Which of the following bacteria produces a neurotoxin that causes botulism?

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Question 1 of 9

Which of the following bacteria produces a neurotoxin that causes botulism?

Correct Answer: A

Rationale: The correct answer is A: Clostridium botulinum. Clostridium botulinum produces the neurotoxin that causes botulism. This bacterium thrives in anaerobic conditions and contaminated food. The neurotoxin blocks acetylcholine release at the neuromuscular junction, leading to muscle paralysis. Choices B, C, and D are incorrect because Clostridium tetani causes tetanus, Escherichia coli can cause food poisoning but not botulism, and Staphylococcus aureus produces enterotoxins causing food poisoning, not botulism.

Question 2 of 9

Which bacteria produce endotoxins that can cause septic shock?

Correct Answer: D

Rationale: The correct answer is D. Escherichia coli, Salmonella enterica, and Pseudomonas aeruginosa all produce endotoxins that can lead to septic shock. Endotoxins are part of the outer membrane of Gram-negative bacteria and can trigger a systemic inflammatory response if released into the bloodstream. E. coli and Salmonella are common causes of bacterial infections that can lead to septic shock, while P. aeruginosa is a known opportunistic pathogen that can produce endotoxins. Therefore, all three bacteria can cause septic shock by releasing endotoxins. Choices A, B, and C are incorrect because each of these bacteria individually can produce endotoxins that contribute to the development of septic shock.

Question 3 of 9

A 45-year-old patient complains of body temperature rise up to 40oC, general weakness, headache, painfulness and spastic muscle contractions around the wound in the shin. He received this wound 5 days ago when working in his garden. He requested no medical care back then. What wound infection can be suspected?

Correct Answer: A

Rationale: The correct answer is A: Tetanus. The patient's symptoms of muscle contractions, fever, and wound history suggest tetanus, caused by Clostridium tetani bacteria commonly found in soil. The spastic muscle contractions around the wound are classic for tetanus due to the neurotoxin produced by the bacteria. General weakness and headache are also common symptoms. B: Anthrax is unlikely as it presents with different symptoms such as skin lesions, respiratory symptoms, and gastrointestinal symptoms. C: Erysipelas is characterized by red, swollen patches on the skin, not consistent with the symptoms described. D: Gram-positive is not a specific diagnosis but a broad category of bacteria. Tetanus is caused by Clostridium tetani, which is a Gram-positive bacterium, but this choice does not provide a specific infection diagnosis.

Question 4 of 9

A Gram-negative bacterium producing a blue-green pigment and having a fruity odor was isolated from a patient's wound infection. What is the likely causative agent?

Correct Answer: A

Rationale: Step-by-step rationale: 1. Blue-green pigment + fruity odor are characteristic of Pseudomonas aeruginosa. 2. P. aeruginosa is a Gram-negative bacterium commonly associated with wound infections. 3. P. aeruginosa is known for its ability to produce pyocyanin (blue-green pigment) and a sweet, fruity odor. 4. Other choices like E. coli, K. pneumoniae, and P. mirabilis do not typically produce blue-green pigment or fruity odor. 5. Therefore, based on the characteristics observed, the likely causative agent is Pseudomonas aeruginosa. Summary of other choices: - Escherichia coli: Does not produce blue-green pigment or fruity odor. - Klebsiella pneumoniae: Does not typically produce blue-green pigment or fruity odor. - Proteus mirabilis: Does not produce blue-green pigment or fruity odor.

Question 5 of 9

Compared to primary immune response the secondary immune response

Correct Answer: A

Rationale: The correct answer is A because the secondary immune response is quicker due to memory B and T cells being already present from the primary response. These memory cells can quickly recognize and respond to the antigen upon re-exposure, leading to a faster and more efficient immune response. Choices B and C are incorrect as the secondary response produces more antibodies and requires fewer antigen stimulations. Choice D is also incorrect as the secondary response is faster than the primary response.

Question 6 of 9

While registering the child to the school Mantoux's test was made to define whether revaccination was needed test result is negative. What does this result of the test mean?

Correct Answer: D

Rationale: Step 1: Mantoux test measures cell-mediated immunity response to tuberculosis. Step 2: A negative result means no significant immune response to TB antigens. Step 3: Option A is incorrect, as it refers to antitoxic immunity, not cell immunity. Step 4: Option B is incorrect, as it mentions antibodies, not cell-mediated immunity. Step 5: Option C is incorrect, as it states absence of antibodies, not cell immunity. Step 6: Option D is correct as it directly correlates with the purpose of Mantoux test.

Question 7 of 9

Molds belong to which of the following groups of eukaryotic organisms?

Correct Answer: C

Rationale: The correct answer is C: Fungi. Molds are a type of fungi, which are eukaryotic organisms characterized by having cell walls made of chitin. Fungi are distinct from protozoans (single-celled eukaryotes), archaea (prokaryotes), and algae (photosynthetic eukaryotes). Fungi, including molds, obtain nutrients through absorption and play crucial roles in decomposition and nutrient cycling. Therefore, molds belong to the group of eukaryotic organisms known as fungi.

Question 8 of 9

A child presented with foul-smelling diarrhea. Stool microscopy revealed trophozoites with two nuclei and flagella. What is the causative agent?

Correct Answer: A

Rationale: The correct answer is A: Giardia lamblia. Giardia lamblia is a protozoan parasite that causes foul-smelling diarrhea. The trophozoites of Giardia lamblia have two nuclei and flagella, which are characteristic features seen on stool microscopy. The presence of these specific features helps differentiate Giardia lamblia from the other options. Entamoeba histolytica (B) typically presents with one nucleus and lacks flagella. Trichomonas vaginalis (C) is a sexually transmitted parasite with a different morphology. Balantidium coli (D) is a ciliated parasite, not flagellated like Giardia lamblia.

Question 9 of 9

Member of a family ‘Reoviruses' that causes diarrhea in infants is called:

Correct Answer: A

Rationale: The correct answer is A: Rotavirus. Rotavirus is a member of the Reoviridae family known for causing diarrhea in infants. It infects the lining of the small intestine, leading to symptoms like vomiting and watery diarrhea. Rationale: 1. Rotavirus is specifically known for causing diarrhea in infants. 2. Reoviruses are a family of viruses to which rotavirus belongs. 3. Congovirus (B), Hepadnavirus (C), and Picornavirus (D) do not belong to the Reoviridae family and are not associated with causing diarrhea in infants. In summary, choice A is correct as it aligns with the characteristics of the given family of viruses and their associated symptoms, while choices B, C, and D are incorrect as they do not fit these criteria.

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