A 30 y.o. patient is diagnosed with amebic dysentery. This diagnosis was bacteriologically confirmed. Name the preparation for its treatment:
- A. Metronidazole
- B. Mebendazole
- C. Itrakonazole
- D. Furacillin
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. Amebic dysentery is caused by the parasite Entamoeba histolytica, not bacteria. Metronidazole is the drug of choice for treating this parasitic infection. It works by disrupting the DNA structure of the parasite, leading to its death. Mebendazole (B) is used to treat certain worm infections, not amebic dysentery. Itrakonazole (C) is an antifungal medication and not effective against parasites. Furacillin (D) is an antibacterial agent and not suitable for treating parasitic infections like amebic dysentery.
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Tularemia is most often a:
- A. Anthroponosis
- B. Zoonosis
- C. Sapronosis
- D. There is no correct answer
Correct Answer: B
Rationale: The correct answer is B: Zoonosis. Tularemia is primarily a zoonotic disease, meaning it is transmitted from animals to humans. The bacterium that causes tularemia, Francisella tularensis, commonly infects animals like rabbits, rodents, and ticks, which serve as reservoir hosts. Humans can get infected through direct contact with infected animals, insect bites, or contaminated water or soil. This zoonotic nature of tularemia distinguishes it from anthroponosis (A), which is transmitted only between humans, and sapronosis (C), which is transmitted through non-living environmental sources. Choice D is incorrect because there is a correct answer, which is zoonosis.
The main target of toxin produced by Vibrio cholerae are:
- A. The macrophages
- B. The epithelial cells of small intestine
- C. The RBCs
- D. The epithelial cells of stomach
Correct Answer: B
Rationale: The correct answer is B because the main target of the toxin produced by Vibrio cholerae is the epithelial cells of the small intestine. This toxin, known as cholera toxin, binds to the surface of these cells and disrupts their normal function, leading to the characteristic watery diarrhea seen in cholera. The other choices are incorrect because macrophages are not the main target, RBCs are not directly affected by the toxin, and the stomach epithelial cells are not specifically targeted by Vibrio cholerae toxin.
A subacute toxic effect occurs when the adverse drug effect occurs:
- A. after 5 minutes of exposure
- B. after 24 hours of exposure
- C. after repeated exposure for days
- D. over months to years of exposure
Correct Answer: C
Rationale: The correct answer is C: after repeated exposure for days. Subacute toxic effects typically manifest after a period of time that is longer than immediate (A) or acute (B) effects but shorter than chronic effects (D). This duration of days aligns with the definition of subacute, which refers to effects that occur gradually over a relatively short time frame. It is important to differentiate between the timing of toxic effects to accurately assess the potential harm caused by a substance. Choices A, B, and D are incorrect because they do not align with the characteristic time frame associated with subacute toxic effects.
Which of the following hepatitis viruses is NOT a RNA virus?
- A. Hepatitis G virus
- B. Hepatitis B virus
- C. Hepatitis A virus
- D. Hepatitis E virus
Correct Answer: B
Rationale: The correct answer is B: Hepatitis B virus. This is because Hepatitis B virus is a DNA virus, not an RNA virus. The other choices, A (Hepatitis G virus), C (Hepatitis A virus), and D (Hepatitis E virus) are all RNA viruses. Hepatitis B virus is unique as it contains partially double-stranded DNA. DNA viruses replicate through a DNA intermediate, unlike RNA viruses which directly use RNA. Therefore, Hepatitis B virus stands out as the only DNA virus among the given options.
Which of the following bacteria are capable of surviving in high-salinity environments?
- A. Halophiles
- B. Thermophiles
- C. Acidophiles
- D. Mesophiles
Correct Answer: A
Rationale: The correct answer is A: Halophiles. Halophiles are bacteria that thrive in high-salinity environments due to their ability to tolerate high salt concentrations. They have adapted mechanisms to maintain osmotic balance and survive in such extreme conditions. Thermophiles (B) thrive in high-temperature environments, not high-salinity. Acidophiles (C) prefer acidic conditions, not high-salinity. Mesophiles (D) grow optimally at moderate temperatures and are not specifically adapted to high-salinity environments.
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