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A patient who has been taking tetracycline for a long time has developed candidosis of mucous membranes. What drug shoul administered for its treatment?
- A. Itraconazole
- B. Griseofulvin
- C. Nitrofungin
- D. Amphotericin
Correct Answer: A
Rationale: The correct answer is A: Itraconazole. Itraconazole is an antifungal medication commonly used to treat candidosis. It works by inhibiting the synthesis of ergosterol, a key component of fungal cell membranes. This action disrupts the integrity of the fungal cell membrane, leading to cell death. Griseofulvin (B) is primarily used to treat fungal infections of the skin and nails, not mucous membranes. Nitrofungin (C) is not commonly used for candidosis treatment. Amphotericin (D) is a potent antifungal medication but is typically reserved for severe or systemic fungal infections due to its potential side effects.
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Which of the following proteins are encoded by herpesviruses and required for viral DNA replication?
- A. viral DNA polymerase
- B. ribonucleotide reductase
- C. neuraminidase
- D. thymidine kinase
Correct Answer: A
Rationale: The correct answer is A: viral DNA polymerase. This enzyme is essential for replicating the viral DNA during the herpesvirus life cycle. It catalyzes the synthesis of new DNA strands using the viral genomic template. Ribonucleotide reductase (B) is involved in nucleotide synthesis, but not directly in DNA replication. Neuraminidase (C) is an enzyme found in influenza viruses, not herpesviruses. Thymidine kinase (D) is an enzyme that phosphorylates thymidine, but its role is more related to nucleotide metabolism rather than viral DNA replication.
Anticodon is:
- A. Produced during the process of replication
- B. A nucleotide triplet on the molecule of mRNA
- C. A nucleotide DNA triplet defining the amino acid which has a specific sequence on the polypeptide chain during the translation
- D. A nucleotide triplet forming a unit of genetic code in a transfer RNA molecule corresponding to a complementary codon on messenger RNA
Correct Answer: D
Rationale: The correct answer is D because an anticodon is a nucleotide triplet in a tRNA molecule that pairs with a complementary codon on mRNA during translation. Step 1: Anticodons are found in tRNA, not in DNA or mRNA. Step 2: Anticodons specifically bind to codons on mRNA to ensure correct amino acid incorporation into the growing polypeptide chain, making option D the most accurate choice. Option A is incorrect as replication does not involve anticodons. Option B is incorrect because codons, not anticodons, are found on mRNA molecules. Option C is incorrect as it describes a codon on DNA, not an anticodon on tRNA.
Microscopy of a smear obtained from a patient with acute purulent periostitis revealed gram-positive bacteria arranged in clusters resembling bunch of grapes. What microorganisms is this morphology typical for?
- A. Staphylococci
- B. Sarcina
- C. Tetracocci
- D. Candida fungi
Correct Answer: A
Rationale: Rationale:
Staphylococci are gram-positive bacteria that typically arrange in clusters resembling a bunch of grapes. This characteristic morphology is specific to staphylococci due to their division pattern. Sarcina, Tetracocci, and Candida fungi do not exhibit this clustering pattern. Staphylococci are commonly associated with purulent infections, making them the most likely microorganisms in this scenario.
A patient with a sore throat had a throat culture revealing Gram-positive cocci in chains. The bacteria were catalase-negative and beta-hemolytic. What is the most likely causative agent?
- A. Streptococcus pyogenes
- B. Streptococcus pneumoniae
- C. Enterococcus faecalis
- D. Staphylococcus aureus
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pyogenes.
1. Gram-positive cocci in chains suggest streptococci.
2. Catalase-negative indicates it's not staphylococci.
3. Beta-hemolytic points towards Group A Streptococcus (S. pyogenes).
Summary:
B. Streptococcus pneumoniae is not beta-hemolytic.
C. Enterococcus faecalis is not typically chains.
D. Staphylococcus aureus is catalase-positive.
Congenital CMV infections are caused by:
- A. coronavirus
- B. herpes simplex virus
- C. cytomegalovirus
- D. Epstein-Barr virus
Correct Answer: C
Rationale: The correct answer is C: cytomegalovirus (CMV). Congenital CMV infections are caused by the transmission of CMV from a pregnant woman to her fetus. CMV is a type of herpes virus, not a coronavirus (A), herpes simplex virus (B), or Epstein-Barr virus (D). CMV is known to cause serious health issues in newborns, making it crucial to identify and manage during pregnancy.