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A 45-Year-Old Man Comes to the Physician Due to Pain

Question 105

Multiple Choice

A 45-year-old man comes to the physician due to pain, swelling, and erythema affecting his right leg.  He says that he suffered a minor cut to his leg a few days ago while cleaning his garage.  Physical examination shows an indurated region surrounding a minor laceration that is draining a purulent exudate.  He is diagnosed with cellulitis and started on the appropriate treatment.  Gram stain of the exudate shows gram-positive cocci in clusters.  The organism most likely responsible for this patient's infection synthesizes a protein as part of its peptidoglycan cell wall that does which of the following?


A) Activates complement
B) Binds the Fc portion of IgG
C) Causes hemolysis
D) Cleaves IgA
E) Interacts with MHC class II antigens

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