dr_singh246
internal medicine pgy2
Topics: 235
Posts: 561
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previously healthy 18-month-old girl is brought to the office with
2 days of irritability, poor appetite, and pulling at her left ear. She
has no known allergies, and her vaccinations are up-to-date. On
examination, the child's temperature is 102.8 F. She is easily
consoled by the mother and moves her neck spontaneously without
discomfort. There is a clear discharge from the nares. The left
tympanic membrane is erythematous, dull, and bulging. Which of
the following virulence factors is generally absent in the
strains of the causative organism that produce otitis media,
compared with those that produce epiglottitis or meningitis?
A. b-Lactamase
B. IgA protease
C. Lipopolysaccharide
D. Nonpilus adhesins
E. Pili
F. Pneumolysin
G. Polyribitol phosphate
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to love when it can be lost, to go on when progress seem futile and to believe in every fiber of your body. to live , have hope and faith and to never give in.... dr_singh246@yahoo.com
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| phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
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Pili makes the difference
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| xfwang2002
Forum Junior
Topics: 8
Posts: 47
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G. It is from Kaplan Q-bank
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| ssrpk
Forum Fanatic
Topics: 154
Posts: 2,796
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it is haemophilus influenzae ....although not type b (polyribitol phosphate)
answer - g
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life is guud
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| phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
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Yes, thank for corection 
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