A 6-year-old child has duodenal ulcer. What antibacterial drug should be co-administered together with metronidazole and De-Nol in order to eradicate Helicobacter pylori infection?

Correct Answer: A

Rationale: The correct answer is A: Amoxicillin. Amoxicillin is commonly used in combination therapy with metronidazole and bismuth compounds like De-Nol to eradicate Helicobacter pylori infection in children. Amoxicillin targets the bacterial cell wall synthesis, working synergistically with metronidazole to effectively eradicate the infection. Tetracycline (choice B) is not recommended in children under 8 years old due to potential tooth discoloration. Oleandomycin (choice C) is not commonly used for H. pylori infection. Biseptol (choice D) is a combination of sulfamethoxazole and trimethoprim, not typically used for H. pylori eradication.

Correct Answer: A

Rationale: Rationale: The described attributes match those of Balantidium. The presence of cilia, oval shape with a narrowed front and wide back end, visible mouth, two nucleuses, and short vacuoles are all characteristic features of Balantidium. Balantidium is a ciliated protozoan parasite commonly found in the human intestine. The other choices can be eliminated based on specific characteristics: Lamblia lacks cilia and has a different shape, Dysenteric amoeba typically has a single nucleus, and Trichomonas does not have cilia or multiple nuclei. Therefore, based on the specific attributes described, the correct answer is Balantidium (Choice A).

Correct Answer: A

Rationale: The correct answer is A: Malaria. The patient's travel history to an endemic area like Tajikistan, along with symptoms of fever with chills, sweating, and hepatosplenomegaly, are classic for malaria. The blood test results show anemia (low RBC and hemoglobin levels), which can occur in malaria due to hemolysis. The presence of eosinophils and lymphocytes are not typical for malaria, but the overall clinical picture fits. Infectious mononucleosis (choice B) typically presents with sore throat, lymphadenopathy, and atypical lymphocytosis, which are not seen in this case. Sepsis (choice C) is characterized by systemic inflammatory response syndrome and organ dysfunction due to infection, which does not align with the symptoms and findings in the case. Typhoid fever (choice D) usually presents with gradual onset of sustained fever, abdominal pain, headache, and constipation, which are not present in this patient

Correct Answer: A

Rationale: The correct answer is A: general-purpose hoods. Bypass fume hoods are designed to handle a wide range of chemical fumes and vapors, making them suitable for various types of experiments and processes. They are not specifically designed for radioisotopes (B), perchloric acid (C), or biological materials (D). Therefore, A is the correct choice for bypass fume hoods.

Correct Answer: A

Rationale: The correct answer is A: Tryptic soy agar is a general-purpose medium suitable for cultivating a wide range of microorganisms. It provides essential nutrients for growth without inhibiting specific types of bacteria. Blood agar (B), Mannitol salt agar (C), and MacConkey agar (D) are selective or differential media designed to promote the growth of specific types of bacteria or differentiate between different bacterial species. Therefore, they are not considered general-purpose mediums.

Correct Answer: B

Rationale: The correct answer is B: Outer membrane with lipopolysaccharides. Gram-negative bacteria have an outer membrane containing lipopolysaccharides (LPS), which are important in pathogenesis and immune response. This feature is unique to Gram-negative bacteria, distinguishing them from Gram-positive bacteria (choice A). Teichoic acids (choice C) are found in the cell walls of Gram-positive bacteria, not Gram-negative. The statement in choice D, absence of a cell wall, is incorrect as all bacteria have a cell wall, although the composition may vary between Gram-negative and Gram-positive bacteria.

Correct Answer: A

Rationale: The correct answer is A: Co-trimoxazole. This drug combination is the first-line treatment for toxoplasmosis due to its efficacy against Toxoplasma gondii. Co-trimoxazole consists of sulfamethoxazole and trimethoprim, which work synergistically to inhibit bacterial and protozoal folate synthesis, effectively treating toxoplasmosis. B: Itraconazole is an antifungal medication and not effective against toxoplasmosis. C: Mebendazole is an anthelmintic drug used for treating parasitic worm infections, not toxoplasmosis. D: Azidothimidine, also known as AZT, is used for treating HIV, not toxoplasmosis.

Correct Answer: B

Rationale: The Gram stain differentiates bacteria based on cell wall structure. It classifies bacteria into Gram-positive (purple) and Gram-negative (pink) based on the presence of peptidoglycan in the cell wall. This method helps in identifying the bacterial species and determining appropriate treatment. Option A (Cell shape) is incorrect because the Gram stain focuses on cell wall composition, not cell shape. Option C (Flagella composition) is incorrect as the Gram stain does not assess flagella. Option D (Nutrient requirements) is incorrect as it does not relate to the purpose of the Gram stain.

Correct Answer: C

Rationale: The correct answer is C: Spleen. The white pulp of the spleen contains lymphocytes that help in immune responses. The red pulp filters blood and removes old or damaged red blood cells. The thymus (A) is responsible for T cell maturation, lymph nodes (B) filter lymph, and lymphoid tissue (D) includes various lymphoid organs but does not specifically refer to the spleen's distinct white and red pulp structure. Thus, the spleen is the only organ among the choices that has both white and red pulp components essential for immune functions.