Nokea
A fetus infected with rubella virus produces which of the following antibodies that can then be detected in the umbilical cord?
- A. IgA
- B. IgM
- C. IgG
- D. IgD
Correct Answer: B
Rationale: The correct answer is B: IgM. IgM antibodies are the first type of antibodies produced in response to an infection, indicating an active or recent infection. In the case of a rubella virus infection in a fetus, IgM antibodies can be detected in the umbilical cord blood, confirming the presence of the virus. IgA antibodies are mainly found in mucosal areas, IgG antibodies indicate past infection or immunity, and IgD antibodies play a role in B cell activation but are not typically detected in this context.
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Which bacteria is known for causing the disease cholera?
- A. Shigella dysenteriae
- B. Vibrio cholerae
- C. Salmonella enterica
- D. Clostridium perfringens
Correct Answer: B
Rationale: The correct answer is B: Vibrio cholerae. Cholera is caused by Vibrio cholerae, a gram-negative bacterium that produces a toxin leading to severe watery diarrhea. Shigella dysenteriae causes dysentery, not cholera. Salmonella enterica causes salmonellosis, not cholera. Clostridium perfringens is associated with food poisoning, not cholera. In summary, Vibrio cholerae is the correct answer because it is the specific bacterium known to cause cholera, while the other choices are associated with different diseases.
A pregnant woman complains of vaginal mucosa irritation, itching and genital tracts secretion. Bacterioscopy of vaginal smears revealed large gram-positive oval oblong cells that form pseudomicelium. What is the most probable channel of infection?
- A. Endogenous infection
- B. Sexual transmission
- C. Contact infection
- D. Vector-borne transmission
Correct Answer: B
Rationale: The correct answer is B: Sexual transmission. The symptoms described are indicative of a vaginal yeast infection caused by Candida albicans. The presence of large gram-positive oval oblong cells forming pseudomycelium is characteristic of Candida infection. Sexual transmission is the most probable channel of infection as Candida can be transmitted through sexual contact. Endogenous infection (A) refers to infections originating from the body's own flora, which is not the case here. Contact infection (C) typically involves direct physical contact or fomite transmission, which is less likely in this scenario. Vector-borne transmission (D) involves transmission through vectors like mosquitoes or ticks, which is not relevant in this case.
During examination of the patient's oral cavity a dentist noticed deformation of the teeth and a crescent indentation of the upper right incisor. The teeth are undersized, barrel-shaped – tooth cervix is wider than its edge. The patient uses a hearing aid, suffers from visual impairment. What type of syphilis affects teeth in such way?
- A. Primary
- B. Early congenital
- C. Neurosyphilis
- D. Late congenital
Correct Answer: D
Rationale: The correct answer is D, Late congenital syphilis. This is because the patient presents with Hutchinson's teeth, which are a characteristic feature of late congenital syphilis. Hutchinson's teeth are small, barrel-shaped teeth with a wider cervix and notched incisors. The patient's history of visual impairment and hearing aid use also support the diagnosis of late congenital syphilis, as these are common manifestations of this stage of the disease.
Choice A, Primary syphilis, is incorrect because it typically presents with a painless sore at the site of infection, not dental abnormalities. Choice B, Early congenital syphilis, is incorrect as dental abnormalities in this stage are usually more severe, such as mulberry molars. Choice C, Neurosyphilis, is incorrect as it primarily affects the central nervous system and does not typically present with dental abnormalities.
Which of the following bacteria are capable of producing an exotoxin that causes severe diarrhea?
- A. Clostridium botulinum
- B. Vibrio cholerae
- C. Escherichia coli
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because all three bacteria mentioned (Clostridium botulinum, Vibrio cholerae, and Escherichia coli) are capable of producing exotoxins that cause severe diarrhea. Clostridium botulinum produces botulinum toxin leading to botulism, Vibrio cholerae produces cholera toxin causing cholera, and some strains of Escherichia coli produce enterotoxins causing severe diarrhea. Choices A, B, and C alone are incorrect because each of them can produce exotoxins that cause severe diarrhea.
Transcription of viral nucleic acid to mRNA is not needed in the case of:
- A. There is no correct answer
- B. Single strand DNA viruses
- C. Double strand DNA viruses
- D. Positive strand RNA viruses
Correct Answer: D
Rationale: The correct answer is D: Positive strand RNA viruses. These viruses have RNA genomes that can be directly translated by host ribosomes without the need for transcription. In contrast, single-strand DNA and double-strand DNA viruses require transcription to generate mRNA for translation. Choice A is incorrect as there is a correct answer. Choice B and C are incorrect because both single-strand DNA and double-strand DNA viruses require transcription for mRNA synthesis.