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A patient with severe abdominal pain and diarrhea had a stool sample cultured. The bacteria were Gram-negative rods that did not ferment lactose. What is the most likely causative agent?
- A. Salmonella enterica
- B. Shigella dysenteriae
- C. Escherichia coli
- D. Proteus vulgaris
Correct Answer: A
Rationale: The correct answer is A: Salmonella enterica. This is because Salmonella are Gram-negative rods that do not ferment lactose, which fits the description in the question. Additionally, Salmonella is a common cause of severe abdominal pain and diarrhea. Shigella dysenteriae is a Gram-negative rod that also causes severe diarrhea but it does not share the characteristic of not fermenting lactose. Escherichia coli is a Gram-negative rod that does ferment lactose. Proteus vulgaris is also a Gram-negative rod but it is not commonly associated with severe abdominal pain and diarrhea, making it an unlikely causative agent in this scenario.
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A patient who suffered form syphilis took a course of antibiotic therapy and fully recovered. Some time later he was infected again with Treponema pallidum. What form of infection is it?
- A. Reinfection
- B. Recurrence
- C. Superinfection
- D. Secondary infection
Correct Answer: A
Rationale: The correct answer is A: Reinfection. This is because the patient fully recovered from the initial syphilis infection after antibiotic therapy, indicating the elimination of the pathogen. Subsequently getting infected again with Treponema pallidum suggests a new exposure to the same pathogen, resulting in a new infection. Recurrence (B) would imply the reactivation of the same infection, which is not the case here. Superinfection (C) refers to a new infection that occurs on top of an existing infection, which is not the scenario described. Secondary infection (D) typically refers to an infection that occurs after an initial infection weakens the immune system, which is not the case in this scenario.
Generalization of an intestine infection can be seen in
- A. Salmonella typhi
- B. Shigella flexneri
- C. Helicobacter pylori
- D. None of the above
Correct Answer: A
Rationale: Rationale:
1. Salmonella typhi causes typhoid fever, which can lead to intestinal infections.
2. Shigella flexneri causes dysentery, primarily affecting the colon.
3. Helicobacter pylori causes stomach ulcers, not intestine infections.
Summary:
A is correct as Salmonella typhi causes intestine infection. B and C are incorrect as they cause different gastrointestinal issues. D is incorrect as A is a valid choice.
A patient in the oral surgery department has got purulent complication. Bacteriological analysis of the wound material found a culture that produces cyan pigment. What microorganism is the most probable causative agent?
- A. Pseudomonas aeruginosa
- B. Proteus vulgaris
- C. Bacillus subtilis
- D. Klebsiella pneumoniae
Correct Answer: A
Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is known for producing a bluish-green pigment called pyocyanin, which presents as a cyan pigment. This bacterium is commonly associated with wound infections and is often found in oral surgery complications. Proteus vulgaris (B) and Klebsiella pneumoniae (D) are not typically associated with cyan pigment production, making them less likely causative agents. Bacillus subtilis (C) is not known to produce cyan pigment and is not a common pathogen in wound infections. Therefore, based on the presence of cyan pigment and the clinical context of an oral surgery complication, Pseudomonas aeruginosa is the most probable causative agent.
The role of pili in bacteria is:
- A. protection from desiccation
- B. motility
- C. adhesion to surfaces and conjugation
- D. spore formation
Correct Answer: C
Rationale: The correct answer is C: adhesion to surfaces and conjugation. Pili are hair-like structures on the surface of bacteria that help them adhere to surfaces and facilitate the transfer of genetic material during conjugation. This is essential for bacterial survival and reproduction. Choice A is incorrect because protection from desiccation is typically associated with other structures like capsules. Choice B is incorrect as motility in bacteria is usually facilitated by flagella. Choice D is incorrect as spore formation involves the formation of specialized structures, not pili.
A sputum smear stained by Gram's method revealed Gram-positive cocci in clusters. The patient presented with an abscess. What is the causative agent?
- A. Staphylococcus aureus
- B. Streptococcus pyogenes
- C. Enterococcus faecalis
- D. Micrococcus luteus
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus aureus. Staphylococcus aureus is a Gram-positive bacterium that commonly presents as cocci in clusters. It is a known causative agent of abscesses due to its ability to produce enzymes and toxins that contribute to tissue destruction. In this case, the presence of Gram-positive cocci in clusters aligns with the characteristic morphology of Staphylococcus aureus.
Summary of incorrect choices:
B: Streptococcus pyogenes is a Gram-positive bacterium that typically presents as cocci in chains, not clusters. It is more commonly associated with pharyngitis and skin infections rather than abscesses.
C: Enterococcus faecalis is a Gram-positive bacterium that typically presents as cocci in pairs or short chains, not clusters. It is more commonly associated with urinary tract infections and endocarditis.
D: Micrococcus luteus is a Gram-positive bacterium that typically presents as t