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Which bacteria are known for causing food poisoning due to their production of enterotoxins?
- A. Clostridium botulinum
- B. Salmonella enterica
- C. Staphylococcus aureus
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Clostridium botulinum produces botulinum toxin causing botulism. Salmonella enterica can produce enterotoxins causing food poisoning. Staphylococcus aureus also produces enterotoxins leading to food poisoning. Therefore, all three options can cause food poisoning due to their production of enterotoxins.
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Which of the following bacteria is known for producing a biofilm on medical devices?
- A. Clostridium tetani
- B. Pseudomonas aeruginosa
- C. Salmonella enterica
- D. Staphylococcus aureus
Correct Answer: B
Rationale: The correct answer is B: Pseudomonas aeruginosa. This bacterium is known for producing biofilms on medical devices due to its ability to adhere and form a slimy layer that protects it from antibiotics and the host immune system. Pseudomonas aeruginosa is commonly associated with healthcare-associated infections.
Clostridium tetani (A) causes tetanus, not known for biofilm production on medical devices. Salmonella enterica (C) causes foodborne illnesses, not typically associated with medical device biofilms. Staphylococcus aureus (D) is a common pathogen in healthcare settings but is not specifically known for biofilm production on medical devices.
The bacteria responsible for anthrax is:
- A. Bacillus anthracis
- B. Clostridium tetani
- C. Mycobacterium tuberculosis
- D. Streptococcus pneumoniae
Correct Answer: A
Rationale: The correct answer is A: Bacillus anthracis. This bacterium is known to cause anthrax, a serious infectious disease in humans and animals. Bacillus anthracis is a gram-positive, spore-forming bacterium that produces toxins leading to the characteristic symptoms of anthrax. Clostridium tetani causes tetanus, Mycobacterium tuberculosis causes tuberculosis, and Streptococcus pneumoniae causes pneumonia, none of which are related to anthrax. Therefore, based on the specific pathogen responsible for anthrax, Bacillus anthracis is the correct answer.
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.
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.
A 14-year-old patient was diagnosed with Hutchinson's triad: barrel-shaped incisors, parenchymatous keratitis and deafness. The revealed presentations are consistent with the following disease:
- A. Syphilis
- B. Toxoplasmosis
- C. Lepra
- D. Tuberculosis
Correct Answer: A
Rationale: The correct answer is A: Syphilis. Hutchinson's triad is a classic presentation of congenital syphilis in children. Barrel-shaped incisors, parenchymatous keratitis, and deafness are key manifestations. Barrel-shaped incisors result from mulberry molars, a type of abnormal tooth. Parenchymatous keratitis is an inflammation of the cornea, a common ocular sign in congenital syphilis. Deafness can occur due to damage to the auditory nerve caused by the infection. Choices B, C, and D are incorrect as they do not typically present with the specific triad of symptoms seen in congenital syphilis.