1. A patient presents with fever, headache, and a stiff neck. Which
organism is the most likely cause of these symptoms?
A. Escherichia coli
B. Neisseria meningitidis
C. Streptococcus pneumoniae
D. Haemophilus influenzae
Answer: B. Neisseria meningitidis
Rationale: The symptoms are indicative of meningitis, and Neisseria
meningitidis is one of the leading causes of bacterial meningitis.
2. A 4-year-old child has a sudden onset of high fever, sore throat, and
drooling. On examination, the child appears anxious and has a muffled
voice. What is the most likely diagnosis?
A. Epiglottitis
B. Bronchitis
C. Pharyngitis
D. Laryngitis
Answer: A. Epiglottitis
Rationale: The clinical presentation is suggestive of epiglottitis, which is
a medical emergency often caused by Haemophilus influenzae type b.
3. Which of the following is the most appropriate initial treatment for a
patient diagnosed with Tuberculosis?
A. Amoxicillin
B. Azithromycin
C. Isoniazid, Rifampin, Pyrazinamide, and Ethambutol
D. Acyclovir
Answer: C. Isoniazid, Rifampin, Pyrazinamide, and Ethambutol
Rationale: The combination of these four drugs is the standard initial
treatment for Tuberculosis to cover for drug resistance and enhance
efficacy.
4. A patient is diagnosed with an infection caused by Clostridium difficile.
Which risk factor is most commonly associated with this infection?
A. Recent travel to a tropical country
B. Consumption of undercooked meat
C. Prolonged use of antibiotics
D. Contact with farm animals
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