Microbiology Practice Test 2
Microbiology NCLEX Practice Test
Microbiology is a key topic within the NCLEX test plan, located under Nursing Science → Clinical Foundations → Microbiology. This section explains pathogens, host defenses, and antimicrobial stewardship essential for infection control. Each test contains 50 questions designed to mirror the difficulty and variety of the real exam.
This is the 2nd part of the Microbiology series. To explore all practice tests under this topic, use the “Back to Main Topic” button at the end of the page.
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Microbiology Practice Test 2
Incubation period of mumps is?
- 18 days
- 10 days
- 5 days
- 14 days
Explanation: Answer reason: Mumps (a paramyxovirus infection) has an incubation period typically 16–18 days; among the options, 18 days is correct.
Chikungunya is transmitted by?
- Aedes aegypti
- Culex mosquitoes
- housefly
- Anopheles mosquitoes
Explanation: Answer reason: Chikungunya virus is spread to humans by Aedes mosquitoes, primarily Aedes aegypti (also A. albopictus), not Culex, houseflies, or Anopheles.
What causes syphilis?
- Treponema pallidum
- Coli
- Salmonella typhi
- Influenza virus
Explanation: Answer reason: Syphilis is caused by the spirochete bacterium Treponema pallidum; the other options cause different diseases (e.g., typhoid, influenza, or are unrelated).
What causes malaria?
- Bacteria
- Protozoan
- Virus
- Fungus
Explanation: Answer reason: Malaria is caused by Plasmodium species, which are protozoan parasites transmitted by Anopheles mosquitoes.
The Widal test is used for the diagnosis of what?
- Cholera
- Malaria
- Enteric fever
- Plague
Explanation: Answer reason: The Widal test detects agglutinating antibodies against Salmonella typhi/paratyphi and is used to diagnose enteric (typhoid) fever.
Oral polio vaccine was detected?
- Robert Koch
- Pasteur
- Salk
- Sabin
Explanation: Answer reason: Albert Sabin developed the oral polio vaccine (OPV); Jonas Salk developed the inactivated injectable vaccine.
The time interval between a primary and a secondary case is known as?
- Extrinsic incubation period
- Intrinsic incubation period
- Serial interval
- Window Period
Explanation: Answer reason: The serial interval is the time between symptom onset in a primary case and symptom onset in a secondary case. Intrinsic/extrinsic incubation periods refer to host/vector incubation, and the window period is time from infection to detectability.
Which are the most common microorganisms in nosocomial infections?
- Escherichia coli
- Enterococci
- Staphylococcus aureus
- Serratia
Explanation: Answer reason: Escherichia coli is the most frequent cause of healthcare-associated infections, particularly catheter-associated UTIs, making it the most common nosocomial pathogen overall.
The causative organism of enteric fever is?
- Coil
- Staphylococcus aureus
- Salmonella Typhi
- Mycobacterium
Explanation: Answer reason: Enteric (typhoid) fever is caused by Salmonella typhi; the other organisms cause different infections.
Who discovered the tuberculin skin test?
- Von Pirquet
- Louis Pasteur
- Ronald Ross
- Edward Jenner
Explanation: Answer reason: Von Pirquet introduced the tuberculin skin (cutaneous) test in 1907; Mantoux later modified the technique. The other figures are unrelated to the TST.
Disease that is also known as "hydrophobia"?
- Dengue
- Rabies
- Plague
- Measles
Explanation: Answer reason: Hydrophobia refers to the painful pharyngeal spasms and fear of water characteristic of rabies, hence rabies is historically called hydrophobia.
Man is an intermediate host of all of the following except?
- Malaria
- Toxoplasmosis
- Hydatid disease
- kala-azar
Explanation: Answer reason: Humans serve as intermediate hosts for malaria (mosquito is definitive), toxoplasmosis (cat definitive), and hydatid disease (dog definitive). In kala-azar (visceral leishmaniasis), humans act as the definitive/reservoir host, not the intermediate host.
Which of the following gastroenteritis-causing microorganisms is responsible for the neonatal seizures?
- Salmonella
- Shigella
- Campylobacter
- Rotavirus
Explanation: Answer reason: Shigella infection in infants can produce neurotoxin effects and high fever leading to convulsions; it is classically associated with seizures among gastroenteritis pathogens.
Widal test belongs to which of the following types?
- Agglutination test
- Neutralisation
- Bacteriolysin
- Precipitation test
Explanation: Answer reason: The Widal test detects anti-Salmonella antibodies by visible clumping of antigen-coated particles, making it a tube agglutination test.
Diaper rashes are most commonly caused by?
- Diphtheria
- E. coli
- Staphylococcus aureus
- Streptococcus
Explanation: Answer reason: Among bacterial causes of diaper-area dermatitis, Staphylococcus aureus is the most common; other listed organisms are less typical.
An infection that occurs as a result of a therapeutic or diagnostic procedure is called?
- Opportunistic infection
- Iatrogenic infection
- Cross-infection
- Nosocomial infection
Explanation: Answer reason: Iatrogenic infections result directly from medical interventions such as diagnostic or therapeutic procedures. Nosocomial refers broadly to hospital-acquired, cross infection is transmission between individuals, and opportunistic occurs in immunocompromised hosts.
Gonorrhea is a disease transmitted through?
- Food
- Needle prick
- Blood transfusion
- Sexually
Explanation: Answer reason: Gonorrhea is a sexually transmitted infection caused by Neisseria gonorrhoeae; transmission occurs via sexual contact, not via food, needle sticks, or blood transfusion.
The causative organism for roundworm infestation is?
- Neisseria gonorrhoeae
- Pediculus
- Ascaris lumbricoides
- Liver fluke
Explanation: Answer reason: Human intestinal roundworm infection is caused by the nematode Ascaris lumbricoides; the other options are unrelated organisms (bacterium, louse, and a flatworm).
Diagnosis of rabies?
- Guarneri bodies
- Negri bodies
- Cow dry a body
- Cow dry B body
Explanation: Answer reason: Negri bodies are characteristic intracytoplasmic inclusion bodies in neurons seen in rabies infection and are used for diagnosis.
What is the most common bacterial cause of acute tonsillitis?
- Staphylococcus aureus.
- Haemophilus influenzae.
- Streptococcus pyogenes.
- Neisseria gonorrhoeae.
Explanation: Answer reason: Group A beta-hemolytic Streptococcus (S. pyogenes) is the most common bacterial cause of acute tonsillitis; the others are less frequent etiologies.
Most common organism associated with cystic fibrosis?
- Pseudomonas aeruginosa (non-mucoid)
- Burkholderia cepacia
- Plesiomonas
- Aeromonas
Explanation: Answer reason: In cystic fibrosis, chronic airway colonization is most commonly due to Pseudomonas aeruginosa; Burkholderia cepacia is notable but less common. Pleisomonas and Aeromonas are not typical CF pathogens.
Which of the following is the most common cause of ophthalmia neonatorum?
- Neisseria gonorrhoeae
- Streptococcus
- Staphylococcus aureus
- Candida albicans
Explanation: Answer reason: Ophthalmia neonatorum classically results from perinatal transmission of Neisseria gonorrhoeae; among the listed organisms it is the recognized primary cause.
Infection in a certain area consistently occurring in that population?
- Epidemic
- Pandemic
- Endemic
- Sporadic
Explanation: Answer reason: Endemic refers to a disease that is consistently present within a specific geographic area or population. Epidemic is a sudden increase above expected levels, pandemic is worldwide spread, and sporadic occurs irregularly.
In AIDS patient, pneumonia occurs due to-?
- Staphylococcus
- Streptococcus
- Pneumocystis carinii
- Mycoplasma
Explanation: Answer reason: AIDS patients commonly develop opportunistic pneumonia due to Pneumocystis jirovecii (formerly P. carinii), not typical bacterial pathogens like Staphylococcus, Streptococcus, or Mycoplasma.
If a microorganism is known to produce a disease, it is referred to as a?
- Pathogen
- Pathogenic microorganism
- Normal flora
- A and B only
Explanation: Answer reason: A disease-causing microorganism is termed a pathogen or pathogenic microorganism; normal flora are nonpathogenic in healthy hosts. Therefore both A and B are correct.
Hookworm refers to the helminth?
- Ancylostoma duodenale
- Enterobius
- Ascaris lumbricoides
- Filaria
Explanation: Answer reason: Hookworm infection in humans is caused by Ancylostoma duodenale (and Necator americanus). Enterobius is pinworm, Ascaris lumbricoides is roundworm, and filaria causes lymphatic filariasis.
Worm infestation transmitted through meat is?
- Hook worm
- Tape worm
- Round worm
- Pin worm
Explanation: Answer reason: Tapeworms (Taenia saginata/solium) are acquired by ingesting undercooked beef or pork. Hookworm, roundworm, and pinworm are not transmitted via meat.
The stages of infection in correct sequential order are?
- The prodromal, incubation, illness and convalescence stages
- The incubation, prodromal, illness and convalescence stages
- The prodromal, primary infection, secondary infection and tertiary infection
- The inflammation, infection and disease
Explanation: Answer reason: Standard sequence of infectious disease progression is incubation → prodromal → illness (acute) → convalescence.
The antigen that forms loose and cotton wooly clumps during agglutination is.....?
- H Antigen
- O Antigen
- F Antigen
- D Antigen
Explanation: Answer reason: In the Widal test, H (flagellar) antigen produces loose, fluffy cotton‑wool–like agglutination, whereas O antigen gives compact granular clumps.
Which microorganism is most commonly responsible for Pneumonia?
- Streptococci pneumonia
- Staphylococcus aureus
- Klebsiella pneumonia
- Haemophilus influenzae
Explanation: Answer reason: Streptococcus pneumoniae (pneumococcus) is the most common cause of community-acquired pneumonia.
Enteric fever is transmitted by?
- Inhalation
- Ingestion
- Inoculation
- Insects
Explanation: Answer reason: Enteric (typhoid) fever due to Salmonella Typhi is spread via the fecal–oral route, primarily through ingestion of contaminated food or water.
Bacteria and viruses can enter the body through?
- Dry skin
- Oily skin
- Moist skin
- Broken skin
Explanation: Answer reason: Intact skin is a primary barrier to pathogens; breaks in the skin provide a direct portal of entry for bacteria and viruses.
The Widal test is positive if the antigen titer more than?
- 1:160 in an active infection
- 1:80 in an active infection
- 1:70 in an active infection
- 1:90 in an active infection
Explanation: Answer reason: A single significant Widal titer indicating active typhoid is generally ≥1:80 (especially for O agglutinins) in endemic settings.
When the patient is acquiring infection during low immunity state is known as-?
- Cross infection
- Iatrogenic infection
- Opportunistic infection
- Nosocomial infection
Explanation: Answer reason: Infections that occur when host defenses are weakened are termed opportunistic infections. Cross infection is spread between individuals, iatrogenic is caused by medical treatment, and nosocomial is hospital-acquired.
Which among the following is the causative organism of tapeworm infection affecting children who consume pork?
- Taenia solium
- Taenia saginata
- Echinococcus granulosus
- Echinococcus multiocularis
Explanation: Answer reason: Pork tapeworm infection is caused by Taenia solium; Taenia saginata is the beef tapeworm, and Echinococcus species cause hydatid disease.
The following diseases can be transmitted by water and food except?
- Hepatitis C
- Hepatitis A
- Cholera
- Poliomyelitis
Explanation: Answer reason: Hepatitis A, cholera, and poliomyelitis are transmitted via the fecal–oral route through contaminated food or water; Hepatitis C is primarily bloodborne and not food- or water-borne.
An organism which takes its food from another organism without giving anything in return is called as-?
- Host
- Parasite
- Carrier
- Agent
Explanation: Answer reason: A parasite lives on or in another organism and derives nutrients at the host’s expense without providing benefit.
HIV virus can be isolated from all, Except-?
- Semen
- Saliva
- Blood
- Skin scraping
Explanation: Answer reason: HIV is detectable and can be isolated from blood and semen, and has been isolated from saliva, but not from skin scraping; intact skin is not a source of HIV.
Causative organism of mumps is-?
- Corynebacterium
- Bordetella
- Myxovirus
- Clostridium
Explanation: Answer reason: Mumps is caused by the mumps virus, a paramyxovirus (historically grouped under Myxoviruses). The other options are bacteria causing unrelated diseases.
A screen test for detection of human immunodeficiency virus (HIV) reveals a positive ELISA exam. Which of the following test will be used to confirm the diagnosis of HIV?
- Indirect immunofluorescence assay (IFA).
- CD4-to-CD8 ratio.
- Radioimmunoprecipitation assay (RIPA) test.
- P24 antigen assay.
Explanation: Answer reason: ELISA is a screening test; confirmation is done with a supplemental assay such as Western blot or indirect immunofluorescence (IFA). CD4:CD8 ratio is for monitoring, p24 antigen is a screening/early detection test, and RIPA is not the standard confirmatory test.
Which of the following bacteria is not a source of restriction end nuclease?
- Haemophilus influenza
- Escherichia coli
- Agro bacterium tumefaciens
- Bacillus amyloli
Explanation: Answer reason: Commonly used restriction endonucleases are sourced from Haemophilus influenzae (HindII/HindIII), Escherichia coli (EcoRI), and Bacillus amyloliquefaciens (BamHI). Agrobacterium tumefaciens is not a standard source.
Typhoid is tested by....?
- Elisa
- Pcr
- Widal
- All of the above
Explanation: Answer reason: Typhoid can be diagnosed by Widal serology, ELISA-based antibody tests, and PCR detection of Salmonella DNA; therefore all apply.
Acute hepatitis B infection is best diagnosed by?
- HBsAg
- HBeAg
- IgM Anti HBc antibody
- HBcAg
Explanation: Answer reason: IgM anti-HBc appears early and indicates acute or recent HBV infection, including the window period. HBsAg shows infection but not acuity, HBeAg indicates infectivity, and HBcAg is not detected in serum.
Which disease has been eradicated from all over the world?
- Aids
- Cholera
- Chicken pox
- Small pox
Explanation: Answer reason: Smallpox is the only human disease certified by WHO as eradicated globally (1980). AIDS, cholera, and chickenpox still occur.
Inoculum preparation for the fermentation medium for penicillin takes place on?
- Wheat seeds
- Barley seeds
- Rice seeds
- All of these
Explanation: Answer reason: Penicillium inoculum for penicillin production is commonly prepared by producing spores on cereal grains such as wheat, barley, and rice; therefore, all listed substrates apply.
In order to encounter pathogenic bacteria the relising of clutolysin should be?
- Minimized
- Maximized
- Totally stop
- No effect
Explanation: Answer reason: Cytolysins/lytic factors promote destruction of bacterial cells; increasing their release enhances antibacterial action. Minimizing or stopping release would reduce microbial killing.
In prokaryotes Ribosomes are ... in size?
- Larger
- Smaller
- No ribosome
- None of these
Explanation: Answer reason: Prokaryotes have 70S ribosomes, which are smaller than the 80S ribosomes of eukaryotes.
A client asks you to explain viruses. Which of the following statements would be true and therefore best to include in your answer?
- Viruses are the most common agent causing infection.
- Viruses are commonly found in the intestinal tract.
- Viruses must enter into living cells to reproduce.
- Candida is one of the most common viruses.
Explanation: Answer reason: Viruses are obligate intracellular parasites; they require entry into living host cells to replicate. Other options are incorrect: normal intestinal flora are mainly bacteria, Candida is a fungus, and viruses are not the most common infectious agents across settings.
Herpes is ................ Infection?
- Viral
- Bacterial
- Fungal
Explanation: Answer reason: Herpes infections are caused by herpesviruses (e.g., HSV, VZV), which are viruses, not bacteria or fungi.
Anthrax is caused by?
- Mycobacterium
- Vibrio cholerae
- Clostridium botulinum
- Bacillus anthracis
Explanation: Answer reason: Anthrax is an infection caused by Bacillus anthracis, a gram-positive spore-forming rod. The other organisms cause different diseases (tuberculosis, cholera, botulism).
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