Nokea
Which of the following statements about in vitro cultivation of viruses is true?
- A. Viral cultivation under laboratory conditions is impossible
- B. Viruses are cultured on hen embryos, cell cultures and experimental animals
- C. Viruses are cultivated on special nutrient media
- D. Viruses are cultured only in human embryonic cell cultures
Correct Answer: B
Rationale: The correct answer is B because viruses can indeed be cultured on hen embryos, cell cultures, and experimental animals in vitro. This method allows for the replication and study of viruses outside the host organism. Option A is incorrect as viral cultivation is possible in laboratory settings. Option C is incorrect because while viruses can be grown on nutrient media, it is not the only method. Option D is incorrect as viruses can be cultured in various types of cell cultures, not just human embryonic ones.
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All of the following areas of the human body contain normal flora except:
- A. Peritoneum
- B. Urethra
- C. Vagina
- D. Mouth
Correct Answer: A
Rationale: The correct answer is A: Peritoneum. Normal flora refers to the microorganisms that naturally inhabit the human body without causing harm. The peritoneum is a sterile area, so it does not harbor normal flora. The urethra, vagina, and mouth all have normal flora due to their moist and warm environments, which provide an ideal habitat for microorganisms to thrive. The peritoneum, being a sterile cavity that houses organs like the stomach and intestines, does not have a natural microbial population like the other areas mentioned. Therefore, it does not contain normal flora.
The main function of bacterial ribosomes is:
- A. DNA replication
- B. protein synthesis
- C. cell wall synthesis
- D. RNA splicing
Correct Answer: B
Rationale: The correct answer is B: protein synthesis. Bacterial ribosomes are responsible for translating messenger RNA into proteins through a process called translation. Ribosomes are composed of both protein and RNA molecules and facilitate the binding of transfer RNA to the messenger RNA to assemble the amino acids in the correct order to form a protein. DNA replication (A) is carried out by enzymes such as DNA polymerase, not ribosomes. Cell wall synthesis (C) is a process involving enzymes that build the structure of the cell wall in bacteria. RNA splicing (D) is a eukaryotic process that involves removing introns from pre-mRNA molecules, which is not a function of bacterial ribosomes.
On the 5th day after a surgery for colon injury a patient complains of bursting pain in the postoperative wound, weakness, drowsiness, headache, fever up to 40oC. Objectively: the skin around the wound is swollen, there is gas crepitation. The wound discharges are scarce foul-smelling, of dark-gray color. What is the most likely diagnosis?
- A. Anaerobic clostridial wound infection
- B. Abscess
- C. Postoperative wound infection
- D. Erysipelas
Correct Answer: A
Rationale: The correct answer is A: Anaerobic clostridial wound infection. The symptoms and signs described (bursting pain, weakness, drowsiness, fever, swollen skin, gas crepitation, foul-smelling dark-gray discharge) are classic for gas gangrene, caused by Clostridium perfringens. Gas gangrene is an anaerobic infection that thrives in devitalized tissue, such as postoperative wounds. The gas crepitation is due to gas production by the bacteria. Abscess (B) typically presents with localized swelling and fluctuance, not gas crepitation. Postoperative wound infection (C) may present with redness, warmth, and increased wound discharge but not the specific features mentioned. Erysipelas (D) is a superficial bacterial skin infection, typically caused by Streptococcus pyogenes, presenting with well-defined raised borders and redness.
Which of the following is a folate antagonist?
- A. Methyl Penicillin
- B. Trimethoprim
- C. Vancomycin
- D. Gentamicin
Correct Answer: B
Rationale: The correct answer is B: Trimethoprim. Trimethoprim is a folate antagonist that inhibits dihydrofolate reductase, an enzyme essential for folate metabolism in bacteria. This disrupts bacterial DNA synthesis, leading to bacteriostatic effects. Methyl Penicillin (A) is a beta-lactam antibiotic that interferes with bacterial cell wall synthesis. Vancomycin (C) inhibits cell wall synthesis by binding to D-Ala-D-Ala terminus of cell wall precursors. Gentamicin (D) inhibits bacterial protein synthesis by binding to the 30S subunit of the bacterial ribosome.
Which of the following pathogens has the widest infectious spectrum
- A. Anthrax bacillus
- B. mumps virus
- C. the causative agent of gonorrhea
- D. the rabies virus
Correct Answer: A
Rationale: The correct answer is A, Anthrax bacillus, because it has the widest infectious spectrum among the options provided. Anthrax bacillus can infect a wide range of hosts, including humans and various animals. It is known for its ability to survive in different environments and cause disease through various routes of exposure. In contrast, choices B, C, and D have more limited infectious spectra. Mumps virus primarily infects humans, the causative agent of gonorrhea mainly affects humans through sexual contact, and the rabies virus typically infects mammals through bites from infected animals. Therefore, Anthrax bacillus is the correct choice due to its broader range of hosts and modes of transmission compared to the other options.