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Tropheryma whipplei is characterized by the presence of periodic acid-Schiff (PAS) -staining macrophages, which indicates mucopolysaccharide or glycoprotein, in almost every organ system.Without treatment, this disease is uniformly fatal.Identification is achieved using:


A) enzyme-linked immunosorbent assay (ELISA) .
B) IFA.
C) immunoblotting.
D) real-time polymerase chain reaction (PCR) .

E) A) and C)
F) A) and B)

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D

The drug of choice for the treatment of granuloma inguinale, which is a major cause of genital ulcers in India, New Guinea, and part of South America, is:


A) clindamycin.
B) doxycycline.
C) imipenem.
D) gentamycin.

E) C) and D)
F) B) and C)

Correct Answer

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The Coxiella burnetii, an acute systemic infection, primarily affects the lungs and can exist in two antigenic states.The reference method that is both highly specific and sensitive and is recommended for identification is:


A) immunofluorescent antibody (IFA) .
B) direct fluorescent antibody (DFA) .
C) Western blot.
D) latex agglutination.

E) A) and C)
F) C) and D)

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A

Of the following organisms, which has a unique developmental life cycle including a replicative form, the reticulate body (RB) , and an extracellular, metabolically inert, infective form, the elementary body (EB) ?


A) Rickettsia
B) Chlamydia
C) Ehrlichia
D) Coxiella

E) A) and B)
F) C) and D)

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Binary fission within vacuoles divides which of the following forms of Chlamydia?


A) RB
B) EB
C) Replicate body
D) Initial body

E) B) and D)
F) None of the above

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The most common sexually transmitted bacterial pathogen and a major cause of pelvic inflammatory disease (PID) is:


A) Rickettsia rickettsii.
B) Chlamydia trachomatis.
C) Klebsiella granulomatis.
D) Coxiella burnetii.

E) None of the above
F) A) and C)

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A prokaryote that differs from most other bacteria with respect to its very small size and obligates intracellular parasitism is:


A) Rickettsia.
B) Ehrlichia.
C) Calymmatobacterium.
D) Coxiella.

E) A) and B)
F) A) and C)

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A

A Weil-Felix test was performed on serial dilutions from a patient bitten by a tick.The results obtained were positive for OX-19 and negative for OX-2 and OX-K.Based on these findings, the organism can be identified as:


A) Rickettsia rickettsii.
B) Orientia tsutsugamushi.
C) Rickettsia prowazekii.
D) Rickettsia typhi.

E) All of the above
F) A) and B)

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Which of the following vectors transmit scrub typhus?


A) Lice
B) Ticks
C) Fleas
D) Chiggers

E) A) and C)
F) C) and D)

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Of the following organisms, which can be described as a fastidious obligate intracellular parasite that multiplies by binary fission in the cytoplasm of host cells and infects humans as accidental hosts in most cases?


A) Rickettsia
B) Chlamydia
C) Calymmatobacterium
D) Coxiella

E) A) and B)
F) C) and D)

Correct Answer

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