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A patient complains of acute spastic abdominal pain, frequent urge to defecate, liquid bloody feces with mucus. Laboratory analysis of fecal smear revealed inconstant in shape organisms with erythrocyte. What is the most likely diagnosis?
- A. Amebiasis.
- B. Lambliasis.
- C. Schistosomiasis.
- D. Intestinal trichomoniasis.
Correct Answer: A
Rationale: The correct answer is A: Amebiasis. Amebiasis is caused by the parasite Entamoeba histolytica, presenting with symptoms like acute abdominal pain, bloody diarrhea with mucus, and inconstant shape organisms seen in fecal smear. The presence of erythrocytes supports the diagnosis due to the parasite's ability to invade intestinal mucosa causing bleeding. Choice B (Lambliasis) presents with different symptoms like steatorrhea and fatigue. Choice C (Schistosomiasis) is mainly associated with liver and urinary symptoms. Choice D (Intestinal trichomoniasis) commonly presents with watery diarrhea and does not typically cause bloody stools. Therefore, based on the patient's symptoms and fecal smear findings, Amebiasis is the most likely diagnosis.
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Acute febrile pharyngitis and pharyngoconjunctival fever are often the clinical presentation of which viral infection:
- A. VZV
- B. Measles virus
- C. Rubella virus
- D. Adenovirus
Correct Answer: D
Rationale: The correct answer is D: Adenovirus. Adenovirus commonly causes acute febrile pharyngitis and pharyngoconjunctival fever. Adenovirus is known to cause respiratory infections and can present with symptoms such as sore throat, fever, and conjunctivitis. VZV (Varicella-Zoster Virus) causes chickenpox and shingles, not these specific symptoms. Measles virus causes a systemic illness with characteristic rash, not typically pharyngitis. Rubella virus causes a mild febrile illness with rash, but not pharyngitis. Therefore, based on the clinical presentation described, adenovirus is the most likely cause.
Which of the following bacteria is known for causing the disease known as leprosy?
- A. Mycobacterium leprae
- B. Clostridium perfringens
- C. Streptococcus pneumoniae
- D. Neisseria gonorrhoeae
Correct Answer: A
Rationale: Step-by-step rationale:
1. Mycobacterium leprae is the correct answer as it is the bacteria known to cause leprosy.
2. Clostridium perfringens is incorrect as it is associated with gas gangrene.
3. Streptococcus pneumoniae is incorrect as it is commonly linked to pneumonia and meningitis.
4. Neisseria gonorrhoeae is incorrect as it causes gonorrhea, a sexually transmitted infection.
In summary, Mycobacterium leprae is the only bacteria among the choices specifically known to cause leprosy, making it the correct answer.
A 40 year old man noticed a reddening and an edema of skin in the area of his neck that later developed into a small abscess. The incised focus is dense, yellowish-green. The pus contains white granules. Histological examination revealed drusen of a fungus, plasmatic and xanthome cells, macrophages. What type of mycosis is the most probable?
- A. Actinomycosis
- B. Aspergillosis
- C. Candidosis
- D. Sporotrichosis
Correct Answer: D
Rationale: The correct answer is D: Sporotrichosis. Sporotrichosis is caused by the fungus Sporothrix schenckii, which commonly presents as a subcutaneous infection. In the given case, the presence of a small abscess with yellowish-green pus containing white granules is indicative of sporotrichosis. The histological examination showing drusen of a fungus, plasmatic and xanthome cells, and macrophages further supports the diagnosis of sporotrichosis.
Choice A: Actinomycosis is a bacterial infection caused by Actinomyces species, not a fungal infection.
Choice B: Aspergillosis is caused by Aspergillus species and typically presents as a pulmonary infection, not a subcutaneous abscess as described in the case.
Choice C: Candidosis is caused by Candida species and usually presents as mucocutaneous infections, not a subcutaneous abscess with the
Which one is true for enteropathogenic E.coli?
- A. They have fimbrial adhesins to bind enterocytes
- B. They cause bloody diarrhea in children similar to shigellosis
- C. These organisms are part of the normal intestinal flora
- D. They are invasive and produce enterotoxin
Correct Answer: A
Rationale: The correct answer is A because enteropathogenic E. coli (EPEC) have fimbrial adhesins that help them bind to enterocytes in the intestines, leading to colonization and infection. This is a key virulence factor of EPEC.
Explanation for why other choices are incorrect:
B: EPEC typically cause watery diarrhea in infants, not bloody diarrhea similar to shigellosis.
C: EPEC are not part of the normal intestinal flora; they are pathogenic bacteria.
D: EPEC are not invasive and do not typically produce enterotoxin; they primarily adhere to the intestinal epithelium.
Which statement about the fungal mycelium is correct:
- A. It consists of intertwined hyphae
- B. Part of the mycelium goes in the medium and forms the substrate mycelium
- C. Part of the mycelium stays above the medium and forms the aerial mycelium
- D. All of the above
Correct Answer: D
Rationale: Rationale:
- A: The mycelium is indeed made up of intertwined hyphae, which are the branching filaments of fungi.
- B: Part of the mycelium does grow into the medium to acquire nutrients, forming the substrate mycelium.
- C: Some parts of the mycelium remain above the medium to aid in reproduction and spore dispersal, forming the aerial mycelium.
Therefore, all statements (A, B, and C) are correct, making choice D the correct answer. The mycelium exhibits both intertwined hyphae, substrate mycelium, and aerial mycelium to facilitate different functions.