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.
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The Baltimore classification system places viruses into __________ groups.
- A. four
- B. five
- C. seven
- D. nine
Correct Answer: C
Rationale: The Baltimore classification system categorizes viruses based on their genome type and replication strategy. It divides viruses into seven groups: Group I (dsDNA), Group II (ssDNA), Group III (dsRNA), Group IV (ssRNA(+)), Group V (ssRNA(-)), Group VI (ssRNA-RT), and Group VII (dsDNA-RT). Each group represents a distinct viral genome and replication method. Therefore, the correct answer is C. The other choices are incorrect because the Baltimore classification system specifically identifies viruses into seven groups, not four, five, or nine.
All of the statements about Rotaviruses are correct EXCEPT
- A. non-specific antiviral therapy is available
- B. Rotaviruses are ubiquitous worldwide
- C. Rotaviruses are a major cause of meningitis
- D. large amounts of viruses are released in fecal matter
Correct Answer: C
Rationale: The correct answer is C because Rotaviruses are not a major cause of meningitis; they primarily cause gastroenteritis. This is because Rotaviruses infect the gastrointestinal tract, not the central nervous system. Choice A is incorrect because there is no specific antiviral therapy for Rotaviruses. Choice B is correct as Rotaviruses are indeed widespread globally. Choice D is correct as Rotaviruses are shed in large amounts in feces, contributing to their ability to spread easily.
A 34-year-old male visited Tajikistan. After return, he complains of fever up to 40oC which occurs every second day and is accompanied by chills, sweating. Hepatosplenomegaly is present. Blood test results: RBC- 3x1012/l, b- 80 g/l, WBC- 4x109/l, eosinophils - 1%, stab neutrophils - 5%, segmented neutrophils - 60%, lymphocytes - 24%, monocytes - 10%, ESR - 25 mm/h. What is the provisional diagnosis?
- A. Malaria
- B. Infectious mononucleosis
- C. Sepsis
- D. Typhoid fever
Correct Answer: A
Rationale: The correct answer is A: Malaria. The patient's travel history to an endemic area like Tajikistan, along with symptoms of fever with chills, sweating, and hepatosplenomegaly, are classic for malaria. The blood test results show anemia (low RBC and hemoglobin levels), which can occur in malaria due to hemolysis. The presence of eosinophils and lymphocytes are not typical for malaria, but the overall clinical picture fits. Infectious mononucleosis (choice B) typically presents with sore throat, lymphadenopathy, and atypical lymphocytosis, which are not seen in this case. Sepsis (choice C) is characterized by systemic inflammatory response syndrome and organ dysfunction due to infection, which does not align with the symptoms and findings in the case. Typhoid fever (choice D) usually presents with gradual onset of sustained fever, abdominal pain, headache, and constipation, which are not present in this patient
The virus most commonly transmitted during pregnancy is:
- A. cytomegalovirus
- B. HIV
- C. herpes simplex virus
- D. Epstein-Barr virus
Correct Answer: A
Rationale: The correct answer is A: cytomegalovirus. CMV is the most common virus transmitted during pregnancy, leading to potential serious complications for the fetus. It can cause birth defects, hearing loss, and developmental delays. CMV is commonly spread through bodily fluids. HIV (B) can also be transmitted during pregnancy but is less common. Herpes simplex virus (C) can be transmitted but typically results in localized infection. Epstein-Barr virus (D) is not commonly transmitted during pregnancy.
Which of the following is a feature of Gram-negative bacteria?
- A. Thick peptidoglycan layer
- B. Outer membrane with lipopolysaccharides
- C. Presence of teichoic acids
- D. Absence of a cell wall
Correct Answer: B
Rationale: The correct answer is B: Outer membrane with lipopolysaccharides. Gram-negative bacteria have an outer membrane containing lipopolysaccharides (LPS), which are important in pathogenesis and immune response. This feature is unique to Gram-negative bacteria, distinguishing them from Gram-positive bacteria (choice A). Teichoic acids (choice C) are found in the cell walls of Gram-positive bacteria, not Gram-negative. The statement in choice D, absence of a cell wall, is incorrect as all bacteria have a cell wall, although the composition may vary between Gram-negative and Gram-positive bacteria.
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