Nokea
A wound swab from a patient with a deep tissue infection revealed Gram-positive rods with terminal spores. What is the most likely 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 is because Clostridium perfringens is a Gram-positive rod bacterium that forms terminal spores. It is commonly associated with deep tissue infections and can cause gas gangrene. Bacillus anthracis (B) causes anthrax and does not typically form spores at the terminal end. Clostridium tetani (C) causes tetanus and Bacillus cereus (D) is more commonly associated with food poisoning. In this case, the presence of terminal spores along with the clinical presentation of a deep tissue infection points towards Clostridium perfringens as the most likely causative agent.
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What preparations are used for prevention of fungal infection?
- A. Fluconozol, Orungal, Nisoral
- B. Rubomycin, Bleomycin, Mytomycin C
- C. Cytosar, Cormyctin, Lomycitin
- D. Captopril, Enalapril
Correct Answer: A
Rationale: The correct answer is A because Fluconazole, Orungal, and Nizoral are antifungal medications commonly used for prevention of fungal infections. Fluconazole is a systemic antifungal agent, Orungal (Itraconazole) is used for various fungal infections, and Nizoral (Ketoconazole) is effective against a wide range of fungal infections. Choices B, C, and D do not contain antifungal medications and are unrelated to preventing fungal infections.
Clinical symptom, typical for erythema infectiosum is:
- A. Swelling of salivary glands
- B. Diarrhea
- C. Hepatitis
- D. Exanthematous rash
Correct Answer: D
Rationale: The correct answer is D: Exanthematous rash. Erythema infectiosum, also known as fifth disease, is characterized by a distinctive rash on the cheeks that looks like a "slapped cheek." This rash then spreads to the rest of the body, resulting in a lace-like rash (exanthem). Swelling of salivary glands (choice A) is not a typical symptom of erythema infectiosum. Diarrhea (choice B) and hepatitis (choice C) are also not associated with this condition. Therefore, the most characteristic clinical symptom of erythema infectiosum is the exanthematous rash.
Microscopy of a sputum smear revealed acid-fast bacilli stained red using the Ziehl-Neelsen method. What is the most likely diagnosis?
- A. Tuberculosis
- B. Leprosy
- C. Diphtheria
- D. Pneumonia
Correct Answer: A
Rationale: The presence of acid-fast bacilli stained red using the Ziehl-Neelsen method indicates a mycobacterial infection. Among the choices, tuberculosis is the most common mycobacterial infection affecting the lungs, presenting with acid-fast bacilli in sputum. Leprosy is caused by Mycobacterium leprae, but it typically does not show up in sputum smears. Diphtheria is caused by Corynebacterium diphtheriae, which is not acid-fast. Pneumonia is a general term for lung inflammation caused by various pathogens, not specifically mycobacteria. Therefore, the correct diagnosis is tuberculosis based on the microscopy findings.
Many diseases of medicinal plants are caused by bacteria of the Pseudomonas genus. Select the bacteria relating to this genus:
- A. Blue pus bacillus
- B. Colon bacillus
- C. Proteus
- D. Mycoplasma
Correct Answer: A
Rationale: The correct answer is A: Blue pus bacillus. Pseudomonas genus includes bacteria that commonly cause diseases in plants. Blue pus bacillus is a common name for Pseudomonas aeruginosa, a well-known bacterium that causes diseases in medicinal plants.
Explanation:
1. Blue pus bacillus (Pseudomonas aeruginosa) is a member of the Pseudomonas genus known for causing diseases in plants.
2. Colon bacillus (Escherichia coli) belongs to the Enterobacteriaceae family, not the Pseudomonas genus.
3. Proteus is a genus of the Enterobacteriaceae family, not Pseudomonas.
4. Mycoplasma is a genus of bacteria that lack a cell wall and are not related to the Pseudomonas genus.
In summary, the correct answer is A because it is a member of the Pseudomonas genus known for causing diseases in medicinal plants, while
A gynaecologist was examining a patient and revealed symptoms of genital tract inflammation. A smear from vagina contains pyriform protozoa with a spine, flagella at their front; there is also an undulating membrane. What disease can be suspected?
- A. Urogenital trichomoniasis
- B. Lambliasis
- C. Intestinal trichomoniasis
- D. Toxoplasmosis
Correct Answer: A
Rationale: The correct answer is A: Urogenital trichomoniasis. The presence of pyriform protozoa with a spine, flagella at their front, and an undulating membrane in a vaginal smear indicates Trichomonas vaginalis, the causative agent of urogenital trichomoniasis. Trichomonas vaginalis is sexually transmitted and causes vaginal discharge, itching, and inflammation. Lambliasis (choice B) is caused by Giardia lamblia, which is not characterized by the described features. Intestinal trichomoniasis (choice C) is caused by a different species, Tritrichomonas foetus, and presents with diarrhea in cattle. Toxoplasmosis (choice D) is caused by Toxoplasma gondii and typically affects the brain and other organs, not the genital tract.