Nokea
What is the best therapeutic plan for treating actinomycosis?
- A. Awaiting self-clearance
- B. Only antibiotic therapy
- C. Only surgical treatment
- D. Chemotherapy combined with surgical therapy
Correct Answer: D
Rationale: The correct answer is D, chemotherapy combined with surgical therapy. Actinomycosis is a bacterial infection that requires a combination of antibiotics to target the bacteria and surgery to remove abscesses or infected tissues. Antibiotics alone may not penetrate abscesses effectively. Waiting for self-clearance can lead to complications. Surgical treatment alone may not eradicate the infection entirely. Therefore, the most effective therapeutic plan is to combine chemotherapy to treat the infection systemically and surgery to remove localized infections.
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A wound culture from a patient with an infected ulcer revealed Gram-positive rods with terminal spores. What is the most likely causative agent?
- A. Clostridium perfringens
- B. Bacillus anthracis
- C. Clostridium tetani
- D. Bacillus cereus
Correct Answer: A
Rationale: Step-by-step rationale:
1. Gram-positive rods with terminal spores suggest Clostridium genus.
2. Terminal spores are characteristic of Clostridium perfringens.
3. C. perfringens is known to cause wound infections.
4. Therefore, the most likely causative agent is Clostridium perfringens.
Summary:
A: Clostridium perfringens is correct due to its characteristic features and association with wound infections.
B: Bacillus anthracis does not typically form terminal spores.
C: Clostridium tetani causes tetanus, not wound infections.
D: Bacillus cereus does not produce terminal spores like Clostridium perfringens.
Which of the following bacteria are associated with foodborne illnesses?
- A. Clostridium botulinum
- B. Salmonella enterica
- C. Escherichia coli
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Clostridium botulinum causes botulism, Salmonella enterica causes salmonellosis, and Escherichia coli can cause foodborne illnesses such as E. coli infection. All three bacteria are associated with foodborne illnesses due to contamination of food or water sources. Therefore, selecting "All of the above" is the most appropriate choice as it includes all the bacteria commonly linked to foodborne illnesses. The other choices (A, B, and C) are incorrect because they do not encompass all the bacteria associated with foodborne illnesses as stated above.
During sanitary and bacteriological examination of air in a drugstore it was revealed that the air had high concentration of sanitary meaningful microorganisms. What microorganisms are these?
- A. Staphylococcus aureus and hemolytic streptococcus
- B. Diphtheritic and tuberculous bacilli
- C. Colibacilli and blue pus bacilli
- D. Epidermal staphylococcus and Sarcina
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus aureus and hemolytic streptococcus. These microorganisms are commonly found in high concentrations during sanitary and bacteriological examination of air in a drugstore due to their prevalence in the environment. Staphylococcus aureus and hemolytic streptococcus are known to be significant pathogens that can cause various infections in humans.
Rationale:
1. Staphylococcus aureus and hemolytic streptococcus are common pathogens found in the environment and can easily contaminate air in enclosed spaces like a drugstore.
2. Both microorganisms are considered to be of sanitary significance as they can cause infections and are indicators of poor hygiene and sanitation.
3. Diphtheritic and tuberculous bacilli (Choice B) are not typically associated with air contamination in a drugstore setting.
4. Colibacilli and blue pus bacilli (Choice C) are more commonly found in fecal
While studying a microslide obtained from the punctuate of a regional lymph node and stained by Romanovsky-Giemsa method a physician revealed some light pink thin microorganisms with 12-14 regular spiral coils and pointed ends, up to 10-13 micrometer long. This might be the causative agent of the following disease:
- A. Syphilis
- B. Trypanosomiasis
- C. Leptospirosis
- D. Relapsing fever
Correct Answer: D
Rationale: The correct answer is D: Relapsing fever. The description matches Borrelia species, the causative agent of relapsing fever. The thin, spiral-shaped microorganisms with pointed ends and specific length are characteristic of Borrelia. The number of coils and size mentioned also align with Borrelia morphology. Relapsing fever is transmitted by tick bites and manifests as recurring febrile episodes.
Incorrect choices:
A: Syphilis - Syphilis is caused by Treponema pallidum, which is not spiral-shaped.
B: Trypanosomiasis - Trypanosomiasis is caused by Trypanosoma species, which are not spiral-shaped.
C: Leptospirosis - Leptospirosis is caused by Leptospira species, which are not spiral-shaped and do not match the specific description provided.
Which of the following does NOT refer to viruses
- A. cell-free infectious living systems
- B. obligate intracellular parasites
- C. they have either DNA or RNA as genetic material
- D. they are not sensitive to interferon
Correct Answer: D
Rationale: The correct answer is D because viruses are sensitive to interferon, a natural defense mechanism of the body against viral infections. Interferon helps to inhibit viral replication.
A: Viruses are cell-free infectious particles, not living systems.
B: Viruses are obligate intracellular parasites as they require host cells to replicate.
C: Viruses can have either DNA or RNA as genetic material, which is a characteristic feature.