Which of the following pathogens can cause meningitis?
- A. Staph. aureus
- B. Strep. pyogenes
- C. Strep. pneumoniae
- D. None of the above
Correct Answer: C
Rationale: Rationale for choice C (Strep. pneumoniae):
1. Strep. pneumoniae is a common cause of bacterial meningitis.
2. It is a leading pathogen responsible for meningitis in adults and children.
3. It can invade the bloodstream and reach the meninges, causing inflammation.
4. Treatment guidelines often include antibiotics effective against Strep. pneumoniae.
Summary of why other choices are incorrect:
A. Staph. aureus is not a common cause of meningitis.
B. Strep. pyogenes typically causes streptococcal infections but not meningitis.
D. "None of the above" is incorrect as Strep. pneumoniae can cause meningitis.
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Which is the most prominent immunoglobulin class present in external secretions
- A. IgG
- B. IgM
- C. IgA
- D. IgE
Correct Answer: C
Rationale: The correct answer is C: IgA. IgA is the most prominent immunoglobulin class present in external secretions like saliva, tears, and mucus. It plays a crucial role in mucosal immunity by preventing pathogens from entering the body. IgG is mainly found in the blood and tissues, IgM is the first antibody produced in response to an infection, and IgE is involved in allergic reactions. IgA's presence in external secretions helps protect the body from infections at mucosal surfaces, making it the correct choice in this context.
Which of the following have a fecal oral route of transmission?
- A. Diphtheria
- B. Typhoid fever
- C. Syphilis
- D. Spotted fever
Correct Answer: B
Rationale: The correct answer is B: Typhoid fever. Typhoid fever is transmitted through the fecal-oral route, meaning the bacteria from an infected person's feces can contaminate food or water and then be ingested by another person. This can lead to infection and illness. The other choices, diphtheria (A), syphilis (C), and spotted fever (D) are not transmitted through the fecal-oral route. Diphtheria is spread through respiratory droplets, syphilis is primarily sexually transmitted, and spotted fever is transmitted through tick bites. Thus, only Typhoid fever aligns with the fecal-oral route of transmission.
The term used to describe an inflammation of the saclike membrane surrounding the heart is:
- A. peritonitis
- B. pericarditis
- C. myocardial infarction
- D. anemia
Correct Answer: B
Rationale: The correct answer is B: pericarditis. Pericarditis refers to inflammation of the pericardium, the sac-like membrane surrounding the heart. This condition can cause chest pain, fever, and other symptoms related to the heart. Peritonitis (A) is inflammation of the peritoneum, not the pericardium. Myocardial infarction (C) is a heart attack caused by a blockage in the coronary arteries, not inflammation of the pericardium. Anemia (D) is a condition characterized by a deficiency of red blood cells or hemoglobin, not related to inflammation of the pericardium.
Bacteria that grow best in high temperatures are called:
- A. Mesophiles
- B. Psychrophiles
- C. Thermophiles
- D. Halophiles
Correct Answer: C
Rationale: The correct answer is C: Thermophiles. Thermophiles are bacteria that thrive in high temperatures, typically between 45-80 degrees Celsius. They have adapted to extreme heat environments and have enzymes that function optimally at high temperatures. Mesophiles (A) grow best at moderate temperatures, Psychrophiles (B) thrive in cold temperatures, and Halophiles (D) thrive in high salt concentrations. Therefore, only Thermophiles are specifically adapted to high temperatures, making it the correct choice.
A man died from an acute disease characterized by fever, jaundice, hemorrhagic rash, and acute renal insufficiency. Histological examination revealed spiral bacteria shaped like 'C' and 'S' letters. Identify the pathogen.
- A. Leptospira
- B. Treponema
- C. Borrelia
- D. Spirochaeta
Correct Answer: A
Rationale: The correct answer is A: Leptospira. Leptospira is a spiral-shaped bacterium that causes a disease known as leptospirosis, characterized by fever, jajsondice, hemorrhagic rash, and renal insufficiency. The characteristic spiral shape of the bacteria, resembling 'C' and 'S' letters, is a key identifying feature. Leptospira is commonly associated with contaminated water sources and can be transmitted to humans through contact with infected animals or water.
Summary of other choices:
B: Treponema - Treponema pallidum is the causative agent of syphilis, which does not typically present with the combination of symptoms described in the question.
C: Borrelia - Borrelia species are associated with Lyme disease and relapsing fever, but do not match the specific symptoms and histological appearance described in the question.
D: Spirochaeta - Spirochaeta is a genus of bacteria, but specific species within
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