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Microbiology · Bacteriology: Bordetella pertussis
Sample itemA child has paroxysmal coughing followed by an inspiratory whoop. Which organism causes lymphocytosis by ADP-ribosylating Gi protein?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Bordetella pertussis
Pertussis toxin inactivates Gi, increasing cAMP and causing prominent lymphocytosis. The catarrhal phase is the period of greatest transmissibility.
Option by option
A. Bordetella pertussis (correct)
Correct. Pertussis toxin is the Gi-inactivating toxin.
B. Corynebacterium diphtheriae
Diphtheria toxin inhibits elongation factor 2.
C. Legionella pneumophila
Legionella grows intracellularly and causes hyponatraemia, not this toxin effect.
D. Haemophilus influenzae
H. influenzae does not produce pertussis toxin.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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