1. A patient presents with fever, headache, and a stiff neck. Which
organism is the most likely cause of these symptoms?
 A. Escherichia coli
 B. Neisseria meningitidis
 C. Streptococcus pneumoniae
 D. Haemophilus influenzae
 Answer: B. Neisseria meningitidis
 Rationale: The symptoms are indicative of meningitis, and Neisseria
meningitidis is one of the leading causes of bacterial meningitis.
2. A 4-year-old child has a sudden onset of high fever, sore throat, and
drooling. On examination, the child appears anxious and has a muffled
voice. What is the most likely diagnosis?
 A. Epiglottitis
 B. Bronchitis
 C. Pharyngitis
 D. Laryngitis
 Answer: A. Epiglottitis
 Rationale: The clinical presentation is suggestive of epiglottitis, which is
a medical emergency often caused by Haemophilus influenzae type b.
3. Which of the following is the most appropriate initial treatment for a
patient diagnosed with Tuberculosis?
 A. Amoxicillin
 B. Azithromycin
 C. Isoniazid, Rifampin, Pyrazinamide, and Ethambutol
 D. Acyclovir
 Answer: C. Isoniazid, Rifampin, Pyrazinamide, and Ethambutol
 Rationale: The combination of these four drugs is the standard initial
treatment for Tuberculosis to cover for drug resistance and enhance
efficacy.
4. A patient is diagnosed with an infection caused by Clostridium difficile.
Which risk factor is most commonly associated with this infection?
 A. Recent travel to a tropical country
 B. Consumption of undercooked meat
 C. Prolonged use of antibiotics
 D. Contact with farm animals