Nokea
Aflatoxins are produced by:
- A. Genus Cryptococcus
- B. Genus Actinomyces
- C. Genus Streptococcus
- D. Genus Aspergillus
Correct Answer: D
Rationale: The correct answer is D: Genus Aspergillus. Aflatoxins are toxic compounds produced by certain species of fungi, particularly Aspergillus species. Aspergillus flavus and Aspergillus parasiticus are well-known producers of aflatoxins. These fungi can contaminate crops such as peanuts, corn, and tree nuts, leading to potential health risks. Cryptococcus (A), Actinomyces (B), and Streptococcus (C) are not known to produce aflatoxins. It is important to be aware of the sources and implications of aflatoxin contamination to ensure food safety and public health.
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A woman gave birth to a stillborn baby with numerous malformations. What protozoan disease could cause intrauterine death?
- A. Toxoplasmosis
- B. Leishmaniasis
- C. Malaria
- D. Amebiasis
Correct Answer: A
Rationale: The correct answer is A: Toxoplasmosis. Toxoplasmosis is caused by the protozoan Toxoplasma gondii, which can be transmitted from mother to fetus during pregnancy leading to stillbirth and malformations. This parasite can cross the placenta and infect the fetus, causing severe complications. Leishmaniasis (B), Malaria (C), and Amebiasis (D) are not known to cause intrauterine death or malformations in the same way as Toxoplasmosis. Leishmaniasis is transmitted by sandflies, Malaria by mosquitoes, and Amebiasis by contaminated food or water.
The papillary layer of the skin is part of the:
- A. epidermis
- B. dermis
- C. hypodermis
- D. subcutaneous layer
Correct Answer: B
Rationale: The correct answer is B: dermis. The papillary layer is located in the dermis, specifically at the junction with the epidermis. It contains capillaries, lymphatics, and sensory receptors, contributing to the skin's strength and elasticity. The epidermis (choice A) is the outermost layer of the skin, while the hypodermis (choice C) and subcutaneous layer (choice D) are deeper layers beneath the dermis, primarily composed of fat cells and connective tissue. Therefore, the papillary layer is part of the dermis, making choice B the correct answer.
Which of the following infections are typical for the upper respiratory tract?
- A. Psittacosis
- B. Mycoplasma bronchitis
- C. Chronic atrophic rhinitis
- D. Legionnaires disease
Correct Answer: C
Rationale: The correct answer is C: Chronic atrophic rhinitis. This infection is typical for the upper respiratory tract as it affects the nasal mucosa and sinuses. It is characterized by inflammation and atrophy of the nasal mucosa. Psittacosis (A) is a zoonotic infection transmitted from birds, affecting the lungs. Mycoplasma bronchitis (B) is a lower respiratory tract infection caused by Mycoplasma pneumoniae. Legionnaires disease (D) is a severe form of pneumonia caused by Legionella bacteria. Therefore, C is the correct answer as it specifically pertains to the upper respiratory tract.
Agglutination reaction is one of the following
- A. Ascoli ring test
- B. Western blot
- C. ELISA
- D. Reaction type Gruber
Correct Answer: A
Rationale: The correct answer is A: Ascoli ring test. Agglutination reaction in the Ascoli ring test is characterized by the formation of a visible ring at the interface of antigen and antibody. This reaction specifically tests for the presence of specific antibodies against antigens in serum, indicating a recent or current infection. The other options, Western blot, ELISA, and Reaction type Gruber, do not involve the agglutination reaction. Western blot and ELISA are immunoassay techniques that detect specific antibodies or antigens, while Reaction type Gruber is not a recognized method in immunology. Therefore, the Ascoli ring test is the correct choice for a test involving agglutination reaction.
A 22-year-old patient is a clerk. His working day runs in a conditioned room. In summer he was taken by an acute disease with the following symptoms: fever, dyspnea, dry cough, pleural pain, myalgia, arthralgia. Objectively: moist rales on the right, pleural friction rub. X-ray picture showed infiltration of the inferior lobe. In blood: WBC - 11 · 109/l, stab neutrophils - 6%, segmented neutrophils - 70%, lymphocytes - 8%, ESR - 42 mm/h. What is the etiological factor pneumonia?
- A. Legionella
- B. Mycoplasma
- C. Streptococcus
- D. Staphylococcus
Correct Answer: C
Rationale: The correct answer is C: Streptococcus. Streptococcus pneumoniae is the most common etiological factor for community-acquired pneumonia in young adults. The symptoms described align with typical pneumococcal pneumonia presentation. Presence of pleural friction rub and infiltration in the X-ray support the diagnosis. The blood work showing elevated WBC count with a left shift (increased neutrophils and low lymphocytes) and elevated ESR is consistent with a bacterial infection. Legionella and Mycoplasma typically present with atypical pneumonia symptoms such as headache, confusion, and GI symptoms, which are not described in the case. Staphylococcus pneumonia is not a common cause of community-acquired pneumonia in young adults.