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A 35-year-old patient with a severe respiratory infection had sputum that showed Gram-negative, comma-shaped bacteria. What is the likely causative agent?
- A. Vibrio cholerae
- B. Shigella dysenteriae
- C. Campylobacter jejuni
- D. Helicobacter pylori
Correct Answer: C
Rationale: The correct answer is C: Campylobacter jejuni. This bacterium is Gram-negative and comma-shaped, commonly causing respiratory infections. Vibrio cholerae (A) causes cholera, not respiratory infections. Shigella dysenteriae (B) causes dysentery, not respiratory infections. Helicobacter pylori (D) is associated with gastric ulcers, not respiratory infections. Therefore, Campylobacter jejuni is the most likely causative agent based on the given information.
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A patient has got pain in the axillary area, rise of temperature developed 10 hours ago. On examination: shaky gait is evident, the tongue is coated with white deposit. The pulse is frequent. The painful lymphatic nodes are revealed in the axillary area. The skin over the lymph nodes is erythematous and glistering. What is the most probable diagnosis?
- A. Bubonic plague
- B. Acute purulent lymphadenitis
- C. Lymphogranulomatosis
- D. Anthrax
Correct Answer: B
Rationale: The correct answer is B: Acute purulent lymphadenitis. The symptoms described indicate an acute bacterial infection of the lymph nodes. The presence of painful lymph nodes, erythema, and shiny appearance of the skin overlying the nodes suggest an inflammatory process. The rise in temperature and frequent pulse indicate an active infection. The white-coated tongue may be a sign of systemic involvement. The shaky gait may indicate systemic toxicity. Bubonic plague (A) presents with buboes, not just painful lymph nodes. Lymphogranulomatosis (C) is a type of lymphoma and would not present with these acute bacterial infection symptoms. Anthrax (D) typically presents with a black eschar and is less likely in this context.
Which of the following viruses belong to the family Herpesviridae?
- A. Epstein-Barr virus
- B. Poxvirus
- C. SARS
- D. HIV
Correct Answer: A
Rationale: Step-by-step rationale for the correct answer (A: Epstein-Barr virus):
1. Epstein-Barr virus is a member of the Herpesviridae family, known for causing infectious mononucleosis.
2. Members of Herpesviridae have double-stranded DNA genomes and enveloped virions.
3. They establish latent infections in host cells and can reactivate periodically.
4. Poxvirus (B) belongs to the Poxviridae family, not Herpesviridae.
5. SARS (C) is caused by a coronavirus, not a herpesvirus.
6. HIV (D) belongs to the Retroviridae family, not Herpesviridae.
Summary: The correct answer is A because Epstein-Barr virus is a member of the Herpesviridae family, exhibiting specific characteristics distinct from the other choices.
Factors that can increase the chances of vaginitis are:
- A. urinary blockage, drug use, and stress
- B. use of antibiotics, pregnancy, and menopause
- C. puberty, exposure to HPV, and smoking/tobacco use
- D. menopause, stress, and steroid use
Correct Answer: B
Rationale: The correct answer is B. Vaginitis is often caused by an imbalance in vaginal flora. Antibiotics can disrupt the natural balance, leading to overgrowth of harmful bacteria or yeast. Pregnancy alters hormone levels, making the vagina more susceptible to infection. Menopause decreases estrogen levels, thinning the vaginal walls and reducing beneficial bacteria.
A: Urinary blockage does not directly relate to vaginitis. Drug use and stress may weaken the immune system but are not direct causes of vaginitis.
C: Puberty, HPV exposure, and smoking/tobacco use do not directly increase the chances of vaginitis. HPV is a viral infection, not a direct cause of vaginitis.
D: While menopause can increase the risk of vaginitis due to hormonal changes, stress and steroid use are not primary factors in developing vaginitis.
Bacterial families have general:
- A. Morphologic features
- B. Geographic features
- C. Historical features
- D. Physiologic features
Correct Answer: A
Rationale: The correct answer is A: Morphologic features. Bacterial families are classified based on their morphologic features such as shape, size, and arrangement. This classification helps in identifying and studying different bacterial species. Choice B, Geographic features, is incorrect as bacterial classification is not based on their geographic distribution. Choice C, Historical features, is incorrect as it does not play a role in the classification of bacterial families. Choice D, Physiologic features, is also incorrect as physiological characteristics are used for further classification within bacterial families, not as a general characteristic.
Which of the following viruses can cause hemorrhagic cystitis?
- A. BK virus
- B. Enteroviruses
- C. Flaviviruses
- D. Coronaviruses
Correct Answer: A
Rationale: The correct answer is A: BK virus. BK virus is a common cause of hemorrhagic cystitis, especially in immunocompromised individuals. It infects the urinary tract, leading to inflammation and bleeding in the bladder. Enteroviruses, Flaviviruses, and Coronaviruses do not typically cause hemorrhagic cystitis. Enteroviruses usually cause respiratory and gastrointestinal infections, Flaviviruses are commonly associated with diseases like dengue fever and Zika virus, and Coronaviruses are known for causing respiratory illnesses such as COVID-19. Hence, the correct answer is A as it is the only virus among the options known to cause hemorrhagic cystitis.