Nokea
The class of immunoglobulins most abundant in body is:
- A. IgG
- B. IgE
- C. IgD
- D. IgM
Correct Answer: A
Rationale: The correct answer is A: IgG. IgG is the most abundant class of immunoglobulins in the body, constituting about 75% of total immunoglobulins. IgG plays a crucial role in long-term immunity, neutralizing toxins, and enhancing phagocytosis. IgE is involved in allergic reactions, IgD is mainly found on B cells and functions as a receptor, and IgM is the first antibody produced in response to an infection but is less abundant compared to IgG. Therefore, IgG is the correct choice based on its abundance and diverse functions in the immune system.
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Which of the following bacteria is responsible for causing gonorrhea?
- A. Chlamydia trachomatis
- B. Neisseria gonorrhoeae
- C. Treponema pallidum
- D. Escherichia coli
Correct Answer: B
Rationale: The correct answer is B: Neisseria gonorrhoeae. This bacterium is responsible for causing gonorrhea. Neisseria gonorrhoeae is a sexually transmitted bacterium that infects the mucous membranes of the reproductive tract. It is known for causing symptoms such as painful urination and discharge. Chlamydia trachomatis (choice A) is another sexually transmitted bacterium but is not responsible for gonorrhea. Treponema pallidum (choice C) causes syphilis, not gonorrhea. Escherichia coli (choice D) is a common bacterium found in the gut and is not associated with causing gonorrhea. Therefore, Neisseria gonorrhoeae is the correct answer for this question.
A 47-year-old patient came to see a doctor on the 7th day of disease. The disease developed very fast: after the chill body temperature rose to 40oC and lasted up to 7 hours, then dropped abruptly, which caused profuse sweat. There were three such attacks occur in once in two days. Two days ago the patient arrived from Africa. Objectively: pale skin, subicteric sclera, significantly enlarged liver and spleen. What is the cause of fever attacks in this disease?
- A. Erythrocytic schizogony
- B. Tissue schizogony
- C. Exotoxin of a causative agent
- D. Gametocytes
Correct Answer: A
Rationale: The correct answer is A: Erythrocytic schizogony. In this case, the patient most likely has malaria, specifically caused by Plasmodium falciparum. The fever attacks every 2 days (tertian fever) are characteristic of P. falciparum infection. The cycle of erythrocytic schizogony in P. falciparum is around 48 hours, leading to the recurring fever pattern. Choices B, C, and D are incorrect as tissue schizogony does not cause the characteristic fever pattern, exotoxins are not typically involved in malaria fever, and gametocytes do not directly cause fever attacks.
A patient working at a pig farm complains about paroxysmal abdominal pain, liquid feces with admixtures of mucus and blood, headache, weakness, fever. Examination of large intestine revealed ulcers from 1 mm up to several cm large, feces contained oval unicellular organisms with cilia. What disease should be suspected?
- A. Balantidiasis
- B. Amebiasis
- C. Toxoplasmosis
- D. Lambliasis
Correct Answer: A
Rationale: Rationale: The symptoms described are consistent with Balantidiasis, caused by the parasite Balantidium coli. The presence of ciliated oval organisms in the feces is characteristic of this disease. Ulcers in the large intestine are common in Balantidiasis due to tissue invasion by the parasite. Headache, fever, and abdominal pain are typical symptoms. Other choices can be ruled out: B) Amebiasis presents with similar symptoms but usually involves the liver. C) Toxoplasmosis typically presents with lymphadenopathy and flu-like symptoms. D) Lambliasis usually causes watery diarrhea without blood or mucus. Therefore, the correct answer is A: Balantidiasis.
Enriched growth media:
- A. Belong to the minimal media and inhibit the development of gram+ cocci
- B. Support the development of the target bacteria groups without suppressing the growth of other microorganisms
- C. Are intended for the cultivation of only one microbial species
- D. Support the development of target bacteria groups and suppress the development of other microorganisms
Correct Answer: B
Rationale: The correct answer is B because enriched growth media provide essential nutrients that support the growth of target bacteria groups without inhibiting the growth of other microorganisms. This allows for the selective cultivation of specific microbes while still allowing for the growth of other organisms present in the sample. Choice A is incorrect because enriched media do not belong to minimal media and do not inhibit the development of gram+ cocci. Choice C is incorrect because enriched media can support the growth of multiple microbial species. Choice D is incorrect because enriched media do not suppress the development of other microorganisms but rather provide nutrients to support their growth alongside the target bacteria groups.
Bacteriology testing is one of the methods for laboratory diagnostics of diphtheria. To grow the
- A. diphtheriae, it is necessary to know the proper conditions for causative agent cultivation. What nutrient media are optimal for Corynebacterium diphtheriae cultivation?
- B. Sugar meat pepton broth, sugar meat pepton agar
- C. Salt egg yolk agar
- D. Endomedium, Ploskirev medium
Correct Answer: B
Rationale: The correct answer is B: Sugar meat pepton broth, sugar meat pepton agar. These nutrient media are optimal for Corynebacterium diphtheriae cultivation due to their ability to support the growth of this bacterium. Sugar meat pepton broth provides a liquid medium with essential nutrients, while sugar meat pepton agar provides a solid surface for bacterial growth and isolation.
Incorrect choices:
A: Diphtheriae does not require specific conditions for cultivation.
C: Salt egg yolk agar is not commonly used for Corynebacterium diphtheriae.
D: Endomedium and Ploskirev medium are not standard media for diphtheria testing.