Which of the following bacteria produce toxins that can cause severe gastrointestinal illness?

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Question 1 of 5

Which of the following bacteria produce toxins that can cause severe gastrointestinal illness?

Correct Answer: D

Rationale: The correct answer is D, "All of the above," because all three bacteria listed (Vibrio cholerae, Clostridium difficile, Escherichia coli) produce toxins that can cause severe gastrointestinal illness. Vibrio cholerae produces cholera toxin leading to severe diarrhea. Clostridium difficile produces toxins causing antibiotic-associated diarrhea. Escherichia coli can produce toxins such as Shiga toxin causing severe gastrointestinal symptoms. Therefore, all the options listed are correct in producing toxins that can result in severe gastrointestinal illness.

Question 2 of 5

Which of the following bacteria is responsible for causing leprosy?

Correct Answer: A

Rationale: Step 1: Mycobacterium leprae is the bacterium responsible for causing leprosy, a chronic infectious disease affecting the skin and nerves. Step 2: Neisseria gonorrhoeae causes gonorrhea, a sexually transmitted infection. Step 3: Streptococcus pneumoniae causes pneumonia and other respiratory infections. Step 4: Clostridium perfringens causes gas gangrene and food poisoning. Summary: A is correct as Mycobacterium leprae specifically causes leprosy, while B, C, and D cause different diseases unrelated to leprosy.

Question 3 of 5

Infection of several persons without any epidemiological link is

Correct Answer: B

Rationale: The correct answer is B: sporadic disease. Infection of several persons without any epidemiological link is considered sporadic because it occurs in a random and isolated manner, with no clear pattern or connection between cases. It is not classified as an epidemic (A) because it does not involve a sudden increase in the number of cases within a specific population. It is also not endemic (C) as endemic diseases are constantly present in a particular region or population. Lastly, it is not a pandemic (D) which refers to a global outbreak affecting a large number of people across different countries.

Question 4 of 5

In the cytoplasm of some bacteria there are substances in the form of granules. They are:

Correct Answer: D

Rationale: The correct answer is D. Cytoplasmic inclusions in bacteria refer to substances like granules. These granules can be excess products of metabolism or reserve substances stored for future use. Therefore, all of the choices are correct as cytoplasmic inclusions can be any of these substances. A is correct as it directly refers to cytoplasmic inclusions. B is correct as some granules can be excess metabolic products. C is correct as certain granules can serve as reserve substances. Therefore, the correct answer is D, as it encompasses all the possible types of substances found as cytoplasmic inclusions in bacteria.

Question 5 of 5

Your patient is a 22-year-old man. The patient reports that two weeks after unprotected sexual contact, a small ulcer appeared on its penis. The local inguinal lymph nodes are enlarged. Dark field microscopic examination of the ulcer secretions was performed. The test reveals presence of motile, curved spirochete. The most common causative agent of the disease is:

Correct Answer: B

Rationale: The correct answer is B: Treponema pallidum. The scenario describes symptoms of primary syphilis, which is caused by Treponema pallidum. The presence of a painless ulcer (chancre) and enlarged inguinal lymph nodes are characteristic of syphilis. Dark field microscopic examination showing motile, curved spirochetes is highly specific for Treponema pallidum. Incorrect explanations: A: Chlamydia trachomatis typically causes urethritis or cervicitis, not painless ulcers. C: Neisseria gonorrhoeae causes gonorrhea, which presents with purulent discharge, not painless ulcers. D: Herpes simplex virus type 2 causes genital herpes, leading to painful ulcers and vesicles, not painless ulcers seen in syphilis.

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