题目内容

From a public health perspective, in which of the following stages of syphilis can a person be considered not infectious?

A. Primary
B. Secondary
C. Tertiary
D. Reactivated latent

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Which of the following mycoplasmas has been implicated as a cause of nongonococcal urethritis (NGU)?

A. Mycoplasma pneumoniae
B. Ureaplasma urealyticum
C. Mycoplasmafermentans
D. Mycoplasmamycoides

An 18-year-old sexually active woman develops left lower quadrant pain and fever. On pelvic examination, she has tenderness in the left adnexa, and a mass suggestive of a uterine tube abscess is palpated. The patient is diagnosed with pelvic inflammatory disease. Which of the following bacteria is considered to be a common cause of pelvic inflammatory disease?

A. Bacillus cereus
B. Haemophilus influenzae
C. Mycoplasma pneumoniae
D. Chlamydia trachomatis

Which of the following is important in the pathogenesis of mycoplasmal infections?

A. The presence of lacto-N-neotetraose with a terminal galactosamine as the host cell receptor.
B. The peptidoglycan in the mycoplasmal cell wall.
C. The structures and the interactive proteins that mediate adhesion to host cells.
D. The absence of cilia on the surface of the host cells.
E. Growth in an anatomic site where anaerobic organisms thrive.

A 25-year-old medical student has contact with a patient who has pneumonia with fever and cough. Four days later, the medical student develops fever and cough, and chest radiographs show consolidation of the right lower lobe. Routine bacterial sputum culture results are negative. Pneumonia caused by Mycoplasma pneumoniae is considered. All of the following are methods to confirm the clinical suspicion except

A. PCR amplification of Mycoplasma pneumoniae DNA in sputum
B. Culture of sputum for Mycoplasma pneumoniae
Culture of a lung aspirate for Mycoplasma pneumoniae
D. Gram stain of sputum smear
Enzyme immunoassay test of acute and convalescent sera

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