Tetanus And Gas Gangrene Multiple Choice Questions
Question 1. Which of the following statements regarding tetanus is false?
- Exotoxins are produced by Clostridium tetani
- The toxin gets fixed to the motor cells of anterior horn cells
- It stimulates the release of cholinesterase
- The period of onset is more important than the incubation period
Answer: 3. It stimulates the release of cholinesteraseQuestion
Question 2. Favourable conditions for the development of tetanus include all of the following:
- Injury
- Foreign body
- Devitalised tissues
- Aerobic conditions
Answer: 4. Aerobic conditions
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Question 3. Hyperbaric oxygen may be used in all of the following conditions except:
- Gas gangrene
- Decompression sickness
- Carbon monoxide poisoning
- Necrotising fasciitis
Answer: 4. Necrotising fasciitis
Question 4. The following facts are true regarding gas gangrene:
- It is caused by Clostridium welch
- Severe myonecrosis is a feature
- Brownish fluid has a foul odour
- The alpha toxin causes cell membrane damage
Answer: 3. Brownish fluid has a foul odour
Question 5. Positive Nagler reaction in gas gangrene is caused by:
- Lecithinase
- Beta toxin
- Proteinase
- Hyaluronidase
Answer: 1. Lecithinase
Question 6. Sponge-like consistency of the part is typically seen in which condition?
- Necrotising fasciitis
- Diabetic leg ulcer
- Gas gangrene
- Pyomyositis
Answer: 3. Gas gangrene
Question 7. The following are true regarding Clostridium welch:
- Anaerobic
- Gram-positive
- Nonspore-bearing
- Produces toxins
Answer: 3. Nonspore-bearing
Question 8. The following are the clinical features of gas gangrene:
- Crepitus
- Khaki coloured skin
- Low-grade fever
- Hypertension
Answer: 4. Hypertension
Question 9. The following are features of necrotising fasciitis type 2:
- It is monomicrobial—β-haemolytic streptococci
- It may also occur in young and healthy individuals
- Organism is Clostridium perfringens
- It may give rise to toxic shock syndrome
Answer: 3. Organism is Clostridium perfringens
Question 10. Which of the following is false regarding gas gangrene prevention?
- Antigas gangrene for risk groups
- Prophylactic antibiotics
- Blood sugar level should be maintained within 200 mg/dl
- Avoid tourniquets while operating on crushed wounds in the legs
Answer: 3. Blood sugar level should be maintained within 200 mg/dl
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