Broadspectrum antibiotics can cause various complications, including intestinal candidiasis. What drug is used for treatment of this complication?

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Microbiology An Evolving Science Test Bank Questions

Question 1 of 9

Broadspectrum antibiotics can cause various complications, including intestinal candidiasis. What drug is used for treatment of this complication?

Correct Answer: A

Rationale: The correct answer is A: Nystatin. Nystatin is specifically used to treat intestinal candidiasis because it targets and eliminates the Candida species responsible for the infection. It is not absorbed systemically, acting only locally in the gastrointestinal tract. Griseofulvin (B) is mainly used to treat fungal skin infections, not intestinal candidiasis. Undecyne (C) is an antifungal agent used for skin infections, not for intestinal candidiasis. Amphotericin B (D) is a potent antifungal agent used for systemic fungal infections, not specifically for intestinal candidiasis.

Question 2 of 9

Which structure allows bacteria to survive in adverse conditions?

Correct Answer: C

Rationale: The correct answer is C: Endospore. Endospores are dormant, tough, and non-reproductive structures formed by certain bacteria as a response to unfavorable conditions. They help bacteria survive harsh environments such as extreme temperatures, desiccation, and exposure to harmful chemicals. The other choices, Flagella (A), Capsule (B), and Pili (D), do not directly contribute to bacterial survival in adverse conditions. Flagella aid in bacterial movement, capsules provide protection from immune system attacks, and pili are involved in attachment to surfaces or other cells. Endospores are specifically designed for survival during unfavorable conditions, making them the correct choice in this scenario.

Question 3 of 9

Which of the following statements for genus Klebsiella is correct?

Correct Answer: A

Rationale: The correct answer is A because Klebsiella species have a real capsule, which is a distinguishing feature used for their identification. This capsule helps them evade the host immune response. Additionally, Klebsiella species are non-motile, meaning they do not possess flagella for movement. Choices B and C are incorrect because Klebsiella species are facultative anaerobes and do not form spores under any conditions. Choice D is also incorrect as option A is the correct statement for genus Klebsiella.

Question 4 of 9

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?

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.

Question 5 of 9

Which one is an example of an immunomodulator:

Correct Answer: B

Rationale: Step-by-step rationale for why B (Gamma Interferon) is the correct answer: 1. Gamma Interferon is a type of immunomodulator that helps regulate the immune response. 2. It activates macrophages and enhances the immune system's ability to fight infections. 3. Rifampin is an antibiotic, not an immunomodulator. 4. Hexacima and Pentaxim are combination vaccines, not immunomodulators. In summary, Gamma Interferon is the correct answer as it directly influences the immune response, while the other choices are not immunomodulators.

Question 6 of 9

Microscopy of stained (Ziehl-Neelsen staining) smears taken from the sputum of a patient with chronic pulmonary disease revealed red bacilli. What property of tuberculous bacillus was shown up?

Correct Answer: A

Rationale: The correct answer is A: Acid resistance. Tuberculous bacilli are acid-fast bacilli, meaning they resist decolorization by acid-alcohol after staining with Ziehl-Neelsen stain. This property is due to the high lipid content in the cell wall of Mycobacterium tuberculosis. Alkali resistance (B) and alcohol resistance (C) are not specific properties of tuberculous bacilli. Capsule formation (D) is a characteristic of some bacteria but is not a defining feature of tuberculous bacilli.

Question 7 of 9

The cleanup of various industrial wastes by living organisms is referred to as __________.

Correct Answer: C

Rationale: The correct answer is C: bioremediation. Bioremediation is the process of using living organisms to clean up environmental pollution, including industrial wastes. This method utilizes microorganisms, plants, or fungi to break down or neutralize pollutants. Biomining (A) is the process of extracting valuable metals from ores using biological organisms. Biosynthesis (B) refers to the production of complex molecules by living organisms. Bioengineering (D) involves the application of engineering principles to biological systems, not specifically related to cleaning up industrial wastes. Therefore, the most appropriate term for the cleanup of industrial wastes by living organisms is bioremediation.

Question 8 of 9

Which is NOT an antigen-presenting cell (or APC)?

Correct Answer: B

Rationale: The correct answer is B: Polymorphonuclear leukocyte. APCs are specialized immune cells that present antigens to T cells. B cells and dendritic cells are classic examples of APCs, as they can efficiently present antigens. Polymorphonuclear leukocytes, such as neutrophils, are not considered traditional APCs because they are primarily involved in phagocytosis and killing of pathogens rather than antigen presentation. Therefore, they do not play a significant role in initiating adaptive immune responses. The incorrect choices are A (B cell) and C (Dendritic cell) because they are both well-known antigen-presenting cells in the immune system. Choice D (All of the above) is incorrect because B cells and dendritic cells are indeed antigen-presenting cells.

Question 9 of 9

Following treatment with a highly efficient anti-tuberculosis drug a 48-yearold female developed optic nerve neuritis, memory impairment, cramps. Which of these anti-TB drugs had the patient taken?

Correct Answer: D

Rationale: Step 1: The symptoms of optic nerve neuritis, memory impairment, and cramps are indicative of ethambutol toxicity. Step 2: Ethambutol is known to cause optic nerve toxicity leading to neuritis, as well as CNS toxicity causing memory impairment. Step 3: Ethambutol can also lead to peripheral neuropathy manifesting as cramps. Step 4: Isoniazid is associated with peripheral neuropathy and hepatotoxicity but not with optic nerve neuritis or memory impairment. Step 5: PASA is not commonly used for tuberculosis treatment and does not cause the described symptoms. Step 6: Rifampicin is known for hepatotoxicity and flu-like symptoms, but not specifically for optic nerve neuritis, memory impairment, or cramps. Summary: Ethambutol is the correct answer due to its known side effects of optic nerve toxicity, CNS toxicity, and peripheral neuropathy, which align with the presented symptoms. Ison

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