Nokea
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.
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Ionizing radiation involves all of the following except
- A. UV light
- B. Gamma rays
- C. Electron beams
- D. X-rays
Correct Answer: A
Rationale: Ionizing radiation has enough energy to remove tightly bound electrons from atoms, creating charged particles (ions). UV light does not have enough energy to ionize atoms, making choice A the correct answer. Gamma rays, electron beams, and X-rays all have sufficient energy to cause ionization. Gamma rays are very high-energy electromagnetic radiation, electron beams are streams of high-energy electrons, and X-rays are high-energy electromagnetic radiation as well.
Which of the following bacteria is associated with stomach ulcers?
- A. Escherichia coli
- B. Helicobacter pylori
- C. Bacillus cereus
- D. Clostridium difficile
Correct Answer: B
Rationale: The correct answer is B: Helicobacter pylori. This bacterium is associated with stomach ulcers as it can survive in the acidic environment of the stomach and produce substances that weaken the stomach lining. Escherichia coli (A) is associated with foodborne illnesses, not ulcers. Bacillus cereus (C) causes food poisoning. Clostridium difficile (D) is associated with antibiotic-associated colitis, not ulcers. Therefore, Helicobacter pylori is the correct answer based on its specific association with stomach ulcers.
Which of the following bacteria is known for producing a toxin that causes botulism?
- A. Clostridium botulinum
- B. Clostridium tetani
- C. Staphylococcus aureus
- D. Neisseria gonorrhoeae
Correct Answer: A
Rationale: The correct answer is A: Clostridium botulinum. This bacterium is known for producing botulinum toxin, which causes botulism. It is an anaerobic, spore-forming bacterium commonly found in soil. Clostridium tetani causes tetanus, not botulism. Staphylococcus aureus can cause food poisoning but not botulism. Neisseria gonorrhoeae is responsible for gonorrhea, not botulism. Therefore, A is the correct answer due to the specific association of Clostridium botulinum with botulism toxin production.
A 6-year-old boy is brought to the pediatrician by his mother, who complains of low-grade fever, chronic cough and night sweats in her child. She describes the cough as productive, producing white sputum that is sometimes streaked with blood. She also says that her son has lost some weight in the last month. His vital signs include blood pressure of 115/75 mm Hg, heart rate of 110/min., respiratory rate of 18/min. and temperature of 36,6°C. On physical examination, the patient is ill looking. Pulmonary auscultation reveals some fine crackles in the right upper lobe. The pediatrician suspects an active infection and performs Mantoux test. Intradermal injection of which of the following substances has been most likely used by pediatrician for screening test in this clinical case?
- A. Tuberculin
- B. Measles
- C. Tetanus and diphtheria toxoids vaccine (Td)
- D. Bacillus Calmette-Guerin (BCG) vaccine
Correct Answer: A
Rationale: The correct answer is A: Tuberculin. In this clinical scenario, the patient presents with symptoms suggestive of tuberculosis, including chronic cough, night sweats, weight loss, and hemoptysis. The Mantoux test, also known as the tuberculin skin test, is used to screen for tuberculosis. Tuberculin, a purified protein derivative (PPD) derived from Mycobacterium tuberculosis, is injected intradermally. The test elicits a delayed-type hypersensitivity reaction in individuals who have been exposed to the organism in the past. A positive Mantoux test indicates exposure to tuberculosis and does not differentiate between active infection and prior exposure.
Explanation for other choices:
B: Measles - Measles is a viral infection that presents with a characteristic rash and fever, not consistent with the symptoms described in the case.
C: Tetanus and diphtheria toxoids vaccine (Td) - Td vaccine is not used for tuberculosis screening and does not elicit
Erysipelas is a bacterial infection characterised by well-defined areas of bright-red, inflamed and rough or leathery skin. Which one is the causative agent:
- A. Pseudomonas aeruginosa
- B. Staphylococcus aureus
- C. Streptococcus pyogenes
- D. Candida albicans
Correct Answer: C
Rationale: Step-by-step rationale for Choice C (Streptococcus pyogenes) being the correct answer:
1. Erysipelas is a skin infection characterized by well-defined red, inflamed skin areas.
2. Streptococcus pyogenes is a common causative agent of erysipelas.
3. This bacterium produces enzymes that break down skin proteins, leading to the characteristic symptoms of erysipelas.
4. Streptococcus pyogenes is known for causing skin infections, including erysipelas.
Summary of why the other choices are incorrect:
A. Pseudomonas aeruginosa: Typically causes opportunistic infections, but not commonly associated with erysipelas.
B. Staphylococcus aureus: Can cause skin infections, but not typically associated with erysipelas.
D. Candida albicans: Fungal infection, not a bacterium, and not known to cause erysipelas.