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q bank M&I 3 03212006

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(SYSTEM: IMMUNOLOGY, GENERAL PRINCIPLES); An experimental study on acne is performed using biopsy samples from acne pustules. The electron micrograph above illustrates one of the types of cells present in the wall of the pustules. Which of the following
Presence of receptors for IgG and complement
(SYSTEM: MICROBIOLOGY GENERAL PRINCIPLES); A 16-year-old high school cheerleader presents with low grade fever, pleuritic pain, and a non-productive cough. Her serum agglutinates Streptococcus salivarius strain MG. Therapy should include which of the fol
Erythromycin
(SYSTEM: IMMUNOLOGY, GENERAL PRINCIPLES); A 52-year-old woman reports to her family practitioner for an annual physical examination. She has been experiencing periods of heat intolerance, which she has attributed to the menopause. On examination, her phy
Type II non-cytotoxic hypersensitivity
(SYSTEM: MICROBIOLOGY GENERAL PRINCIPLES); A 70-year-old man with a hisjtroy of prostate cancer presents with a chief complaint of pain on the right side of his chest for the past several days. He has been receiving external beam radiation to spinal meta
By transcribing the genomic DNA
(SYSTEM: IMMUNOLOGY, GENERAL PRINCIPLES); A patient with Epstein-Barr virus lymphoma enrolls in an experimental protocol to stimulate production of CD8+ cells specific for his EBV-transformed cells. His peripheral blood cells are tested with a battery of
EBNA plus HLA-A1
(SYSTEM: MICROBIOLOGY GENERAL PRINCIPLES); A 6-month-old infant is rushed to the emergency department because he seems to be having touble breathing. His mother was breast-feeding the child when she noticed that he seemed to be unable to suckle strongly,
lysogenic phage genome
(SYSTEM: MICROBIOLOGY GENERAL PRINCIPLES); A colony of Neisseria gonorrhoeae is isolated on Thayer-Martin medium. Over the course of ten generations in culture, this strain produces a homogeneous antigenic type of pili. Lysates froma culture of N. gonorr
natural transformation
(SYSTEM: IMMUNOLOGY, GENERAL PRINCIPLES); A couple brings their son into a specialty clinic for evaluation of recurrent bacterial infections involving the respiratory tract. Causative agents have included Streptococcus pneumoniae, and Hemophilus influenz
Bruton agmmablobulinemia
(SYSTEM: MICROBIOLOGY, RESPIRATORY); A 9-month-old infant is brought to the pediatrician by her mother during a winter month. The child has a febrile illness, which has now become associated with labored breathing and wheezing. Auscultation of the chest
It transcribes its genome into messenger RNA using a virion-associated RNA-dependent RNA polymerase
(SYSTEM: MICROBIOLOGY GENERAL PRINCIPLES); A 34-year-old HIV-positive man without previous opportunistic infections presents complaining of dyspnea with daily activity. He states that he has had a mild cough and fever but denies having had chills, sputum
premature infants
(SYSTEM: MICROBIOLOGY, RESPIRATORY); A newborn infant develops respiratory distress shortly after delivery and is taken to the neonatal intensive care unit for observation. The next day, she become febrile with persistent dyspnea and coughing. Sputum rec
Escherichia
(SYSTEM: MICROBIOLOGY, NERVOUS); A 38-year-old AIDS patient presents to his physician's office in Kansas City, Missouri, complaining of fever for the past week and an increasing headache. He also states that sunlight hurts his eyes and that he has been f
Broad-based budding yeasts
(SYSTEM: MICROBIOLOGY, NERVOUS); A 42-year-old heart transplant patient complains to her primary care physician about headache and nausea 14 months after transplant. A CT scan of the head shows ring-enhancing lesions. Bacterial, fungal, and viral culture
Reactivation of latent infection
(SYSTEM: IMMUNOLOGY, GENERAL PRINCIPLES). A 32-year-old medical technician had a history of acute eczematous dermatitis on her hands and wrist in the distribution of the latex gloves she wore. The skin of her hands was dry, crusted, and thickened. The ec
Type IV reaction
(SYSTEM: IMMUNOLOGY, GENERAL PRINCIPLES); A 15-year-old boy is evaluated by a pediatrician because of a history of multiple bacterial pneumonias. The boy had been apparently normal up until about age 12. In the last three years, he had had five episodes
Common variable immunodeficiency
(SYSTEM: IMMUNOLOGY, GENERAL PRINCIPLES); A trauma victim in the emergency department requires a transfusion immediately. Type and cross-match tests reveal the following: (NO AGGLUTINATION WITH "PATIENT'S RBC PLUS SERUM FROM AB PERSON" and &quo
AB, RhD+
(SYSTEM: MICROBIOLOGY, RESPIRATORY); A 54-year-old farmer in rural Pennsylvania presents to his physician with chronic cough. Chest x-ray demonstrates a mass lesion with hilar lymphadenopathy. Biopsy of the mass demonstrates multiple, tiny yeast forms wi
Histoplasmosis
(SYSTEM: IMMUNOLOGY, GENERAL PRINCIPLES); A 3-year-old male who is small for his age presents with a history of pyogenic infections. Physical examination is remarkable for a high fever, hepatosplenomegaly, and inguinal and cervical lymphadenopathy. A cul
phagocytic cells

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