Nokea
In which of the following cases of immune reactions a large lattice is formed?
- A. Antibody is in excess
- B. Antigens and antibodies are in optimal proportion
- C. Antigen is in excess
- D. None of the above
Correct Answer: B
Rationale: The correct answer is B because in immune reactions, a large lattice is formed when antigens and antibodies are in optimal proportion. This optimal ratio allows for the formation of a strong antigen-antibody complex, leading to the aggregation of immune complexes into large lattice structures. When antibodies are in excess (choice A), there may not be enough antigens to form a stable lattice. Similarly, when antigens are in excess (choice C), there may be insufficient antibodies to form a strong lattice. Choice D is incorrect because the optimal proportion of antigens and antibodies is crucial for the formation of large lattices in immune reactions.
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A toxic, odorless gas often used as a sterilizing agent in hospitals and dental officials is
- A. ethylene oxide.
- B. carbon dioxide.
- C. carbon monoxide.
- D. propane.
Correct Answer: A
Rationale: The correct answer is A: ethylene oxide. Ethylene oxide is a toxic, odorless gas commonly used as a sterilizing agent in healthcare settings due to its ability to effectively kill bacteria, viruses, and fungi. It is a highly reactive compound that can penetrate porous materials, making it an ideal choice for sterilization purposes.
Incorrect choices:
B: Carbon dioxide is not used as a sterilizing agent and is not toxic.
C: Carbon monoxide is not commonly used for sterilization and has a distinct odor.
D: Propane is not used for sterilization in healthcare settings and is not odorless.
Detection of galactomannan and free mannan is used for diagnosing:
- A. Aspergillosis and candidiasis
- B. HIV infection
- C. Syphilis
- D. Leptospirosis
Correct Answer: A
Rationale: The correct answer is A: Aspergillosis and candidiasis. Galactomannan is a polysaccharide found in Aspergillus cell walls and is detected in patients with invasive aspergillosis. Free mannan is a polysaccharide found in Candida cell walls and is detected in patients with candidiasis. Therefore, detection of galactomannan and free mannan is specific for diagnosing Aspergillosis and candidiasis. Choices B, C, and D are incorrect as HIV infection, syphilis, and leptospirosis do not involve the detection of galactomannan or free mannan for diagnosis.
Chitin is a component of the cell wall of:
- A. fungi
- B. bacteria
- C. viruses
- D. viruses
Correct Answer: C
Rationale: Chitin is a polysaccharide found in the cell walls of fungi. Bacteria have cell walls made of peptidoglycan, not chitin. Viruses do not have cell walls as they are acellular entities. Therefore, the correct answer is A: fungi.
A patient with a sore throat and fever had a throat culture revealing Gram-positive cocci in pairs with a capsule. What is the most likely causative agent?
- A. Streptococcus pneumoniae
- B. Staphylococcus aureus
- C. Neisseria meningitidis
- D. Klebsiella pneumoniae
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is a Gram-positive cocci that often appear in pairs and can have a capsule. It is a common cause of sore throat and fever, known as streptococcal pharyngitis. Staphylococcus aureus (B) is a Gram-positive cocci but does not typically form pairs. Neisseria meningitidis (C) is a Gram-negative diplococcus and is more associated with meningitis. Klebsiella pneumoniae (D) is a Gram-negative rod and not typically associated with sore throat and fever.
Microscopy of dental plaque revealed unicellular organisms. Their cytoplasm had two distinct layers, barely visible core, wide pseudopodia. The patient is most likely to have:
- A. Entamoeba gingivalis
- B. Entamoeba histolytica
- C. Lamblia
- D. Trichomonas tenax
Correct Answer: D
Rationale: The correct answer is D: Trichomonas tenax. Trichomonas tenax is a flagellated protozoan that is commonly found in the oral cavity, specifically in dental plaque. The description provided in the question matches the characteristics of Trichomonas tenax, such as unicellular structure, distinct layers in the cytoplasm, wide pseudopodia, and barely visible core. Entamoeba gingivalis (choice A) and Entamoeba histolytica (choice B) are amoebas, not flagellated protozoa, and they do not exhibit the characteristics described in the question. Lamblia (choice C) is also an incorrect choice as it is a different type of protozoan that does not match the description provided.