A lymph node punctate of a patient with suspected protozoa disease was examined. Examination of the stained specimen (Romanovsky's stain) revealed some crescent bodies with pointed end, blue cytoplasm and red nucleus. What protozoan were revealed in the smears?

Correct Answer: B

Rationale: The correct answer is B: Malarial plasmodiums. The description of crescent bodies with a pointed end, blue cytoplasm, and red nucleus corresponds to the characteristics of Plasmodium species seen in Romanovsky's stain. Plasmodium species are known to cause malaria and have distinct features like the ones described. Incorrect choices: A: Toxoplasmas - Toxoplasma gondii typically appear as tachyzoites or bradyzoites under staining, not crescent bodies. C: Dermotropic leishmania - Leishmania species appear as amastigotes in tissue smears, not crescent bodies. D: Viscerotropic leishmania - Similar to choice C, Leishmania species do not typically present as crescent bodies in stained specimens.

Correct Answer: A

Rationale: The correct answer is A: Mycolic acid. Ziehl-Neelsen method is used to stain acid-fast bacteria, such as Mycobacterium species. Mycolic acid in the cell wall of these bacteria resists decolorization, leading to red-colored bacilli on a blue background. Capsule, flagella, and endospores do not play a role in this staining property. Capsules are usually stained using special techniques, flagella are not typically visible with this stain, and endospores are stained using the Schaeffer-Fulton method.

Correct Answer: A

Rationale: The correct answer is A: Infectious process. The term "infection" refers to the invasion of a host organism's body tissues by disease-causing agents, such as bacteria, viruses, or parasites. It encompasses the entire process from the initial entry of the pathogen to the host's response and resolution. Choice B, "Infectious disease," is incorrect as it specifically refers to the clinical manifestation of an infection. Choice C is irrelevant, and Choice D is incorrect as the term "infection" is indeed equivalent to the infectious process.

Correct Answer: A

Rationale: The correct answer is A: ED50. The time response does not measure the ED50 because ED50 refers to the effective dose needed to produce a response in 50% of the population, which is a dose-related concept, not a time-related one. Peak effect time, onset of response, and threshold level are all time-related measures in pharmacology. Peak effect time is the time taken to reach the maximum response, onset of response is the time taken for the response to start, and threshold level is the minimum dose or concentration required to produce a response. Therefore, A is the correct answer as it is the only choice that is not a time-related measure in this context.

Correct Answer: A

Rationale: The correct answer is A: Clostridium tetani. This bacterium is known for causing tetanus due to its ability to produce tetanospasmin, a neurotoxin that leads to the characteristic muscle stiffness and spasms seen in tetanus. Clostridium perfringens (Choice B) is associated with gas gangrene, Streptococcus pyogenes (Choice C) causes streptococcal infections, and Escherichia coli (Choice D) is known for causing various gastrointestinal infections. Therefore, Choices B, C, and D are incorrect as they are not the causative agents of tetanus.

Correct Answer: D

Rationale: The correct answer is D because all the choices can contribute to hospital-acquired infections. New patients in the incubation period can spread infections, medical staff can inadvertently transmit infections, and contaminated medical instruments can also be a source of infections. Therefore, it is important to consider all these factors to prevent and control the spread of infections in a hospital setting.

Correct Answer: A

Rationale: The correct answer is A: Trichomonas vaginalis. Trichomonas vaginalis is a protozoan parasite that causes trichomoniasis, a sexually transmitted infection characterized by inflammation of urogenital tracts. The description of big unicellular pyriform organisms with a sharp spike on the back end of their bodies, big nucleus, and undulating membrane matches the morphology of Trichomonas vaginalis. Trichomonas hominis and Trichomonas buccalis are different species that do not cause urogenital infections. Trypanosoma gambiense is a protozoan parasite causing African trypanosomiasis and does not match the described morphology or symptoms.

Correct Answer: D

Rationale: The correct answer is D, "All of these." Monotrichous bacteria have a single flagellum at one end, amphitrichous have flagella at both ends, and peritrichous have flagella distributed all over the surface. The answer D is correct because it includes all these possibilities based on flagella location. Monotrichous is incorrect as it only refers to a single flagellum, amphitrichous is incorrect as it only refers to flagella at both ends, and peritrichous is incorrect as it only refers to flagella all over the surface. Therefore, the correct answer encompasses all these options.

Correct Answer: A

Rationale: Rationale: 1. Iodine solution contains iodine, a halogen with antiseptic properties. 2. Iodine is effective against fungi, making it suitable for treating dermatomycosis. 3. Iodine solution is commonly used in dermatology for its fungicidal properties. 4. Formalin, methylene blue, and brilliant green do not contain halogens or have fungicidal properties. Summary: - Formalin is a disinfectant, not an antiseptic for dermatomycosis. - Methylene blue is an antifungal dye, not used as an antiseptic. - Brilliant green is an antiseptic, but does not contain halogens or have fungicidal properties.