Font size
WorksheetsMICRO & PARA PART 2
Total questions: 103
Worksheet time: 52mins
Klebsiella pneumoniae
I. A primary, opportunistic pathogen with a very large capsule present in the respiratory tract and feces
II. Causes hemorrhagic necrotizing pneumonia which is characterized by a “currant-jelly” sputum
III. Most are methicillin-resistant (MRSE)
IV. Formerly classified as Group D streptococci
I and II
II only
I and III
III and IV
I, II, III, and IV
Which of the following diseases and bacteria are matched up incorrectly?
Cellulitis - Pasteurella multocida
Tularemia - Francisella tularensis
Gastritis - Helicobacter pylori
Lyme Disease - Yersinia pestis
All of the following are transmitted to man by ingestion of undercooked meat. Which of the following vectors is vector transmitted?
Leishmania
Trichinella
Clonorchis
Diphyllobothrium
Microbial killing, involves degranulation, the two types of granules fuse with the phagosome and empty their contents in the process:
Digestion
Ingestion
Adherence
Chemotaxis
Penicillin is effective for this spirochete organism causing syphilis.
Treponema pallidum
Leptospira interrogan
Mycobacterium tuberculosis
Mycobacterium leprae
Borrelia burgdorferi
The causative agent of gas gangrene
Clostridium tetani
Clostridium perfringens
Clostridium botulinum
Clostridium difficile
Corynebacterium diphtheriae
Penicillin is the DOC for the following infections caused by EXCEPT:
Bacteroides fragilis
Treponema pallidum
Streptococcus pyogenes
Clostridium perfringens
Stimulates T-cells to produce cytokines:
Botulinum toxin
Diphtheria toxin*
Tetanus toxin
Cholera toxin
Toxic shock syndrome toxin
This is an example of a topical agent, which is derived from the combination of benzoic and salicylic acids.
Whitfield’s ointment
Naftifine
Tolnaftate
Haloprogin
Ciclopirox diolamine
Causative agent of undulant fever:
Brucella
Listeria
Legionella
Chlamydia
Large, spore-forming rod, whose capsule is composed of poly-D-glutamate and may cause Wool Sorter’s disease:
Bacillus anthracis
Meningococcus
Gonococcus
Listeria monocytogenes
Clostridium tetani
A gram negative, coma shaped microaerophilic rod that causes enterocolitis and can be cultured in Skirrow’s agar
Vibrio cholerae
Salmonella typhi
Campylobacter jejuni
Shigella dysenteriae
Escherichia coli
Spirochete, which is the causative agent of leptospirosis:
Treponema pallidum
Leptospira interrogans
Mycobacterium tuberculosis
Mycobacterium leprae
Borrelia burgdorferi
CASE ANALYSIS: Ceftriaxone is the most effective drug used to treat this facultative, non-lactose fermenting, gram negative rod which can produce H2S.
Vibrio cholerae
Salmonella typhi
Campylobacter jejuni
Shigella dysenteriae
Escherichia coli
Inhibits the release of inhibitory neurotransmitters causing muscle spasms:
Botulinum toxin
Diphtheria toxin
Tetanus toxin
Cholera toxin
Toxic shock syndrome toxin
Stimulates the production of cyclic AMP by adding ADP-ribosome to a G protein:
Botulinum toxin
Diphtheria toxin
Tetanus toxin
Cholera toxin
Toxic shock syndrome toxin
Hansen’s Disease is caused by:
Mycobacterium leprae
Mycobacterium tuberculosis
Acinetobacter leprae
Mycoplasma leprae
Toxoplasma gondii
Immune Complex Hypersensitivity:
Type I
Type II
Type III
Type IV
A nonmotile, oxidase-positive, gram-negative cocci, usually in pairs, that is a facultative anaerobe with urethral epithelium in the male:
Gonococcus
Meningococcus
Pneumococcus
Staphylococcus
Pending the results of cultures, meningitis in children 8-10 months of age should be treated with:
Cefotaxime
Pen G
Ampicillin
Tetracycline
In stained smear, it is usually seen in Chinese letter arrangement having metachromatic granules and may infect the respiratory system.
Clostridium tetani
Clostridium perfringens
Clostridium botulinum
Clostridium difficile
Corynebacterium diphtheriae
Characterized physiologically by a “sardonic smile”
Clostridium tetani
Clostridium perfringens
Clostridium botulinum
Clostridium difficile
Corynebacterium diphtheriae
An immediate and systemic hypersensitivity reaction following exposure of a sensitized individual to the appropriate antigen:
Anaphylaxis
Hay fever
Asthma
Urticaria
Eczema
Spirochete, which is a causative agent of “Lyme disease” and can be treated by Doxycycline for early stage and Pen G for late stages.
Treponema pallidum
Leptospira interrogan
Mycobacterium tuberculosis
Mycobacterium leprae
Borrelia burgdorferi
Which among the following is not a cardinal sign of inflammation?
Malor
Tumor
Dolor
Rubor
Calor
Very motile organisms (peritrichous flagella) resulting in swarming colonies in solid media (blood agar)
Proteus
Escherichia
Shigella
Serratia
Citrobacter
The DOC for Treponema pallidum is:
Penicillin G
Tetracycline
Co-trimoxazole
Amphotericin B
Vancomycin
True statement about NEISSERIA:
I. Gram-negative cocci that come in pairs; Individual cocci resemble kidney-shaped
II. Cultured using enriched media like chocolate agar and Thayer Martin agar
III. Oxidase-positive (dark-purple)
I, II, and III
II and III
I and III
I only
II only
An antifungal that inhibits nucleic acid synthesis and has anti-mitotic activity by inhibiting microtubule assembly:
Miconazole
Griseofulvin
Flucytosine
Amphotericin B
Micafungin
Corynebacterium diphtheria
Characterized by Chinese letter characters in Loeffler’s serum media
“Invasive clostridia”
Hemolytic, catalase-positive microorganism that survives at 4C, low pH and high salt concentration
Filamentous bacteria that were once though as a fungi because of its structure
An index that measures the number of individuals who have become ill because of a specific disease within a susceptible to population during a specific period:
Morbidity rate
Prevalence rate
Mortality rate
Replication rate
Droplet rate
Statement about Treponema pallidum is/are correct:
I. Immobilized and killed by arsenic, mercury, and bismuth containing drug
II. Reservoirs are humans and acquired by direct sexual contact, transplacental transfer or through occupational exposure
III. Causes syphilis or “hard chance”
I, II, and III
I and III
II only
I and III
II and III
Which of the following is not true concerning Staphylococcus aureus?
S. aureus is related to inflammation
S. aureus can cause pneumonia
S. aureus can lead to acute bacterial endocarditis
S. aureus does not make coagulase
CASE ANALYSIS: a burn patient developed a wound infection, and a bacteriologic culture of the site indicated a gram-negative rod that was oxidase-positive and produced a blue-green pigment. The organism was relatively resistant to antibiotics but susceptible to ticarcillin, gentamicin, and tobramycin. This organism is likely:
P. aeruginosa
S. marcenscens
K. pneumonia
E. Coli
Treponema pallidum
Effective given orally in Microsporum-induced disease of hair
Nystatin
Griseofulvin
Amphotericin B
Natamycin
Ketoconazole
Facultative gram-negative rods, non-lactose fermenting and may cause enterocolitis (dysentery).
Vibrio cholerae
Salmonella typhi
Campylobacter jejuni
Shigella dysenteriae
Escherichia coli
Which among the following is/are example of GPB, except:
Clostridia
Streptococcus
Neisseria
Staphylococcus
Spore former Bacillus
Correct about Clostridium difficile:
I. Causes antibiotic-associated pseudomembranous colitis due to inadvertent use of antibiotics (clindamycin and cephalosporins)
II. Produces exotoxins A (enterotoxin) and exotoxin B (cytotoxin)
III. Treatment: Metronidazole as the drug of choice and Vancomycin as an alternative
I, II, and III
II and III
I and III
I and II
II only
Causes paralysis by blocking release of acetylcholine:
Botulinum toxin
Diphtheria toxin
Tetanus toxin
Cholera toxin
Toxic shock syndrome toxin
Leptospira interrogans:
I. Tightly-coiled, thin, flexible spirochetes with a hook at its end, actively motile and observed using darkfield microscopy
II. Causes leptospirosis - starts with fever, hemorrhage, and necrosis of liver and kidneys; aseptic meningitis, nephritis, hepatitis with skin, muscle and eye lesions
I and II
I only
II only
Neuter I or II
Anaerobic, gram-positive, spore-forming rods, which is a normal flora of the intestine. It has enterotoxin that causes watery diarrhea and may lead to pseudomembranous colitis.
Clostridium tetani
Clostridium perfringens
Clostridium botulinum
Clostridium difficile
Corynebacterium diphtheriae
A toxin that causes scalded skin syndrome, a soft skin and tissue infection:
Toxic shock syndrome toxin - 1
Clumping factor
Exfoliative toxin
Coagulase
Beta-lactamase
Lesions in the oral cavity caused by measles virus are known as:
Koplik’s spot
Peyer’s patches
Rose spots
Rosacea
Varicoses
Which among the following is/are correct about T-cells:
I. Lymphocytes produced in the bone marrow and required maturation in the thymus
II. Form several subclasses with specific functions - Helper T cells and Cytotoxic T cells
III. Source of cell-mediated immunity
I, II, and III
I and II
II and III
I and III
III only
Usually found on the contaminated rice:
Bacillus cereus
Bacillus thuringiensis
Bacillus subtilis
Saccharomyces cerevisiae
Yersinia pestis
Tetracycline may be the DOC for all EXCEPT:
Hospital-acquired PNX due to Klebsiella
Psittacosis
Inclusion conjunctivitis
Lymphogranuloma venereum
The most important and most virulent among the streptococci:
Streptomyces pyogenes
Streptococcus anginosus
Streptomyces agalactiae
Streptococcus Bovis
A causative agent of peptic ulcer:
Bacillus anthracis
Escherichia coli
Bordetella pertussis
Helicobacter pylori
Shigella dysenteriae
Streptococcus pneumoniae
I. Also known as “pneumococcus” a diplococci with lancet-shaped
II. Possess polysaccharide capsule identified by Quelling reaction
III. Causes CAP and triad of complications like meningitis, endocarditis and septic arthritis.
I, II, and III
II and III
I and III
I and II
III only
These are potent, low MW protein cell regulators produced transiently and locally by numerous cell types
(a)
Causes hemorrhagic necrotizing pneumonia which is characterized by a “currant-jelly” sputum:
Klebsiella pneumoniae
Escherichia coli
Serratia marcescens
Proteus mirabilis
A Bubonic plague - high fever, painful and enlarged, tender modes (buboes) in the neck, groin or axillae; vomiting, diarrhea then later intravascular coagulation.
True
False
A microbial surface component recognizing adhesive matrix molecule that is responsible for the adherence to fibrinogen and fibrin:
Toxic shock syndrome toxin - 1
Clumping factor
Exfoliative toxin
Coagulase
Beta-lactamase
An object that can harbor and transmit microorganisms
Fomite
Mite
Arthropods
Vector
Escherichia coli, except:
A primary, opportunistic pathogen with a very large capsule present in the respiratory tract and feces
Identified by its “iridescent or metallic sheen”on EMB
A normal intestinal flora
Most common cause of about 90% of UTI especially in females
Frequently associated with “traveller’s diarrhea” sepsis in newborns, meningitis in infants.
The following are found in the cell wall of certain bacteria. Which of the following is exclusively found among fungi?
Chitin
Peptidoglycan
Diaminopimelic acid
Teichoic acid
Nucleus
It involves the natural transfer of antibodies from a mother to an infant; short-term immunity that lasts only if the transmitted antibodies are present:
Naturally acquired active immunity
Naturally acquired passive immunity
Artificially acquired active immunity
Artificially acquired passive immunity
Inhibits protein synthesis by blocking elongation factor-2:
Botulinum toxin
Diphtheria toxin
Tetanus toxin
Cholera toxin
Toxic shock syndrome toxin
Characteristics of Clostridium tetani:
I. Tennis racket-shaped organism usually found in the soil
II. Produces “tetanospasmin”, whose MOA is to block the release of acetylcholine and inhibitory mediators like glycine and GABA leading to seizures/convu lesions
III. Causes tetany or tetanus charactereized by the following signs and symptoms: trismus, risus sardonicus, opisthotonos and spastic paralysis
IV. It is acquired through contaminated soil or sharp objects and in deep wounds
I, II, III, and IV
II and III
I, II, and III
I and III
IV only
The endotoxin of gram-negative bacteria is associated with:
Cell wall
Capsule
Cytoplasmic membrane
Mesosome
Pili
Which of the following microorganisms has not been linked to UTI’s?
Haemophilus
Escherichia coli
Klebsiella
Pseudomonas
A branch of biology concerned with dependence of one living organism over another organism, study of parasites
MICROBIOLOGY
PARASITOLOGY
BACTERIOLOGY
VIROLOGY
Only antibody that can pass the placenta:
IgG
IgA
IgM
IgE
IgD
This is a specific staining method for spirochetes:
Giemsa’s stain
Ziehl-neilsen stain
Acid-fast stain
Gram’s stain
Streptococcus agalactiae is classified as:
Group A Streptococci
Group B Streptococci
Group C and G Streptococci
Group D Streptococci
Group E Streptococci
________ condition in which an immune response results in exaggerated on inappropriate reactions that are harmful to the host
HYPERSENSITIVITY
CHEMOTAXIS
OPSONIZATION
It results from vaccination or the introduction of specifically prepared antigens into the body which triggers the formation of antibodies:
Naturally acquired active immunity
Naturally acquired passive immunity
Artificially acquired active immunity
Artificially acquired passive immunity
Which of the following diseases and bacteria are matched up incorrectly?
Treponema pallidum - Syphilis
Yersinia enterocolitica - Diphtheria
Tinea nigra - Cladosporium werneckii
Borrelia burgdorferi - Lyme disease
CASE ANALYSIS: An acid-fast, catalase negative bacillus that can be grown in Lowenstein-Jensen medium and can produce Niacin. It can be treated with Rifampicin, Pyrazinamide and INH.
Treponema pallidum
Leptospira interrogan
Mycobacterium tuberculosis
Mycobacterium leprae
Borrelia burgdorferi
Study of Fungi
MYCOLOGY
IMMUNOLOGY
FUNGIOLOGY
MUSHROOMOLOGY
Type IV Hypersensitivity:
I. Cell-mediated hypersensitivity
II. Hypersensitivity
III. Allergy
IV. Delayed hypersensitivity
I and IV
II and III
III and IV
I and III
IV only
The Enterobacteriaceae are commonly known as
Coliforms
Fomite
Necrotizing fasciitis
Gangrene
Dapsone is given for
Erythema nodosum leprosum
Bone marrow depression
Discoloration of the teeth
Vestibular damage
The antifungal antibiotic obtained from Streptomyces noursei
Nystatin
Griseofulvin
Amphotericin B
Natamycin
Ketoconazole
Correct about Staphylococcus aureus, except:
Characterized by Chinese letter characters in Loeffler’s serum media
90% are Beta-lactamase producers, some are MRSA and some are VRSA
Only staph which is coagulase-positive
Only specie that can ferment mannitol
The only one the grows in Mannitol Salt Agar with a golden yellow colony
Pneumonic plague - chest pain, cough, hemoptysis and severe respiratory distress.
True
False
Which among the following is TRUE about Bacillus anthracis:
I. Normally found in sheep, goats, cattles, and horses
II. Special capsule containing D-glutamate
III. Medusa-head colonies
I, II, and III
I and III
I and II
II and III
The spirochete that is tightly coiled, thin, and has a hook at its end is
Leptospira
Borrelia
Treponema
Vibrio
Characterized with marked hypotension, and scarlatiniform rash followed by desquamation:
Toxic shock syndrome
Botulism
Cholera
Tetanus
This is an important antifungal agent which inhibits DNA synthesis and is active only on yeasts (candida and cryptococcus)
Miconazole
Griseofulvin
Flucytosine
Amphotericin B
Micafungin
The causative agent of food poisoning from canned good goods.
Clostridium tetani
Clostridium perfringens
Clostridium botulinum
Clostridium difficile
Corynebacterium diphtheriae
The first aminoglycoside used for tuberculosis
Streptomycin
Ethambutol
Rifampicin
Ciprofloxacin
Co-trimoxazole
Associated with infection involving plastic devices such as implants and catheters
Staphylococcus epidermidis
Staphylococcus saprophyticus
Staphylococcus aureus
Streptomyces pyogenes
Streptomyces agalactiae
All of the following statement about Yersinia pestis:
I. One of the most virulent bacteria with a striking low ID50 = 1-10 MO
II. Vector transmission via rat flea (Xenopsylla cheopis) and via inhalation
III. Causes “plaque” or “black death”
I, II, and III
II and III
I and III
III only
A spinal fluid specimen from a 28-year-old man shows N. meningitidis. The DOC is:
Pen G
Amikacin
Kanamycin
Ethambutol
Ketoconazole
Causative agent of Bacillary dysentery
Shigella
Pseudomonas
Salmonella
Serratia
Citrobacter
This is the most important agent used for severe systemic mycoses, but is toxic
Nystatin
Griseofulvin
Amphotericin B
Natamycin
Ketoconazole
A halophilic coma shaped, gram negative bacteria
Vibrio cholerae
Salmonella typhi
Campylobacter jejuni
Shigella dysenteriae
Escherichia coli
An acid-fast bacillus that have mycolic acid in its cell wall, which can be seen in a palisade arrangement
Treponema pallidum
Leptospira interrogan
Mycobacterium tuberculosis
Mycobacterium leprae
Borrelia burgdorferi
DOTS is a strategy used to reduce the number of tuberculosis (TB) cases. DOTS stands for
Directly Observed Treatment Short-course
Direction of TB Strategy
Directed Off Treatment Strategy
Directly Online TB Short-course
A pentamer immunoglobulin that is produced early in the primary immune response
IgG
IgA
IgM
IgE
IgD
This is an antifungal that acts by inhibiting lanosterol C14-demethylase, an important enzyme in sterol synthesis.
Miconazole
Griseofulvin
Flucytosine
Ampothericin
DOC of Trypanosoma cruzi
Nifurtimox
Ribavirin
Pen G
Streptomycin
Metronidazole
DOC of Lassa Virus
Nifurtimox
Ribavirin
Pen G
Streptomycin
Metronidazole
DOC of Treponema pallidum
Nifurtimox
Ribavirin
Pen G
Streptomycin
Metronidazole
DOC of Yersinia pestis
Nifurtimox
Ribavirin
Pen G
Streptomycin
Metronidazole
DOC of Amoeba
Nifurtimox
Ribavirin
Pen G
Ribavirin
Metronidazole
DOC of Trypanosoma brucei
Suramin sodium
Co-trimoxazole
Doxycycline
Acyclovir
DOC of Nocardia asteroides
Suramin sodium
Co-trimoxazole
Doxycycline
Acyclovir
DOC of Rickettsia
Suramin sodium
Co-trimoxazole
Doxycycline
Acyclovir
DOC of VZV
Suramin sodium
Co-trimoxazole
Doxycycline
Acyclovir
DOC of Vibrio vulnificus
Suramin sodium
Co-trimoxazole
Doxycycline
Acyclovir
Urinary tract infection (UTI), sepsis neonatal meningitis and “traveller’s diarrhea” are the most common disease caused by this gram negative, non-lactose bacilli:
Salmonella typhi
Vibrio cholerae
Campylobacter jejuni
Escherichia coli
Shigella dysenteriae
