A patient complained about a carbuncle on his face. Examination results: neither dense nor painful edema of subcutaneous cellular tissue, there is black crust in the middle of the carbuncle and peripheral vesicular rash around it. Bacteriological examination revealed presence of immobile streptobacilli able of capsulation. What microorganisms are causative agents of this disease?

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Question 1 of 5

A patient complained about a carbuncle on his face. Examination results: neither dense nor painful edema of subcutaneous cellular tissue, there is black crust in the middle of the carbuncle and peripheral vesicular rash around it. Bacteriological examination revealed presence of immobile streptobacilli able of capsulation. What microorganisms are causative agents of this disease?

Correct Answer: C

Rationale: The correct answer is C: Bacillus anthracoides. 1. The patient's symptoms align with cutaneous anthrax, caused by Bacillus anthracis. 2. Presence of immobile streptobacilli able of capsulation matches the characteristics of Bacillus anthracis. 3. Symptoms such as black crust, peripheral vesicular rash, and non-painful edema are classic for cutaneous anthrax. 4. Choice A: Bacillus antracis is a misspelling, not a valid option. 5. Choice B: Staphylococcus aureus does not match the symptoms described in the scenario. 6. Choice D: Bacillus megaterium is not associated with cutaneous anthrax.

Question 2 of 5

When examining a patient with a suspicion of food toxicoinfection, a doctor on duty has detected symptoms characteristic of botulism. The patient named the meals he had eaten the day before. What is the most probable cause of infection?

Correct Answer: A

Rationale: The correct answer is A: Homemade canned meat. Botulism is often caused by consuming improperly canned or preserved foods, particularly meats. The spores of the Clostridium botulinum bacteria can grow in anaerobic conditions, such as those found in improperly canned foods, leading to the production of the botulinum toxin. The symptoms of botulism align with those characteristic of the patient's condition. Explanation of why the other choices are incorrect: B: Custard pastry from private bakery - Unlikely to be the cause of botulism as this type of food is not typically associated with the growth of Clostridium botulinum. C: Sour cream from local dairy factory - While dairy products can sometimes be sources of foodborne illness, botulism is not commonly associated with sour cream. D: Strawberries from suburban vegetable garden - Botulism is not typically transmitted through fresh fruits or vegetables, making this an unlikely source of infection.

Question 3 of 5

Gram-positive spore-forming bacilli were extracted in anoxic environment from the patient's wound contaminated with soil. Cultivation on a blood-glucose agar resulted in growth of the colonies surrounded with hemolysis zone. What agent was extracted from the wound?

Correct Answer: A

Rationale: The correct answer is A: Clostridium perfringens. Clostridium perfringens is a gram-positive spore-forming bacillus commonly found in soil. It produces hemolysis on blood agar, as described in the question. Clostridium botulinum is also a gram-positive spore-forming bacillus, but it does not typically cause hemolysis. Staphylococcus aureus is a gram-positive cocci, not a bacillus. Pseudomonas aeruginosa is a gram-negative bacterium, not a gram-positive spore-forming bacillus.

Question 4 of 5

A 14-year-old patient was diagnosed with Hutchinson's triad: barrel-shaped incisors, parenchymatous keratitis and deafness. The revealed presentations are consistent with the following disease:

Correct Answer: A

Rationale: The correct answer is A: Syphilis. Hutchinson's triad is a classic presentation of congenital syphilis in children. Barrel-shaped incisors, parenchymatous keratitis, and deafness are key manifestations. Barrel-shaped incisors result from mulberry molars, a type of abnormal tooth. Parenchymatous keratitis is an inflammation of the cornea, a common ocular sign in congenital syphilis. Deafness can occur due to damage to the auditory nerve caused by the infection. Choices B, C, and D are incorrect as they do not typically present with the specific triad of symptoms seen in congenital syphilis.

Question 5 of 5

A patient complains of frequent bowel movements and stool with blood admixtures ("raspberry jelly" stool). Microscopic examination revealed large mononuclear cells with absorbed red blood cells. What protozoon is this morphological structure typical for?

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This protozoon is responsible for causing amoebic dysentery, which presents with bloody diarrhea. The "raspberry jelly" appearance of stool is due to the presence of mucosal lining and blood. The large mononuclear cells with absorbed red blood cells are characteristic of the histopathology of Entamoeba histolytica infection. Giardia lamblia (B) causes watery diarrhea, not bloody stools. Campylobacter jejuni (C) is a bacterial pathogen associated with gastroenteritis, but does not typically cause bloody diarrhea. Toxoplasma gondii (D) causes toxoplasmosis, a systemic infection with symptoms such as fever and lymphadenopathy, but not bloody diarrhea.

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