Nokea
All of the following infections may recur during pregnancy except:
- A. Epstein-Barr virus infections
- B. herpes simplex virus infections
- C. streptococcal infections
- D. polyomavirus infections
Correct Answer: D
Rationale: The correct answer is D: polyomavirus infections. Polyomavirus infections do not typically recur during pregnancy because once the virus infects the body, it remains latent without causing recurrent infections. In contrast, choices A, B, and C can recur during pregnancy due to their ability to reactivate from latency or reinfect the host. Epstein-Barr virus infections (choice A) can lead to infectious mononucleosis, herpes simplex virus infections (choice B) can cause recurrent genital or oral herpes outbreaks, and streptococcal infections (choice C) can result in recurrent throat or skin infections.
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Which bacteria is known for producing an exotoxin that causes severe diarrhea?
- A. Vibrio cholerae
- B. Clostridium botulinum
- C. Streptococcus pyogenes
- D. Salmonella enterica
Correct Answer: A
Rationale: Rationale: Vibrio cholerae produces the exotoxin responsible for severe diarrhea. It causes cholera by disrupting the normal functioning of the intestines. Clostridium botulinum causes botulism, not diarrhea. Streptococcus pyogenes causes strep throat and skin infections. Salmonella enterica causes food poisoning, not severe diarrhea. Therefore, the correct answer is A.
The protozoan that lacks a cyst stage and therefore must be transferred quickly from host to host is:
- A. Molds
- B. Protozoans
- C. Helminths
- D. Viruses
Correct Answer: B
Rationale: The correct answer is B: Protozoans. Protozoans lack a cyst stage, which is a protective, dormant stage that allows them to survive in harsh conditions outside the host. Without a cyst stage, protozoans must be transferred quickly between hosts to avoid exposure to unfavorable environments. Molds (A) are fungi that reproduce through spores and do not have a cyst stage like protozoans. Helminths (C) are parasitic worms that have complex life cycles involving different hosts but do not rely on a cyst stage for survival. Viruses (D) are not considered protozoans and do not have a cyst stage, but they are not classified as protozoans.
Examination of a child revealed some whitish spots looking like coagulated milk on the mucous membrane of his cheeks and tongue. Analysis of smears revealed gram-positive oval yeast-like cells. What causative agents are they?
- A. Candida
- B. Staphylococci
- C. Diphtheria bacillus
- D. Actinomycetes
Correct Answer: A
Rationale: The correct answer is A: Candida. The whitish spots resembling coagulated milk on the mucous membranes are characteristic of oral thrush, a condition caused by Candida species. Candida is a gram-positive oval yeast-like fungus commonly found in the oral cavity. Staphylococci (B) are gram-positive cocci, not yeast-like cells. Diphtheria bacillus (C) causes diphtheria, not oral thrush. Actinomycetes (D) are filamentous bacteria, not yeast-like cells typically seen in oral thrush. Therefore, A is the correct answer based on the clinical presentation and microscopic findings.
A patient presented with fever, malaise, and an ulcerated lesion. A Gram stain of the lesion revealed large, Gram-positive rods. What is the likely causative agent?
- A. Bacillus anthracis
- B. Clostridium perfringens
- C. Clostridium tetani
- D. Bacillus cereus
Correct Answer: A
Rationale: The correct answer is A: Bacillus anthracis. Bacillus anthracis is the likely causative agent as it is a Gram-positive rod-shaped bacterium known to cause ulcerated lesions with associated fever and malaise. Anthrax typically presents with these symptoms and fits the description given in the question. Clostridium perfringens (Choice B) causes gas gangrene and typically presents with different symptoms. Clostridium tetani (Choice C) causes tetanus and is not associated with ulcerated lesions. Bacillus cereus (Choice D) is known for causing food poisoning and does not typically present with the symptoms described in the question.
A microscope that provides a three-dimensional image of a specimen is a
- A. dark-field microscope
- B. transmission electron microscope
- C. bright-field microscope
- D. scanning electron microscope
Correct Answer: D
Rationale: The correct answer is D: scanning electron microscope. A scanning electron microscope provides a three-dimensional image of a specimen by scanning a focused electron beam across the surface of the specimen, detecting the electrons that are emitted from the surface, and creating a detailed image. This is achieved through the detection of secondary electrons, backscattered electrons, and X-rays emitted from the specimen surface.
A dark-field microscope (choice A) utilizes oblique lighting to enhance contrast and is not specifically designed to provide a 3D image. A transmission electron microscope (choice B) uses a beam of electrons transmitted through a specimen to create a 2D image at high magnification. A bright-field microscope (choice C) is a basic microscope that illuminates a specimen with uniform light and does not provide a 3D image like a scanning electron microscope does.