Nokea
Infectious disease' is:
- A. Clinical term
- B. A term expressing the possibility of developing certain symptoms in an infection
- C. A+B
- D. No correct answer
Correct Answer: C
Rationale: The correct answer is C because "Infectious disease" is a combination of both a clinical term (A) and a term expressing the possibility of developing certain symptoms in an infection (B). Infectious diseases are illnesses caused by pathogenic microorganisms, such as bacteria, viruses, parasites, or fungi, that can spread directly or indirectly from person to person. Therefore, the term encompasses both the clinical aspect of the disease and the potential symptoms that may manifest in an infected individual. Choices A and B alone do not fully capture the comprehensive definition of infectious disease, making C the correct answer. Choice D is incorrect as there is a correct answer in this case.
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In an agar slant, bacterial colonies that appear separate or semiconfluent are referred to as:
- A. filiform
- B. echinulate
- C. beaded
- D. effuse
Correct Answer: C
Rationale: The correct answer is C: beaded. In an agar slant, beaded colonies appear as separate or semiconfluent, forming small, round colonies with gaps between them. This term accurately describes the appearance of the colonies in this context.
A: Filiform colonies are dense and opaque with smooth edges, not separate or semiconfluent.
B: Echinulate colonies have spiny projections, not the characteristic of separate or semiconfluent growth.
D: Effuse colonies spread out extensively and lack defined borders, unlike the distinct appearance of separate or semiconfluent colonies.
A patient has wound abscess. Bacteriological examination of the wound content revealed a gram- negative bacillus which forms semi-transparent mucous colonies of blue-green color with a pearlescent appearance on the beef-extract agar. Culture has a specific odor of violets or jasmine. What type of pathogen was isolated from the patient's wound?
- A. P. aeruginosa
- B. P. vulgaris
- C. S. aureus
- D. S. pyogenes
Correct Answer: A
Rationale: Step 1: Gram-negative bacillus indicates P. aeruginosa, known for causing wound infections.
Step 2: Semi-transparent mucous colonies of blue-green color with a pearlescent appearance are characteristic of P. aeruginosa.
Step 3: Specific odor of violets or jasmine is a unique feature of P. aeruginosa.
Therefore, the correct answer is A: P. aeruginosa.
Summary:
- B: P. vulgaris typically forms yellow colonies and doesn't have the characteristic odor.
- C: S. aureus forms creamy white colonies, not blue-green, and has a distinct odor.
- D: S. pyogenes forms grayish-white colonies and doesn't have the unique characteristics described.
Which of the following bacteria is responsible for causing bacterial meningitis?
- A. Neisseria meningitidis
- B. Haemophilus influenzae
- C. Streptococcus pneumoniae
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because all three bacteria (Neisseria meningitidis, Haemophilus influenzae, and Streptococcus pneumoniae) can cause bacterial meningitis. Neisseria meningitidis is a common cause of meningococcal meningitis, Haemophilus influenzae can cause H. influenzae meningitis, and Streptococcus pneumoniae is a leading cause of pneumococcal meningitis. Therefore, all of the above choices are correct. The other choices are incorrect because each of the bacteria listed can independently cause bacterial meningitis, so none of them alone can be the sole correct answer.
Babesiosis is a vector-borne, malaria-like illness caused by a:
- A. bacterium
- B. virus
- C. helminth
- D. protozoan
Correct Answer: D
Rationale: The correct answer is D: protozoan. Babesiosis is caused by a protozoan parasite called Babesia. Protozoans are single-celled organisms that can cause various diseases in humans. Babesiosis is transmitted to humans through the bite of infected ticks. Bacteria (choice A), viruses (choice B), and helminths (choice C) are not responsible for causing babesiosis. Bacteria are typically responsible for diseases like Lyme disease, viruses for illnesses like Zika, and helminths for infections such as parasitic worms. Thus, the correct choice for the causative agent of babesiosis is a protozoan.
Infections of Legionella pneumophila are treated with:
- A. Penicillins and cephalosporins
- B. Ethambutol and isoniazid
- C. Macrolides or fluoroquinolones
- D. Second and third generation cephalosporins
Correct Answer: C
Rationale: The correct answer is C: Macrolides or fluoroquinolones. Legionella pneumophila is a bacterium that causes Legionnaires' disease, a severe form of pneumonia. Macrolides (like azithromycin) and fluoroquinolones (like levofloxacin) are the recommended first-line treatments due to their ability to penetrate into lung tissues where Legionella infects. Penicillins and cephalosporins (choice A) are not effective against Legionella as it is intracellular and resistant to these antibiotics. Ethambutol and isoniazid (choice B) are used to treat tuberculosis, not Legionella infections. Second and third generation cephalosporins (choice D) are also not effective against Legionella. Therefore, the best choice for treating Legionella pneumophila infections is macrolides or fluoroquinolones.