Nokea
A patient suffers from pulmonary tuberculosis. During treatment neuritis of visual nerve arose. What drug has caused this by-effect?
- A. Isoniazid
- B. Ethambutol
- C. Kanamycin
- D. Rifampicin
Correct Answer: B
Rationale: The correct answer is B: Ethambutol. Ethambutol is known to cause optic neuritis, affecting the visual nerve. It is a well-documented side effect of this drug. Isoniazid (Choice A) is associated with peripheral neuropathy, not optic neuritis. Kanamycin (Choice C) is known for its side effects on the inner ear, causing hearing loss. Rifampicin (Choice D) is not typically associated with optic neuritis but can cause other adverse effects like hepatitis. By process of elimination and knowledge of drug side effects, Ethambutol is the most likely culprit.
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Which of the following bacteria is responsible for causing the disease known as syphilis?
- A. Treponema pallidum
- B. Neisseria gonorrhoeae
- C. Chlamydia trachomatis
- D. Escherichia coli
Correct Answer: A
Rationale: The correct answer is A: Treponema pallidum. This bacterium is responsible for causing syphilis due to its unique spiral shape and ability to penetrate mucous membranes. It is transmitted through sexual contact or from mother to child during childbirth. Neisseria gonorrhoeae causes gonorrhea, Chlamydia trachomatis causes chlamydia, and Escherichia coli is a common bacterium found in the gut. Therefore, they are not responsible for syphilis.
The most common test for the diagnosis of Lyme borreliosis is:
- A. Widal agglutination test
- B. Cultivation on blood and chocolate agar
- C. ELISA, Western blot
- D. Ascoli thermoprecipitation test
Correct Answer: C
Rationale: The correct answer is C: ELISA, Western blot. These tests are commonly used for diagnosing Lyme borreliosis due to their high sensitivity and specificity in detecting antibodies against Borrelia burgdorferi, the causative agent. ELISA is the initial screening test, while Western blot is used for confirmation. Widal agglutination test (A) is used for diagnosing typhoid fever, not Lyme disease. Cultivation on blood and chocolate agar (B) is not commonly used for diagnosing Lyme borreliosis as Borrelia species are difficult to culture. Ascoli thermoprecipitation test (D) is used for diagnosing pneumonia caused by Streptococcus pneumoniae, not Lyme disease.
Which of the following bacteria is capable of surviving in extreme heat?
- A. Escherichia coli
- B. Bacillus subtilis
- C. Staphylococcus aureus
- D. Clostridium botulinum
Correct Answer: B
Rationale: The correct answer is B: Bacillus subtilis. Bacillus subtilis is a thermophilic bacterium capable of surviving in extreme heat due to its heat-resistant spores. It forms spores when exposed to unfavorable conditions, allowing it to withstand high temperatures. Escherichia coli (A), Staphylococcus aureus (C), and Clostridium botulinum (D) are mesophilic bacteria that do not have the same heat resistance mechanisms as Bacillus subtilis, making them unable to survive in extreme heat conditions.
Extrachromosomal carriers of the genetic information in bacteria are:
- A. Mesosomes
- B. Plasmids
- C. Ribosomes
- D. None of the above
Correct Answer: B
Rationale: The correct answer is B: Plasmids. Plasmids are extrachromosomal DNA molecules found in bacteria that can replicate independently of the bacterial chromosome. They carry additional genetic information, such as antibiotic resistance genes or virulence factors. Mesosomes (choice A) are not involved in carrying genetic information; they are infoldings of the cell membrane. Ribosomes (choice C) are cellular organelles responsible for protein synthesis, not carriers of genetic information. Choice D is incorrect as plasmids are indeed extrachromosomal carriers of genetic information in bacteria.
Humoral factors of the natural resistance are:
- A. Macrophages and macrophages
- B. Lysozyme, lactoferrin, interferon, complement
- C. B and T lymphocytes, NK cells
- D. Immunoglobulins A, G and M
Correct Answer: B
Rationale: The correct answer is B because lysozyme, lactoferrin, interferon, and complement are all humoral factors involved in natural resistance. Lysozyme and lactoferrin are antimicrobial proteins that help defend against pathogens. Interferon is a signaling protein that inhibits viral replication, while complement is a group of proteins that enhance the immune response by promoting inflammation and opsonization.
Choices A, C, and D are incorrect:
- Choice A mentions only macrophages, which are not humoral factors but rather phagocytic cells.
- Choice C lists immune cells involved in adaptive immunity (B and T lymphocytes, NK cells) rather than humoral factors of natural resistance.
- Choice D includes immunoglobulins, which are part of adaptive immunity, not natural resistance.