A bacteriological analysis revealed spore-forming, Gram-positive rods in a wound smear. The bacteria were motile and produced gas in nutrient broth. What is the causative agent?

Correct Answer: A

Rationale: Rationale: 1. Spore-forming, Gram-positive rods: Characteristics shared by Clostridium and Bacillus. 2. Motile and gas production in nutrient broth: Clostridium perfringens is motile and produces gas, distinguishing it from Bacillus species. 3. Clostridium perfringens causes gas gangrene, correlating with gas production. 4. Bacillus anthracis causes anthrax, not related to wound infections. 5. Clostridium tetani causes tetanus, not associated with gas production. 6. Bacillus cereus causes food poisoning, not commonly associated with wound infections. Summary: - A is correct (Clostridium perfringens) due to motility, gas production, and wound infection correlation. - B (Bacillus anthracis) causes anthrax, not wound infections. - C (Clostridium tetani) causes tetanus, not gas production. - D (B

Correct Answer: A

Rationale: The correct answer is A: Vibrio cholerae. This bacterium is the likely causative agent because it is known to cause severe diarrhea, and it is characterized by its motile, comma-shaped Gram-negative rods. Vibrio cholerae produces cholera toxin, leading to profuse watery diarrhea. Shigella dysenteriae causes dysentery with bloody diarrhea, Salmonella typhi causes typhoid fever, and Escherichia coli can cause various types of diarrhea but typically does not have a comma shape.

Correct Answer: C

Rationale: Rationale: 1. Helicobacter pylori is known for producing urease enzyme to neutralize stomach acid. 2. Urease enzyme converts urea into ammonia, buffering the acidic pH. 3. This adaptation allows H. pylori to survive in the acidic environment of the stomach. 4. Salmonella typhi, Escherichia coli, and Shigella flexneri do not produce urease. 5. Therefore, C is the correct answer based on the unique urease-producing capability of H. pylori.

Correct Answer: B

Rationale: The correct answer is B: Staphylococcus aureus. This bacterium is known as a common cause of hospital-acquired infections due to its ability to colonize the skin and mucous membranes of healthcare workers and patients. Staphylococcus aureus can cause various infections, including surgical site infections and bloodstream infections, in healthcare settings. Rationale: 1. Clostridium botulinum is known for causing foodborne botulism, not hospital-acquired infections. 2. Treponema pallidum causes syphilis, which is primarily transmitted through sexual contact, not hospital settings. 3. Mycobacterium leprae causes leprosy, which is not commonly associated with hospital-acquired infections. In summary, Staphylococcus aureus is the correct answer as it is a common cause of hospital-acquired infections due to its prevalence in healthcare environments, unlike the other choices which are not typically associated with hospital-acquired infections.

Correct Answer: B

Rationale: The correct answer is B: 3.5 to 4.0 billion years. Prokaryotic fossils date back to around 3.5 to 4.0 billion years ago, based on scientific evidence. This timeframe aligns with the earliest known evidence of life on Earth. Choices A, C, and D have incorrect timelines that do not correspond to the established age range of prokaryotic fossils. Choice A is too broad and includes a range that extends beyond the known fossil record. Choices C and D have much younger timelines, which do not match the historical evidence of prokaryotic life dating back billions of years.