A 40-year-old man developed skin redness and an swelling in the neck area, where eventually a small abscess appeared. The section the focus is dense and yellow-green colored. In the purulent masses there are white granules. Histologically there are fungal druses, plasma and xanthome cells, and macrophages detected. Specify the most correct etiological name of this pathological process?

Correct Answer: A

Rationale: The correct answer is A: Actinomycosis. This is a chronic bacterial infection caused by Actinomyces species. In this case, the description of dense yellow-green colored focus, white granules in purulent masses, and presence of fungal druses, plasma cells, xanthome cells, and macrophages all match the characteristics of actinomycosis. Actinomycosis typically presents with abscess formation containing sulfur granules, which are yellowish and granular. The other choices (B: Furuncle, C: Carbuncle, D: Syphilis) do not fit the clinical and histological features described in the question, making them incorrect options.

Correct Answer: C

Rationale: The correct answer is C because the case specifically mentions "enteropathogenic bacteria and viruses," indicating a focus on these specific microorganisms. Choice A is too broad and includes all bacteria, which is not specified in the case. Choice B mentions opportunistic pathogenic bacteria, which are not necessarily relevant to the case. Choice D specifies colibacilli, which may or may not be relevant to the case, but it is not as specific as choice C which clearly matches the information provided in the case.

Correct Answer: A

Rationale: The correct answer is A: Lassa virus. The rationale is as follows: 1. Lassa virus is a member of the Arenaviridae family, known for causing Lassa fever. 2. Arenaviridae family includes viruses with a segmented genome and are transmitted through rodents. 3. Crimean-Congo hemorrhagic fever virus (Choice B) belongs to the Bunyaviridae family, not Arenaviridae. 4. Rabies virus (Choice C) belongs to the Rhabdoviridae family, not Arenaviridae. 5. Epstein-Barr virus (Choice D) belongs to the Herpesviridae family, not Arenaviridae. In summary, Lassa virus is the correct choice as it aligns with the characteristics of the Arenaviridae family, while the other choices belong to different virus families.

Correct Answer: B

Rationale: The correct answer is B: colonization. E. Coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa in the pharynx indicate colonization rather than being part of the normal resident flora. Colonization refers to the presence of these bacteria on body surfaces without causing harm. They are not considered normal flora in the pharynx but rather transient or opportunistic pathogens. Choice A is incorrect because these bacteria are not part of the normal resident flora of the pharynx. Choice C is incorrect as it implies that these bacteria are both normal flora and colonization, which is not accurate. Choice D is incorrect as there is evidence of bacterial presence, indicating colonization.

Correct Answer: A

Rationale: The correct answer is A: Burri-Gins. This staining method specifically targets the detection of capsules in bacteria. It involves staining the capsules with crystal violet and the background with safranin. This staining technique helps visualize the capsules as a distinct halo around the bacteria. Summary: - Choice B (Ziehl-Neelsen) is used for acid-fast staining to detect Mycobacterium species. - Choice C (Neisser) is used for staining Neisseria species. - Choice D (Gram) is a common staining method used to differentiate bacteria based on cell wall composition (Gram-positive and Gram-negative), but it does not specifically target capsules.