Board Review DH227, Lisa Mayo, RDH, BSDH MICROBIOLOGY TEST 1. Microscopy that does not illuminate objects by visible light includes a. Fluorescence b. Phase-contrast c. Dark-field d. Bright-field e. Compound 2. Which Microbiologist was MOST responsible for proving microorganisms can cause disease? a. Louis Pasteur b. Robert Koch c. Joseph Lister d. Robert Hooke e. Carolus Linnaeus 3. Microscopy used to produce three-dimensional images of a virus surface is a. Transmission electron b. Scanning electron c. Phase-contrast d. Fluorescence e. Dark field 4. Stains used for initial bacterial grouping include a. Negative and gram stains b. Flagellar and negative stains c. Acid-fast and flagellar stains d. Acid-fast and gram stains e. Gram and flagellar stains 5. Structures used for bacterial locomotion are a. Fimbriae and flagella b. Cilia and fimbriae c. Axial filaments and flagella d. Pili and axial filaments e. Flagella and pili 6. A glycocalyx that is loosely attached to the cells is the a. Cell wall b. Cytoplasmic membrane c. Outer membrane d. Capsule e. Slime layer 7. Gram-positive and gram-negative cell walls both contain a. Lipopolysaccharides b. Peptidoglycan c. Techoic acid d. Outer membranes e. Endotoxin 8. What division of bacteria has a gram-negative cell wall? a. Firmicutes b. Gracilicutes c. Tenericutes d. Archaeobacteria e. Mendosicutes 9. Chemical conditions affecting microbial growth include a. Oxygen concentration and vitamin sources b. Temperature and osmotic pressure c. pH and nutrient sources d. Osmotic pressure and oxygen concentrations e. Vitamin sources and pH 10. Which of the following is MOST likely to be pathogenic for humans? a. Mesophiles b. Thermophiles c. Acidophiles d. Psychrophiles e. Alkalinophils 11. Which microorganisms require concentrations of oxygen for growth? a. Aerotolerant anaerobes b. Facultative anaerobes c. Microaerophilic d. Aerobes 12. Streptococcus pyogenes cultured on blood agar would have a _______ zone around colonies. a. Red b. Green c. Black d. Yellow e. Clear 13. Psychrophiles would be expected to grow BEST a. At a low pH b. At a high pH c. In hot springs d. In the refrigerator e. At room temperature 14. Penicillin is MOST effective during which phase of bacterial growth? a. Lag b. Log c. Stationary d. Decline e. Death 15. Metabolic control by feedback inhibition is activated by a build-up of a. End-product b. Substrate c. Enzyme d. Reactant e. Operon 16. Biosynthesis within microorganisms is also called a. Anabolism b. Catabolism c. Metabolism d. Gylcolysis e. Respiration 17. Plasmids are most commonly transferred by a. Transposons b. Transduction c. Transformation d. Conjugation e. Mutation 18. The relationship between a pathogen and a human is termed a. Commensalism b. Parasitism c. Predation d. Symbiosis e. Syntrophism 19. The relationship between vitamin K producing intestinal flora and a human is termed a. Syntrophism b. Parasitism c. Commensalism d. Symbiosis e. Competition 20. Fungi that do NOT produce sexual spores are a. Zygomycotina b. Basidiomycotina c. Sac fungi d. Dimorphic fungi e. Imperfect fungi 21. The active feeding stage of a protozoa is a a. Cyst b. Sporozoa c. Trophozoite d. Pseudopodia e. Ciliophora 22. Small, single-stranded, circular RNA molecules that primarily infect plants are a. Virions b. Viroids c. Operons d. Prions e. Phages 23. What are the general steps in a viral multiplication cycle a. Penetration, attachment, uncoating, synthesis, release b. Penetration, attachment, synthesis, release, uncoating c. Attachment, penetration, uncoating, synthesis, release d. Attachment, Uncoating, penetration, synthesis, release e. Uncoating, release, synthesis, attachment, release 24. The mature virus particle is called a a. Bacteriophage b. Caspid c. Genome d. Prophage e. Virion 25. Which of the following is likely to be found on the tongue and in saliva? a. S. salivarius b. S. milleri c. S. sanguis d. S. mitior e. S. mutans 26. The virulence of many gram-negative is enhanced by their a. Endotoxin production b. Invasiveness c. Lysogenic action d. Interferon production e. Capsule formation 27. Human diseases caused by protozoans include a. Malaria and toxoplasmosis b. Ameobic dysentery and ringworm c. Toxoplasmosis and botulism d. Malaria and diphtheria e. Amoebic dysentery and thrush 28. The transfer of genetic material by a bacteriophage is termed a. Lysogenic conversion b. Sexduction c. Conjugation d. Transduction e. Transformation 29. The major distinction between the prokaryotic cell and the eukaryotic cell is that the eukaryotic cell has a a. Cell wall b. Distinct nucleus c. Chromosome d. Flagellum e. Cell membrane 30. The greatest possibility of contracting herpetic whitlow would be by touching an infected patient’s a. Vesicular lesions and blood b. Clothing and saliva c. Blood and saliva d. Blood and clothing e. Saliva and vesicular lesions SITUATION: Your patient is a 40-year old man who has worked in a blood bank for 15 years and frequently works without gloves. He is scheduled for a 6-month recare appointment. As you are seating the patient, he mentions he is just now recovering from the flu. You now notice his eyes are somewhat yellowish. Question 31 and 32 refer to this case. 31. What disease might this patient have? a. Hepatitis A b. Influenza c. Infectious hepatitis d. Hepatitis B e. Infectious mononucleosis 32. The BEST choice of treatment for this patient at this appointment would be to a. Wear gloved and face mask and perform an intraoral and extraoral exam b. Refer to a physician and reschedule in 6 months c. Refer to a hospital equipped to treat the patient dentally with maximal precautions d. Wear gloved and face mask and render nonsurgical periodontal therapy e. Refer to a physician and reschedule according to the physician’s recommendation 33. Some gram-positive bacteria can form a spore state. Spores are fragile and can be destroyed easily. a. Both statements are TRUE. b. Both statements are FALSE. c. The first statement is TRUE, the second statement is FALSE. d. The first statement is FLASE, the second statement is TRUE. 34. Infectious mononucleosis is caused by which of the following microorganisms? a. Rubella virus b. Epstein-Barr virus c. Herpes zoster virus d. Varicella zoster virus e. Variola virus 35. A herpetic lesion of the finger is called a. Herpetic whitlow b. Herpes labialis c. Herpes Keratoconjunctivitis d. Angular cheilitis e. Conjunctivitis 36. HIV can be transmitted by saliva. The presence of HIV antibodies indicated immunity for AIDS. a. Both statements are TRUE. b. Both statements are FALSE. c. The first statement is TRUE, the second statement is FALSE. d. The first statement is FLASE, the second statement is TRUE. 37. A virus cannot replicate outside a living organism. A virus has a single strand of nucleic acid. a. Both statements are TRUE. b. Both statements are FALSE. c. The first statement is TRUE, the second statement is FALSE. d. The first statement is FLASE, the second statement is TRUE. 38. What type of acid for Streptococcus mutans produce? a. Acetic b. Lactic c. Citric d. Phosphoric 39. Dextrans are produced by: a. Neisseria b. Schwann cells c. Adipose tissue d. Streptococcus mutans 40. The common factor that allows colonization of dental plaque by a bacterial species is the: a. Presence of sucrose in the diet b. Presence of an aerobic environment c. Presence of a positive charge on the bacterial wall d. Ability to adhere through some specific mechanism 41. Most microorganisms are MOST susceptible to the action of physical and chemical agents during the: a. Lag phase b. Death phase c. Stationary phase d. Logarithmic phase 42. The optimal temperature in Celsius for culturing most microorganisms that cause human disease is: a. 21 b. 37 c. 64 d. 98 43. Rheumatic fever may follow repeated infections by which of the following microorganisms? a. Adenovirus b. Lactobascillus c. Streptococcus d. Pneumococcus 44. The causative organism for gonorrhea is: a. Neisseria b. Prevotella c. Streptococcus d. Mycobacterium 45. Opsonin helps prepare bacteria for: a. Coagulation b. Cell division c. Phagocytosis d. Agglutination 46. Which antibody is found in secretions such as saliva? a. IgG b. IgM c. IgE d. IgA 47. The major function of the plasma cell is in: a. Opsonization b. Phagocytosis c. Humoral immunity d. Cell mediated immunity 48. The immune hypersensitivity reaction that does NOT involve antibody production is: a. Type I b. Type II c. Type IV d. Type III 49. The immunoglobulin most often associated with an allergic reaction is: a. IgA b. IgG c. IgE d. IgM 50. What component of blood tissue is responsible for transporting oxygen to cells? a. Insulin b. Plasma c. B cells d. Hemoglobin 51. The cellular site for protein synthesis is: a. Nucleus b. Mitochondria c. Cellular cytoplasm d. Endoplasmic reticulum 52. The portion of an antibody responsible for binding to antigen is the: a. Fc region b. Fab region c. Hinge region d. Disulfide bond 53. All of the following organisms are viruses EXCEPT one. a. Herpes b. Coxsackie c. Treponema d. Epstein-Barr 54. Which of the following confers immunity to hepatitis B infection? a. HBsAg b. HBeAg c. Anti-HBcAg d. Anti-HBsAg 55. Which of the following hepatitis viruses is classified as a DNA virus? a. Hepatitis A b. Hepatitis B c. Hepatitis C d. Hepatitis E 56. Clostridium tetani is spread through: a. Droplet aerosol b. Body fluids c. Dust born particles d. Maternal transmission via birth 57. Which microorganism is MOST often associated with the tongue? a. Streptococcus b. Prevotella intermedia c. Staphylococcus aureus d. Streptococcus salivarius 58. Which bacterial product is necessary for invading tissue during spread of infection? a. Catalase b. Streptokinase c. Hyaluronidase d. Superoxide dismutase 59. Most disease-causing organisms are: a. Gram + rods b. Gram – rods c. Gram + cocci d. Gram - cocci 60. Which bacteria has endotoxin associated with its cell wall? a. Neisseria b. Bacillus c. Streptococcus d. Staphylococcus 61. Which organism is MOST often linked to root caries? a. Actinomyces viscosus b. Streptococcus mutans c. Prevotella intermedia d. Porphyromonas gingivalis 62. Which organism is causative for anthrax? a. Listeria b. Bacillus c. Streptococcus d. Staphylococcus 63. Which is the ONLY sugar that can be utilized to produce dextrans by Streptococcus mutnas? a. Sucrose b. Lactose c. Glucose d. Fructose ANSWERS 1.A 2.B 3.B 4.D 5.C 6.E 7.B 8.B 9.A 10.A 11.C 12.E 13.D 14.B 15.A 16.A 17.D 18.B 19.D 20.E 21.C 22.B 23.C 24.E 25.A 26.A 27.A 28.D 29.B 30.E 31.D 32.E 33.C 34.B 35.A 36.B 37.A 38.B 39.D 40.D 41.D 42.B 43.C 44.A 45.C 46.D 47.C 48.C 49.D 50.D 51.D 52.B 53.C 54.D 55.B 56.C 57.D 58.C 59.B 60.A 61.A 62.B 63.A