Nokea
A patient consulted a stomatologist about purulent inflammation of his gums. What drug will be the most effective if it is suspected that a causative agent is an anaerobe?
- A. Metronidazole
- B. Gentamicin C.Oxacillin D.Co-trimoxazole E.-
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. Anaerobic bacteria are sensitive to metronidazole due to its mechanism of action targeting their DNA. Metronidazole is often the drug of choice for treating infections caused by anaerobic bacteria. Gentamicin, Oxacillin, and Co-trimoxazole are not effective against anaerobes. Gentamicin is an aminoglycoside mostly used for aerobic bacteria, Oxacillin is a beta-lactam antibiotic effective against gram-positive bacteria, and Co-trimoxazole is a combination of sulfamethoxazole and trimethoprim mainly used for urinary tract infections and some respiratory infections.
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Which of the following best describes a Gram-negative bacterium?
- A. Has a thick peptidoglycan layer
- B. Has an outer membrane with lipopolysaccharides
- C. Stains purple
- D. Has no cell wall
Correct Answer: B
Rationale: The correct answer is B because Gram-negative bacteria have an outer membrane with lipopolysaccharides, which is a key characteristic used in Gram staining. This outer membrane is responsible for the pink/red color seen when stained with Gram stain. Choice A is incorrect because Gram-negative bacteria have a thin peptidoglycan layer. Choice C is incorrect because Gram-negative bacteria stain pink, not purple. Choice D is incorrect because all bacteria have a cell wall, but Gram-negative bacteria have a different structure compared to Gram-positive bacteria.
What type of immunity is responsible for the agglutination of viruses:
- A. Passive immunity
- B. Humoral immunity
- C. Cell mediated immunity
- D. Non specific immunity
Correct Answer: B
Rationale: The correct answer is B: Humoral immunity. Humoral immunity involves the production of antibodies by B cells that can bind to antigens on viruses, leading to their agglutination. This process prevents the spread of the virus in the body. Passive immunity (A) involves receiving pre-formed antibodies, not the production of antibodies. Cell-mediated immunity (C) involves the activation of T cells, not the direct agglutination of viruses. Non-specific immunity (D) refers to general defense mechanisms like inflammation and fever, not targeted agglutination of viruses.
What is a common characteristic of spore-forming bacteria?
- A. Resistance to heat and dehydration
- B. Ability to produce toxins
- C. Presence of flagella
- D. Ability to photosynthesize
Correct Answer: A
Rationale: The correct answer is A: Resistance to heat and dehydration. Spore-forming bacteria form spores as a survival mechanism in harsh conditions. These spores are highly resistant to heat and dehydration, allowing the bacteria to withstand extreme environments. This characteristic is essential for their long-term survival and ability to persist in unfavorable conditions. Choices B, C, and D are incorrect because not all spore-forming bacteria produce toxins, have flagella, or are capable of photosynthesis. These characteristics are not exclusive to spore-forming bacteria and do not define them as a group.
A 40-year-old man developed skin redness and an swelling in the neck area, where eventually a small abscess appeared. The section the focus is dense and yellow-green colored. In the purulent masses there are white granules. Histologically there are fungal druses, plasma and xanthome cells, and macrophages detected. Specify the most correct etiological name of this pathological process?
- A. Actinomycosis
- B. Furuncle
- C. Carbuncle
- D. Syphilis
Correct Answer: A
Rationale: The correct answer is A: Actinomycosis. This is a chronic bacterial infection caused by Actinomyces species. In this case, the description of dense yellow-green colored focus, white granules in purulent masses, and presence of fungal druses, plasma cells, xanthome cells, and macrophages all match the characteristics of actinomycosis. Actinomycosis typically presents with abscess formation containing sulfur granules, which are yellowish and granular. The other choices (B: Furuncle, C: Carbuncle, D: Syphilis) do not fit the clinical and histological features described in the question, making them incorrect options.
On microscopic examination of leftovers of the canned meat eaten by patient with severe food toxicoinfection the following was detected: gram-positive bacilli with subterminal staining defect and configuration alteration of bacilli generally resembling a tennis racket. What agent was detected?
- A. C. botulinum
- B. P. vulgaris
- C. E. coli
- D. S. aureus
Correct Answer: A
Rationale: The correct answer is A: C. botulinum. The description of gram-positive bacilli with subterminal staining defect and tennis racket appearance is characteristic of Clostridium botulinum. The subterminal staining defect indicates the presence of spores, a feature of Clostridium species. The tennis racket appearance refers to the characteristic shape of C. botulinum spores. Choice B, P. vulgaris, is a gram-negative bacterium and doesn't match the description. Choice C, E. coli, is a gram-negative bacillus and doesn't exhibit the subterminal staining defect described. Choice D, S. aureus, is a gram-positive cocci and does not resemble the tennis racket appearance described.