Please help me to answer the following questions. Choose the single  
best answer for each question below . Multiple choice  
  
   
1. On postoperative day three after thyroidectomy the patient voice  
sounds hoarse . Indirect laryngoscopy reveals paralysis of one of the  
laryngeal cord. Which structure was likely injured during this  
surgery?  
  
a.Internal laryngeal nerve   
b.External branch of the superior laryngeal nerve   
c.The thyroideus nerve   
 
2. A Wimbledon tennis champion complains of pain and tenderness in  
the proximal portion of the anterior forearm that often occurs after  
prolonged practice. The sports medicine specialist claims that this is  
due to the trapping of the median nerve near the elbow . Where does  
this "entrapment" occur ?  
  
a.at the medial epicondyle of the elbow   
b.by the palmaris longus     
C.due to compression by the flexor retinaculum   
  
   
3.Which of the following may be expected after trauma to the elbow.  
  
a. anesthesia on the lateral aspect of the palm   
b. anesthesia on the medial aspect of the palm   
c. inability to flex the distal thumb   
  
4. A surgeon shows his medical intern the femoral ring during a  
femoral hernia repair. The femoral nerve lies lateral outside the  
sheath .Which structure is the most lateral in the sheath ?  
  
a.the femoral vein   
b.the femoral artery   
c.the lymphatics and lymph node of Cloquet   
  
5.The cell wall of a Gram negative bacterium is composed of  
   
A.cytoplasmic membrane, outer membrane and periplasm.  
B.peptidoglycan layer, outer membrane and cytoplasmic membrane.  
C.outer membrane and peptidoglycan.  
D.peptidoglycan.  
  
6.Resistance to the action of penicillinase, as well as changes in  
the spectrum of sensitivity of microbes to the antibiotic, is  
conferred by modification of the above molecule at what site?  
  
A.at COOH location  
B.at methyl bond  
C.at beta-lactam link  
D.at side chain  
  
  
.  
7.Most disinfectants eliminate infectious organisms by  
  
A.bacteristatic mechanisms.  
B.killing the vegetative cells.  
C.killing vegetative cells and spores.  
  
8. The outer membrane of a Gram negative bacteria is resistant to the  
action of detergents largely due to the presence of  
  
A.phosphotidyl inositol.  
B.cholesterol and ergosterol.  
C.lipoprotein and lipopolysaccharide.  
D.glycoproteins and the capsule.  
  
9.A patient develops a fever, goes into shock and dies in the  
hospital.  Upon performing a blood culture you find that the patient  
had a Gram negative sepsis.  What is the likely cause of the patient's  
fever and subsequent demise?  
  
A. Peptidoglycan components that are released into the blood  
B. The presence of pili on the bacterial cell  
C. The presence of lipopolysaccharide in the outer membrane  
 
 10. The following conditions may be caused by Clostridium perfringens  
EXCEPT  
   
   (A) food poisoning  
   (B) Myonecrosis  
   (C) Septic abortion  
   (D) None of the above  
  
11. Which of the following organisms is NOT histotoxic?  
  (A) Clostridium perfringens  
  (B) Clostridium difficile  
  (C) Clostridium septiculn  
  (D) Clostridium histolyticum  
  
 12. Which of the following readily kills pseudomonas aeruginosa  
   
 (A) drying  
 (B) treatment with beta-glutaraldehyde  
 (C) treatment with phenolics  
  
 13.Which of the following tests may be employed to identify  
Corynebacterium diphtheriae  
  (A) Nagler reaction  
  (B) Schick test  
  (C) Animal pathogenicity  
  (D) Elek test  
  
14.Pseudomonas aeruginosa is  
 (A) A member of the human gastrointestinal flora  
 (B) Able to utilize ammonia compounds as a source of nitrogen   
 (C) Not normally found on the human skin  
 
  
15. Which of the following is(are) associated with Listeria  
monocytogenes  
  (A) Keratoconjuctjvitis  
  (B) Neonatal septicemia.  
  (C) Growth at 3o C.

---

Request for Question Clarification by tutuzdad-ga on 21 Jan 2003 18:41 PST

Out of curiosity, in what course is this test given?

Regards;
tutuzdad-ga

---

Request for Question Clarification by kevinmd-ga on 21 Jan 2003 19:14 PST

Hello,
I can certainly answer these questions with appropriate annotations. 
However, according to the Google Answers Pricing guide, $50 is the
suggested minimum for multipart questions, $100 for research that is
expected to take 2-4 hours and $200 for research exceeding 4 hours:
http://answers.google.com/answers/pricing.html

As some would consider this a 15-part question, you may want to
consider breaking up the question into 3-5 question segments, or
adjusting the price of the question as suggested by the pricing guide.

Thanks,
Kevin, M.D.

Before checking the pricing guide, you might also want to check out
the help page:

http://answers.google.com/answers/help.html

which instructs Google Answers users to refrain from posting homework
or exam questions.