Nokea
Many peptic ulcers are due to:
- A. Salmonella typhi
- B. Helicobacter pylori
- C. Shigella boydii
- D. Salmonella enterica
Correct Answer: B
Rationale: The correct answer is B, Helicobacter pylori. This bacterium is the main cause of peptic ulcers by damaging the protective lining of the stomach and duodenum. It secretes enzymes that weaken the mucosal barrier, allowing stomach acid to cause damage. Salmonella typhi (A) causes typhoid fever, not peptic ulcers. Shigella boydii (C) causes dysentery, not peptic ulcers. Salmonella enterica (D) causes food poisoning, not peptic ulcers. Therefore, the correct answer is B based on its direct association with peptic ulcer formation.
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What type of immune reaction is most common in identification of vibrio cholerae
- A. Agglutination
- B. Precipitation
- C. Western blot
- D. ELISA
Correct Answer: A
Rationale: The correct answer is A: Agglutination. Agglutination is commonly used to identify Vibrio cholerae by clumping together the bacteria with specific antibodies. This reaction occurs when antibodies bind to antigens on the bacterial surface, leading to visible clumps. In contrast, Precipitation, Western blot, and ELISA are not typically used to identify Vibrio cholerae. Precipitation involves antigen-antibody complexes becoming insoluble, Western blot is used for protein detection, and ELISA is commonly used for detecting specific antigens or antibodies in a sample. Agglutination is the most appropriate choice for identifying Vibrio cholerae due to its specific interaction with the bacteria's surface antigens.
A patient with a sore throat and fever had a throat culture revealing Gram-positive cocci in chains. The bacteria were catalase-negative. What is the most likely causative agent?
- A. Streptococcus pyogenes
- B. Staphylococcus aureus
- C. Enterococcus faecalis
- D. Micrococcus luteus
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pyogenes. This bacterium fits the description of Gram-positive cocci in chains and is catalase-negative. S. pyogenes commonly causes sore throat (pharyngitis) and fever, making it the most likely causative agent in this scenario. Staphylococcus aureus (B) is catalase-positive and is not typically associated with pharyngitis. Enterococcus faecalis (C) is not typically found in chains and is rarely a cause of acute pharyngitis. Micrococcus luteus (D) is not typically associated with pharyngitis and is catalase-positive.
Gram (-) bacteria have basal structure consisting of:
- A. 20-25% of all materials building the cell wall
- B. 1-4% of all materials building the cell wall
- C. 4-10% of all materials building the cell wall
- D. 10-20% of all materials building the cell wall
Correct Answer: C
Rationale: The correct answer is C: 4-10% of all materials building the cell wall. Gram (-) bacteria have a thin peptidoglycan layer making up 4-10% of the cell wall. This is in contrast to Gram (+) bacteria which have a thicker peptidoglycan layer. Choice A is too high a percentage for Gram (-) bacteria. Choice B is too low as it would not provide enough structural support. Choice D is also too high and would not accurately reflect the composition of Gram (-) bacteria.
What are the two main targets currently used in anti-HIV therapy?
- A. Reverse transcriptase and something integrase
- B. Reverse transcriptase and protease
- C. Protease and integrase
- D. Viral glycoproteins gp120 and gp41
Correct Answer: B
Rationale: The correct answer is B: Reverse transcriptase and protease. Reverse transcriptase converts viral RNA into DNA, a crucial step in viral replication. Protease is responsible for cleaving viral polyproteins into functional proteins. Targeting both enzymes disrupts viral replication. Choice A is incorrect as integrase is not a main target in current therapy. Choice C is incorrect because protease is targeted along with reverse transcriptase, not integrase. Choice D is incorrect as targeting viral glycoproteins is not a main strategy in anti-HIV therapy.
Which bacterium is known as a common cause of hospital-acquired infections?
- A. Clostridium botulinum
- B. Staphylococcus aureus
- C. Treponema pallidum
- D. Mycobacterium leprae
Correct Answer: B
Rationale: The correct answer is B: Staphylococcus aureus. This bacterium is known as a common cause of hospital-acquired infections due to its ability to colonize the skin and mucous membranes of healthcare workers and patients. Staphylococcus aureus can cause various infections, including surgical site infections and bloodstream infections, in healthcare settings.
Rationale:
1. Clostridium botulinum is known for causing foodborne botulism, not hospital-acquired infections.
2. Treponema pallidum causes syphilis, which is primarily transmitted through sexual contact, not hospital settings.
3. Mycobacterium leprae causes leprosy, which is not commonly associated with hospital-acquired infections.
In summary, Staphylococcus aureus is the correct answer as it is a common cause of hospital-acquired infections due to its prevalence in healthcare environments, unlike the other choices which are not typically associated with hospital-acquired infections.