Nokea
A 14-year-old patient was diagnosed with Hutchinson's triad: barrel-shaped incisors, parenchymatous keratitis and deafness. The revealed presentations are consistent with the following disease:
- A. Syphilis
- B. Toxoplasmosis
- C. Lepra
- D. Tuberculosis
Correct Answer: A
Rationale: The correct answer is A: Syphilis. Hutchinson's triad is a classic presentation of congenital syphilis in children. Barrel-shaped incisors, parenchymatous keratitis, and deafness are key manifestations. Barrel-shaped incisors result from mulberry molars, a type of abnormal tooth. Parenchymatous keratitis is an inflammation of the cornea, a common ocular sign in congenital syphilis. Deafness can occur due to damage to the auditory nerve caused by the infection. Choices B, C, and D are incorrect as they do not typically present with the specific triad of symptoms seen in congenital syphilis.
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Protozoan emerging and reemerging diseases generally belong to group:
- A. I
- B. II
- C. III
- D. IV
Correct Answer: A
Rationale: The correct answer is A because protozoan emerging and reemerging diseases fall under Group I according to the classification of infectious diseases by the Centers for Disease Control and Prevention (CDC). Group I includes diseases caused by newly identified or known infectious agents that have increased in incidence or geographic range. Choice B (Group II) includes diseases that have re-emerged due to antimicrobial resistance or lack of previous vaccination. Choice C (Group III) encompasses diseases that can be transmitted from animals to humans, and choice D (Group IV) includes diseases that are caused by re-introduction of eradicated pathogens.
How soon do symptoms typically appear after a person is infected with rabies virus
- A. 48 hours
- B. 1 week
- C. 1 month
- D. 1-2 years
Correct Answer: D
Rationale: The correct answer is D: 1-2 years. Rabies has a long incubation period before symptoms appear due to the slow progression of the virus within the body. The virus travels along nerve fibers to the brain, which can take months to years. During this time, the virus replicates and spreads, eventually leading to symptoms. Choices A, B, and C are incorrect as they underestimate the incubation period of rabies. Symptoms typically do not appear as early as 48 hours, 1 week, or 1 month after infection with the rabies virus.
When examining a patient with a suspicion of food toxicoinfection, a doctor on duty has detected symptoms characteristic of botulism. The patient named the meals he had eaten the day before. What is the most probable cause of infection?
- A. Homemade canned meat
- B. Custard pastry from private bakery
- C. Sour cream from local dairy factory
- D. Strawberries from suburban vegetable garden
Correct Answer: A
Rationale: The correct answer is A: Homemade canned meat. Botulism is often caused by consuming improperly canned or preserved foods, particularly meats. The spores of the Clostridium botulinum bacteria can grow in anaerobic conditions, such as those found in improperly canned foods, leading to the production of the botulinum toxin. The symptoms of botulism align with those characteristic of the patient's condition.
Explanation of why the other choices are incorrect:
B: Custard pastry from private bakery - Unlikely to be the cause of botulism as this type of food is not typically associated with the growth of Clostridium botulinum.
C: Sour cream from local dairy factory - While dairy products can sometimes be sources of foodborne illness, botulism is not commonly associated with sour cream.
D: Strawberries from suburban vegetable garden - Botulism is not typically transmitted through fresh fruits or vegetables, making this an unlikely source of infection.
Gram-positive spore-forming bacilli were extracted in anoxic environment from the patient's wound contaminated with soil. Cultivation on a blood-glucose agar resulted in growth of the colonies surrounded with hemolysis zone. What agent was extracted from the wound?
- A. Clostridium perfringens
- B. Clostridium botulinum
- C. Staphylococcus aureus
- D. Pseudomonas aeruginosa
Correct Answer: A
Rationale: The correct answer is A: Clostridium perfringens. Clostridium perfringens is a gram-positive spore-forming bacillus commonly found in soil. It produces hemolysis on blood agar, as described in the question. Clostridium botulinum is also a gram-positive spore-forming bacillus, but it does not typically cause hemolysis. Staphylococcus aureus is a gram-positive cocci, not a bacillus. Pseudomonas aeruginosa is a gram-negative bacterium, not a gram-positive spore-forming bacillus.
Streptococci are:
- A. Gram-positive, short rod shaped bacteria and size 4-6 µm
- B. Gram-negative, rounded or lanceolate shape and size 0,5-1 µm
- C. Gram-negative, short rod shaped bacteria and size 4-6 µm
- D. Gram-positive, spherical or lanceolate shape and size 0,5-1 µm
Correct Answer: D
Rationale: The correct answer is D because Streptococci are Gram-positive bacteria, typically spherical in shape, and range from 0.5-1 µm in size.
A is incorrect as streptococci are not rod-shaped and are usually smaller in size. B is incorrect as they are not Gram-negative and are not typically of such small size.
C is incorrect as streptococci are not Gram-negative and are not usually rod-shaped. Thus, based on their characteristics, the correct answer is D.