A 55-year-old patient with a characteristic rash, fever, dizziness has been admitted to a hospital. He has been provisionally diagnosed with typhus. No similar cases have been reported. In his youth (15 years old) the patient suffered typhus in a boarding school. What disease is it?

Correct Answer: A

Rationale: The correct answer is A: Brill's disease. Brill's disease is a relapse of typhus that occurs in patients who had typhus in their youth. The patient's history of having typhus at 15 years old is a key indicator. Brill's disease is characterized by symptoms such as rash, fever, and dizziness, which align with the patient's current presentation. Summary of other choices: B: Typhoid fever - While typhoid fever may present with similar symptoms to typhus, the patient's history of having typhus in the past makes this less likely. C: Measles - Measles does not typically present with dizziness, and the patient's history of typhus in the past is more indicative of Brill's disease. D: Rubella - Rubella does not typically cause dizziness, and the patient's history of typhus in the past points more towards Brill's disease.

Correct Answer: B

Rationale: The correct answer is B: Cholera. Cholera is caused by Gram-negative curved rod-like bacteria called Vibrio cholerae, commonly found in contaminated water or food. The characteristic symptom of cholera is profuse watery diarrhea, which matches the patient's presentation. Typhoid fever (A) is caused by Salmonella typhi, which is not a curved rod-like bacteria. Diphtheria (C) is caused by Corynebacterium diphtheriae, a Gram-positive bacterium, and does not typically cause diarrhea. Intestinal form of plague (D) is caused by Yersinia pestis, which is not a curved rod-like bacteria and does not typically present with diarrhea.

Correct Answer: C

Rationale: The correct answer is C: Thick peptidoglycan layer. Gram-positive bacteria have a thick peptidoglycan layer in their cell wall, which retains the crystal violet stain in the Gram staining process, leading to a purple color. This thick layer is a defining characteristic of Gram-positive bacteria. Rationale: A: Thin peptidoglycan layer is incorrect because Gram-positive bacteria have a thick peptidoglycan layer. B: Presence of an outer membrane is incorrect because Gram-positive bacteria lack an outer membrane. D: Presence of lipopolysaccharides is incorrect because lipopolysaccharides are typically found in the outer membrane of Gram-negative bacteria, not Gram-positive bacteria.

Correct Answer: C

Rationale: The correct answer is C. Prostatitis is inflammation of the prostate gland, leading to symptoms like painful urination, fever/chills, and weak urine flow. Painful urination is due to irritation of the urinary tract by the inflamed prostate. Fever/chills indicate an infection, common in prostatitis. Weak urine flow is due to obstruction caused by the inflamed prostate. Choice A is incorrect as muscle aches, sore throat, and swollen lymph nodes are not typical symptoms of prostatitis. Choice B is incorrect as painful joints and nausea are not characteristic symptoms. Choice D is almost identical to the correct answer but includes an extra symptom of painful joints, which is not associated with prostatitis.

Correct Answer: A

Rationale: The correct answer is A: BCG vaccine. Step 1: BCG vaccine is specifically designed to protect against tuberculosis, making it the appropriate choice for newborns. Step 2: STI vaccine is for sexually transmitted infections, not tuberculosis. Step 3: EV vaccine is not a recognized vaccine. Step 4: DPT vaccine protects against diphtheria, pertussis, and tetanus, not tuberculosis. In summary, BCG vaccine is the correct choice as it targets tuberculosis specifically, while the other options are designed for different purposes.