Nokea
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.
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Infectious mononucleosis most often occurs in:
- A. infants
- B. adolescents
- C. young adults
- D. the elderly
Correct Answer: B
Rationale: The correct answer is B: adolescents. Infectious mononucleosis is commonly caused by the Epstein-Barr virus, which is transmitted through saliva. Adolescents are more likely to engage in activities like kissing and sharing drinks, increasing the chances of virus transmission. Infants have maternal antibodies for protection, young adults may have developed immunity, and the elderly have had more exposure to the virus and may have built immunity over time.
Which bacteria is commonly associated with hospital-acquired infections?
- A. Escherichia coli
- B. Clostridium difficile
- C. Staphylococcus aureus
- D. Bacillus anthracis
Correct Answer: C
Rationale: The correct answer is C: Staphylococcus aureus. This bacterium is commonly associated with hospital-acquired infections due to its ability to cause a wide range of infections and its resistance to multiple antibiotics. Staphylococcus aureus can cause skin infections, pneumonia, bloodstream infections, and surgical site infections, making it a significant threat in healthcare settings. Escherichia coli (choice A) is more commonly associated with foodborne illnesses. Clostridium difficile (choice B) is known for causing antibiotic-associated diarrhea. Bacillus anthracis (choice D) is primarily associated with anthrax infections, which are not typically acquired in hospital settings.
A wound smear revealed Gram-negative rods producing blue-green pigment. The bacteria had a fruity odor. What is the causative agent?
- A. Pseudomonas aeruginosa
- B. Escherichia coli
- C. Klebsiella pneumoniae
- D. Proteus mirabilis
Correct Answer: A
Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is known to produce a blue-green pigment called pyocyanin, which is characteristic of the organism. Additionally, it has a distinct fruity odor due to the production of certain volatile compounds. Escherichia coli (B) does not produce blue-green pigment or have a fruity odor. Klebsiella pneumoniae (C) and Proteus mirabilis (D) also do not exhibit these specific characteristics associated with Pseudomonas aeruginosa.
In which of the following disease, the respiratory tract is infected:
- A. Tuberculosis
- B. Q-fever
- C. Legionnaires disease
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Tuberculosis, Q-fever, and Legionnaires disease all can infect the respiratory tract. Tuberculosis is a bacterial infection affecting the lungs, Q-fever is caused by a bacterium that primarily affects the lungs, and Legionnaires disease is a severe form of pneumonia. All three diseases specifically target the respiratory system, making them the correct choices. Choices A, B, and C are incorrect because each of them individually infects the respiratory tract, not just one or two of them.
All of the following are ways the kidney are used for urine formation and drug clearance except:
- A. Filtration
- B. Tubular secretion
- C. Tubular filtration
- D. Tubular reabsorption
Correct Answer: C
Rationale: The correct answer is C: Tubular filtration. The kidney does not perform tubular filtration as a method for urine formation and drug clearance. The process of urine formation involves filtration, secretion, and reabsorption. Filtration occurs at the glomerulus, where blood is filtered to form the initial filtrate. Tubular secretion involves the active transport of substances from the blood into the renal tubules to be eliminated in urine. Tubular reabsorption is the process of reclaiming useful substances from the filtrate back into the blood. Therefore, tubular filtration is not a valid process in urine formation and drug clearance, making it the correct answer. Choices A, B, and D are incorrect as they are essential processes in urine formation and drug clearance.