A 10-year-old child cut his leg with a piece of glass and was sent to a clinic for an anti-tetanus serum injection. In order to prevent the development of anaphylactic shock, the Besredka desensitization method was applied. What mechanism underlies this method?

Correct Answer: A

Rationale: The correct choice is A: Binding to IgE fixed to mast cells. The Besredka desensitization method involves injecting small, gradually increasing doses of the allergen to induce tolerance and prevent anaphylactic shock. This process works by binding the allergen to IgE antibodies fixed to mast cells, which prevents the release of histamine and other inflammatory mediators that trigger allergic reactions. This desensitization process helps the immune system become less reactive to the allergen over time. Incorrect choices: B: Inhibited synthesis of mast cells mediators - This choice does not reflect the mechanism of the Besredka desensitization method, which involves binding to IgE on mast cells. C: Stimulation of the immunological antigen tolerance - While this may sound plausible, the Besredka method specifically targets the IgE-mast cell interaction. D: Stimulation of antigen-specific IgG synthesis - While IgG antibodies may play a role in desensitization, the

Correct Answer: D

Rationale: The correct answer is D: rabbit fever. Tularemia is commonly known as rabbit fever due to the fact that it is often contracted through handling infected rabbits or other rodents. This zoonotic disease is caused by the bacterium Francisella tularensis. Scarlet fever (A) is a streptococcal infection characterized by a rash, not related to tularemia. Strep throat (B) is a bacterial infection caused by Streptococcus bacteria and is not associated with tularemia. Cat scratch fever (C) is caused by Bartonella henselae and typically transmitted through cat scratches or bites, not related to tularemia.

Correct Answer: D

Rationale: The correct answer is D because enveloped viruses have a lipid bilayer envelope derived from the host cell membrane, which is a complex structure, not exhibiting any specific symmetry. Choice A (cubic symmetry) is incorrect as enveloped viruses do not have any specific geometric shape. Choice B (spiral symmetry) is incorrect as this type of symmetry is typically seen in non-enveloped viruses like helical viruses. Choice C (complex symmetry) is also incorrect as enveloped viruses do not exhibit a specific symmetrical pattern. Therefore, the correct answer is D because enveloped viruses do not have a defined symmetry and can vary in shape and structure.

Correct Answer: D

Rationale: The correct answer is D: Oral candidiasis. Soor is a term used to describe oral candidiasis, a fungal infection caused by Candida species. This infection presents as white patches on the tongue, inner cheeks, and roof of the mouth. The other choices (A, B, C) refer to different types of fungal infections affecting various parts of the body, not specifically the oral cavity. Therefore, based on the description of soor and its characteristics, the correct answer is D.

Correct Answer: A

Rationale: The correct answer is A: Isoniazid. Isoniazid is a first-line drug for treating active pulmonary tuberculosis due to its high efficacy and low toxicity. It works by inhibiting the synthesis of mycolic acids in the bacterial cell wall. Sulfalen, Cyclocerine, and Ethionamide are not first-line drugs for tuberculosis. Sulfalen is used for urinary tract infections, Cyclocerine for drug-resistant tuberculosis, and Ethionamide as a second-line drug for multidrug-resistant tuberculosis. Therefore, Isoniazid is the most appropriate initial choice for treating active focal pulmonary tuberculosis.

Correct Answer: D

Rationale: The correct answer is D: Agglutination test type Gruber. This is because the Gruber agglutination test is not typically used for the serological identification of Yersinia pestis. The other options (A, B, C) are commonly used methods for serological identification of Y. pestis: A) Precipitation reaction involves the formation of a visible precipitate when Y. pestis antigen reacts with specific antibodies. B) Indirect hemagglutination test detects antibodies against Y. pestis by measuring the agglutination of red blood cells. C) Immunofluorescence test uses fluorescently labeled antibodies to detect specific antigens of Y. pestis. In summary, the Gruber agglutination test is not a standard method for serological identification of Yersinia pestis, unlike the other options provided.

Correct Answer: C

Rationale: The correct answer is C (25°C) because dimorphic fungi typically grow as molds at lower temperatures. At 25°C, the fungus is likely in its mold phase, which is the preferred temperature range for mold growth. Choices A, B, and D are incorrect because 15°C and 20°C are too low for optimal mold growth, and 37°C is too high as it typically favors the yeast phase of dimorphic fungi. Therefore, the preferred temperature for mold growth of a dimorphic fungus is 25°C.

Correct Answer: A

Rationale: Rationale: 1. Epstein-Barr virus causes infectious mononucleosis due to primary infection. 2. Certain types of cancer, such as Burkitt lymphoma and nasopharyngeal carcinoma, are associated with Epstein-Barr virus through oncogenic mechanisms. 3. Chickenpox and shingles are caused by varicella-zoster virus (HHV3). 4. Roseola infantum is caused by human herpesvirus 6 (HHV6). Summary: Choice A is correct as Epstein-Barr virus is linked to infectious mononucleosis and specific cancers. Choices B, C, and D are incorrect as they are caused by different herpesviruses.

Correct Answer: C

Rationale: The correct answer is C: All microorganisms. Sterilization aims to eliminate all microorganisms, including pathogenic and non-pathogenic ones, to ensure complete absence of viable organisms. This is crucial in medical, laboratory, and food preparation settings to prevent contamination and spread of infections. Choices A and B are incorrect because sterilization does not differentiate between pathogenic and non-pathogenic microorganisms, aiming to eradicate all. Choice D is incorrect as sterilization does involve releasing subjects (microorganisms) using physical methods.