Nokea
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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A 47-year-old patient came to see a doctor on the 7th day of disease. The disease developed very fast: after the chill body temperature rose to 40oC and lasted up to 7 hours, then dropped abruptly, which caused profuse sweat. There were three such attacks occur in once in two days. Two days ago the patient arrived from Africa. Objectively: pale skin, subicteric sclera, significantly enlarged liver and spleen. What is the cause of fever attacks in this disease?
- A. Erythrocytic schizogony
- B. Tissue schizogony
- C. Exotoxin of a causative agent
- D. Gametocytes
Correct Answer: A
Rationale: The correct answer is A: Erythrocytic schizogony. In this case, the patient most likely has malaria, specifically caused by Plasmodium falciparum. The fever attacks every 2 days (tertian fever) are characteristic of P. falciparum infection. The cycle of erythrocytic schizogony in P. falciparum is around 48 hours, leading to the recurring fever pattern. Choices B, C, and D are incorrect as tissue schizogony does not cause the characteristic fever pattern, exotoxins are not typically involved in malaria fever, and gametocytes do not directly cause fever attacks.
A lot of pyoinflammatory processes in oral cavity are caused by anaerobes. What nutrient medium can be used for control of wound textile contamination by anaerobes?
- A. Kitt-Tarozzi
- B. Endo
- C. Roux
- D. Sabouraud's
Correct Answer: A
Rationale: The correct answer is A: Kitt-Tarozzi. This medium contains blood and hemin, which are essential nutrients for the growth of anaerobes. Blood provides a source of iron, while hemin stimulates the growth of anaerobes. This combination creates an environment conducive for the isolation and identification of anaerobic organisms.
B: Endo and C: Roux are selective media primarily used for the isolation of gram-negative bacteria and not specifically designed for anaerobes.
D: Sabouraud's is a medium used for the cultivation of fungi, not anaerobes.
In summary, Kitt-Tarozzi is the correct choice due to its specific nutrient composition that supports the growth of anaerobes, unlike the other options which are not suitable for this purpose.
Viruses cannot multiply in:
- A. Artificial nutrient media
- B. Living cells
- C. Human embryonic cells
- D. Bacteria
Correct Answer: A
Rationale: The correct answer is A: Artificial nutrient media. Viruses are obligate intracellular parasites, meaning they require living host cells to replicate. They cannot multiply in artificial nutrient media as they lack the cellular machinery necessary for viral replication. Living cells, including human embryonic cells and bacteria, provide the required cellular environment for viruses to replicate. Therefore, options B, C, and D are incorrect as they all contain living cells that can support viral multiplication.
Which of the following pathogens can cause meningitis?
- A. Staph. aureus
- B. Strep. pyogenes
- C. Strep. pneumoniae
- D. None of the above
Correct Answer: C
Rationale: Rationale for choice C (Strep. pneumoniae):
1. Strep. pneumoniae is a common cause of bacterial meningitis.
2. It is a leading pathogen responsible for meningitis in adults and children.
3. It can invade the bloodstream and reach the meninges, causing inflammation.
4. Treatment guidelines often include antibiotics effective against Strep. pneumoniae.
Summary of why other choices are incorrect:
A. Staph. aureus is not a common cause of meningitis.
B. Strep. pyogenes typically causes streptococcal infections but not meningitis.
D. "None of the above" is incorrect as Strep. pneumoniae can cause meningitis.
Which bacterium is responsible for causing pneumonia?
- A. Streptococcus pneumoniae
- B. Mycobacterium tuberculosis
- C. Escherichia coli
- D. Clostridium botulinum
Correct Answer: A
Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is the most common cause of bacterial pneumonia in adults. It is a leading cause of community-acquired pneumonia. Streptococcus pneumoniae is known for its ability to infect the respiratory tract and cause inflammation in the lungs leading to pneumonia. Mycobacterium tuberculosis causes tuberculosis, not pneumonia. Escherichia coli is associated with urinary tract infections and gastrointestinal illnesses, not pneumonia. Clostridium botulinum causes botulism, a severe form of food poisoning, but not pneumonia. Therefore, the correct choice is Streptococcus pneumoniae as it is specifically known for causing pneumonia.