Nokea
Which of the following media is the most selective for Vibrio cholerae?
- A. MacConkey's agar
- B. Chocolate agar
- C. SS agar
- D. TCBS
Correct Answer: D
Rationale: The correct answer is D: TCBS. Thiosulfate-citrate-bile salts-sucrose (TCBS) agar is the most selective for Vibrio cholerae due to its high salt content, bile salts, and sucrose. Vibrio cholerae can grow well in alkaline conditions, which are provided by TCBS agar. MacConkey's agar (A) is selective for gram-negative bacteria, but not specifically for Vibrio cholerae. Chocolate agar (B) is a non-selective medium suitable for fastidious organisms. SS agar (C) is selective for Salmonella and Shigella species, not Vibrio cholerae.
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Which of the following infections is typical for the lower respiratory tract?
- A. Haemophilus influenzae pharyngitis
- B. Ozeana
- C. Diphtherial croup
- D. Q-fever
Correct Answer: D
Rationale: The correct answer is D: Q-fever. Q-fever is typically an infection that affects the lower respiratory tract, causing symptoms like pneumonia. Haemophilus influenzae pharyngitis (choice A) is an upper respiratory tract infection. Ozeana (choice B) and diphtherial croup (choice C) are not specific infections related to the lower respiratory tract. Q-fever stands out as the correct choice due to its association with lower respiratory tract infections.
Endotoxins are released upon:
- A. bacterial replication
- B. cell lysis of gram-negative bacteria
- C. antibody production
- D. formation of spores
Correct Answer: B
Rationale: The correct answer is B because endotoxins are part of the outer membrane of gram-negative bacteria. When these bacteria undergo cell lysis, the endotoxins are released, causing harmful effects. This process does not occur during bacterial replication (choice A), antibody production (choice C), or formation of spores (choice D). Bacterial replication involves the creation of new bacterial cells, not the release of endotoxins. Antibody production is the immune response to pathogens, not the direct cause of endotoxin release. Spores are dormant structures formed by some bacteria, which are not directly related to the release of endotoxins.
Which of the following drugs is not used to treat influenza
- A. Acyclovir
- B. Tamiflu
- C. Amantadine
- D. Relenza
Correct Answer: A
Rationale: Acyclovir is an antiviral drug used to treat herpes infections, not influenza. Tamiflu, Amantadine, and Relenza are all antiviral drugs commonly used to treat influenza. Acyclovir works by inhibiting the replication of herpes viruses, so it is not effective against the influenza virus. Therefore, the correct answer is A.
Which of the following bacteria produces a toxin that inhibits protein synthesis?
- A. Shigella dysenteriae
- B. Escherichia coli
- C. Clostridium tetani
- D. Staphylococcus aureus
Correct Answer: A
Rationale: Rationale: Shigella dysenteriae produces Shiga toxin, which inhibits protein synthesis by inactivating the 60S ribosomal subunit. This disrupts the translation process, leading to cell death. Escherichia coli (choice B) does not produce a toxin that inhibits protein synthesis. Clostridium tetani (choice C) produces tetanospasmin, which affects the nervous system. Staphylococcus aureus (choice D) produces toxins that cause food poisoning but do not inhibit protein synthesis.
A patient consulted a stomatologist about purulent inflammation of his gums. What drug will be the most effective if it is suspected that a causative agent is an anaerobe?
- A. Metronidazole
- B. Gentamicin C.Oxacillin D.Co-trimoxazole E.-
Correct Answer: A
Rationale: The correct answer is A: Metronidazole. Anaerobic bacteria are sensitive to metronidazole due to its mechanism of action targeting their DNA. Metronidazole is often the drug of choice for treating infections caused by anaerobic bacteria. Gentamicin, Oxacillin, and Co-trimoxazole are not effective against anaerobes. Gentamicin is an aminoglycoside mostly used for aerobic bacteria, Oxacillin is a beta-lactam antibiotic effective against gram-positive bacteria, and Co-trimoxazole is a combination of sulfamethoxazole and trimethoprim mainly used for urinary tract infections and some respiratory infections.