Nokea
The drug most often used in fighting protozoan infections of the reproductive system is:
- A. ampicillin
- B. tetracycline
- C. ciprofloxacin
- D. metronidazole
Correct Answer: D
Rationale: The correct answer is D: metronidazole. Metronidazole is specifically effective against protozoan infections due to its ability to target and disrupt the DNA of the parasites. It is commonly used to treat infections such as trichomoniasis and giardiasis that affect the reproductive system. Ampicillin (A) and tetracycline (B) are antibiotics that target bacteria, not protozoa. Ciprofloxacin (C) is also an antibiotic that is effective against certain bacterial infections but not protozoan infections. Therefore, metronidazole is the most appropriate choice for fighting protozoan infections of the reproductive system.
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A relationship in which two organisms benefit is referred to as __________.
- A. commensalism
- B. mutualism
- C. parasitism
- D. competition
Correct Answer: B
Rationale: The correct answer is B: mutualism. In mutualism, both organisms benefit from the relationship. This is because they provide each other with resources or services that help both parties. In contrast, commensalism (A) is a relationship where one organism benefits while the other is neither helped nor harmed. Parasitism (C) is a relationship where one organism benefits at the expense of the other. Competition (D) is a relationship where both organisms are negatively affected as they compete for limited resources. Therefore, mutualism is the correct answer as it describes a mutually beneficial relationship between two organisms.
The term bacilli is related to:
- A. Bacteria that obtain red color in gram staining
- B. Spore-forming bacteria
- C. Those having a peptidoglycan up to 1-2%
- D. None of the above
Correct Answer: B
Rationale: The term bacilli refers to rod-shaped bacteria, typically found in the Gram-positive group. Spore-forming bacteria, such as Bacillus and Clostridium, are characterized by their rod shape. Choice A is incorrect as the color in Gram staining does not define bacilli. Choice C is incorrect as peptidoglycan content does not determine the classification of bacilli. Choice D is incorrect as bacilli do have a specific characteristic. Therefore, the correct answer is B due to the shape and characteristic of spore-forming bacteria.
Which of the following organelles contain oxidative enzymes capable of oxidizing toxic substances?
- A. peroxisomes
- B. lysosomes
- C. lysosomes
- D. peroxisomes
Correct Answer: D
Rationale: The correct answer is D: peroxisomes. Peroxisomes contain oxidative enzymes, such as catalase and peroxidase, that are capable of oxidizing toxic substances. These enzymes help detoxify harmful molecules by breaking them down into harmless products. Lysosomes (choices B and C) contain hydrolytic enzymes for breaking down cellular waste, not oxidative enzymes. Therefore, the correct choice is peroxisomes due to their specific function in detoxification through oxidation reactions.
Cytomegalovirus infections are caused by the human herpesvirus:
- A. 2
- B. 3
- C. 4
- D. 5
Correct Answer: D
Rationale: The correct answer is D because Cytomegalovirus infections are caused by human herpesvirus 5, also known as Human Herpesvirus 5 (HHV-5) or Cytomegalovirus (CMV). This virus belongs to the Herpesviridae family, genus Betaherpesvirinae. Options A, B, and C are incorrect as they do not correspond to the specific virus responsible for causing Cytomegalovirus infections.
A 33 year old patient was delivered to the infectious diseases department on the 7-th day of disease. He complained about great weakness, high temperature, pain in the lumbar area and leg muscles, icteritiousness, dark color of urine, headache. The acute disease started with chill, body temperature rise up to 40oC, headache, pain in the lumbar area and sural muscles. Icterus turned up on the 4th day, nasal and scleral haemorrhages came on the 5th day. Fever has lasted for 6 days. Diuresis - 200 ml. What is the most probable diagnosis?
- A. Leptospirosis
- B. Typhoid fever
- C. Virus A hepatitis
- D. Sepsis
Correct Answer: A
Rationale: The most probable diagnosis is Leptospirosis. The symptoms described align with the classic presentation of Leptospirosis, such as fever, muscle pain, headache, jaundice, and hemorrhages. The initial symptoms of chills, high fever, and muscle pain followed by jaundice and hemorrhages are characteristic of Leptospirosis. The presence of dark urine and low diuresis also point towards kidney involvement, which is common in Leptospirosis due to renal failure. Additionally, the patient's history of potential exposure to contaminated water or soil supports the diagnosis, as Leptospirosis is commonly transmitted through contact with infected animal urine.
Summary of other choices:
- Typhoid fever typically presents with sustained fever, abdominal pain, and constipation, not matching the symptoms described.
- Virus A hepatitis usually presents with jaundice, but other symptoms such as muscle pain and hemorrhages are not typical.
- Sepsis is a systemic response