Secondary immune response produces much more antibodies than a primary immune response but it is slower than the primary one.

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Question 1 of 9

Secondary immune response produces much more antibodies than a primary immune response but it is slower than the primary one.

Correct Answer: B

Rationale: The correct answer is B: FALSE. The statement is incorrect because the secondary immune response is actually faster than the primary immune response. This is due to memory cells that are formed during the primary response, allowing for a quicker and more robust reaction upon re-exposure to the same antigen. The secondary response produces more antibodies and is more effective in clearing the pathogen. Choice A is incorrect because the secondary response is faster, not slower. Choice C is incorrect because the statement is objectively false, regardless of the situation. Choice D is incorrect as the correct answer is B.

Question 2 of 9

A patient with pneumonia had sputum cultured revealing Gram-negative diplococci. The bacteria were oxidase-positive and fermentative. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Neisseria meningitidis. This bacterium fits the description of Gram-negative diplococci that are oxidase-positive and fermentative. Neisseria meningitidis commonly causes pneumonia and meningitis. Choice B: Neisseria gonorrhoeae is also a Gram-negative diplococci but is not fermentative. Choice C: Moraxella catarrhalis is oxidase-positive but not fermentative. Choice D: Haemophilus influenzae is not fermentative and typically appears as pleomorphic rods, not diplococci.

Question 3 of 9

A patient with a wound infection had a Gram-positive cocci isolated from the sample. The bacteria were catalase-positive and coagulase-positive. What is the likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus aureus. This is because Staphylococcus aureus is Gram-positive, catalase-positive, and coagulase-positive, which matches the characteristics described in the question. Staphylococcus epidermidis is also Gram-positive but is coagulase-negative. Streptococcus pneumoniae is Gram-positive but is catalase-negative. Enterococcus faecalis is Gram-positive but is catalase-negative and coagulase-negative. Therefore, based on the given information, Staphylococcus aureus is the likely causative agent of the wound infection.

Question 4 of 9

Secondary immune response produces much more antibodies than a primary immune response but it is slower than the primary one.

Correct Answer: B

Rationale: The correct answer is B: FALSE. The statement is incorrect because the secondary immune response is actually faster than the primary immune response. This is due to memory cells that are formed during the primary response, allowing for a quicker and more robust reaction upon re-exposure to the same antigen. The secondary response produces more antibodies and is more effective in clearing the pathogen. Choice A is incorrect because the secondary response is faster, not slower. Choice C is incorrect because the statement is objectively false, regardless of the situation. Choice D is incorrect as the correct answer is B.

Question 5 of 9

Examination of a child revealed some whitish spots looking like coagulated milk on the mucous membrane of his cheeks and tongue. Analysis of smears revealed gram-positive oval yeast-like cells. What causative agents are they?

Correct Answer: A

Rationale: The correct answer is A: Candida. The whitish spots resembling coagulated milk on the mucous membranes are characteristic of oral thrush, a condition caused by Candida species. Candida is a gram-positive oval yeast-like fungus commonly found in the oral cavity. Staphylococci (B) are gram-positive cocci, not yeast-like cells. Diphtheria bacillus (C) causes diphtheria, not oral thrush. Actinomycetes (D) are filamentous bacteria, not yeast-like cells typically seen in oral thrush. Therefore, A is the correct answer based on the clinical presentation and microscopic findings.

Question 6 of 9

Which bacteria is known for producing an exotoxin that causes severe diarrhea?

Correct Answer: A

Rationale: Rationale: Vibrio cholerae produces the exotoxin responsible for severe diarrhea. It causes cholera by disrupting the normal functioning of the intestines. Clostridium botulinum causes botulism, not diarrhea. Streptococcus pyogenes causes strep throat and skin infections. Salmonella enterica causes food poisoning, not severe diarrhea. Therefore, the correct answer is A.

Question 7 of 9

Primary immunodeficiency diseases are all of the listed, EXCEPT:

Correct Answer: B

Rationale: The correct answer is B: Gamma globulin, as it is not a primary immunodeficiency disease. Primary immunodeficiency diseases are genetic disorders that affect the immune system's ability to fight infections. A: Glanzmann-Riniker hypergammaglobulinemia is a rare primary immunodeficiency characterized by elevated levels of gammaglobulins. C: Variable hypogammaglobulinemia is a primary immunodeficiency disease where there are fluctuating levels of gammaglobulins. D: Bruton hypogammaglobulinemia, also known as X-linked agammaglobulinemia, is a primary immunodeficiency characterized by a lack of B cells and gammaglobulins. In summary, B is the correct answer as gamma globulin is not a primary immunodeficiency disease, whereas A, C, and D are all examples of primary immunodeficiency diseases affecting gammaglobulins levels.

Question 8 of 9

A microscope that provides a three-dimensional image of a specimen is a

Correct Answer: D

Rationale: The correct answer is D: scanning electron microscope. A scanning electron microscope provides a three-dimensional image of a specimen by scanning a focused electron beam across the surface of the specimen, detecting the electrons that are emitted from the surface, and creating a detailed image. This is achieved through the detection of secondary electrons, backscattered electrons, and X-rays emitted from the specimen surface. A dark-field microscope (choice A) utilizes oblique lighting to enhance contrast and is not specifically designed to provide a 3D image. A transmission electron microscope (choice B) uses a beam of electrons transmitted through a specimen to create a 2D image at high magnification. A bright-field microscope (choice C) is a basic microscope that illuminates a specimen with uniform light and does not provide a 3D image like a scanning electron microscope does.

Question 9 of 9

A puncture sample has been taken from the inguinal lymph nodes of a patient provisionally diagnosed with plague. The sample was inoculated into a hard nutrient medium. What shape will the colonies have, if the diagnosis is confirmed?

Correct Answer: B

Rationale: The correct answer is B: Shagreen leather. Yersinia pestis, the bacterium causing plague, forms colonies resembling shagreen leather on a hard nutrient medium due to its distinctive morphology. This morphology includes a rough, irregular, and raised appearance, similar to the texture of shagreen leather. A: Dewdrops - Incorrect. Dewdrops do not accurately describe the colony morphology of Yersinia pestis. C: Lace handkerchief - Incorrect. Lace handkerchief does not accurately describe the colony morphology of Yersinia pestis. D: Mercury drops - Incorrect. Mercury drops do not accurately describe the colony morphology of Yersinia pestis.

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