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Questions and Answers
What is the causative agent of diphtheria?
What is the main reason behind the formation of pseudo-membrane in diphtheria?
Which of the following vaccines can prevent diphtheria?
What is the characteristic symptom of pertussis (whooping cough)?
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How is pertussis diagnosed?
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Which microorganism causes typical pneumonia?
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What is the preventive measure for pneumococcal pneumonia?
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What is the main characteristic of atypical pneumonia?
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What symptoms commonly indicate alveolar damage in tuberculosis?
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Which term is used for the spread of bacteria from the primary lesion to other areas of the lung, liver, and nervous system in tuberculosis?
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What is the purpose of the Tuberculin Skin Test (Mantoux Test) in diagnosing tuberculosis?
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Which imaging technique can show white spots indicating tubercle formation in tuberculosis diagnosis?
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What is the consequence of the tubercle rupturing in tuberculosis?
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In tuberculosis, what does a positive chest X-ray indicate?
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What is the significance of a persistent low-grade fever in tuberculosis?
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Why are TD cells important in the Tuberculin Skin Test for tuberculosis diagnosis?
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What is the minimum duration of multi-drug therapy for tuberculosis due to its slow growth and dormancy?
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Which of the following is NOT a first-line drug for tuberculosis treatment?
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What type of strains are Extensively Drug-Resistant (XDR) strains resistant to?
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How many people develop tuberculosis annually?
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What is the leading cause of death from infectious diseases worldwide?
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Why does antigenic variation make it difficult for the immune system to destroy a virus?
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Which age groups are most at high risk for severe complications from influenza?
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Why does the multivalent influenza vaccine not provide long-term immunity?
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Which antiviral is effective against Influenza Type A if taken within 30 hours of symptom onset?
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Why are the SARS-CoV-2 variants of great concern?
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What is a characteristic feature of Coronavirus Disease 2019 (COVID-19)?
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What makes viral pneumonia more likely to occur in some cases of Influenza infection?
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Which antiviral medication is inhaled and used for treating Influenza?
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Which disease caused by a coronavirus was identified in 2003?
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What is the reservoir for Coronavirus Disease 2019 (COVID-19)?
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What is one of the ways COVID-19 can be transmitted?
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Which COVID-19 vaccine was approved with an efficacy rate of over 92%?
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What is the average incubation period for COVID-19?
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Which of the following is NOT a symptom of COVID-19?
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What is the primary means to prevent COVID-19?
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Study Notes
Diphtheria
- Diphtheria is a disease caused by Corynebacterium diphtheriae, a non-toxigenic strain that produces a powerful exotoxin.
- The toxin causes damage to the heart and kidneys, and can lead to paralysis of the soft palate and pharynx, ultimately resulting in death.
- Treatment involves antibiotics and diphtheria antitoxin.
- Early symptoms include sore throat and fever, while later symptoms involve the formation of a tough, grayish pseudo-membrane in the throat, which can block air passages to the lungs and lead to death.
- The disease is diagnosed by culturing a sample from a throat swab, and treatment is started immediately in suspected cases.
- Diphtheria can be prevented by vaccines such as DTap, Tdap, and Td.
Pertussis (Whooping Cough)
- Pertussis is a lower respiratory tract infection caused by Bordetella pertussis.
- The bacterium produces a capsule that attaches to ciliated cells in the trachea, and a tracheal cytotoxin that damages ciliated cells and shuts down the ciliary escalator.
- The disease has a 5-10 day incubation period, and symptoms include cold-like symptoms, uncontrollable violent coughing, and gasping for air.
- Diagnosis is by culture of a throat mucus sample.
- Pertussis is highly contagious and can be prevented by DTaP and Tdap vaccines.
Pneumonias
- Typical pneumonia is caused by bacteria, such as Streptococcus pneumoniae, and is also known as bacterial pneumonia or pneumococcal pneumonia.
- Atypical pneumonia is caused by non-bacterial microbes, such as Influenza virus, and is also known as viral pneumonia or fungal pneumonia.
- Atypical pneumonia is seen in immunocompromised hosts, such as those with HIV/AIDS.
Pneumococcal Pneumonia
- Pneumococcal pneumonia is a lower respiratory tract infection caused by Streptococcus pneumoniae.
- The bacterium produces a very large capsule that allows it to grow and multiply outside macrophages, eventually rupturing and releasing bacteria into the lungs and cardiovascular system.
- Symptoms include chronic symptoms, persistent low-grade fever, night sweats, weight loss, weakness, and bloody cough, which indicates alveolar damage.
- The disease can spread from the primary lesion to other areas of the lung, liver, and nervous system, known as miliary tuberculosis.
Tuberculosis
- Tuberculosis is a chronic bacterial infection caused by Mycobacterium tuberculosis.
- The disease is diagnosed by tuberculin skin test, chest X-ray, and acid-fast staining of a sputum sample.
- Treatment involves a minimum of 6 months of multi-drug therapy, and can be prevented by the BCG vaccine.
- Tuberculosis is a leading cause of death from infectious diseases worldwide, and 10 million people develop the disease annually, with 2 million deaths.
Influenza (Flu)
- Influenza is a viral infection caused by the Influenza virus, which has eight RNA segments and spikes.
- The virus undergoes antigenic variation, involving genetic recombination and the formation of hybrid viruses.
- The disease is transmitted by droplet and airborne transmission, and has a high mutation rate.
- Symptoms include chills, fever, headache, and muscle aches, and can lead to viral pneumonia.
- Influenza is difficult to diagnose from clinical symptoms, and can be treated with antivirals such as Zanamivir and Oseltamivir.
- The disease is prevented by a multivalent vaccine, which is determined annually, and does not provide long-term immunity.
Coronavirus Disease 2019 (COVID-19)
- COVID-19 is a viral infection caused by SARS-CoV-2, which belongs to the Coronaviridae family.
- The virus has a single-stranded RNA, is enveloped, and has spikes.
- The disease was first detected in open food markets in Wuhan, China in December 2019.
- COVID-19 has a high mutation rate, and several human variants have been identified, including the Alpha, Beta, Gamma, Delta, Epsilon, and Omicron variants.
- The disease is transmitted by zoonotic, droplet, and airborne transmission, and can be prevented by washing hands frequently, maintaining social distancing, and practicing respiratory hygiene.
- Vaccines have been developed, including the Pfizer-BioNTech mRNA vaccine, Moderna mRNA vaccine, and Johnson & Johnson/Janssen viral vector vaccine.
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Description
Test your knowledge on diphtheria toxin, symptoms, and treatment. Learn about the toxemia effects, early symptoms like sore throat and fever, and later symptoms involving the formation of a tough grayish pseudo-membrane in the throat. Understand the importance of early diagnosis and treatment with antibiotics and Diphtheria antitoxin.