Nokea
A patient's blood culture revealed Gram-positive rods capable of spore formation. They were also motile and produced gas in nutrient broth. What is the causative agent?
- A. Clostridium perfringens
- B. Bacillus anthracis
- C. Clostridium tetani
- D. Bacillus cereus
Correct Answer: A
Rationale: The correct answer is A: Clostridium perfringens. This bacterium fits all the characteristics mentioned: Gram-positive rods with spore formation, motile, and gas production in nutrient broth. Clostridium perfringens is known to cause gas gangrene, which aligns with the gas production in nutrient broth. Bacillus anthracis (B) causes anthrax and does not typically produce gas. Clostridium tetani (C) causes tetanus and does not form spores that are motile. Bacillus cereus (D) is a common cause of food poisoning and does not cause gas gangrene.
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A patient was admitted to the hospital on the 7th day of the disease with complaints of high temperature, headache, pain in the muscles, especially in calf muscles. Dermal integuments and scleras are icteric. There is hemorrhagic rash on the skin. Urine is bloody. The patient was fishing two weeks ago. What is the most likely diagnosis?
- A. Leptospirosis
- B. Yersiniosis
- C. Salmonellosis
- D. Brucellosis
Correct Answer: A
Rationale: The most likely diagnosis is A: Leptospirosis. Leptospirosis is caused by the spirochete Leptospira interrogans and is commonly transmitted through contact with water contaminated by animal urine, such as in this case of fishing. The symptoms described match those of leptospirosis, including high fever, headache, muscle pain, jaundice, hemorrhagic rash, and bloody urine. The calf muscle pain is a characteristic symptom of leptospirosis known as "Weil's disease." Yersiniosis (B) typically presents with abdominal symptoms, Salmonellosis (C) with gastrointestinal symptoms, and Brucellosis (D) with flu-like symptoms. Therefore, based on the symptoms and history provided, Leptospirosis is the most likely diagnosis.
Which of the following cell organelles contain digestive enzymes?
- A. lysosomes
- B. chloroplasts
- C. peroxisomes
- D. peroxisomes
Correct Answer: C
Rationale: The correct answer is C: peroxisomes. Peroxisomes contain enzymes involved in breaking down fatty acids and detoxifying harmful substances. They do not contain digestive enzymes. Lysosomes contain digestive enzymes involved in breaking down waste materials. Chloroplasts are involved in photosynthesis and do not contain digestive enzymes. Mitochondria are involved in energy production and do not contain digestive enzymes. Therefore, the correct answer is peroxisomes.
Streptococcus pyogenes releases:
- A. Enterotoxin
- B. Streptolysin
- C. Staphylocoagulase
- D. None of the above
Correct Answer: B
Rationale: The correct answer is B: Streptolysin. Streptolysin is a toxin released by Streptococcus pyogenes that causes lysis of red blood cells and contributes to the pathogenicity of the bacteria. Enterotoxin (Choice A) is typically produced by Staphylococcus aureus, not Streptococcus pyogenes. Staphylocoagulase (Choice C) is an enzyme produced by Staphylococcus aureus to promote blood clot formation and is not associated with Streptococcus pyogenes. Therefore, the correct answer is B as Streptolysin is the toxin released by Streptococcus pyogenes.
Which of the following bacteria is associated with the disease known as whooping cough?
- A. Bordetella pertussis
- B. Clostridium tetani
- C. Haemophilus influenzae
- D. Staphylococcus aureus
Correct Answer: A
Rationale: 1. Bordetella pertussis causes whooping cough.
2. It secretes toxins that damage the respiratory tract.
3. Symptoms include severe coughing fits and the characteristic "whoop" sound.
4. Clostridium tetani causes tetanus, not whooping cough.
5. Haemophilus influenzae causes various infections, not whooping cough.
6. Staphylococcus aureus causes skin infections, not whooping cough.
During examination of a 3-month old infant a pediatrician revealed that the baby's oral mucosa and tongue were covered with a thick white deposit. In the material taken from the affected site a bacteriologist revealed the presence of yeast fungi giving the reasons for suspecting a fungal infection which occurs most often in children of this age, namely:
- A. Candidiasis
- B. Favus
- C. Epidermophytosis
- D. Actinomycosis
Correct Answer: A
Rationale: The correct answer is A: Candidiasis. In infants, a thick white deposit on the oral mucosa and tongue is indicative of oral thrush, which is caused by the yeast fungus Candida. Infants are particularly susceptible to Candidiasis due to their developing immune systems and use of antibiotics. Favus (B) is a chronic fungal infection of the scalp caused by Trichophyton schoenleinii, typically not seen in infants. Epidermophytosis (C) refers to superficial fungal infections of the skin caused by dermatophytes, not commonly found in the oral cavity of infants. Actinomycosis (D) is a bacterial infection caused by Actinomyces species, not a fungal infection.