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MCEM Microbiology MCQ
MCEM Microbiology MCQ
1. Orbital cellulitis: (a) The infection has not breached the orbital septum If the infection has not breached the orbital septum it is a pre-septal ( or periorbital ) cellulitis (b) Streptococcus is the most common pathogen. Staphylcoccus Aureus is the most common pathogen. . (c) Klebsiella is a common pathogen in young children Haemophilus is a common pathogen in young children (d) Polymicrobial infection is common. Polymicrobial infection is common. (e) Extension from conjunctivitis is the most common source. Extension from paranasal sinus infection is the most common source. 2. Streptococci: (a) Humans are the only host of S. pneumoniae and most carriage is asymptomatic Humans are the only host of S. pneumoniae and most carriage is asymptomatic (b) Children under 1 year of age are especially susceptible to acute pneumonia from S. pneumoniae. Children under 1 year of age are especially susceptible to acute pneumonia from S. pneumoniae. (c) The produced toxin neuraminidase is the main pathogenicity determinant of S. pneumoniae. The capsule is the main pathogenicity determinant of S. pneumoniae. (d) Otitis Externa, pharyngitis and acute pneumonia are the most common infections related to strep pneumonia Acute otitis media, sinusitis and acute pneumonia are the most common infections related to strep pneumonia (e) S. Pneumonia is generally sensitive to rifampicin S. Pneumonia is generally sensitive to rifampicin 3. The following are true with regard to gastroenteritis: (a) The incubation period for staphylococcus aureus is approximately 10-12 hours. The incubation period for staphylococcus aureus is approximately 1-6 hours. (b) The incubation period for bacillus cereus is approximately 12-15 hours. The incubation period for bacillus cereus is approximately 1-5 hours. (c) The incubation period for scrombotoxin is approximately 3-5 hours. The incubation period for scrombotoxin is approximately 10-60 minutes. (d) The incubation period for salmonella is approximately 12-48 hours. The incubation period for salmonella is approximately 12-48 hours. 4. Pyelonephritis: Appropriate Antibiotics: (a) Gentamicin Gentamicine is renal and oto-toxic and blood levels should be monitored. (b) Ciprofloxacin. A quinolone which inhibits DNA gyrase. (c) Cefuroxime Tru e Tru e Tru e Tru e Tru e Fals e Fals e Fals e Fals e Fals e
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