medical microbiology test bank

Correct Answer: B

Rationale: The correct answer is B: Neisseria gonorrhoeae. This bacterium is known to cause gonorrhea, a sexually transmitted infection. Neisseria gonorrhoeae specifically infects the mucous membranes of the reproductive tract in both men and women. It is transmitted through sexual contact. Explanation of other choices: A: Chlamydia trachomatis is a bacterium that causes chlamydia, not gonorrhea. C: Mycoplasma genitalium is associated with non-gonococcal urethritis, not gonorrhea. D: Treponema pallidum is the bacterium that causes syphilis, not gonorrhea. Therefore, Neisseria gonorrhoeae is the correct answer based on its direct association with causing gonorrhea.

Correct Answer: D

Rationale: The correct answer is D because all of these symptoms are early signs of rabies. A short period of depression, nausea, and restlessness are common initial symptoms of rabies infection. These symptoms may be followed by more severe manifestations, such as aggression, confusion, and difficulty swallowing. Therefore, option D is the correct choice as it encompasses all the early symptoms of rabies. Options A, B, and C are incorrect as they focus on individual symptoms, whereas rabies typically presents with a combination of these early signs.

Correct Answer: A

Rationale: The correct answer is A: Neisseria meningitidis. This bacterium is a Gram-negative diplococcus commonly associated with meningitis. The patient's symptoms of fever, headache, and neck stiffness are classic signs of meningococcal meningitis. Neisseria meningitidis is known to cause outbreaks in crowded settings. Streptococcus pneumoniae (Choice B) is a common cause of bacterial meningitis but typically appears as Gram-positive cocci. Haemophilus influenzae (Choice C) can also cause meningitis but is more commonly seen in unvaccinated children. Klebsiella pneumoniae (Choice D) is a Gram-negative bacterium but is not a typical causative agent of meningitis.

Correct Answer: C

Rationale: The correct answer is C because both Mycobacterium bovis and Mycobacterium tuberculosis are bacteria that can cause tuberculosis in humans. Mycobacterium bovis primarily infects animals but can be transmitted to humans, while Mycobacterium tuberculosis is the main causative agent of tuberculosis in humans. Therefore, both choices A and B are correct. Choice D is incorrect because we know that Mycobacterium bovis and Mycobacterium tuberculosis are causative agents of tuberculosis in humans.

Correct Answer: A

Rationale: The correct answer is A: Tetanus. Tetanus is caused by the bacterium Clostridium tetani, which produces a neurotoxin leading to muscle stiffness, including trismus (restricted mouth opening). The patient's history of a stab wound increases the likelihood of tetanus infection due to the spores entering the body through the wound. Incorrect Choices: B: Brucellosis does not typically present with trismus and is more commonly associated with fever, joint pain, and fatigue. C: Whooping cough presents with severe coughing fits but does not cause trismus. D: Wound anaerobic infection may cause localized symptoms at the wound site but is less likely to cause trismus compared to tetanus.