Nokea
A patient suffering form tuberculosis was treated with rifampicin, which caused drug resistance of tuberculosis mycobacteria. In order to reduce mycobacteria resistance, rifampicin should be combined with the following drug:
- A. Isoniazid
- B. Acyclovir
- C. Intraconazole
- D. Metronidazole
Correct Answer: A
Rationale: The correct answer is A: Isoniazid. When rifampicin is used alone, there is a risk of developing resistance. Isoniazid is commonly used in combination with rifampicin to prevent resistance by targeting different mechanisms in the bacteria. Isoniazid works by inhibiting mycolic acid synthesis, while rifampicin targets RNA polymerase. This combination therapy is known as the first-line treatment for tuberculosis. Choices B, C, and D are incorrect because they do not have the same mechanism of action as isoniazid and would not be effective in preventing rifampicin resistance.
You may also like to solve these questions
A patient complains of frequent bowel movements and stool with blood admixtures ("raspberry jelly" stool). Microscopic examination revealed large mononuclear cells with absorbed red blood cells. What protozoon is this morphological structure typical for?
- A. Entamoeba histolytica
- B. Giardia lamblia
- C. Campylobacter jejuni
- D. Toxoplasma gondii
Correct Answer: A
Rationale: The correct answer is A: Entamoeba histolytica. This protozoon is responsible for causing amoebic dysentery, which presents with bloody diarrhea. The "raspberry jelly" appearance of stool is due to the presence of mucosal lining and blood. The large mononuclear cells with absorbed red blood cells are characteristic of the histopathology of Entamoeba histolytica infection. Giardia lamblia (B) causes watery diarrhea, not bloody stools. Campylobacter jejuni (C) is a bacterial pathogen associated with gastroenteritis, but does not typically cause bloody diarrhea. Toxoplasma gondii (D) causes toxoplasmosis, a systemic infection with symptoms such as fever and lymphadenopathy, but not bloody diarrhea.
Which of the following bacteria is responsible for causing gonorrhea?
- A. Chlamydia trachomatis
- B. Neisseria gonorrhoeae
- C. Treponema pallidum
- D. Escherichia coli
Correct Answer: B
Rationale: The correct answer is B: Neisseria gonorrhoeae. This bacterium is responsible for causing gonorrhea. Neisseria gonorrhoeae is a sexually transmitted bacterium that infects the mucous membranes of the reproductive tract. It is known for causing symptoms such as painful urination and discharge. Chlamydia trachomatis (choice A) is another sexually transmitted bacterium but is not responsible for gonorrhea. Treponema pallidum (choice C) causes syphilis, not gonorrhea. Escherichia coli (choice D) is a common bacterium found in the gut and is not associated with causing gonorrhea. Therefore, Neisseria gonorrhoeae is the correct answer for this question.
Viruses cannot multiply in:
- A. Artificial nutrient media
- B. Living cells
- C. Human embryonic cells
- D. Bacteria
Correct Answer: A
Rationale: The correct answer is A: Artificial nutrient media. Viruses are obligate intracellular parasites, meaning they require living host cells to replicate. They cannot multiply in artificial nutrient media as they lack the cellular machinery necessary for viral replication. Living cells, including human embryonic cells and bacteria, provide the required cellular environment for viruses to replicate. Therefore, options B, C, and D are incorrect as they all contain living cells that can support viral multiplication.
Which bacteria are commonly associated with food poisoning?
- A. Clostridium botulinum and Staphylococcus aureus
- B. Bacillus anthracis and Mycobacterium tuberculosis
- C. Treponema pallidum and Neisseria gonorrhoeae
- D. Escherichia coli and Klebsiella pneumoniae
Correct Answer: A
Rationale: The correct answer is A: Clostridium botulinum and Staphylococcus aureus. Clostridium botulinum produces a potent neurotoxin causing botulism, commonly associated with improperly canned foods. Staphylococcus aureus produces toxins causing symptoms of food poisoning. Bacillus anthracis and Mycobacterium tuberculosis are not typically associated with food poisoning. Treponema pallidum and Neisseria gonorrhoeae are bacteria causing sexually transmitted infections. Escherichia coli and Klebsiella pneumoniae are not directly linked to food poisoning.
Which of the following bacteria is capable of forming spores to survive in extreme conditions?
- A. Staphylococcus aureus
- B. Clostridium botulinum
- C. Escherichia coli
- D. Neisseria gonorrhoeae
Correct Answer: B
Rationale: The correct answer is B: Clostridium botulinum. This bacterium is capable of forming spores as a survival mechanism in harsh conditions. Spore formation allows it to remain dormant until conditions become favorable for growth again. Staphylococcus aureus (A), Escherichia coli (C), and Neisseria gonorrhoeae (D) do not form spores and rely on other mechanisms for survival. Staphylococcus aureus is a common skin bacterium, Escherichia coli is a gut bacterium, and Neisseria gonorrhoeae is a sexually transmitted bacterium.