Nokea
A smear prepared from material obtained from patient with suspected diphtheria contains yellow bacilli with blue grains at their ends. What staining was used in this case?
- A. Ziehl-Nielsen
- B. Kozlovsky
- C. Romanovsky
- D. Loefler
Correct Answer: D
Rationale: The correct answer is D: Loefler. This staining method is used for identifying Corynebacterium diphtheriae, the causative agent of diphtheria. It involves using methylene blue and basic fuchsin to stain the bacteria. The yellow bacilli with blue grains at their ends indicate the characteristic appearance of C. diphtheriae when stained using the Loefler method.
Choice A: Ziehl-Nielsen is used for acid-fast bacteria like Mycobacterium tuberculosis.
Choice B: Kozlovsky is not a standard staining method in microbiology.
Choice C: Romanovsky is used for blood smears to identify malaria parasites.
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A patient diagnosed with botulism has been prescribed antibotulinic serum for treatment. What immunity will be formed in the given patient?
- A. Antitoxic passive immunity
- B. Infection immunity
- C. Antitoxic active immunity
- D. Antimicrobic active immunity
Correct Answer: A
Rationale: The correct answer is A: Antitoxic passive immunity. Antibotulinic serum contains pre-formed antibodies against the botulinum toxin, providing immediate protection to the patient. This is passive immunity as the patient does not produce their antibodies but receives them externally. Choice B is incorrect as botulism is not an infection, so the patient does not develop infection immunity. Choice C is incorrect because active immunity involves the body producing its antibodies after exposure to an antigen, which is not the case here. Choice D is incorrect as antimicrobic immunity relates to protection against microbes, not toxins like in botulism.
Which one is NOT included in the etiology of osteomyelitis
- A. Haemophilus influenzae
- B. EBV
- C. Pseudomonas aeruginosa
- D. S. Aureus
Correct Answer: B
Rationale: The correct answer is B: EBV. Osteomyelitis is primarily caused by bacteria, not viruses like Epstein-Barr virus (EBV). The main pathogens involved in osteomyelitis are typically Staphylococcus aureus, including Methicillin-resistant Staphylococcus aureus (MRSA), Haemophilus influenzae, and Pseudomonas aeruginosa. EBV is not a causative agent of osteomyelitis. It is crucial to differentiate between bacterial and viral etiologies in infectious diseases to guide appropriate treatment.
A mercury-containing compound used as a preservative in vaccines is:
- A. analgesic
- B. EDTA
- C. codeine
- D. thimerosal
Correct Answer: D
Rationale: The correct answer is D: thimerosal. Thimerosal is a mercury-containing compound used as a preservative in vaccines. It helps prevent contamination and growth of bacteria and fungi in multi-dose vials. Choice A, analgesic, refers to pain relievers, not preservatives. Choice B, EDTA, is a chelating agent used to bind metal ions and is not a preservative. Choice C, codeine, is an opioid pain medication and not a preservative used in vaccines. Thimerosal is the correct answer as it specifically fits the description of a mercury-containing compound used in vaccines.
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.
Which of the following stains is generally used for the diagnosis of tuberculosis?
- A. Acid-fast stain
- B. Gram stain
- C. Negative stain
- D. Simple stain
Correct Answer: A
Rationale: The correct answer is A: Acid-fast stain. This stain is used for diagnosing tuberculosis due to the unique cell wall composition of Mycobacterium tuberculosis, which resists decolorization by acid-alcohol. This allows the bacteria to retain the primary stain (carbol fuchsin) and appear red under a microscope. Gram stain (B) is not suitable for Mycobacterium tuberculosis as it is gram-positive but does not retain the crystal violet-iodine complex. Negative stain (C) is not used for bacterial identification. Simple stain (D) does not differentiate acid-fast bacteria like Mycobacterium tuberculosis.