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Example Questions
Example Question #211 : Nclex
Which of the following bacteria is classified as Gram positive cocci?
Chlamydia trachomatis
Staphyloccocus aureus
Staphyloccocus aureus
Staphyloccocus aureus are Gram positive cocci. Chlamydia trachomatis and Rikettsia prowazekii are both classified as Gram negative rods and Neisseria meningitidis are Gram negative cocci.
Example Question #1 : Classes Of Bacteria
All of the following are Gram positive bacteria except __________.
Clostridium
Streptococcus
Salmonella
Staphyloccocus
Salmonella
All of the bacteria listed are Gram positive except Salmonella, which is a Gram negative facultative rod.
Example Question #1 : Classes Of Bacteria
A sputum culture from a patient is described as "Gram positive cocci". What is the significance of the Gram stain?
The bacteria has a thick peptidoglycan cell wall
The bacteria has a thick chitin cell wall
The bacteria is actively multiplying
The bacteria has no peptidoglycan cell wall
The bacteria has no chitin cell wall
The bacteria has a thick peptidoglycan cell wall
The Gram stain is a test used to help classify bacteria based on the presence of peptidoglycan in the cell wall. Bacteria with a thick peptidoglycan cell wall will stain dark purple, and are termed Gram positive. On the other hand, if there is no peptidoglycan cell wall (or a very thin one), it will show up as pink. This is termed Gram negative. This distinction is particularly important when prescribing classes of antibiotics, as the cell wall is commonly targeted by antibiotics.
Example Question #21 : Bacteria
Which of the following patients are most at risk for contracting a nosocomial infection?
A 55-year-old man with an asthma exacerbation
A 10-year-old patient admitted for abdominal pain
A 60-year-old admitted with pancreatitis
A 22-year-old mother in her third trimester
A 75-year-old woman receiving chemotherapy for colon cancer
A 75-year-old woman receiving chemotherapy for colon cancer
A nosocomial infection is an infection that is transmitted from one person to another inside the hospital or other healthcare facility. It is often a result of healthcare workers failing to preform adequate hand hygiene and standard precautions. Those most at risk for infection are those who are immunocompromised (chemotherapy patients), those with breaks in skin integrity (wounds), and those with invasive devices (PICC lines, urinary catheters, invasive monitoring).
Example Question #2 : Bacterial Physiology
Which of the following regarding pathogenic bacteria is false?
Some bacteria have cell walls
Pathogenic bacteria may reproduce inside a host or human's own cells
Pathogenic bacteria contain a protein envelope called a capsid
Many bacteria do not have flagella
Pathogenic bacteria may secrete toxins that make the host ill
Pathogenic bacteria contain a protein envelope called a capsid
A pathogenic bacteria is a disease-causing bacteria. They may secrete toxins to make a host ill or reproduce inside the host's own cells. Bacteria may have cell walls, although some do not. Similarly, some bacteria may have flagella and others do not. It is typical for viruses to have a capsid (protein coat). Some viruses such as the human immunodefficiency virus (HIV) have envelopes, which makes it difficult for the immune system to detect and destroy them.
Example Question #21 : Microbiology
Clostridium difficile is difficult to prevent in a hospital setting due to what feature?
Poor sanitation management
Route of transmission
Endospore formation
Difficult to culture
Endospore formation
C. difficile is an endospore-forming bacteria. While in the endospore (or dormant) stage, C. difficile spores are highly resistant to disinfectants. This renders sterilization procedures less effective in a hospital setting and leads to a higher frequency of infection. While route of transmission and hospital sanitation are important factors in C. difficile transmission, it is their endospore formation that gives these bacteria a level of resistance above other fecal-oral species present in a hospital setting.
Example Question #215 : Nclex
Antibiotics work exclusively against __________.
Bacteria only
Viruses and bacteria
Viruses only
Fungi only
Bacteria only
Antibiotics work exclusively against bacteria. They are not effective against fungal infections, and they are not effective against viruses such as influenza, rotovirus, or rhinovirus (the most frequent cause of the common cold).
Example Question #4 : Bacterial Physiology
Conjugation between bacteria is carried out via what structure?
Flagella
Pili
Cilia
Capsule
Pili
Pili are short, hairlike structures on the surface of some bacteria. Conjugative pili can form a sort of tube between bacterial cells, allowing for the transfer of DNA from one bacteria to another.
Flagella are whip-like structures that allows bacteria to move within a fluid medium. Cilia are hair-like structures found primarily on the surface of mammalian cells, but are also found on bacterial cells, where they aid in attachment. A bacterial capsule is a polysaccharide layer outside the cell envelope that does not take part in bacterial conjugation, and may secrete "slime" which protects the bacteria from the surrounding environment.
Example Question #5 : Bacterial Physiology
Which of the following terms describes the form of asexual reproduction in which a single-celled organism divides into two cells of the same size?
Mitosis
Binary fission
Meiosis
Conjugation
Binary fission
The process of asexual reproduction in which a single-celled organism divides into two cells of the same size is called binary fission. This occurs among prokaryotes and is the primary method of reproduction in bacterial species. Mitosis and meiosis are forms of cell division among eukaryotic cells. Conjugation is not a method of bacterial reproduction; rather, it is a method by which joined bacteria may transmit DNA, especially genes on plasmids that confer resistance.
Example Question #4 : Bacterial Physiology
Which of the following is found in greater quantity in Gram negative bacteria than in Gram positive bacteria?
Teichoic acid
Murein
Peptidoglycan
Lipopolysaccharide
Lipopolysaccharide
Gram negative strains of bacteria possess more lipopolysaccharide than do Gram positive strains. This higher proportion of lipopolysaccharide lies on the exterior of Gram negative bacteria's outer membranes of their cell walls. Gram negative bacteria have significantly less peptidoglycan than do Gram positive strains, which accounts for their observable chromatic differences when using the Gram stain technique. Specifically, the this thin layer of peptidoglycan in Gram negative bacteria fails to retain crystal violet during Gram staining, especially after iodine is added, which acts as a mordant. Subsequent staining with safranin gives Gram negative bacteria a pink or light red color when viewed under a light microscope. Teichoic acid, present in Gram positive bacteria only, functions to increase the rigidity of the cell wall. Murein is another name for peptidoglycan.
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