Nokea
All are correct except:
- A. Spotted fevers can be caused by Rickettsia mooseri and Rickettsia provazekii
- B. The Q-fever is transmitted only after ticks bite
- C. The Mediterranean fever is present with maculopapular rash
- D. None of the above
Correct Answer: B
Rationale: The correct answer is B because Q-fever is not transmitted only after ticks bite; it can also be transmitted through inhalation of contaminated aerosols. Rickettsia mooseri and Rickettsia provazekii can cause spotted fevers, making choice A correct. Mediterranean fever is associated with a recurrent pattern of fever, not maculopapular rash, making choice C incorrect. "None of the above" is not correct in this case as choice B is incorrect.
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Prophylaxis of smallpox and revaccination is performed:
- A. Every year after the first vaccine
- B. Every second year
- C. Every three years
- D. No revaccination is needed, just the initial vaccine is enough
Correct Answer: D
Rationale: The correct answer is D because smallpox vaccination provides long-lasting immunity, often for a lifetime. Revaccination is not necessary as the initial vaccine confers sufficient protection. Choice A is incorrect because yearly revaccination is unnecessary and excessive. Choice B and C are also incorrect as there is no need for revaccination every second or third year. The key is to understand that smallpox vaccination typically provides lifelong immunity, making ongoing revaccination unnecessary.
Which strain E. coli can cause bloody diarrhea in children similar to shigellosis
- A. ETEC
- B. EIEC
- C. EAEC
- D. EPEC
Correct Answer: B
Rationale: The correct answer is B: EIEC. This strain of E. coli can cause bloody diarrhea in children similar to shigellosis due to its ability to invade and replicate within the intestinal epithelial cells, leading to inflammation and bloody stools. ETEC (A) causes watery diarrhea due to enterotoxins. EAEC (C) causes persistent diarrhea. EPEC (D) causes attaching and effacing lesions on the intestinal mucosa without invasion.
An 18-year-old patient has enlarged inguinal lymph nodes, they are painless, thickened on palpation. In the area of genital mucous membrane there is a small-sized ulcer with thickened edges and "laquer"bottom of greyish colour. What is the most probable diagnosis?
- A. Syphilis
- B. Tuberculosis
- C. Lepra
- D. Trophic ulcer
Correct Answer: A
Rationale: The correct answer is A: Syphilis. The presentation of painless inguinal lymph nodes, along with a small-sized ulcer with thickened edges and a "laquer" bottom of greyish color on the genital mucous membrane, is classic for primary syphilis. The painless nature of the lymph nodes and the specific characteristics of the ulcer are key features of syphilitic infection. Primary syphilis is caused by the bacterium Treponema pallidum and typically presents with a single, painless ulcer known as a chancre. It is important to consider syphilis in the differential diagnosis of genital ulcers.
Summary of other choices:
B: Tuberculosis - Unlikely, as tuberculosis typically presents with pulmonary symptoms and does not cause genital ulcers.
C: Lepra - Unlikely, as leprosy does not typically present with painless inguinal lymph nodes and the specific ulcer characteristics described.
D: Trophic ulcer - Unlikely
Elementary and reticular bodies are morphological?
- A. Mycoplasma genitalium
- B. Chlamydia trachomatis
- C. Rickettsia prowazekii
- D. None of the above
Correct Answer: B
Rationale: The correct answer is B: Chlamydia trachomatis. Elementary bodies (EBs) and reticular bodies (RBs) are two distinct forms of Chlamydia trachomatis, a bacterium causing various infections. EBs are the infectious form, while RBs are the replicative form within host cells. Mycoplasma genitalium (choice A) lacks a cell wall and does not have these specific morphological forms. Rickettsia prowazekii (choice C) is an obligate intracellular bacterium but does not exhibit the elementary and reticular body forms characteristic of Chlamydia trachomatis. Therefore, the correct answer is B, as only Chlamydia trachomatis exhibits the elementary and reticular bodies.
The phagocytosis is:
- A. Killing of bacterial cells with bactericidal antibiotics
- B. Blocking of key bacterial enzymes
- C. Active engulf and destruction of microorganisms by some host cells
- D. There is no correct answer
Correct Answer: C
Rationale: The correct answer is C because phagocytosis refers to the process where certain host cells engulf and destroy microorganisms. This is an essential mechanism of the immune system to eliminate pathogens. Choice A is incorrect because phagocytosis does not involve the use of antibiotics. Choice B is incorrect as it describes a different mechanism of action against bacteria. Choice D is incorrect because phagocytosis is a well-established biological process.