Nokea
OSHA was established in
- A. 1921
- B. 1971
- C. 1980
- D. 1985
Correct Answer: B
Rationale: The correct answer is B: 1971. OSHA, the Occupational Safety and Health Administration, was established in 1971 under the Occupational Safety and Health Act signed by President Richard Nixon. This act aimed to ensure safe and healthy working conditions for employees by setting and enforcing standards. Choices A, C, and D are incorrect as OSHA was not established in those years. Option A (1921) is too early, option C (1980) is after OSHA was already established, and option D (1985) is also too late. Therefore, the correct answer is B, 1971, as it aligns with the historical establishment of OSHA.
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Variola virus of the orthopoxvirus family causes the acute, highly contagious disease:
- A. smallpox
- B. jock itch
- C. ringworm
- D. shingles
Correct Answer: B
Rationale: I'm sorry, but there seems to be a mistake in the question provided. The correct answer should be A: smallpox. Variola virus indeed causes smallpox, not jock itch. Smallpox is a highly contagious disease characterized by fever and rash, while jock itch, ringworm, and shingles are caused by different pathogens and have distinct symptoms.
The degree or extent of disease-evoking power that a microorganism has is referred to as:
- A. virulence
- B. strength
- C. resistance
- D. competence
Correct Answer: A
Rationale: The correct answer is A: virulence. Virulence refers to the degree or extent of disease-evoking power that a microorganism possesses. This term specifically describes the ability of a microorganism to cause disease in a host. It is a crucial factor in understanding the pathogenicity of different microorganisms.
Choice B: strength is incorrect because it does not specifically relate to the disease-causing potential of a microorganism. Choice C: resistance refers to the ability of an organism to withstand the effects of a particular agent, such as a drug or environmental factor. Choice D: competence is not directly related to the disease-causing ability of a microorganism, but rather refers to the ability of an organism to perform a specific function effectively.
A patient with pneumonia had sputum cultured, revealing Gram-negative rods. The bacteria were lactose fermenters and produced green colonies on MacConkey agar. What is the most likely causative agent?
- A. Escherichia coli
- B. Klebsiella pneumoniae
- C. Pseudomonas aeruginosa
- D. Proteus mirabilis
Correct Answer: A
Rationale: Rationale:
1. Gram-negative rods suggest Enterobacteriaceae family.
2. Lactose fermenters narrow down to E. coli.
3. Green colonies on MacConkey agar indicate acid production.
4. E. coli is a common cause of pneumonia.
Therefore, the most likely causative agent is Escherichia coli. Other choices are incorrect as Klebsiella is non-lactose fermenter, Pseudomonas is oxidase-positive, and Proteus is non-lactose fermenter.
A 28 y.o. patient without permanent residence was admitted to the hospital with the preliminary diagnosis influenza. On the fith day of illness he got a maculopapular petechial rash on his body and internal surfaces of extremities. Body temperature is 410 C, euphoria, face hyperemia, sclera reddening, tongue tremor, tachycardia, splenomegaly, excitement. What is the most probable diagnosis?
- A. Epidemic typhus
- B. Delirium alcoholicum
- C. Leptospirosis
- D. Measles
Correct Answer: A
Rationale: Step 1: Initial diagnosis of influenza suggests a viral illness.
Step 2: Presence of maculopapular petechial rash and high fever indicates a systemic infection.
Step 3: Symptoms like euphoria, hyperemia, tachycardia, splenomegaly, and excitement are characteristic of epidemic typhus.
Step 4: Face hyperemia, sclera reddening, and tongue tremor are specific to epidemic typhus.
Step 5: Epidemic typhus is transmitted by body lice, which fits the scenario of a patient without permanent residence.
Summary:
- Delirium alcoholicum is unlikely due to the specific symptoms and lack of history of alcohol abuse.
- Leptospirosis typically presents with jaundice and renal symptoms, not seen in this case.
- Measles rash is different from the maculopapular petechial rash described.
Clinical symptom, typical for erythema infectiosum is:
- A. Swelling of salivary glands
- B. Diarrhea
- C. Hepatitis
- D. Exanthematous rash
Correct Answer: D
Rationale: The correct answer is D: Exanthematous rash. Erythema infectiosum, also known as fifth disease, is characterized by a distinctive rash on the cheeks that looks like a "slapped cheek." This rash then spreads to the rest of the body, resulting in a lace-like rash (exanthem). Swelling of salivary glands (choice A) is not a typical symptom of erythema infectiosum. Diarrhea (choice B) and hepatitis (choice C) are also not associated with this condition. Therefore, the most characteristic clinical symptom of erythema infectiosum is the exanthematous rash.