Correct Answer: A

Rationale: Step 1: Trichomonal gingivostomatitis is caused by the parasite Trichomonas tenax. Step 2: Metronidazole is the drug of choice for treating infections caused by anaerobic organisms like Trichomonas. Step 3: Metronidazole effectively targets and eliminates Trichomonas parasites in the oral cavity. Step 4: Therefore, the correct drug choice for treating trichomonal gingivostomatitis is Metronidazole. Summary: - Ampicillin (B) is an antibiotic effective against Gram-positive bacteria, not parasites. - Gentamicin sulfate (C) is an antibiotic used for bacterial infections, not parasitic infections. - Nystatin (D) is an antifungal medication used for treating fungal infections, not parasitic infections like trichomonal gingivostomatitis.

Correct Answer: B

Rationale: The correct answer is B: Measles. Immunosuppressive drugs are not used for treating viral infections like measles as they target the immune system and can worsen the infection. Organ transplantation requires immunosuppressive drugs to prevent organ rejection. Autoimmune diseases involve an overactive immune response, so immunosuppressive drugs are used to reduce this response. Hemolytic disease of the newborn can be treated with immunosuppressive drugs to prevent the destruction of red blood cells.

Correct Answer: A

Rationale: The most probable diagnosis is Leptospirosis. The symptoms described align with the classic presentation of Leptospirosis, such as fever, muscle pain, headache, jaundice, and hemorrhages. The initial symptoms of chills, high fever, and muscle pain followed by jaundice and hemorrhages are characteristic of Leptospirosis. The presence of dark urine and low diuresis also point towards kidney involvement, which is common in Leptospirosis due to renal failure. Additionally, the patient's history of potential exposure to contaminated water or soil supports the diagnosis, as Leptospirosis is commonly transmitted through contact with infected animal urine. Summary of other choices: - Typhoid fever typically presents with sustained fever, abdominal pain, and constipation, not matching the symptoms described. - Virus A hepatitis usually presents with jaundice, but other symptoms such as muscle pain and hemorrhages are not typical. - Sepsis is a systemic response

Correct Answer: D

Rationale: The correct answer is D: All of the above. Hepatitis B infection can present with jaundice due to liver inflammation, elevated serum aminotransferase levels due to liver damage, and sometimes no symptoms in the acute phase. This comprehensive presentation covers the spectrum of possible clinical manifestations of hepatitis B infection. Choices A and B are correct as they are common manifestations of hepatitis B infection. Choice C is incorrect as hepatitis B infection can indeed present with symptoms, making option D the most appropriate choice.

Correct Answer: C

Rationale: In anaphase, sister chromatids separate and move towards opposite poles of the cell. This is facilitated by the shortening of microtubules attached to the centromeres. Prophase is the phase where chromosomes condense and the nuclear envelope breaks down. Metaphase is when chromosomes align at the metaphase plate. Telophase is when the nuclear envelope reforms and chromosomes decondense. Therefore, anaphase is the correct phase for chromatid separation.