A 16-year-old adolescent was vaccinated with DTP. In eight days there was stiffness and pain in the joints, subfebrile temperature, urticarial skin eruption, enlargement of inguinal, cervical lymph nodes and spleen. What kind of allergic reaction is observed?

Correct Answer: D

Rationale: The correct answer is D: Hypersensitivity of delayed type. The symptoms described occur 5-10 days after exposure to the antigen, consistent with a delayed hypersensitivity reaction. This type of reaction involves T cells and is characterized by cell-mediated immune response, leading to inflammation and tissue damage. Choices A, B, and C are incorrect because they are associated with different mechanisms of allergic reactions. Immunocomplex reactions (choice A) involve antigen-antibody complexes depositing in tissues, immediate hypersensitivity reactions (choice B) involve IgE-mediated mast cell degranulation, and cytotoxic reactions (choice C) involve antibodies targeting specific cells for destruction.

Correct Answer: A

Rationale: The correct answer is A because immunofluorescence slides are examined under a fluorescence microscope with a x100 oil immersion objective. This is because immunofluorescence relies on the detection of fluorescently labeled antibodies, which emit light when excited by a specific wavelength. Using a fluorescence microscope allows for visualization of these labeled antibodies at high magnification and resolution, enabling precise examination of cellular structures and protein localization. Choice B is incorrect as light microscopes are not suitable for visualizing fluorescence. Choice C is incorrect as electron microscopes use electrons, not light, for imaging, which is not compatible with immunofluorescence. Choice D is incorrect as there is a specific method for examining immunofluorescence slides.

Correct Answer: B

Rationale: The correct answer is B: H antigen. Flagellar antigen is typically referred to as the H antigen in bacteria. Flagella are the whip-like structures used for movement in bacteria, and the H antigen is specifically associated with the flagella. The other choices (A: D antigen, C: K antigen, D: F antigen) are not related to flagella in bacteria and are commonly associated with other types of antigens in bacterial classification.

Correct Answer: B

Rationale: The correct answer is B: For HIV. Pneumocystis pneumonia in a young man with CD4+ cells less than 200/mm3 is highly suggestive of HIV infection. HIV weakens the immune system, leading to opportunistic infections like pneumocystis pneumonia. Testing for HIV is crucial for diagnosis and appropriate management. Explanation for other choices: A: Testing for ureaplasma urealyticum is not indicated in this case as the symptoms and CD4+ cell count point towards an HIV-related infection. C: Testing for Treponema pallidum (syphilis) is not relevant in the context of a young man with pneumocystis pneumonia and low CD4+ cell count. D: Testing for Neisseria gonorrhoea is not appropriate in this scenario as the symptoms and CD4+ cell count suggest an underlying HIV infection rather than a bacterial sexually transmitted infection.

Correct Answer: A

Rationale: Polyclonal antibodies are produced by different B cells, each recognizing a different epitope on an antigen. Therefore, they can respond to multiple antigens. This diversity in recognition allows polyclonal antibodies to bind to various targets, making option A true. Options B, C, and D are incorrect as they do not accurately reflect the nature of polyclonal antibodies' ability to recognize multiple antigens.

Correct Answer: C

Rationale: The correct answer is C: Method of Moller. This method uses malachite green to stain bacterial spores due to their resistance to decolorization. The other choices, A, B, and D, are incorrect because Romanovski-Gymsa is used for staining blood smears, Ziehl-Nielsen is used for acid-fast bacteria, and Neisser is used for staining Neisseria species, not bacterial spores.

Correct Answer: B

Rationale: The correct answer is B: mitochondria. Stroma is a component of chloroplasts, not mitochondria. Lysosomes contain hydrolytic enzymes, not stroma. Mitochondria have an inner and outer membrane structure, with the matrix containing the stroma where important metabolic processes occur. This is where the Krebs cycle and oxidative phosphorylation take place. Stroma in chloroplasts is where photosynthesis occurs. So, the correct answer is B because stroma is a component of mitochondria, where crucial energy production processes happen.

Correct Answer: C

Rationale: The correct answer is C: green monkeys. The Marburg virus was first identified in 1967 in Marburg and Frankfurt, Germany, after outbreaks in lab workers exposed to infected African green monkeys. These monkeys were imported from Uganda. The virus is believed to be originally endemic in certain species of African bats and is transmitted to humans through contact with infected animals. Choice A, laboratory rats, is incorrect as the virus did not originate from rats. Choice B, birds, and Choice D, wild turkeys, are also incorrect as there is no evidence linking these animals to the transmission of the Marburg virus.

Correct Answer: C

Rationale: The correct answer is C: Looking for Ernst-Babes granules. Laboratory diagnosis of rabies typically involves looking for Negri bodies in the brain tissue, intracerebrally infecting mice for virus isolation, and using immunofluorescence method to detect viral antigens. Ernst-Babes granules are not associated with rabies virus and are not used in the diagnosis of rabies. Therefore, choice C is incorrect.