A 13 year old child complains about poor appetite, pain in the right subcostal area. Microscopical examination of duodenal contents revealed big pyriform cells with two nuclei. What microorganism was revealed?

Correct Answer: A

Rationale: The correct answer is A: Lamblia. The presence of big pyriform cells with two nuclei in the duodenal contents indicates Giardia lamblia infection. This parasite is commonly found in contaminated water and causes symptoms like poor appetite and abdominal pain. Trichomonas, Amoeba, Trypanosoma, and Toxoplasma are not typically associated with these findings and symptoms. Therefore, Lamblia is the most likely microorganism based on the clinical presentation and microscopic examination results.

Correct Answer: A

Rationale: The correct answer is A: Toxoplasmosis. Toxoplasmosis is a parasitic infection caused by Toxoplasma gondii, which can be transmitted to humans through contact with infected cat feces. During pregnancy, Toxoplasma infection can result in severe birth defects such as microcephaly and mental retardation in the child. In this case, the presence of a cat in the family and the child's abnormalities suggest a possible link to Toxoplasmosis. Other choices are incorrect because: B: Leishmaniasis is a parasitic disease transmitted by sandflies and does not typically cause the specific birth defects mentioned in the scenario. C: Dysentery is a bacterial infection that primarily affects the intestines and does not cause the neurological abnormalities described. D: Balantidiasis is a parasitic infection caused by Balantidium coli, a ciliated protozoan, but it is not associated with

Correct Answer: A

Rationale: The correct answer is A: Bacterial vaginosis (gardnerellosis). The presence of clue cells on the Gram-stained smears is characteristic of bacterial vaginosis. Clue cells are vaginal epithelial cells covered with bacteria, specifically Gardnerella vaginalis, which is the causative agent of bacterial vaginosis. The symptoms described by the patient - itching, burning, watery discharge with a fish-like smell - are classic signs of bacterial vaginosis. The absence of alterations in the cervix, uterus, and appendages rules out other sexually transmitted infections like chlamydiosis, gonorrhea, and trichomoniasis. Therefore, the most likely pathology in this case is bacterial vaginosis.

Correct Answer: A

Rationale: The correct answer is A: Helicobacter pylori. This bacterium is a major cause of gastric ulcers by disrupting the balance between aggressive (acid, pepsin) and defensive (mucus, bicarbonate, prostaglandins) factors in the stomach lining. H. pylori infection leads to inflammation, weakening the protective mucosal barrier, making the stomach more susceptible to damage. Choices B, C, and D are defensive factors that help protect the stomach lining and prevent ulcer formation, so they do not contribute to the development of gastric ulcers.

Correct Answer: A

Rationale: The correct answer is A: Candida fungi. Candida fungi are known to cause oral thrush, characterized by whitish spots on the oral mucosa. The presence of gram-positive oval budding cells in the smear preparations is indicative of Candida species. Staphylococci (choice B) are gram-positive cocci, not oval budding cells. Sarcinae (choice C) are gram-positive bacteria that form cuboidal packets, not oval budding cells. Actinomycetes (choice D) are filamentous gram-positive bacteria, not oval budding cells like Candida fungi.