i and d mcqs Flashcards

1
Q

the lymphoid tissue most closely associated with immune responses to gut pathogens is the:
A- MALT
B lymph nodes
C secondary lymph nodes
D mucosal tissue
E M cells

A

MALT

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2
Q

the cell type most closely associated with chronic inflammation is the
A basophil
B b cell
C Mast cell
D Nk cell
E macrophage

A

macrophage

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3
Q

the area of the lymph node closely associated with class switching of antibodies
A medullary sinus
B primary follicle
C secondary follicle
D germinal centre
E paracortex

A

D germinal centre

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4
Q

the most important target site for penicillin is the
A plasma membrane
B cell wall
C DNA gyrase
D ribosome
E dihydrofolate reductase

A

B cell wall

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5
Q

one of the following is only found in the uk as an imported fungal infection
A cryptococcosis
B histoplasmosis
Cinvasive candidiasis
D invasive aspergillosis
E pneumocystis infection

A

b histoplasmosis

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6
Q

the pathogenesis of severe malaria is a consequence of
A reduced circulating levels of inflammatory mediators
B macrophage activation
C over production of tumour necrosis factor il1 il2 and interferon gamma
D toxins produced during infection
E activation of hosts immune system

A

over production of tumour necrosis factor il1 il2 and interferon gamma

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7
Q

following a routine non complicated surgical procedure scar formation is a result of
A basement membrane disruption as part of surgery
B early mobility
C infection
D healing by secondary infection
E wound dehisence

A

a basement membrane disruption

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8
Q

the most rapid means of spread of infection in a population is
A sexual transmission
B faecal oral route
C congenital from mother to foetus
D insect bite
E respiratory route via infectious aerosols

A

E respiratory route via infectious aerosols

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9
Q

negative staining using india ink is used with a light microscope to visualise
A spirochaetes
B capsules
C endospores
D flagella
E pili fimbriae

A

b capsules

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10
Q

aspergillus species are important in medicine because they
A can invade lung and blood vessels in immunocompromised people
B are ubiquitous environmental fungi
C are thermophiles that can survive being at 55
D produce asexual spores known as conidia
E grow as filaments in a mycelium

A

A can invade lung and blood vessels in immunocompromised people

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11
Q

the most important characteristic of entamoeba histolytica is that it
A produces cysts which survive in the environment
B can cause mild or asymptomatic diarrhoea
C can cause severe dysentery
D may be acquired via anal sexual activity
E is common in tropical and subtropical countries

A

c entamoeba histolytica can cause severe dysentery

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12
Q

urinary tract infections have an important impact in the community because they
A can cause recurrent infections in 20-30% women
B rarely caused by anaerobes
C associated with minor anatomical abnormalities of the urinary tract and kidneys of baby boys
D most frequently caused by e coli
E arise because urine is an excellent growth medium

A

can cause recurrent infections in 20-30% women

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13
Q

capnophiles are bacteria that
A commonly occur in human commensal microflora
B are able to grow in an environment with 2-10% oxygen
C grow in an environment that contains 78% nitrogen
D are aerobic organisms
E require 5-10% of carbon dioxide

A

E

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14
Q

which one of the following statements is correct
A vertical transmission of viruses between siblings is common in the uk
B most human viruses are readily transmitted to farm animals but the converse is not true
C faeco oral transmission of hepatitis C virus typically occurs in intravenous drug abusers
D transmission can always be prevented by strict personal hygiene
E blood borne viruses may be transmitted noscomially

A

E

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15
Q

which one of the following statements is correct
A) herpesvirus divides within host cell membranes
B) uncoating is the term used to describe the release of the viral genome from the nucleocapsid
C) negative sense rna acts as viral mrna
D) viral early genes are transcribed after replication of the genome encode structural proteins
E virus replication inevtiably leads to host cell lysis

A

B

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16
Q

what kind of rna does picornviruses have and what are they

A

picorn viruses have positive sense single stranded rna which means their rna can directly be used as mrna for protein synthesis by the host’s ribosomes
examples of picornaviruses are
polio
rhinovirus
hepatitis a
coxsackievirus- myocarditis associated

17
Q

what viruses have reverse transcriptase

A

hiv
hepatitis A- partially double stranded dna

18
Q

what kind of symmetry do adenovirus particles exhibit

A

icosahedral
240 capsomeres

19
Q

what is pemphigus

A

rare group of autoimmune diseases which can cause blisters and erosions on the skin and mucous membranes
bodys immune system produces antibodies desmogleins which are proteins that help skin cells stick together
this leads to separation of skin cells acantholysis causing blisters that can rupture and result in painful sores

20
Q

how many forms of nucleic acid can a single virus agent contain

A

1

21
Q

example of aminoglycosides

A

gentamicin

22
Q

example of macrolide

A

erythromycin

23
Q

example of beta lactam

A

penicillin

24
Q

example of tetracycline

A

doxycycline

25
Q

example of quinolone

A

ciprofloxacin

26
Q

example of glycopeptide

A

vancomycin

27
Q

example of anti folate

A

trimethoprim inhibits bacterial enzyme dihydrofolate reductase

28
Q

what can aminoglycosides cause

A

ototoxicity
teratogenicity

29
Q
A
30
Q
A