Exam 19: The Gram-Positive Bacilli of Medical Importance

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Treatment and control of anthrax includes

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Which is not a characteristic of Nocardia?

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Actinomyces israelii

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Which type of anthrax is called "woolsorter's disease?"

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Which form of anthrax involves a black eschar on the skin?

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In addition to antimicrobics, patients with diphtheria are treated with _____.

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A black eschar develops on the hand or arm of a patient with erysipeloid.

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Using specific examples, discuss how gram-positive bacilli are divided into major genera.At the very least include the oxygen requirements, sporulation characteristics, and acid-fast test results.

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A seasonal farmworker has been brought into the emergency room showing early symptoms of tetanus, including spastic contractions of face and neck muscles.His coworkers indicated that he had received a puncture wound in his hand a week prior to the onset of symptoms.His tetanus vaccination status is uncertain.Which of the following should be administered to the patient first, as soon as possible?

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Which of the following may be recommended for treating gangrene?

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Which of the following is not true about leprosy?

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All of the following pertain to Listeria monocytogenes, except

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Which of the following would be a significant risk factor for the development of listeriosis?

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When the centers of tubercles break down into _____ lesions, they gradually heal by calcification that replaces normal lung tissue.

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The major virulence factor of Corynebacterium diphtheriae that causes serious systemic effects is

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Debridement of diseased tissue is important in the care of patients with gas gangrene.

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Production of a neurotoxin that prevents acetylcholine release from motor neurons at neuromuscular junctions is a characteristic of

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Propionibacterium acnes is normal flora of sebaceous glands of the skin.

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The _____ test injects 0.1 mL of Purified Protein Derviative intradermally into the forearm.

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Janice had been experiencing mild flu-like symptoms before going into premature labor at seven months.The premature baby boy developed complications immediately after birth, running a fever and demonstrating neurologic abnormalities.A cerebrospinal fluid specimen was collected and a gram stain of the specimen showed short Gram-positive bacilli.The CSF culture grew small beta hemolytic colonies that were catalase positive.A CAMP test was positive on this isolate.The same organism grew from blood cultures done on the baby.What is the most likely identification?

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