A gynaecologist was examining a patient and revealed symptoms of genital tract inflammation. A smear from vagina contains pyriform protozoa with a spine, flagella at their front; there is also an undulating membrane. What disease can be suspected?

Correct Answer: A

Rationale: The correct answer is A: Urogenital trichomoniasis. The presence of pyriform protozoa with a spine, flagella at their front, and an undulating membrane in a vaginal smear indicates Trichomonas vaginalis, the causative agent of urogenital trichomoniasis. Trichomonas vaginalis is sexually transmitted and causes vaginal discharge, itching, and inflammation. Lambliasis (choice B) is caused by Giardia lamblia, which is not characterized by the described features. Intestinal trichomoniasis (choice C) is caused by a different species, Tritrichomonas foetus, and presents with diarrhea in cattle. Toxoplasmosis (choice D) is caused by Toxoplasma gondii and typically affects the brain and other organs, not the genital tract.

Correct Answer: A

Rationale: Step 1: Initial diagnosis of influenza suggests a viral illness. Step 2: Presence of maculopapular petechial rash and high fever indicates a systemic infection. Step 3: Symptoms like euphoria, hyperemia, tachycardia, splenomegaly, and excitement are characteristic of epidemic typhus. Step 4: Face hyperemia, sclera reddening, and tongue tremor are specific to epidemic typhus. Step 5: Epidemic typhus is transmitted by body lice, which fits the scenario of a patient without permanent residence. Summary: - Delirium alcoholicum is unlikely due to the specific symptoms and lack of history of alcohol abuse. - Leptospirosis typically presents with jaundice and renal symptoms, not seen in this case. - Measles rash is different from the maculopapular petechial rash described.

Correct Answer: A

Rationale: The correct answer is A: Blue pus bacillus. Pseudomonas genus includes bacteria that commonly cause diseases in plants. Blue pus bacillus is a common name for Pseudomonas aeruginosa, a well-known bacterium that causes diseases in medicinal plants. Explanation: 1. Blue pus bacillus (Pseudomonas aeruginosa) is a member of the Pseudomonas genus known for causing diseases in plants. 2. Colon bacillus (Escherichia coli) belongs to the Enterobacteriaceae family, not the Pseudomonas genus. 3. Proteus is a genus of the Enterobacteriaceae family, not Pseudomonas. 4. Mycoplasma is a genus of bacteria that lack a cell wall and are not related to the Pseudomonas genus. In summary, the correct answer is A because it is a member of the Pseudomonas genus known for causing diseases in medicinal plants, while

Correct Answer: C

Rationale: The correct answer is C: Actinomycosis. Actinomycosis is a chronic suppurative bacterial infection caused by Actinomyces species, which form sulfur granules in purulent masses surrounded by dense fibrous tissue. In this case, the presence of fungal druses, plasma cells, xanthoma cells, and macrophages in the histological examination is characteristic of actinomycosis. The clinical presentation of skin redness, swelling, and abscess formation in the neck area also aligns with actinomycosis. Choice A: Syphilis is caused by Treponema pallidum, presenting with a painless chancre at the site of infection, not skin redness and swelling in the neck area. Choice B: Carbuncle is a bacterial skin infection involving a group of hair follicles, typically on the back of the neck, not characterized by fungal druses or sulfur granules. Choice D: Leprosy

Correct Answer: A

Rationale: The correct answer is A because Fluconazole, Orungal, and Nizoral are antifungal medications commonly used for prevention of fungal infections. Fluconazole is a systemic antifungal agent, Orungal (Itraconazole) is used for various fungal infections, and Nizoral (Ketoconazole) is effective against a wide range of fungal infections. Choices B, C, and D do not contain antifungal medications and are unrelated to preventing fungal infections.