A patient complains of acute spastic abdominal pain, frequent urge to defecate, liquid bloody feces with mucus. Laboratory analysis of fecal smear revealed inconstant in shape organisms with erythrocyte. What is the most likely diagnosis?

Correct Answer: A

Rationale: The correct answer is A: Amebiasis. Amebiasis is caused by the parasite Entamoeba histolytica, presenting with symptoms like acute abdominal pain, bloody diarrhea with mucus, and inconstant shape organisms seen in fecal smear. The presence of erythrocytes supports the diagnosis due to the parasite's ability to invade intestinal mucosa causing bleeding. Choice B (Lambliasis) presents with different symptoms like steatorrhea and fatigue. Choice C (Schistosomiasis) is mainly associated with liver and urinary symptoms. Choice D (Intestinal trichomoniasis) commonly presents with watery diarrhea and does not typically cause bloody stools. Therefore, based on the patient's symptoms and fecal smear findings, Amebiasis is the most likely diagnosis.

Correct Answer: A

Rationale: The correct answer is A: TRUE. B-lymphocyte antigen receptors are made by proteins called immunoglobulins. These proteins are essential for recognizing and binding to specific antigens. They play a crucial role in the immune response. Choice B is incorrect because B-lymphocyte antigen receptors are indeed made by proteins. Choice C is incorrect as well because in this case, the correct answer is that the receptors are made by proteins. Choice D is also incorrect as the receptors are made by proteins.

Correct Answer: C

Rationale: The correct answer is C: Vibrio. Cholera is caused by Vibrio cholerae bacteria. These bacteria produce a toxin that causes severe diarrhea and dehydration. Escherichia (choice A) and Salmonella (choice B) are known for causing other types of gastrointestinal infections but not cholera. Acinetobacter (choice D) typically causes respiratory infections, not gastrointestinal illnesses like cholera. Therefore, the correct choice is Vibrio as it is specifically associated with cholera.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Escherichia coli, Salmonella enterica, and Pseudomonas aeruginosa are all known to cause urinary tract infections (UTIs) in humans. E. coli is the most common cause of UTIs, accounting for about 80-85% of cases. S. enterica and P. aeruginosa are less common but can still infect the urinary tract under certain circumstances. Therefore, all three bacteria can potentially cause UTIs, making option D the correct choice. Choices A, B, and C are incorrect because they do not cover the full range of bacteria known to cause UTIs.

Correct Answer: D

Rationale: The correct answer is D: reemerging diseases. Group II category diseases by the NIAID are those that have reemerged or have the potential to reemerge. This classification helps prioritize research and resources. Choice A is incorrect because new foodborne pathogens fall under different categories. Choice B is incorrect as eradicated diseases are not part of the reemerging group. Choice C is incorrect because bioterrorism agents are classified separately. Therefore, the correct answer is D as it aligns with the purpose of Group II category diseases.

Correct Answer: C

Rationale: Rationale for Correct Answer (C - Immunity): 1. Immunity refers to the body's ability to defend against foreign agents. 2. Homeostasis is the state of steady internal conditions, not specifically related to defense. 3. Infection is the invasion and multiplication of pathogens, not the overall defense mechanism. 4. Commensalism is a symbiotic relationship where one organism benefits without harming the other.

Correct Answer: C

Rationale: The correct answer is C: Candida albicans. Candida albicans is a common fungal organism that causes diaper rash in infants due to its ability to thrive in warm, moist environments. It can overgrow in the diaper area, leading to irritation and inflammation. Sporothrix schenckii (A) is a fungus that causes skin infections, but not typically diaper rash. Actinomyces (B) is a bacterium that is not commonly associated with diaper rash. Malassezia furfur (D) is a yeast that causes conditions like dandruff and seborrheic dermatitis, but not diaper rash in infants.

Correct Answer: A

Rationale: Step 1: The soil is low-contaminated according to the sanitary indicative value, which indicates that the contamination is recent. Step 2: The soil is contaminated according to coli titer, suggesting the presence of coliform bacteria typically found in fresh fecal matter. Step 3: The soil is low-contaminated according to the anaerobe titer (Cl. perfringens), which is an indicator of recent fecal contamination. Step 4: Based on the above steps, the correct answer is A: Fresh fecal contamination, as the presence of coliform bacteria and recent anaerobe titer levels point to recent fecal contamination. Summary: B: Old fecal contamination - Incorrect because the indicators suggest recent contamination. C: Insufficient intensity of soil humification - Incorrect as it is not related to the specific indicators mentioned in the question. D: Constant entry of organic protein contaminations - Incorrect as the indicators point towards fecal contamination, not protein

Correct Answer: A

Rationale: The correct answer is A: Human papillomavirus. Genital warts are caused by certain strains of HPV, specifically types 6 and 11. HPV is a sexually transmitted infection that affects the skin and mucous membranes. HPV is directly linked to the development of genital warts through skin-to-skin contact during sexual activity. Herpes simplex virus 2 causes genital herpes, not genital warts. Human immunodeficiency virus (HIV) weakens the immune system but does not directly cause genital warts. Human cytomegalovirus (CMV) is not a common cause of genital warts. Therefore, HPV is the correct and most logical choice for the cause of genital warts.