A 57-year-old obese, white female with type 1 diabetes mellitus is diagnosed wit

Question

A 57-year-old obese, white female with type 1 diabetes mellitus is diagnosed with strep throat and prescribed penicillin. A week later she returns complaining of a sore mouth and white patches on the tongue. Your examination confirms the white pseudomembranous lesions. Material from the lesion is obtained and prepared for microscopic examination. Your suspicion of the most likely clinical diagnosis will be confirmed by observation of buccal epithelial cells, leukocytes and which of the following? A. gram positive bacteria B. gram negative bacteria C. hyphae with septa and acute angle branching D. spherules containing endospores E. yeast cells, hyphae and pseudo-hyphae Months after a kidney transplant, a 45-year-old woman who was receiving immunosuppressive therapy experienced a rapid onset of respiratory insufficiency and a dry cough. High-resolution computed tomographic scanning was ordered of the lungs. There were findings of interstitial disease. Bronchoalveolar lavage was performed and the material examined by Giemsa staining. The report stated that trophic forms and cysts were observed. The most likely infecting organism is: A. Aspergillus fumigatus B. Candida allicins C. Pneumocystis jives D. Rhizopus arrhizals (oryzin)

Explanation / Answer

13) option E

Option Aand B are opted out because disease is not cured by penicilline an antibiotic

Option D is opted out; spherules containing endospores-- because they are involved in pulmonary infection

Option C can be the answer but the answer is E because fungus as well as yeast can cause similar symptoms termed mycosis.

14) Answer is C Pneumocystis jiroveci pneumonia is responsible for the persistent dry cough while in case of Aspergillosis symptoms are coughing or blood in cough.

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