Nokea
The relations between the macroorganism and the resident skin microflora are defined as:
- A. Commensalism
- B. Infection
- C. Parasitism
- D. No correct answer
Correct Answer: A
Rationale: The correct answer is A: Commensalism. In this relationship, the skin microflora benefits from the host without causing harm or benefitting it. This is evident in the mutualistic interaction where the microflora receive nutrients and a place to live, while the host remains unaffected. Choice B, Infection, is incorrect because it implies harm to the host. Choice C, Parasitism, is also incorrect as it involves one organism benefiting at the expense of the other. Choice D, No correct answer, is not applicable here as Commensalism accurately describes the relationship between the macroorganism and skin microflora.
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Which of the following infections is typical for the lower respiratory tract?
- A. Haemophilus influenzae pharyngitis
- B. Ozeana
- C. Diphtherial croup
- D. Q-fever
Correct Answer: D
Rationale: The correct answer is D: Q-fever. Q-fever is typically an infection that affects the lower respiratory tract, causing symptoms like pneumonia. Haemophilus influenzae pharyngitis (choice A) is an upper respiratory tract infection. Ozeana (choice B) and diphtherial croup (choice C) are not specific infections related to the lower respiratory tract. Q-fever stands out as the correct choice due to its association with lower respiratory tract infections.
The optimal PH for most pathogenic bacteria and viruses is:
- A. 5.0-5.5
- B. 8.0-9.6
- C. 7.2-7.4
- D. 4.2-4.4
Correct Answer: C
Rationale: The correct answer is C (7.2-7.4) because most pathogenic bacteria and viruses thrive in a neutral pH environment close to 7.0. This pH range is optimal for their growth and survival. Choice A (5.0-5.5) is too acidic for most pathogens. Choice B (8.0-9.6) is too alkaline, which is not conducive for their survival. Choice D (4.2-4.4) is also too acidic and would likely inhibit the growth of pathogenic bacteria and viruses. Thus, a pH range of 7.2-7.4 provides the most suitable conditions for their proliferation.
Microscopy of stained (Ziehl-Neelsen staining) smears taken from the sputum of a patient with chronic pulmonary disease revealed red bacilli. What property of tuberculous bacillus was shown up?
- A. Acid resistance
- B. Alkali resistance
- C. Alcohol resistance
- D. Capsule formation
Correct Answer: A
Rationale: The correct answer is A: Acid resistance. Tuberculous bacilli are acid-fast bacilli, meaning they resist decolorization by acid-alcohol after staining with Ziehl-Neelsen stain. This property is due to the high lipid content in the cell wall of Mycobacterium tuberculosis. Alkali resistance (B) and alcohol resistance (C) are not specific properties of tuberculous bacilli. Capsule formation (D) is a characteristic of some bacteria but is not a defining feature of tuberculous bacilli.
While examining a blood smear taken form a patient and stained by Romanovsky's method a doctor revealed some protozoa and diagnozed the patient with Chagas disease. What protozoan is the causative agent of this disease?
- A. Trypanosoma cruzi
- B. Toxoplasma gondii
- C. Leishmania donovani
- D. Leishmania tropica
Correct Answer: A
Rationale: Rationale:
1. Chagas disease is caused by Trypanosoma cruzi.
2. Trypanosoma cruzi is transmitted by triatomine bugs.
3. On a blood smear stained with Romanovsky's method, Trypanosoma cruzi appears as trypomastigotes.
4. Toxoplasma gondii causes toxoplasmosis, not Chagas disease.
5. Leishmania donovani and Leishmania tropica cause different forms of leishmaniasis, not Chagas disease.
Broadspectrum antibiotics can cause various complications, including intestinal candidiasis. What drug is used for treatment of this complication?
- A. Nystatin
- B. Griseofulvin
- C. Undecyne
- D. Amphotericin B
Correct Answer: A
Rationale: The correct answer is A: Nystatin. Nystatin is specifically used to treat intestinal candidiasis because it targets and eliminates the Candida species responsible for the infection. It is not absorbed systemically, acting only locally in the gastrointestinal tract. Griseofulvin (B) is mainly used to treat fungal skin infections, not intestinal candidiasis. Undecyne (C) is an antifungal agent used for skin infections, not for intestinal candidiasis. Amphotericin B (D) is a potent antifungal agent used for systemic fungal infections, not specifically for intestinal candidiasis.