Nokea
Which of the following diseases is considered to fall in the group II category?
- A. Anthrax
- B. Lyme disease
- C. Mumps
- D. Smallpox
Correct Answer: C
Rationale: The correct answer is C: Mumps. Group II diseases are vaccine-preventable diseases that are communicable and can cause outbreaks. Mumps fits this criteria as it is preventable through vaccination, easily transmitted through respiratory droplets, and can lead to outbreaks in communities. Anthrax (A) is a zoonotic disease, Lyme disease (B) is transmitted by ticks, and Smallpox (D) has been eradicated.
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A patient was taken to a hospital with acute food poisoning caused by homemade canned mushrooms. The product analysis revealed some microorganisms that develop only in the absence of oxygen. What microorganisms caused the poisoning?
- A. Obligate anaerobes
- B. Facultative anaerobes
- C. Microaerophiles
- D. Obligate aerobes
Correct Answer: A
Rationale: The correct answer is A: Obligate anaerobes. These microorganisms thrive in the absence of oxygen, as seen in the canned mushrooms where oxygen is limited. They produce toxins causing food poisoning. Facultative anaerobes (B) can survive with or without oxygen. Microaerophiles (C) require low levels of oxygen. Obligate aerobes (D) need oxygen to survive and would not be responsible for the poisoning in this case.
Which bacteria are responsible for causing the disease tuberculosis?
- A. Mycobacterium leprae
- B. Streptococcus pneumoniae
- C. Mycobacterium tuberculosis
- D. Clostridium botulinum
Correct Answer: C
Rationale: The correct answer is C: Mycobacterium tuberculosis. This bacterium is responsible for causing tuberculosis as it specifically infects the lungs and can spread to other parts of the body. Mycobacterium leprae (A) causes leprosy, Streptococcus pneumoniae (B) causes pneumonia, and Clostridium botulinum (D) causes botulism, making them incorrect choices for tuberculosis. Mycobacterium tuberculosis has unique characteristics and mechanisms that enable it to cause tuberculosis, such as its ability to evade the immune system and form granulomas in the lungs.
Prophylaxis of smallpox and revaccination is performed:
- A. Every year after the first vaccine
- B. Every second year
- C. Every three years
- D. No revaccination is needed, just the initial vaccine is enough
Correct Answer: D
Rationale: The correct answer is D because smallpox vaccination provides long-lasting immunity, often for a lifetime. Revaccination is not necessary as the initial vaccine confers sufficient protection. Choice A is incorrect because yearly revaccination is unnecessary and excessive. Choice B and C are also incorrect as there is no need for revaccination every second or third year. The key is to understand that smallpox vaccination typically provides lifelong immunity, making ongoing revaccination unnecessary.
A patient consulted a doctor about bowels disfunction. The doctor established symptoms of duodenitis and enteritis. Laboratory examination helped to make the following diagnosis: lambliosis. What medication should be administered?
- A. Metronidazole
- B. Erythromycin
- C. Monomycin
- D. Chingamin
Correct Answer: A
Rationale: Rationale: Metronidazole is the drug of choice for treating lambliosis due to its effectiveness against Giardia lamblia, the parasite causing the infection. Metronidazole works by disrupting the DNA structure of the parasite, leading to its death. Erythromycin (choice B) is not effective against Giardia lamblia. Monomycin (choice C) and Chingamin (choice D) are not commonly used for treating lambliosis. Therefore, choice A, Metronidazole, is the correct medication for this patient.
Which of the following bacteria produces an endotoxin responsible for septic shock?
- A. Staphylococcus aureus
- B. Escherichia coli
- C. Neisseria meningitidis
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Staphylococcus aureus, Escherichia coli, and Neisseria meningitidis all produce endotoxins that can lead to septic shock. Endotoxins are part of the outer membrane of Gram-negative bacteria, such as E. coli and N. meningitidis, which can trigger a severe immune response leading to septic shock. S. aureus, a Gram-positive bacterium, produces toxins that can also contribute to septic shock. Therefore, all of these bacteria can produce endotoxins responsible for septic shock. Choices A, B, and C are incorrect because they only identify individual bacteria that produce endotoxins, whereas the correct answer encompasses all bacteria listed.