A Gram-negative bacterium producing a blue-green pigment and having a fruity odor was isolated from a patient's wound infection. What is the likely causative agent?

Correct Answer: A

Rationale: Step-by-step rationale: 1. Blue-green pigment + fruity odor are characteristic of Pseudomonas aeruginosa. 2. P. aeruginosa is a Gram-negative bacterium commonly associated with wound infections. 3. P. aeruginosa is known for its ability to produce pyocyanin (blue-green pigment) and a sweet, fruity odor. 4. Other choices like E. coli, K. pneumoniae, and P. mirabilis do not typically produce blue-green pigment or fruity odor. 5. Therefore, based on the characteristics observed, the likely causative agent is Pseudomonas aeruginosa. Summary of other choices: - Escherichia coli: Does not produce blue-green pigment or fruity odor. - Klebsiella pneumoniae: Does not typically produce blue-green pigment or fruity odor. - Proteus mirabilis: Does not produce blue-green pigment or fruity odor.

Correct Answer: B

Rationale: The correct answer is B because live vaccines can potentially revert to a virulent form, although this is extremely rare. This is due to the live attenuated virus in the vaccine potentially mutating back to a more dangerous form. Live vaccines are designed to be weakened but there is a small risk of reversion. Therefore, statement B is not correct. A: This statement is correct as immunocompromised individuals may have adverse reactions to live vaccines due to their weakened immune system. C: This statement is correct as microbes with many serotypes can make it challenging to develop a vaccine that covers all variations. D: This statement is correct as side effects to vaccination, although usually mild and temporary, can occur in some individuals.

Correct Answer: A

Rationale: Rationale: The correct answer is A: Trichomonas vaginalis. 1. Symptoms of urogenital inflammation match Trichomonas vaginalis infection. 2. Description matches Trichomonas vaginalis characteristics: pear-shaped, pointed spike, big nucleus, undulating membrane. 3. Trichomonas hominis and buccalis do not typically infect urogenital tracts. 4. Trypanosoma gambiense causes African trypanosomiasis, not urogenital infections.

Correct Answer: A

Rationale: The correct answer is A: Botulism. Botulism is a rare but serious illness caused by a toxin produced by the bacterium Clostridium botulinum. In this case, the patient's symptoms align with botulism due to the ingestion of homemade mushrooms. The symptoms of double vision, heavy breathing, paleness, widened pupils, swallowing difficulties, bradycardia, and constipation are all classic signs of botulism poisoning. The toxin affects the nervous system and can lead to paralysis. The other choices (B: Yersiniosis, C: Leptospirosis, D: Salmonellosis) do not match the patient's symptoms and history of consuming mushrooms, making them incorrect.

Correct Answer: A

Rationale: The correct answer is A because CSF (Cerebrospinal fluid) is the sample used for proving epidemic meningitis. It should be transported at 37°C to maintain its integrity. Blood and nasopharyngeal secretions are not typically used for diagnosing meningitis. Choice B, feces, is unrelated to the diagnosis of meningitis. Choice C, CSF transported at +4°C, is incorrect as it should be transported at 37°C to prevent degradation of the sample. Therefore, A is the correct choice for proving epidemic meningitis due to the specificity of the sample and the proper transport conditions.

Correct Answer: B

Rationale: Answer B, Infectious mononucleosis, is not caused by enteroviruses. Infectious mononucleosis is primarily caused by the Epstein-Barr virus, a member of the herpesvirus family, not by enteroviruses. Enteroviruses are known to cause diseases such as myocarditis, herpangina, and Boston exanthema. Therefore, B is the correct answer. Myocarditis, herpangina, and Boston exanthema can all be caused by enteroviruses, making choices A, C, and D incorrect, respectively.

Correct Answer: A

Rationale: The correct answer is A: Vibrio cholerae. This bacterium is commonly associated with foodborne illnesses caused by contaminated water due to its ability to survive and multiply in water sources. Vibrio cholerae causes cholera, a severe gastrointestinal infection transmitted through contaminated food and water. Clostridium difficile, Mycobacterium tuberculosis, and Neisseria gonorrhoeae are not typically associated with foodborne illnesses caused by contaminated water. Clostridium difficile causes gastrointestinal infections linked to antibiotic use, Mycobacterium tuberculosis causes tuberculosis through respiratory transmission, and Neisseria gonorrhoeae causes sexually transmitted infections.

Correct Answer: B

Rationale: The correct answer is B: cell wall. Lysozyme is an enzyme that targets the cell wall of bacteria by breaking down the peptidoglycan layer, leading to bacterial cell lysis. This action disrupts the structural integrity of the bacteria, ultimately causing their death. Choices A, C, and D are incorrect because lysozyme does not target the cytoplasm, nucleus, or capsule of bacteria. The primary function of lysozyme is to act on the cell wall, making option B the correct answer in this context.

Correct Answer: C

Rationale: The correct answer is C: Fungi. Molds are a type of fungi, which are eukaryotic organisms characterized by having cell walls made of chitin. Fungi are distinct from protozoans (single-celled eukaryotes), archaea (prokaryotes), and algae (photosynthetic eukaryotes). Fungi, including molds, obtain nutrients through absorption and play crucial roles in decomposition and nutrient cycling. Therefore, molds belong to the group of eukaryotic organisms known as fungi.