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1. A patient with a history of travel to an area endemic for schistosomiasis presents with hematuria. Microscopic examination of a urine sediment reveals a large oval egg with a prominent terminal spine. The MOST likely causative agent is:
A) Schistosoma japonicum
B) Schistosoma mekongi
C) Schistosoma mansoni
D) Schistosoma haematobium
2. A patient with cystic fibrosis experiences a pulmonary exacerbation. Sputum culture grows a mucoid strain of Pseudomonas aeruginosa. The mucoid phenotype is primarily due to the overproduction of:
A) Exotoxin A
B) Alginate
C) Pyocyanin
D) Elastase
3. A patient develops a localized skin infection after being bitten by a tick. The infection is characterized by a slowly expanding erythematous rash with central clearing (erythema migrans). The MOST likely causative agent is:
A) Ehrlichia chaffeensis
B) Borrelia burgdorferi
C) Rickettsia rickettsii
D) Anaplasma phagocytophilum
4. Lyme disease, characterized initially by erythema migrans, is caused by Borrelia burgdorferi. What is the primary arthropod vector responsible for transmitting this spirochete to humans in the Northeastern United States?
A) Pulex irritans (Human flea)
B) Dermacentor variabilis (American dog tick)
C) Amblyomma americanum (Lone Star tick)
D) Ixodes scapularis (Blacklegged tick)
5. A patient with a history of neutropenia following chemotherapy develops a rapidly progressive pneumonia.
Bronchoalveolar lavage fluid reveals septate hyphae with acute angle (45-degree) branching. The MOST likely diagnosis is invasive pulmonary aspergillosis caused by:
A) Aspergillus fumigatus
B) Rhizopus species
C) Fusarium species
D) Mucor species
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: B | Question # 4 Answer: D | Question # 5 Answer: A |
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