized under a microscope. Loeffler stain (B) is used for staining bacteria like diphtheria bacilli, Gram stain (C) is used for bacterial classification based on cell wall properties, and Aujeszky stain (D) is not a recognized staining method for detecting acid-fast bacteria.

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An inflammatory disease that can develop as a complication following a group A streptococcal infection is:

  • A. endocarditis
  • B. rheumatic fever
  • C. nephritis
  • D. cytomegalovirus
Correct Answer: B

Rationale: The correct answer is B: rheumatic fever. Rheumatic fever is an inflammatory disease that can occur as a complication following a group A streptococcal infection. This is known as a post-streptococcal complication. It typically affects the heart, joints, skin, and brain. Endocarditis (choice A) is also a complication of streptococcal infections, but it is an infection of the heart valves, not an inflammatory disease like rheumatic fever. Nephritis (choice C) is inflammation of the kidneys and is not directly related to streptococcal infections. Cytomegalovirus (choice D) is a different viral infection and is not associated with streptococcal infections.

Which bacteria produce exotoxins that can cause severe gastrointestinal illness?

  • A. Clostridium botulinum
  • B. Vibrio cholerae
  • C. Escherichia coli
  • D. All of the above
Correct Answer: D

Rationale: The correct answer is D, All of the above. Clostridium botulinum produces botulinum toxin causing botulism, Vibrio cholerae produces cholera toxin leading to severe diarrhea, and certain strains of Escherichia coli produce toxins causing gastrointestinal illness. Each bacterium has specific exotoxins that can result in severe gastrointestinal symptoms. Therefore, all three choices are correct in producing exotoxins that can cause severe gastrointestinal illness.

Typhoid fever is caused by the bacterium:

  • A. Escherichia coli
  • B. Salmonella enterica
  • C. Shigella flexneri
  • D. Staphylococcus aureus
Correct Answer: B

Rationale: The correct answer is B: Salmonella enterica. Typhoid fever is caused by the bacterium Salmonella enterica serotype Typhi. This specific strain of Salmonella is responsible for typhoid fever, a serious illness characterized by high fever, abdominal pain, and diarrhea. Escherichia coli (choice A) is not the causative agent of typhoid fever. Shigella flexneri (choice C) causes bacillary dysentery, not typhoid fever. Staphylococcus aureus (choice D) can cause food poisoning but is not associated with typhoid fever.

One of the basic principles of chemotherapy is:

  • A. Selective toxicity
  • B. Accumulation in the macroorganism
  • C. Causing allergies to the macroorganism
  • D. None of the above
Correct Answer: A

Rationale: The correct answer is A: Selective toxicity. Chemotherapy aims to target cancer cells while minimizing harm to healthy cells, known as selective toxicity. This principle is crucial to effectively treat cancer without causing excessive damage to the patient's body. Accumulation in the macroorganism (B) and causing allergies (C) are not fundamental principles of chemotherapy and can lead to harmful side effects. Therefore, the correct answer is A as it aligns with the core objective of chemotherapy.

Warts are commonly caused by the:

  • A. human papillomavirus
  • B. herpesvirus
  • C. HIV
  • D. varicella-zoster virus
Correct Answer: A

Rationale: Step-by-step rationale:
1. Warts are caused by human papillomavirus (HPV) due to its ability to infect the skin.
2. HPV infects the top layer of skin and causes the rapid growth of cells, leading to the formation of warts.
3. Herpesvirus (choice B) causes herpes, not warts.
4. HIV (choice C) weakens the immune system but does not directly cause warts.
5. Varicella-zoster virus (choice D) causes chickenpox and shingles, not warts.

Summary:
Choice A is correct as warts are primarily caused by HPV, which infects the skin cells. Choices B, C, and D are incorrect as they are associated with different viral infections that do not lead to the development of warts.

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