A 43 y.o. patient was admitted to the hospital with complaints of high temperature of the body and severe headache. On examination: carbuncle is revealed on the forearm. There are intense edema around it, insignificant pain, regional lymphadenitis. The patient is a worker of cattle-ranch. What disease is it necessary to think about first?

Correct Answer: D

Rationale: The correct answer is D: Erysipeloid. Erysipeloid is a bacterial infection caused by Erysipelothrix rhusiopathiae commonly found in animals like cattle. The patient's occupation as a cattle-ranch worker puts them at risk for this infection. Symptoms such as high body temperature, severe headache, carbuncle on the forearm with edema, and regional lymphadenitis are typical of erysipeloid. Anthrax (A) is more associated with skin lesions and severe systemic symptoms. Carcinoma of skin (B) presents differently with slow-growing skin lesions. Erysipelas (C) is a different bacterial infection characterized by red, swollen patches on the skin.

Correct Answer: C

Rationale: To calculate the total magnification, we multiply the magnification of the ocular lens by the magnification of the objective lens. In this case, 10 (ocular) x 40 (objective) = 400. This is why choice C (400) is correct. Choices A, B, and D are incorrect because they do not represent the correct calculation of total magnification based on the given magnification powers of the ocular and objective lenses.

Correct Answer: C

Rationale: The correct answer is C: Polar placement of volutin granules. This feature is indicative of Corynebacterium diphtheria. Volutin granules are metachromatic granules found in the polar region of the bacterial cell, which is characteristic of this species. This feature helps differentiate it from other bacteria. Explanation: A: Fence-like position of the agent's cells is not a specific morphologic feature of Corynebacterium diphtheria. B: Spores that exceed cells in diameter is not a characteristic feature of Corynebacterium diphtheria. D: Presence of the capsule is not a distinguishing morphologic feature of Corynebacterium diphtheria. In summary, the polar placement of volutin granules is the most indicative feature for determining the type of agent as Corynebacterium diphtheria, making it the correct choice.

Correct Answer: A

Rationale: The correct answer is A: Icosahedral structures. Icosahedral symmetry is commonly found in viruses due to its efficient way of packing genetic material. The icosahedron has 20 equilateral triangular faces, making it ideal for viral capsids. The other choices, B: Hexahedral, C: Tetrahedral, and D: Dodecahedral structures, do not accurately describe the cubic type of symmetry seen in viruses. Hexahedral refers to a six-faced polyhedron, tetrahedral to a four-faced polyhedron, and dodecahedral to a twelve-faced polyhedron, none of which align with the structure commonly observed in viruses.

Correct Answer: C

Rationale: The correct answer is C: ensure survival under harsh conditions. Bacterial endospores are dormant, resistant structures that form under adverse conditions to protect the bacterial DNA and allow the bacterium to survive extreme environments. This function is crucial for the bacterium's long-term survival. Choice A is incorrect as endospores do not directly produce exotoxins. Choice B is incorrect as endospores do not store nutrients but rather protect the bacterium's genetic material. Choice D is incorrect as endospores do not enhance motility but rather enable survival during unfavorable conditions.

Correct Answer: D

Rationale: The correct answer is D: Gram-negative coccobacillus. Francisella tularensis is a Gram-negative coccobacillus because it has a unique shape that is between a coccus (spherical) and a bacillus (rod-shaped) and it stains pink/red in the Gram staining process. It is important to note that it is not a coccus (choice B) or a Gram-positive bacterium (choice A). Choice C is too general and does not specify the coccobacillus shape of F. tularensis. So, the correct answer is D due to its specific characteristics as a Gram-negative coccobacillus.

Correct Answer: D

Rationale: The correct answer is D: HIV. HIV is transmitted through direct contact with certain body fluids such as blood, semen, vaginal fluids, and breast milk. This direct contact route of transmission makes it different from the other choices. Salmonellosis is typically transmitted through contaminated food or water (not direct contact). Tularemia is usually transmitted through insect bites or contact with infected animals. Rubella is primarily transmitted through respiratory droplets. Therefore, HIV is the only option with a contact route of transmission.

Correct Answer: A

Rationale: The correct answer is A: Phaeophyta. Brown algae are commonly referred to as Phaeophyta because they contain brown pigments like fucoxanthin. Rhodophyta (B) refers to red algae, Chrysophyta (C) to golden algae, and D repeats the same term as A. Therefore, A is the correct choice based on the distinctive pigments present in brown algae.

Correct Answer: C

Rationale: The correct answer is C: Endospore. Endospores are highly resistant structures formed by certain bacterial species to withstand harsh conditions like desiccation. They contain a tough outer layer that protects the bacterial DNA and other essential components. Capsules (choice A) provide protection against host immune responses but not specifically against desiccation. Flagella (choice B) are used for bacterial motility. Pili (choice D) are involved in bacterial adhesion but do not protect against desiccation. Therefore, endospores are the most suitable choice for protecting against desiccation.