Nokea
What reaction is catalyzed by a beta-lactamase enzyme
- A. the final cross-linking reaction to form the bacterial cell wall
- B. the biosynthesis of the penicillin structure from the amino acid valine and cysteine
- C. the hydrolysis of the four-membered ring present in penicillin
- D. the hydrolysis of the acyl side chain from penicillin structures
Correct Answer: C
Rationale: The correct answer is C: the hydrolysis of the four-membered ring present in penicillin. Beta-lactamase enzyme catalyzes the hydrolysis of the four-membered beta-lactam ring present in penicillin, rendering the antibiotic ineffective against bacterial cell walls. This enzyme breaks the bond in the beta-lactam ring, thus inactivating the antibiotic.
Incorrect choices:
A: the final cross-linking reaction to form the bacterial cell wall - This is incorrect as beta-lactamase does not participate in the formation of bacterial cell walls.
B: the biosynthesis of the penicillin structure from the amino acid valine and cysteine - This is incorrect as beta-lactamase is not involved in the biosynthesis of penicillin.
D: the hydrolysis of the acyl side chain from penicillin structures - This is incorrect as beta-lactamase specifically targets the beta-lactam ring, not the
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Formic acid is a fermentation product of
- A. Streptococcus.
- B. Klebsiella.
- C. Clostridium.
- D. Actinomyces.
Correct Answer: D
Rationale: Step 1: Formic acid is produced during fermentation by Actinomyces.
Step 2: Actinomyces are known to produce organic acids like formic acid through fermentation.
Step 3: Other choices like Streptococcus, Klebsiella, and Clostridium are not typically associated with formic acid production.
Step 4: Actinomyces is the most likely candidate based on its fermentation capabilities.
Summary: Actinomyces is the correct answer because it is known to produce formic acid during fermentation, while the other choices lack this specific metabolic function.
A female patient has symptoms of inflammation of urogenital tracts. A smear from the vaginal mucous membrane contained big unicellular pyriform organisms with a sharp spike on the back end of their bodies; big nucleus and undulating membrane. What protozoa were revealed in the smear?
- A. Trichomonas vaginalis
- B. Trichomonas hominis
- C. Trichomonas buccalis
- D. Trypanosoma gambiense
Correct Answer: A
Rationale: The correct answer is A: Trichomonas vaginalis. Trichomonas vaginalis is a protozoan parasite that causes trichomoniasis, a sexually transmitted infection characterized by inflammation of urogenital tracts. The description of big unicellular pyriform organisms with a sharp spike on the back end of their bodies, big nucleus, and undulating membrane matches the morphology of Trichomonas vaginalis. Trichomonas hominis and Trichomonas buccalis are different species that do not cause urogenital infections. Trypanosoma gambiense is a protozoan parasite causing African trypanosomiasis and does not match the described morphology or symptoms.
A 28-year-old patient was hospitalized with preliminary diagnosis "influenza". Roseolous-petechial rash appeared on the 5th day of disease on the trunk. The temperature is 41oC. Hyperemia of face, reddening of scleras, tremor of tongue, tachycardia, splenomegaly are present. What is the most likely diagnosis?
- A. Epidemic typhus
- B. Measles
- C. Alcohol delirium
- D. Leptospirosis
Correct Answer: A
Rationale: The most likely diagnosis is Epidemic typhus (Choice A) based on the symptoms described. The presence of roseolous-petechial rash, high fever (41oC), hyperemia of face, reddening of scleras, tremor of the tongue, tachycardia, and splenomegaly are classic signs of epidemic typhus. The rash typically appears around the 5th day of the disease.
Summary:
- B: Measles typically presents with a maculopapular rash starting on the face and spreading downward. It doesn't usually present with tremor of the tongue or splenomegaly.
- C: Alcohol delirium is characterized by confusion, disorientation, and hallucinations due to alcohol consumption. It doesn't match the symptoms described.
- D: Leptospirosis presents with fever, muscle pain, and conjunctival suffusion. It doesn't typically present with the specific rash and trem
During latency, HSV1 exists in what form:
- A. Integrated in host chromosome
- B. Episomes in neurons
- C. No latency is established for that viral infection
- D. None of the above
Correct Answer: B
Rationale: During latency, HSV1 exists as episomes in neurons. This is because HSV1 establishes a lifelong latent infection in sensory neurons, where the viral genome remains as a circular episome in the nucleus. This form allows the virus to persist in a dormant state, avoiding detection by the immune system. Choice A is incorrect as HSV1 does not integrate into the host chromosome. Choice C is incorrect as latency is a well-documented phenomenon for HSV1. Choice D is incorrect as the correct answer is B.
A blood culture from a patient with sepsis revealed Gram-negative diplococci. The bacteria were oxidase-positive and fermentative. What is the most likely causative agent?
- A. Neisseria meningitidis
- B. Neisseria gonorrhoeae
- C. Moraxella catarrhalis
- D. Haemophilus influenzae
Correct Answer: A
Rationale: The correct answer is A: Neisseria meningitidis. Step 1: Gram-negative diplococci - characteristic of Neisseria species. Step 2: Oxidase-positive - Neisseria species are oxidase-positive. Step 3: Fermentative - Neisseria meningitidis is a fermentative bacterium. Therefore, Neisseria meningitidis is the most likely causative agent.
Summary:
- B: Neisseria gonorrhoeae is also a Neisseria species but is not fermentative.
- C: Moraxella catarrhalis is oxidase-positive but not fermentative.
- D: Haemophilus influenzae is not a Neisseria species and is not typically fermentative.