A child with fever and swollen lymph nodes had a Gram-stained smear revealing Gram-negative rods with a safety pin appearance. What is the causative agent?

Correct Answer: A

Rationale: The correct answer is A: Yersinia pestis. This bacterium causes the plague, which presents with fever and swollen lymph nodes. The safety pin appearance on Gram stain is characteristic of Yersinia pestis. B: Francisella tularensis causes tularemia, which presents differently and does not show safety pin appearance on Gram stain. C: Brucella abortus causes brucellosis, which does not typically present with the same symptoms as described in the question. D: Clostridium botulinum causes botulism, which does not show safety pin appearance on Gram stain and does not typically present with fever and swollen lymph nodes.

Correct Answer: C

Rationale: Rationale: Both Clostridium botulinum and Clostridium tetani produce neurotoxins. Botulinum toxin affects the nervous system by blocking neurotransmitter release, causing paralysis. Tetanus toxin affects the nervous system by interfering with neurotransmitter release, leading to muscle stiffness and spasms. Therefore, Choice C is correct. Choices A and B alone are incorrect because they only mention one of the bacteria that produces a neurotoxin. Choice D is incorrect because both bacteria mentioned in Choices A and B produce neurotoxins.

Correct Answer: D

Rationale: The correct answer is D because all three bacteria (Salmonella enterica, Escherichia coli, Vibrio cholerae) are commonly associated with foodborne illnesses. Salmonella causes gastroenteritis, E. coli can lead to severe food poisoning, and Vibrio cholerae causes cholera. Therefore, choosing "All of the above" encompasses the most common bacteria linked to foodborne illnesses. Choices A, B, and C are incorrect as they do not cover the full range of bacteria typically involved in foodborne illnesses.

Correct Answer: A

Rationale: The correct answer is A: Pili. Pili are hair-like appendages on the surface of bacteria that facilitate the exchange of genetic material through a process called conjugation. During conjugation, bacteria can transfer plasmids and other genetic material to neighboring bacteria through pili. This allows for the exchange of beneficial traits like antibiotic resistance. Choice B, Flagella, are involved in bacterial movement and not in genetic material exchange. Choice C, Endospores, are protective structures formed by bacteria in response to harsh conditions, but they are not involved in genetic material exchange. Choice D, Capsules, are protective layers around bacteria that help in adherence to surfaces and evasion of the immune system, but they do not play a role in genetic material exchange.

Correct Answer: B

Rationale: The correct answer is B: Clostridium tetani. Endospores are formed by certain bacteria as a survival mechanism in harsh conditions. Clostridium species, including C. tetani, have the ability to form endospores. Staphylococcus aureus (A), Neisseria gonorrhoeae (C), and Escherichia coli (D) do not produce endospores. Staphylococcus aureus is a gram-positive cocci bacterium, Neisseria gonorrhoeae is a gram-negative diplococci bacterium, and Escherichia coli is a gram-negative rod-shaped bacterium. Therefore, the correct choice is Clostridium tetani as it is known for its ability to form endospores.