Nokea
The phagocytosis is:
- A. Killing of bacterial cells with bactericidal antibiotics
- B. Blocking of key bacterial enzymes
- C. Active engulf and destruction of microorganisms by some host cells
- D. There is no correct answer
Correct Answer: C
Rationale: The correct answer is C because phagocytosis refers to the process where certain host cells engulf and destroy microorganisms. This is an essential mechanism of the immune system to eliminate pathogens. Choice A is incorrect because phagocytosis does not involve the use of antibiotics. Choice B is incorrect as it describes a different mechanism of action against bacteria. Choice D is incorrect because phagocytosis is a well-established biological process.
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A patient with severe pneumonia had a sputum culture revealing Gram-negative rods that are non-lactose fermenters. What is the most likely causative agent?
- A. Pseudomonas aeruginosa
- B. Escherichia coli
- C. Klebsiella pneumoniae
- D. Enterobacter cloacae
Correct Answer: A
Rationale: The correct answer is A: Pseudomonas aeruginosa. This is because Pseudomonas aeruginosa is a common Gram-negative rod that is a non-lactose fermenter and a common cause of severe pneumonia, especially in immunocompromised individuals. It is also known for its resistance to many antibiotics, making it difficult to treat.
Summary of other choices:
B: Escherichia coli is a lactose fermenter and is not commonly associated with severe pneumonia.
C: Klebsiella pneumoniae is a lactose fermenter and is more commonly associated with pneumonia in alcoholics or debilitated patients.
D: Enterobacter cloacae is a lactose fermenter and is not a common cause of severe pneumonia.
Which one is not true for the adaptive immunity:
- A. Is mainly observed in the skin and mucous membranes
- B. Develops immune memory
- C. Has a specificity
- D. Evolutionary newer in comparison to the innate immunity
Correct Answer: A
Rationale: The correct answer is A because adaptive immunity is not mainly observed in the skin and mucous membranes. Adaptive immunity is a systemic response that involves specific immune cells and antibodies targeting specific pathogens. It develops immune memory (B), meaning it can recognize and respond faster upon re-exposure to the same pathogen. Adaptive immunity also has specificity (C), as it can target specific antigens. Lastly, adaptive immunity is not evolutionarily newer in comparison to innate immunity (D), as both systems have co-evolved to provide comprehensive protection against pathogens.
Poxviruses are DNA viruses that replicate in the Cytoplasm
- A. TRUE
- B. FALSE
- C. Both answers can be correct depending on the given situation
- D. None of the above
Correct Answer: A
Rationale: The correct answer is A: TRUE. Poxviruses are indeed DNA viruses that replicate in the cytoplasm. This is due to their complex structure that allows them to carry out their replication process in the cytoplasm of the host cell. Other choices are incorrect because poxviruses specifically replicate in the cytoplasm and do not require the nucleus for replication, ruling out choice B. Choice C is incorrect because poxviruses consistently replicate in the cytoplasm regardless of the situation. Choice D is incorrect as the correct answer is A.
An 18-year-old patient has enlarged inguinal lymph nodes, they are painless, thickened on palpation. In the area of genital mucous membrane there is a small-sized ulcer with thickened edges and "laquer"bottom of greyish colour. What is the most probable diagnosis?
- A. Syphilis
- B. Tuberculosis
- C. Lepra
- D. Trophic ulcer
Correct Answer: A
Rationale: The correct answer is A: Syphilis. The presentation of painless inguinal lymph nodes, along with a small-sized ulcer with thickened edges and a "laquer" bottom of greyish color on the genital mucous membrane, is classic for primary syphilis. The painless nature of the lymph nodes and the specific characteristics of the ulcer are key features of syphilitic infection. Primary syphilis is caused by the bacterium Treponema pallidum and typically presents with a single, painless ulcer known as a chancre. It is important to consider syphilis in the differential diagnosis of genital ulcers.
Summary of other choices:
B: Tuberculosis - Unlikely, as tuberculosis typically presents with pulmonary symptoms and does not cause genital ulcers.
C: Lepra - Unlikely, as leprosy does not typically present with painless inguinal lymph nodes and the specific ulcer characteristics described.
D: Trophic ulcer - Unlikely
A 32 year old patient complains about heartburn and dull pain in the epigastrium that appear 2-3 hours after meal. Exacerbations happen in spring and in autumn. The patient has food intolerance of eggs and fish. Objectively: stomach palpation reveals painfulness in the gastroduodenal area. Electrophasoduodenoscopy revealed a 5 mm ulcer on the anterior wall of duodenum. Urease test is positive. What is the most probable leading mechanism of disease development?
- A. Helicobacterial infection
- B. Dietary allergy
- C. Autoantibody production
- D. Reduced prostaglandin synthesis
Correct Answer: A
Rationale: The correct answer is A: Helicobacterial infection. This is the most probable leading mechanism of disease development in this case because the patient's symptoms, such as heartburn, epigastric pain, food intolerance, and presence of a duodenal ulcer with a positive urease test, are classic signs of Helicobacter pylori infection. This bacterium colonizes the stomach lining, leading to inflammation and ulcer formation. The exacerbations in spring and autumn could be due to seasonal variations in immune response.
Choice B: Dietary allergy is incorrect because the symptoms and findings in the patient are more indicative of an infectious etiology rather than an allergic reaction to specific foods.
Choice C: Autoantibody production is unlikely as there are no indications of an autoimmune process in this case.
Choice D: Reduced prostaglandin synthesis is not the leading mechanism as the symptoms and findings are more consistent with an infectious cause rather than a deficiency in prostaglandin synthesis.