A 28-year-old patient was hospitalized with preliminary diagnosis "influenza". Roseolous-petechial rash appeared on the 5th day of disease on the trunk. The temperature is 41oC. Hyperemia of face, reddening of scleras, tremor of tongue, tachycardia, splenomegaly are present. What is the most likely diagnosis?

Correct Answer: A

Rationale: The most likely diagnosis is Epidemic typhus (Choice A) based on the symptoms described. The presence of roseolous-petechial rash, high fever (41oC), hyperemia of face, reddening of scleras, tremor of the tongue, tachycardia, and splenomegaly are classic signs of epidemic typhus. The rash typically appears around the 5th day of the disease. Summary: - B: Measles typically presents with a maculopapular rash starting on the face and spreading downward. It doesn't usually present with tremor of the tongue or splenomegaly. - C: Alcohol delirium is characterized by confusion, disorientation, and hallucinations due to alcohol consumption. It doesn't match the symptoms described. - D: Leptospirosis presents with fever, muscle pain, and conjunctival suffusion. It doesn't typically present with the specific rash and trem

Correct Answer: A

Rationale: Rationale: 1. Iodine solution contains iodine, a halogen with antiseptic properties. 2. Iodine is effective against fungi, making it suitable for treating dermatomycosis. 3. Iodine solution is commonly used in dermatology for its fungicidal properties. 4. Formalin, methylene blue, and brilliant green do not contain halogens or have fungicidal properties. Summary: - Formalin is a disinfectant, not an antiseptic for dermatomycosis. - Methylene blue is an antifungal dye, not used as an antiseptic. - Brilliant green is an antiseptic, but does not contain halogens or have fungicidal properties.

Correct Answer: A

Rationale: The correct answer is A: Delayed hypersensitivity reaction. In granuloma development in tuberculosis, macrophages present antigen to T cells, leading to a delayed hypersensitivity reaction. This triggers the recruitment of more macrophages and formation of granulomas. Antibody-dependent cytotoxicity (B) and complement-dependent cytotoxicity (C) involve antibodies and complement proteins in immediate hypersensitivity reactions, which are not the primary mechanisms in tuberculosis. Anaphylactic reaction (D) is an acute systemic allergic reaction mediated by IgE antibodies, not relevant to granuloma formation in tuberculosis.

Correct Answer: D

Rationale: The correct answer is D because bacteremia can be caused by a variety of bacteria including S.epidermidis, E.coli, S.aureus, P.aeruginosa, K.pneumoniae, and resident skin diphtheroids. Bacteremia refers to the presence of bacteria in the bloodstream, which can occur due to infections from various sources. Choices A and B include common bacteria known to cause bacteremia, while choice C refers to resident skin diphtheroids that can also enter the bloodstream under certain conditions. Therefore, the correct answer is D as it encompasses all the possible etiological causes of bacteremia.

Correct Answer: A

Rationale: The correct answer is A: Head lice. Epidemic typhus is transmitted by the body louse, Pediculus humanus humanus, which is different from the head louse, Pediculus humanus capitis. Head lice are not known to transmit epidemic typhus. Body lice are the primary vectors for transmitting epidemic typhus. Fleas are vectors for other diseases such as plague, not epidemic typhus. Ticks are vectors for various diseases but not for epidemic typhus. Therefore, the correct vector for epidemic typhus transmission is body lice, making choice A the correct answer.

Correct Answer: D

Rationale: The correct answer is D: Propionibacterium acnes. This bacterium is not a fungus, but a common skin bacteria. Fungal vaginitis is typically caused by Candida albicans or other fungal species, not by bacteria like Escherichia coli, Streptococcus agalactiae, or Klebsiella oxytoca. Propionibacterium acnes is not associated with vaginal infections, making it the correct answer in this context.

Correct Answer: A

Rationale: The most likely diagnosis is Epidemic typhus (Choice A) based on the symptoms described. The presence of roseolous-petechial rash, high fever (41oC), hyperemia of face, reddening of scleras, tremor of the tongue, tachycardia, and splenomegaly are classic signs of epidemic typhus. The rash typically appears around the 5th day of the disease. Summary: - B: Measles typically presents with a maculopapular rash starting on the face and spreading downward. It doesn't usually present with tremor of the tongue or splenomegaly. - C: Alcohol delirium is characterized by confusion, disorientation, and hallucinations due to alcohol consumption. It doesn't match the symptoms described. - D: Leptospirosis presents with fever, muscle pain, and conjunctival suffusion. It doesn't typically present with the specific rash and trem

Correct Answer: D

Rationale: The correct answer is D, "All of these." Monotrichous bacteria have a single flagellum at one end, amphitrichous have flagella at both ends, and peritrichous have flagella distributed all over the surface. The answer D is correct because it includes all these possibilities based on flagella location. Monotrichous is incorrect as it only refers to a single flagellum, amphitrichous is incorrect as it only refers to flagella at both ends, and peritrichous is incorrect as it only refers to flagella all over the surface. Therefore, the correct answer encompasses all these options.

Correct Answer: D

Rationale: Rationale: 1. Streptococcus pneumoniae is a common cause of bacterial pneumonia. 2. Mycobacterium tuberculosis can cause a type of pneumonia called tuberculosis. 3. Escherichia coli is not typically associated with pneumonia. 4. "All of the above" includes both Streptococcus pneumoniae and Mycobacterium tuberculosis, which are known to cause pneumonia. Therefore, D is the correct answer.