Nokea
In which of the following GIT infections, the bacteria adhere to the intestine wall and produce toxins
- A. Shigella spp.
- B. Salmonella spp.
- C. enterotoxigenic E. Coli (ETEC)
- D. Helicobacter pylori
Correct Answer: C
Rationale: The correct answer is C: enterotoxigenic E. Coli (ETEC). ETEC adheres to the intestine wall and produces toxins, leading to symptoms like diarrhea. Shigella spp. invade intestinal cells, Salmonella spp. cause inflammation, and Helicobacter pylori infects the stomach lining. This makes them incorrect choices for bacteria adhering to the intestine wall and producing toxins.
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Which bacteria is responsible for causing leprosy?
- A. Streptococcus pyogenes
- B. Mycobacterium leprae
- C. Neisseria gonorrhoeae
- D. Escherichia coli
Correct Answer: B
Rationale: The correct answer is B: Mycobacterium leprae. This bacterium is responsible for causing leprosy, also known as Hansen's disease. Mycobacterium leprae specifically targets the skin, peripheral nerves, and mucosa of the upper respiratory tract. It is an acid-fast bacterium with a slow growth rate, making it difficult to culture in the laboratory. Streptococcus pyogenes (choice A) is responsible for various infections such as strep throat, Neisseria gonorrhoeae (choice C) causes gonorrhea, and Escherichia coli (choice D) is commonly found in the gut and can lead to various infections but not leprosy.
A patient with severe pneumonia had a sputum culture revealing Gram-negative rods that are non-lactose fermenters. What is the most likely causative agent?
- A. Pseudomonas aeruginosa
- B. Escherichia coli
- C. Klebsiella pneumoniae
- D. Enterobacter cloacae
Correct Answer: A
Rationale: The correct answer is A: Pseudomonas aeruginosa. This is because Pseudomonas aeruginosa is a common Gram-negative rod that is a non-lactose fermenter and a common cause of severe pneumonia, especially in immunocompromised individuals. It is also known for its resistance to many antibiotics, making it difficult to treat.
Summary of other choices:
B: Escherichia coli is a lactose fermenter and is not commonly associated with severe pneumonia.
C: Klebsiella pneumoniae is a lactose fermenter and is more commonly associated with pneumonia in alcoholics or debilitated patients.
D: Enterobacter cloacae is a lactose fermenter and is not a common cause of severe pneumonia.
Which of the following microorganisms can cause skin infections?
- A. Candida albicans
- B. All are correct
- C. Staphylococcus aureus
- D. Streptococcus pyogenes
Correct Answer: B
Rationale: The correct answer is B: All are correct. Candida albicans can cause skin infections such as candidiasis. Staphylococcus aureus and Streptococcus pyogenes are common bacteria that can also cause skin infections. Therefore, choice B is correct as all three microorganisms listed can cause skin infections. Choices A, C, and D are incorrect because individually, each of the microorganisms listed can cause skin infections.
The complex of non-specific innate defense factors acting against number of infectious agents is known as:
- A. Adaptive immunity
- B. Immune memory
- C. Antibody
- D. Innate immunity (natural resistance)
Correct Answer: D
Rationale: The correct answer is D: Innate immunity (natural resistance). Innate immunity refers to the non-specific defense mechanisms that act against a variety of infectious agents. This includes physical barriers like skin and mucous membranes, as well as cellular components like phagocytes and natural killer cells. Adaptive immunity (A) is specific and involves the production of antibodies and immune memory (B), which are not part of the initial non-specific response. Antibodies (C) are part of the adaptive immune response and are produced in response to specific pathogens, not part of the non-specific innate defense factors.
Gram-negative bacteria have a cell wall that:
- A. contains teichoic acid
- B. is thicker than that of Gram-positive bacteria
- C. contains lipopolysaccharides
- D. is composed entirely of peptidoglycan
Correct Answer: C
Rationale: The correct answer is C, as Gram-negative bacteria have a cell wall containing lipopolysaccharides. This outer membrane structure is unique to Gram-negative bacteria and plays a critical role in pathogenicity and immune response. Teichoic acid (choice A) is found in Gram-positive bacteria. The cell wall of Gram-negative bacteria is thinner than that of Gram-positive bacteria (choice B). The cell wall of Gram-negative bacteria is not composed entirely of peptidoglycan (choice D), as it also contains other components like lipopolysaccharides.