Nokea
Acute hemorrhagic cystitis may be due to:
- A. Parvovirus B19
- B. CMV
- C. Adenovirus
- D. Herpesvirus type 2
Correct Answer: C
Rationale: Rationale for choice C (Adenovirus) being correct:
1. Adenovirus is a common cause of acute hemorrhagic cystitis.
2. Adenovirus infects the bladder epithelium, leading to inflammation and bleeding.
3. Symptoms include hematuria and bladder pain.
4. Diagnosis is confirmed through viral culture or PCR testing.
Summary of why other choices are incorrect:
A: Parvovirus B19 - More commonly associated with erythema infectiosum (fifth disease) and aplastic anemia.
B: CMV - Known to cause congenital infections, mononucleosis, and retinitis, not typically associated with hemorrhagic cystitis.
D: Herpesvirus type 2 - Commonly causes genital herpes, but not typically associated with acute hemorrhagic cystitis.
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The Staphylococcus aureus toxin, which can cause scalded skin syndrome (SSS), is:
- A. hemolysis
- B. enterotoxin
- C. leucocidin
- D. epidermolytic toxin
Correct Answer: D
Rationale: The correct answer is D: epidermolytic toxin. This toxin specifically targets the epidermis, leading to exfoliation seen in scalded skin syndrome (SSS). Hemolysis (A) refers to the destruction of red blood cells, not relevant to SSS. Enterotoxins (B) cause food poisoning, not SSS. Leucocidins (C) target white blood cells, not pertinent to SSS. Therefore, the epidermolytic toxin (D) is the correct choice for causing SSS.
Flagellin is:
- A. A protein
- B. A carbohydrate
- C. A staining method
- D. An organelle
Correct Answer: A
Rationale: Flagellin is a protein component of bacterial flagella. It is not a carbohydrate, staining method, or an organelle. The correct answer is A because flagellin is a structural protein that forms the flagellar filament. It helps in bacterial motility and pathogenicity. Therefore, the correct choice is A.
Which of the following bacteria is a common cause of pneumonia?
- A. Streptococcus pneumoniae
- B. Mycobacterium tuberculosis
- C. Pseudomonas aeruginosa
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above.
- Streptococcus pneumoniae is a common cause of community-acquired pneumonia.
- Mycobacterium tuberculosis can cause pulmonary tuberculosis, which can present as pneumonia-like symptoms.
- Pseudomonas aeruginosa is an opportunistic pathogen that can cause pneumonia in immunocompromised individuals.
Therefore, all three bacteria can cause pneumonia, making option D the correct choice. Options A, B, and C are incorrect because they each represent a bacterium that can cause pneumonia, so only selecting one of them would not encompass all common causes of pneumonia.
Antigenic variation is used by bacteria to:
- A. evade host immune responses
- B. increase antibiotic susceptibility
- C. increase peptidoglycan synthesis
- D. enhance motility
Correct Answer: A
Rationale: The correct answer is A: evade host immune responses. Antigenic variation allows bacteria to change their surface antigens, making it difficult for the host immune system to recognize and attack them effectively. This enhances the bacteria's ability to evade immune responses and establish infection.
B: Increase antibiotic susceptibility is incorrect because antigenic variation does not directly impact the susceptibility of bacteria to antibiotics.
C: Increase peptidoglycan synthesis is incorrect because antigenic variation is not related to the synthesis of peptidoglycan, which is a major component of the bacterial cell wall.
D: Enhance motility is incorrect because antigenic variation does not directly affect the motility of bacteria.
In summary, antigenic variation in bacteria primarily serves to help them evade host immune responses, making option A the correct answer.
Which bacterial structure allows for attachment to host cells?
- A. Flagella
- B. Fimbriae
- C. Capsule
- D. Endospore
Correct Answer: B
Rationale: The correct answer is B: Fimbriae. Fimbriae are hair-like appendages found on the surface of bacteria that enable attachment to host cells. This attachment is crucial for establishing infection. Flagella (A) are used for movement, not attachment. Capsules (C) provide protection and help evade the host immune system, but do not directly facilitate attachment. Endospores (D) are dormant structures for survival, not for attachment to host cells. Fimbriae specifically aid in adherence to host cells, making them the correct choice in this context.