A child with diarrhea had stool microscopy revealing cysts with four nuclei. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This pathogen is known to cause amoebic dysentery, characterized by diarrhea with bloody or mucoid stools. The presence of cysts with four nuclei in the stool microscopy is a characteristic feature of Entamoeba histolytica. Other choices are incorrect because Giardia lamblia typically presents with binucleate cysts, Balantidium coli is a ciliated protozoan, and Trichomonas hominis is a non-pathogenic parasite found in the human intestine.

Correct Answer: B

Rationale: The correct answer is B: Pseudomonas aeruginosa. This bacterium is known for producing biofilms on medical devices due to its ability to adhere and form a slimy layer that protects it from antibiotics and the host immune system. Pseudomonas aeruginosa is commonly associated with healthcare-associated infections. Clostridium tetani (A) causes tetanus, not known for biofilm production on medical devices. Salmonella enterica (C) causes foodborne illnesses, not typically associated with medical device biofilms. Staphylococcus aureus (D) is a common pathogen in healthcare settings but is not specifically known for biofilm production on medical devices.

Correct Answer: A

Rationale: The correct answer is A: Viruses. Viruses are acellular, meaning they lack cellular structure, protein synthesizing ability, enzymes, and energy systems. They are essentially genetic material (DNA or RNA) enclosed in a protein coat. Fungi (B), bacteria (C), and protozoa (D) are all cellular organisms with protein synthesizing, enzyme, and energy systems. Viruses rely on host cells to replicate and carry out metabolic functions, making them distinct from other groups.

Correct Answer: B

Rationale: The correct answer is B: Macrolides. Listeriosis is typically treated with antibiotics such as Penicillin and ampicillin due to their effectiveness against Listeria monocytogenes. Macrolides, on the other hand, are not first-line agents for listeriosis treatment. They are less effective in treating this bacterial infection compared to Penicillin and ampicillin. Cephalosporins may also be less effective against Listeria monocytogenes compared to Penicillin and ampicillin. Choice D is incorrect as Macrolides are not suitable for listeriosis treatment.

Correct Answer: A

Rationale: The correct answer is A because fires from combustibles such as wood fall under Class A fires. Type A fire extinguishers are specifically designed to extinguish fires involving ordinary combustible materials like wood, paper, and cloth. Choice B, C, and D are incorrect because they do not correspond to the correct classification of the fire. Choice B refers to Class B fires involving flammable liquids, Choice C refers to Class C fires involving electrical equipment, and Choice D refers to Class D fires involving combustible metals. It is crucial to match the type of fire extinguisher with the type of fire to effectively combat the fire.