Correct Answer: A

Rationale: The correct answer is A: Delayed-type hypersensitivity. The Mantoux test is a type IV hypersensitivity reaction, which is also known as delayed-type hypersensitivity. This reaction typically occurs 48-72 hours after exposure to an antigen, such as tuberculin in this case. The focal skin hardening and redness that appeared 60 hours after tuberculin introduction align with the timeline and characteristics of a delayed-type hypersensitivity reaction. Summary: - Choice A (Delayed-type hypersensitivity): Correct, as explained above. - Choice B (Immune complex-mediated hypersensitivity): Incorrect, as this reaction involves immune complexes and typically presents with tissue damage and inflammation. - Choice C (Complement-mediated cytotoxic hypersensitivity): Incorrect, as this reaction involves the activation of complement proteins leading to cell lysis. - Choice D (Immediate hypersensitivity): Incorrect, as this reaction, such as in allergies, occurs within minutes to hours of exposure to an antigen and involves IgE-mediated mast

Correct Answer: A

Rationale: The correct answer is A: Toxoplasma. Toxoplasma gondii causes Toxoplasmosis, a protozoan disease that can affect the brain and lead to vision loss. The halfmoon-shaped unicellular organisms with pointed ends described in the blood analysis are characteristic of Toxoplasma parasites. Toxoplasma infection commonly occurs through ingestion of contaminated food or water, or contact with infected cat feces. Leishmania causes Leishmaniasis, Lamblia causes Giardiasis, Amoeba causes Amebiasis, and Trichomonad causes Trichomoniasis, none of which match the symptoms and blood analysis findings described in the question.

Correct Answer: A

Rationale: Step-by-step rationale for why A is correct: 1. Clostridium tetani is known to produce tetanus toxin. 2. The tetanus toxin causes muscle rigidity and spasms characteristic of tetanus. 3. Clostridium perfringens is associated with gas gangrene, not tetanus. 4. Neisseria gonorrhoeae causes gonorrhea, not tetanus. 5. Bacillus anthracis causes anthrax, not tetanus. In summary, Clostridium tetani is the correct answer as it is specifically associated with causing tetanus, while the other choices are associated with different diseases.

Correct Answer: D

Rationale: The correct answer is D: Middlebrook's medium. This medium is specifically designed for the growth of Mycobacterium tuberculosis due to its low concentration of malachite green, which inhibits the growth of other bacteria but not Mycobacterium species. Middlebrook's medium also contains various nutrients that support the growth of Mycobacterium tuberculosis. A: Middlebrook's medium is the correct answer, not incorrect. B: Heart infusion broth is a general-purpose medium, not specific for Mycobacterium tuberculosis. C: MacConkey agar is selective for gram-negative bacteria and would not support the growth of Mycobacterium tuberculosis. In summary, Middlebrook's medium is the ideal choice for cultivating Mycobacterium tuberculosis due to its specific formulation that promotes the growth of this pathogen while inhibiting other bacteria.

Correct Answer: A

Rationale: The correct answer is A: emergence. The term emergence refers to the process of a new infectious disease appearing and spreading within a population. It signifies the initial introduction and establishment of the disease in the new population. Explanation for other choices: B: Adoption does not accurately describe the process of a disease spreading within a new population. C: Inclusion is not a term commonly used to describe the spread of infectious diseases. D: Appearance is too vague and does not capture the complexity of the process of establishment and spreading of an infectious disease.