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1814 Microbiology

A 31-year-old male patient complains of fatigue, yeast infection in his mouth, and enlarged lymph nodes under his arms. He said that he was involved in “high-risk” behavior 6 years ago while on a trip to eastern and southern Africa. He also indicated that his “HIV test” was negative. Which one of the following options would be most appropriate?

AInitiate treatment for HIV disease
BOrder a test for human T cell leukemia virus (HTLV)
CRepeat the test for HIV-1
DOrder an HIV test which would include antibodies to HIV-1 and HIV-2
Microbiology
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1817 Microbiology

A 2-year-old boy who missed several scheduled immunizations presents to the emergency room with a high fever, irritability, and a stiff neck. Fluid from a spinal tap reveals 20,000 white blood cells per milliliter with 85% polymorphonuclear cells. Gram stain evaluation of the fluid reveals small pleomorphic gram-negative rods that grow on chocolate agar. If an inhibitor is designed to block its major virulence, which of the following would be the most likely major virulence factor?

ACapsule formation
BEndotoxin assembly
CExotoxin liberator
DFlagella synthesis
Microbiology
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