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Which are the most suitable materials for isolation of polio viruses?
- A. feces, duodenal and bile content
- B. blood, sputum, and urine
- C. only feces
- D. feces, nasopharyngeal swabs, and cerebrospinal fluid
Correct Answer: D
Rationale: The correct answer is D because polio viruses are primarily found in the gastrointestinal tract and respiratory secretions. Feces contain the highest concentration of the virus, while nasopharyngeal swabs and cerebrospinal fluid can also contain the virus. Blood, sputum, and urine do not typically contain high levels of polio virus. Choice A is incorrect as bile content is not a common site for polio virus isolation. Choice C is incorrect because only testing feces may not provide a comprehensive picture of the infection.
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Which bacteria are most commonly associated with food poisoning?
- 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, Salmonella enterica, and Escherichia coli are all common bacteria associated with food poisoning. Clostridium botulinum produces a potent neurotoxin causing botulism. Salmonella enterica causes salmonellosis, a common foodborne illness. Escherichia coli can produce toxins leading to food poisoning. Therefore, since all three bacteria are known to cause food poisoning, the correct answer is D. Choices A, B, and C are incorrect because each of these bacteria individually is commonly associated with food poisoning, not just one of them.
Which of the following proteins are encoded by herpesviruses and required for viral DNA replication?
- A. viral DNA polymerase
- B. ribonucleotide reductase
- C. neuraminidase
- D. thymidine kinase
Correct Answer: A
Rationale: The correct answer is A: viral DNA polymerase. This enzyme is essential for replicating the viral DNA during the herpesvirus life cycle. It catalyzes the synthesis of new DNA strands using the viral genomic template. Ribonucleotide reductase (B) is involved in nucleotide synthesis, but not directly in DNA replication. Neuraminidase (C) is an enzyme found in influenza viruses, not herpesviruses. Thymidine kinase (D) is an enzyme that phosphorylates thymidine, but its role is more related to nucleotide metabolism rather than viral DNA replication.
Which is the most prominent immunoglobulin class present in external secretions
- A. IgG
- B. IgM
- C. IgA
- D. IgE
Correct Answer: C
Rationale: The correct answer is C: IgA. IgA is the most prominent immunoglobulin class present in external secretions like saliva, tears, and mucus. It plays a crucial role in mucosal immunity by preventing pathogens from entering the body. IgG is mainly found in the blood and tissues, IgM is the first antibody produced in response to an infection, and IgE is involved in allergic reactions. IgA's presence in external secretions helps protect the body from infections at mucosal surfaces, making it the correct choice in this context.
When examining a patient with a suspicion of food toxicoinfection, a doctor on duty has detected symptoms characteristic of botulism. The patient named the meals he had eaten the day before. What is the most probable cause of infection?
- A. Homemade canned meat
- B. Custard pastry from private bakery
- C. Sour cream from local dairy factory
- D. Strawberries from suburban vegetable garden
Correct Answer: A
Rationale: The correct answer is A: Homemade canned meat. Botulism is often caused by consuming improperly canned or preserved foods, particularly meats. The spores of the Clostridium botulinum bacteria can grow in anaerobic conditions, such as those found in improperly canned foods, leading to the production of the botulinum toxin. The symptoms of botulism align with those characteristic of the patient's condition.
Explanation of why the other choices are incorrect:
B: Custard pastry from private bakery - Unlikely to be the cause of botulism as this type of food is not typically associated with the growth of Clostridium botulinum.
C: Sour cream from local dairy factory - While dairy products can sometimes be sources of foodborne illness, botulism is not commonly associated with sour cream.
D: Strawberries from suburban vegetable garden - Botulism is not typically transmitted through fresh fruits or vegetables, making this an unlikely source of infection.
The term “zone of inhibition†is used in which of the following procedures?
- A. Use-dilution test
- B. Growth inhibition test
- C. Disk-diffusion test
- D. Multiple inhibition test
Correct Answer: C
Rationale: The correct answer is C: Disk-diffusion test. In the disk-diffusion test, the zone of inhibition refers to the area around an antimicrobial disk where bacterial growth is inhibited. This test is used to determine the susceptibility of bacteria to specific antibiotics. The other choices, such as A: Use-dilution test, B: Growth inhibition test, and D: Multiple inhibition test, do not specifically involve measuring the zone of inhibition and are not commonly used methods for testing antibiotic susceptibility.