medical microbiology test bank

Correct Answer: D

Rationale: The correct answer is D because the flu vaccine mainly stimulates systemic immunity, not local immunity. Systemic immunity refers to the immune response throughout the body, while local immunity is specific to a certain area. Choice A is incorrect because the flu vaccine is indeed recommended. Choice B is incorrect as the flu vaccine can be a subunit vaccine, containing only specific antigens. Choice C is incorrect as the flu vaccine is typically administered parenterally, meaning through injection, nasal spray, or oral routes.

Correct Answer: B

Rationale: The correct answer is B: focal. When a pathogen spreads from the original site to other tissues or organs, it is considered a focal infection. This term specifically refers to an infection that is localized to a specific area but can spread to other parts of the body. A: Local infection refers to an infection that is confined to a specific area without spreading to other tissues or organs. C: Natural is not a term commonly used to describe the spread of pathogens within the body. D: Acute refers to the rapid onset of a disease but does not specifically address the spread of pathogens from one site to another. In summary, the term "focal" best describes the scenario provided in the question, making it the correct answer.

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is a common cause of pneumonia and is known to appear as Gram-positive cocci in pairs with a capsule. The presence of a capsule is a key characteristic of S. pneumoniae. Staphylococcus aureus (B) is a Gram-positive cocci but typically does not have a capsule. Neisseria meningitidis (C) is a Gram-negative diplococcus, not a Gram-positive cocci. Klebsiella pneumoniae (D) is a Gram-negative rod, not a Gram-positive cocci. Therefore, based on the staining pattern and the presence of a capsule, Streptococcus pneumoniae is the most likely causative agent in this case.

Correct Answer: C

Rationale: Step 1: Define sexually transmitted infections (STIs) as infections primarily spread through sexual contact. Step 2: Understand that STIs can also be transmitted through non-sexual means like blood transfusions. Step 3: Recognize that choice C is incorrect as it limits STIs to only sexually transmitted infections. Step 4: Therefore, the correct answer is C as it does not encompass all possible modes of transmission for STIs. Summary: Choices A, B, and D are incorrect as they all accurately describe the characteristics of sexually transmitted infections, while choice C is incorrect as it excludes other potential modes of transmission for STIs.

Correct Answer: D

Rationale: The correct answer is D, "All of the above," because all three bacteria (Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus) can cause urinary tract infections. E. coli is the most common causative agent of UTIs, followed by Staphylococcus aureus and occasionally Pseudomonas aeruginosa. Each of these bacteria has different virulence factors that enable them to infect the urinary tract. Therefore, it is important to consider all three options when diagnosing and treating UTIs. Choices A, B, and C are incorrect because each of those bacteria can individually cause UTIs, so the correct answer is D, as it encompasses all the possible causative agents.