Nokea
A 42-year-old woman has foamy purulent vaginal discharges. Microscopy revealed flagellated protozoa with an undulating membrane and pear-shaped structure. What organism was found?
- A. Trichomonas vaginalis
- B. Trypanosoma gambiense
- C. Leishmania donovani
- D. Lamblia intestinalis
Correct Answer: A
Rationale: The correct answer is A: Trichomonas vaginalis. Trichomonas vaginalis is a sexually transmitted protozoan parasite that causes trichomoniasis, characterized by foamy purulent vaginal discharges. Microscopy of vaginal discharge showing flagellated protozoa with an undulating membrane and pear-shaped structure is indicative of Trichomonas vaginalis. Trypanosoma gambiense causes African sleeping sickness and is transmitted by tsetse flies. Leishmania donovani causes visceral leishmaniasis transmitted by sandflies. Lamblia intestinalis causes giardiasis and is characterized by diarrhea and flatulence.
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The phagocytosis is:
- A. Killing of bacterial cells with bactericidal antibiotics
- B. Blocking of key bacterial enzymes
- C. Active engulf and destruction of microorganisms by some host cells
- D. There is no correct answer
Correct Answer: C
Rationale: The correct answer is C because phagocytosis refers to the process where certain host cells engulf and destroy microorganisms. This is an essential mechanism of the immune system to eliminate pathogens. Choice A is incorrect because phagocytosis does not involve the use of antibiotics. Choice B is incorrect as it describes a different mechanism of action against bacteria. Choice D is incorrect because phagocytosis is a well-established biological process.
A 60-year-old patient was hospitalized to the surgical department because of infection caused by blue pus bacillus (Pseudomonas aeruginosa) which is sensative to penicillin antibiotics. Indicate which of the given penicillins has marked activity to the Pseudomonas aeruginosa?
- A. Carbenicillin disodium
- B. Benzylpenicillin
- C. Methicillin
- D. Oxacillin
Correct Answer: A
Rationale: The correct answer is A: Carbenicillin disodium. Carbenicillin is a semisynthetic penicillin that has marked activity against Pseudomonas aeruginosa. This is due to its extended spectrum of activity and increased stability against beta-lactamases produced by Pseudomonas aeruginosa. Carbenicillin is commonly used to treat infections caused by this bacterium.
Choice B: Benzylpenicillin (Penicillin G) has limited activity against Pseudomonas aeruginosa.
Choice C: Methicillin is not effective against Pseudomonas aeruginosa.
Choice D: Oxacillin also has limited activity against Pseudomonas aeruginosa.
In summary, Carbenicillin is the correct choice due to its marked activity against Pseudomonas aeruginosa compared to the other penicillins listed.
Which of the following bacteria is associated with stomach ulcers?
- A. Escherichia coli
- B. Helicobacter pylori
- C. Bacillus cereus
- D. Clostridium difficile
Correct Answer: B
Rationale: The correct answer is B: Helicobacter pylori. This bacterium is associated with stomach ulcers as it can survive in the acidic environment of the stomach and produce substances that weaken the stomach lining. Escherichia coli (A) is associated with foodborne illnesses, not ulcers. Bacillus cereus (C) causes food poisoning. Clostridium difficile (D) is associated with antibiotic-associated colitis, not ulcers. Therefore, Helicobacter pylori is the correct answer based on its specific association with stomach ulcers.
The organism often called “flesh-eating bacteria†is:
- A. Staphylococcus aureus
- B. Staphylococcus epidermidis
- C. Streptococcus pyogenes
- D. Propionibacterium acnes
Correct Answer: C
Rationale: The correct answer is C: Streptococcus pyogenes. This bacterium is commonly known as "flesh-eating bacteria" due to its ability to cause severe tissue destruction and necrotizing fasciitis. Streptococcus pyogenes produces toxins that break down skin and muscle tissues. Staphylococcus aureus (A) can cause skin infections but is not typically associated with necrotizing fasciitis. Staphylococcus epidermidis (B) is a normal skin flora and rarely causes infections. Propionibacterium acnes (D) is associated with acne and not known for causing tissue destruction. Therefore, the correct choice is Streptococcus pyogenes due to its unique ability to cause severe tissue damage and necrotizing fasciitis.
The six generally recognized types of H. Influenzae are: a,b,c,d,e and f. They are divided on the basis of their:
- A. Vi-antigen
- B. K-antigen
- C. O-antigen
- D. H-antigen
Correct Answer: B
Rationale: The correct answer is B: K-antigen. H. Influenzae types are classified based on their capsular polysaccharides, which are known as K-antigens. The K-antigen is a major virulence factor and plays a crucial role in the pathogenicity of H. Influenzae. The other options (A, C, D) are not used to classify H. Influenzae types. Vi-antigen is related to Salmonella serotyping, O-antigen is characteristic of gram-negative bacteria such as Escherichia coli and Salmonella, and H-antigen is typically associated with flagellar antigens of bacteria like Salmonella and E. coli.