A child with fever and a sore throat had a Gram-stained smear revealing Gram-positive cocci in chains. The bacteria were beta-hemolytic. What is the likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pyogenes. The presence of Gram-positive cocci in chains suggests a streptococcal infection. Beta-hemolysis indicates the production of a hemolysin that lyses red blood cells, a characteristic of Streptococcus pyogenes. This bacterium is known to cause strep throat and can present with fever and sore throat. Summary: - B: Streptococcus pneumoniae is a common cause of pneumonia but typically appears as lancet-shaped cocci, not in chains. - C: Staphylococcus aureus is a gram-positive cocci in clusters, not chains, and is not typically beta-hemolytic. - D: Enterococcus faecalis is a gram-positive cocci that are part of the normal gut flora and are not typically beta-hemolytic or found in chains.

Correct Answer: A

Rationale: The correct answer is A: Resistance to heat and dehydration. Spore-forming bacteria form spores as a survival mechanism in harsh conditions. These spores are highly resistant to heat and dehydration, allowing the bacteria to withstand extreme environments. This characteristic is essential for their long-term survival and ability to persist in unfavorable conditions. Choices B, C, and D are incorrect because not all spore-forming bacteria produce toxins, have flagella, or are capable of photosynthesis. These characteristics are not exclusive to spore-forming bacteria and do not define them as a group.

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: B

Rationale: The correct answer is B because endotoxins are part of the outer membrane of gram-negative bacteria. When these bacteria undergo cell lysis, the endotoxins are released, causing harmful effects. This process does not occur during bacterial replication (choice A), antibody production (choice C), or formation of spores (choice D). Bacterial replication involves the creation of new bacterial cells, not the release of endotoxins. Antibody production is the immune response to pathogens, not the direct cause of endotoxin release. Spores are dormant structures formed by some bacteria, which are not directly related to the release of endotoxins.

Correct Answer: B

Rationale: The correct answer is B: scalp. Tinea capitis is a fungal infection that specifically affects the scalp. This infection is caused by dermatophytes, which thrive in warm and moist environments. It typically presents with symptoms such as scaling, itching, and hair loss on the scalp. Choices A, C, and D are incorrect because tinea pedis (athlete's foot) affects the feet, oral thrush is a fungal infection of the mouth, and tinea manuum affects the hands. By process of elimination and understanding the specific characteristics of tinea capitis, we can determine that the scalp is the correct location for this fungal infection.

Correct Answer: A

Rationale: The correct answer is A: Pertussis toxoid. This is because pertussis toxoid is a component of the pertussis vaccine, which provides specific prophylaxis against pertussis by stimulating the immune system to produce antibodies against the bacteria causing the disease. Choice B, killed vaccine, is incorrect as it does not specify pertussis toxoid. Choice C, wide-spectrum antibiotics, is incorrect as antibiotics are used for treatment, not prophylaxis. Choice D, None of the above, is incorrect as pertussis toxoid is specifically used for prophylaxis of pertussis.

Correct Answer: A

Rationale: Step 1: Endo agar is a selective and differential media commonly used to isolate gram-negative bacteria. Step 2: Colorless colonies on Endo agar indicate the absence of lactose fermentation. Step 3: Salmonella is a gram-negative bacterium that does not ferment lactose, leading to colorless colonies on Endo agar. Step 4: Therefore, the correct answer is A: Salmonella. Summary: B: Escherichia coli ferments lactose, producing pink colonies on Endo agar. C: Staphylococcus is a gram-positive bacterium and would not grow on Endo agar. D: Shigella is a gram-negative bacterium but ferments lactose, resulting in pink colonies on Endo agar.

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: D

Rationale: The correct answer is D: Q-fever. Q-fever is typically an infection that affects the lower respiratory tract, causing symptoms like pneumonia. Haemophilus influenzae pharyngitis (choice A) is an upper respiratory tract infection. Ozeana (choice B) and diphtherial croup (choice C) are not specific infections related to the lower respiratory tract. Q-fever stands out as the correct choice due to its association with lower respiratory tract infections.