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Microbiology · Bacteriology
Sample itemWhat is the main virulence mechanism of tetanus toxin?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Blocks inhibitory neurotransmitter release
Tetanospasmin blocks release of inhibitory GABA and glycine from interneurons, leading to unopposed muscle contraction and spastic paralysis.
Option by option
A. Blocks inhibitory neurotransmitter release (correct)
Correct: loss of inhibition causes spasticity.
B. Activates adenylate cyclase in gut
Gut cAMP activation is cholera toxin.
C. Inhibits protein synthesis at ribosome
Ribosome inhibition is diphtheria mechanism.
D. Destroys red cells directly
Direct haemolysis is not tetanus action.
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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