Nokea
There are __________ known forms of gastroenteritis caused by Escherichia coli.
- A. two
- B. three
- C. four
- D. five
Correct Answer: D
Rationale: The correct answer is D: five. Escherichia coli can cause enterotoxigenic E. coli (ETEC), enteroinvasive E. coli (EIEC), enterohemorrhagic E. coli (EHEC), enteroaggregative E. coli (EAEC), and diffusely adherent E. coli (DAEC). Each form has distinct characteristics and pathogenesis. Therefore, the other choices (A, B, C) are incorrect because they do not accurately represent the number of known forms of gastroenteritis caused by Escherichia coli.
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A patient with a productive cough and fever had a sputum smear revealing Gram-positive cocci in pairs with a capsule. What is the most likely causative agent?
- A. Streptococcus pneumoniae
- B. Klebsiella pneumoniae
- C. Neisseria meningitidis
- D. Staphylococcus aureus
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is the most likely causative agent based on the description of Gram-positive cocci in pairs with a capsule. S. pneumoniae is known for its characteristic morphology and the presence of a capsule, which helps in evading the immune system. It commonly causes pneumonia, especially in patients with a productive cough and fever.
Incorrect choices:
B: Klebsiella pneumoniae typically presents with a mucoid capsule and is associated with pneumonia in immunocompromised individuals.
C: Neisseria meningitidis is a Gram-negative diplococcus and is more commonly associated with meningitis and septicemia.
D: Staphylococcus aureus is a Gram-positive cocci, but it does not typically present in pairs with a capsule and is more commonly associated with skin and soft tissue infections.
A 16-year-old adolescent was vaccinated with DTP. In eight days there was stiffness and pain in the joints, subfebrile temperature, urticarial skin eruption, enlargement of inguinal, cervical lymph nodes and spleen. What kind of allergic reaction is observed?
- A. Immunocomplex
- B. Hypersensitivity of immediate type
- C. Cytoxic
- D. Hypersensitivity of delayed type
Correct Answer: D
Rationale: The correct answer is D: Hypersensitivity of delayed type. The symptoms described occur 5-10 days after exposure to the antigen, consistent with a delayed hypersensitivity reaction. This type of reaction involves T cells and is characterized by cell-mediated immune response, leading to inflammation and tissue damage. Choices A, B, and C are incorrect because they are associated with different mechanisms of allergic reactions. Immunocomplex reactions (choice A) involve antigen-antibody complexes depositing in tissues, immediate hypersensitivity reactions (choice B) involve IgE-mediated mast cell degranulation, and cytotoxic reactions (choice C) involve antibodies targeting specific cells for destruction.
Which description matches most to adenoviruses:
- A. Middle sized, naked icosahedral capsid, double-stranded DNA
- B. Small-sized, enveloped capsid, ssRNA
- C. Large, enveloped capsid, double stranded DNA
- D. None of the above
Correct Answer: A
Rationale: Step-by-step rationale:
1. Adenoviruses are DNA viruses, so choices B and C (ssRNA and DNA) are incorrect.
2. Adenoviruses have a middle-sized, naked icosahedral capsid, making choice A the correct description.
3. Choice D is incorrect as adenoviruses do have specific characteristics, making "None of the above" an inaccurate option.
In summary, the correct answer A is supported by the fact that adenoviruses have a middle-sized, naked icosahedral capsid and contain double-stranded DNA. Choices B, C, and D are incorrect as they do not align with the characteristics of adenoviruses.
The cytoplasmic membrane in bacteria is composed of:
- A. Phospholipids, glycerol and glycolipids
- B. Lipopolysaccharides
- C. Lipopolysaccharides and peptidoglycan
- D. None of the above
Correct Answer: A
Rationale: The correct answer is A because the cytoplasmic membrane in bacteria is primarily composed of phospholipids, glycerol, and glycolipids. Phospholipids form the basic structure of the membrane, with glycerol serving as the backbone and glycolipids present on the outer surface. Lipopolysaccharides (choice B) are primarily found in the outer membrane of Gram-negative bacteria, not the cytoplasmic membrane. Choice C is incorrect because peptidoglycan is a component of the bacterial cell wall, not the cytoplasmic membrane. Choice D is incorrect as the cytoplasmic membrane in bacteria is indeed composed of phospholipids, glycerol, and glycolipids.
For isolating Rickettsia, the sample is investigated via:
- A. Skin-allergy tests
- B. Serological methods for proving Ab
- C. Chick embryos, cell cultures, and lab animals
- D. None of the above
Correct Answer: C
Rationale: The correct answer is C because Rickettsia requires living cells for growth and replication. Chick embryos, cell cultures, and lab animals provide a suitable environment for Rickettsia isolation. Skin-allergy tests (A) and serological methods for proving antibodies (B) are not directly used for isolating Rickettsia as they do not support the growth of the bacteria. "None of the above" (D) is incorrect as option C involves the appropriate methods for isolating Rickettsia.