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Which bacteria are associated with causing foodborne infections?
- A. Clostridium botulinum
- B. Escherichia coli
- C. Salmonella enterica
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D (All of the above) because all three bacteria (Clostridium botulinum, Escherichia coli, Salmonella enterica) are known to cause foodborne infections. Clostridium botulinum can lead to botulism, E. coli can cause various gastrointestinal illnesses, and Salmonella enterica is a common cause of food poisoning. Each bacterium has specific mechanisms that result in foodborne illnesses. Choices A, B, and C are incorrect because each bacterium mentioned is associated with causing foodborne infections, making them collectively the correct answer.
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A 60-year-old patient was hospitalized to the surgical department because of infection caused by blue pus bacillus (Pseudomonas aeruginosa) which is sensative to penicillin antibiotics. Indicate which of the given penicillins has marked activity to the Pseudomonas aeruginosa?
- A. Carbenicillin disodium
- B. Benzylpenicillin
- C. Methicillin
- D. Oxacillin
Correct Answer: A
Rationale: The correct answer is A: Carbenicillin disodium. Carbenicillin is a semisynthetic penicillin that has marked activity against Pseudomonas aeruginosa. This is due to its extended spectrum of activity and increased stability against beta-lactamases produced by Pseudomonas aeruginosa. Carbenicillin is commonly used to treat infections caused by this bacterium.
Choice B: Benzylpenicillin (Penicillin G) has limited activity against Pseudomonas aeruginosa.
Choice C: Methicillin is not effective against Pseudomonas aeruginosa.
Choice D: Oxacillin also has limited activity against Pseudomonas aeruginosa.
In summary, Carbenicillin is the correct choice due to its marked activity against Pseudomonas aeruginosa compared to the other penicillins listed.
Which of the following microorganisms can cause skin infections?
- A. Candida albicans
- B. All are correct
- C. Staphylococcus aureus
- D. Streptococcus pyogenes
Correct Answer: B
Rationale: The correct answer is B: All are correct. Candida albicans can cause skin infections such as candidiasis. Staphylococcus aureus and Streptococcus pyogenes are common bacteria that can also cause skin infections. Therefore, choice B is correct as all three microorganisms listed can cause skin infections. Choices A, C, and D are incorrect because individually, each of the microorganisms listed can cause skin infections.
The organisms to be identified have a nucleus surrounded by a nuclear membrane. Genetic material is concentrated predominantly in the chromosomes which consist of DNA strands and protein molecules. These cells divide mitotically. Identify these organisms:
- A. Eukaryotes
- B. Bacteriophages
- C. Prokaryotes
- D. Viruses
Correct Answer: A
Rationale: Step-by-step rationale:
1. The presence of a nucleus with a nuclear membrane indicates eukaryotic cells.
2. Eukaryotes have genetic material in chromosomes made of DNA and proteins.
3. Mitotic division is characteristic of eukaryotic cells.
4. Therefore, the organisms described are eukaryotes.
Summary:
- Bacteriophages (B) are viruses that infect bacteria.
- Prokaryotes (C) lack a nucleus and their genetic material is not organized into chromosomes.
- Viruses (D) are not considered living organisms and do not have a nucleus or chromosomes.
Allergy to penicillin is an example of:
- A. Type I hypersensitivity reaction
- B. Type II hypersensitivity reaction
- C. Type III hypersensitivity reaction
- D. Type IV hypersensitivity reaction
Correct Answer: A
Rationale: Step-by-step rationale for choice A being correct:
1. Penicillin allergy involves IgE antibodies binding to penicillin.
2. This triggers mast cell degranulation, releasing histamine.
3. Histamine causes allergic symptoms like rash, swelling.
4. This immune response characterizes Type I hypersensitivity reactions.
Summary of other choices:
B: Type II reactions involve antibody-mediated cell destruction, not seen in penicillin allergy.
C: Type III reactions involve immune complex deposition, not typical in penicillin allergy.
D: Type IV reactions are delayed hypersensitivity reactions, not immediate like penicillin allergy.
A patient with a productive cough and fever had a sputum smear revealing Gram-positive cocci in clusters. What is the most likely causative agent?
- A. Staphylococcus aureus
- B. Streptococcus pneumoniae
- C. Neisseria meningitidis
- D. Klebsiella pneumoniae
Correct Answer: A
Rationale: The correct answer is A: Staphylococcus aureus. Staphylococcus aureus is a Gram-positive cocci bacterium that forms clusters and commonly causes pneumonia with a productive cough and fever. It is frequently found in sputum smears in such cases. Streptococcus pneumoniae (B) is another common cause of pneumonia but typically appears in pairs or chains, not clusters. Neisseria meningitidis (C) is a Gram-negative diplococcus that causes meningitis, not pneumonia. Klebsiella pneumoniae (D) is a Gram-negative bacterium that can cause pneumonia but appears as Gram-negative rods, not Gram-positive cocci in clusters.