A 47-year-old male patient consulted a dentist about difficult mouth opening (lockjaw or trismus). The patient has a history of a stab wound of the lower extremity. What infection can be manifested by these symptoms?

Correct Answer: A

Rationale: The correct answer is A: Tetanus. Tetanus is caused by the bacterium Clostridium tetani, commonly found in soil, dust, and animal feces. The patient's history of a stab wound increases the risk of tetanus infection as the bacterium can enter the body through the wound. Tetanus infection can lead to symptoms such as lockjaw or trismus, which are characterized by muscle stiffness and difficulty opening the mouth. This is due to the neurotoxin produced by Clostridium tetani affecting the muscles. Summary of incorrect choices: B: Brucellosis is a bacterial infection transmitted from animals to humans through consumption of unpasteurized dairy products. It does not typically manifest with symptoms of lockjaw. C: Whooping cough (Pertussis) is a respiratory infection caused by Bordetella pertussis bacteria. It presents with severe coughing fits but does not cause lockjaw. D: Anaerobic wound infection

Correct Answer: A

Rationale: The correct answer is A: Gram staining method. This method involves staining with gentian violet, followed by Lugol's solution, 96% alcohol decolorization, and counterstaining with safranin or water-magenta. This staining sequence allows for the differentiation of bacteria based on their cell wall composition. In the case of lobar pneumonia, the causative agent is typically a bacterium with a cell wall that retains the crystal violet stain after decolorization with alcohol, indicating a Gram-positive bacterium. Summary of Incorrect Choices: B: Ziehl-Nielsen staining is used for acid-fast bacteria like Mycobacterium tuberculosis, not for lobar pneumonia. C: Romanovsky staining is primarily used in the identification of blood cells and blood parasites, not for bacteria. D: Neisser staining is not a commonly used staining method in microbiology for bacterial identification.

Correct Answer: C

Rationale: Chitin is a polysaccharide found in the cell walls of fungi. Bacteria have cell walls made of peptidoglycan, not chitin. Viruses do not have cell walls as they are acellular entities. Therefore, the correct answer is A: fungi.

Correct Answer: A

Rationale: Rationale: Shigella dysenteriae produces Shiga toxin, which inhibits protein synthesis by inactivating the 60S ribosomal subunit. This disrupts the translation process, leading to cell death. Escherichia coli (choice B) does not produce a toxin that inhibits protein synthesis. Clostridium tetani (choice C) produces tetanospasmin, which affects the nervous system. Staphylococcus aureus (choice D) produces toxins that cause food poisoning but do not inhibit protein synthesis.

Correct Answer: A

Rationale: Acyclovir is an antiviral drug used to treat herpes infections, not influenza. Tamiflu, Amantadine, and Relenza are all antiviral drugs commonly used to treat influenza. Acyclovir works by inhibiting the replication of herpes viruses, so it is not effective against the influenza virus. Therefore, the correct answer is A.

Correct Answer: C

Rationale: Rationale: Schizogony is the process in protozoans where multiple nuclear divisions occur before cell division. This results in the formation of multiple daughter cells. - A: Budding is a form of asexual reproduction where a new organism grows from an outgrowth on the parent. - B: Mitosis is a type of cell division that results in two identical daughter cells. - D: Fragmentation is a form of asexual reproduction where an organism breaks into fragments, each developing into a new organism.

Correct Answer: D

Rationale: The correct answer is D: Amebiasis. The patient's symptoms of gastrointestinal disturbance and liver abscess are indicative of an infection with Entamoeba histolytica, the protozoan parasite responsible for amebiasis. The patient's travel history to an African country also increases the likelihood of contracting this disease, as it is more prevalent in tropical regions. Toxoplasmosis (A) is primarily associated with exposure to cat feces, Leishmaniasis (B) is transmitted through sandfly bites, and Malaria (C) is caused by Plasmodium parasites transmitted through mosquito bites. Therefore, these options are incorrect given the patient's presentation and travel history.

Correct Answer: A

Rationale: The correct answer is A: ethylene oxide. Ethylene oxide is a toxic, odorless gas commonly used as a sterilizing agent in healthcare settings due to its ability to effectively kill bacteria, viruses, and fungi. It is a highly reactive compound that can penetrate porous materials, making it an ideal choice for sterilization purposes. Incorrect choices: B: Carbon dioxide is not used as a sterilizing agent and is not toxic. C: Carbon monoxide is not commonly used for sterilization and has a distinct odor. D: Propane is not used for sterilization in healthcare settings and is not odorless.

Correct Answer: B

Rationale: The correct answer is B: Insect. A vehicle transmission refers to the mode by which a disease spreads from one host to another. Insects can transmit diseases, making them a vehicle for transmission. Airborne, foodborne, and bodily fluid transmissions are well-known modes of disease spread, while insects are also known vectors for diseases like malaria and Zika.