Nokea
Vaginal infections that are resulting from an overgrowth of normal flora are called:
- A. endogenous infections
- B. chronic infections
- C. iatrogenic infections
- D. fatal infections
Correct Answer: A
Rationale: The correct answer is A: endogenous infections. This term refers to infections caused by microorganisms that are normally present in or on the body. In the context of vaginal infections, an overgrowth of the normal flora can lead to an imbalance and result in infection. Choice B, chronic infections, does not specifically address the source of the infection. Choice C, iatrogenic infections, refers to infections caused by medical intervention, not normal flora overgrowth. Choice D, fatal infections, is incorrect as it does not describe the nature or source of the infection. In summary, the term "endogenous infections" accurately describes the scenario of vaginal infections caused by an overgrowth of normal flora.
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Which of the statements is false:
- A. Spirochaetes are bacilli
- B. Diplococci possess spherical shape
- C. In rod-shaped bacteria one of the diameters is bigger
- D. Coccobacilli are a type of rod-shaped bacteria
Correct Answer: A
Rationale: The correct answer is A because spirochaetes are not bacilli; they are spiral-shaped bacteria. Bacilli are rod-shaped bacteria, making statement A false. Statement B is true as diplococci are spherical bacteria occurring in pairs. Statement C is true as rod-shaped bacteria have one diameter longer than the other. Statement D is true as coccobacilli are short, oval-shaped bacteria resembling cocci and rods. In summary, spirochaetes are spiral-shaped, not bacilli, making statement A false.
Which of the following bacteria is known for causing dental caries (cavities)?
- A. Streptococcus mutans
- B. Streptococcus pneumoniae
- C. Bacillus anthracis
- D. Clostridium botulinum
Correct Answer: A
Rationale: Step 1: Streptococcus mutans is known for its ability to produce acids that contribute to the demineralization of tooth enamel, leading to dental caries.
Step 2: Streptococcus pneumoniae is a common cause of respiratory infections, not dental caries.
Step 3: Bacillus anthracis causes anthrax, a serious bacterial infection, not dental caries.
Step 4: Clostridium botulinum causes botulism, a severe form of food poisoning, not dental caries.
Summary: Streptococcus mutans is the correct answer as it is specifically associated with causing dental caries, while the other choices are linked to different diseases.
A 25-year-old patient was delivered to an infectious diseases unit on the 3rd day of illness with complaints of headache, pain in lumbar spine and gastrocnemius muscles, high fever, chill. Objectively: condition of moderate severity. Scleras are icteric. Pharynx is hyperemic. Tongue is dry with dry brown coating. Abdomen is distended. Liver is enlarged by 2 cm. Spleen is not enlarged. Palpation of muscles, especially gastrocnemius muscles, is painful. Urine is dark in color. Stool is normal in color. The most likely diagnosis is:
- A. Leptospirosis
- B. Infectious mononucleosis
- C. Malaria
- D. Viral hepatitis A
Correct Answer: A
Rationale: The correct diagnosis is Leptospirosis. Leptospirosis presents with headache, fever, muscle pain, jaundice, and kidney involvement. The patient's symptoms of headache, lumbar and muscle pain, high fever, icteric scleras, and dark urine are classic for Leptospirosis. The enlarged liver could be due to liver involvement in the disease. The absence of splenic enlargement and normal stool color rule out malaria. Infectious mononucleosis typically presents with sore throat and lymphadenopathy, which are absent in this case. Viral hepatitis A may present with similar symptoms, but the presence of muscle pain and dark urine is more indicative of Leptospirosis. Therefore, based on the patient's symptoms and clinical findings, Leptospirosis is the most likely diagnosis.
Laboratory diagnosis of rabies includes all of these except:
- A. Looking for Negri bodies
- B. Intracerebrally infected mice
- C. Looking for Ernst-Babes granules
- D. Immunofluorescence method
Correct Answer: C
Rationale: The correct answer is C: Looking for Ernst-Babes granules. Laboratory diagnosis of rabies typically involves looking for Negri bodies in the brain tissue, intracerebrally infecting mice for virus isolation, and using immunofluorescence method to detect viral antigens. Ernst-Babes granules are not associated with rabies virus and are not used in the diagnosis of rabies. Therefore, choice C is incorrect.
How the prepared immunofluorescence slide should be examined?
- A. Under the fluorescence microscope using x100 oil immersion objective
- B. Under light microscope using x100 oil immersion objective
- C. Using electron microscopy
- D. None of the above
Correct Answer: A
Rationale: The correct answer is A because immunofluorescence slides are examined under a fluorescence microscope with a x100 oil immersion objective. This is because immunofluorescence relies on the detection of fluorescently labeled antibodies, which emit light when excited by a specific wavelength. Using a fluorescence microscope allows for visualization of these labeled antibodies at high magnification and resolution, enabling precise examination of cellular structures and protein localization. Choice B is incorrect as light microscopes are not suitable for visualizing fluorescence. Choice C is incorrect as electron microscopes use electrons, not light, for imaging, which is not compatible with immunofluorescence. Choice D is incorrect as there is a specific method for examining immunofluorescence slides.