A patient of surgical department complains about pain in the small of her back and in the lower part of her belly; painful and frequent urination. Bacteriological examination of urine revealed gram-negative oxidase-positive rod-like bacteria forming greenish mucoid colonies with specific smell. What causative agent can it be?

Correct Answer: B

Rationale: The correct answer is B: Proteus mirabilis. This bacterium is known to cause urinary tract infections (UTIs) and matches the description given in the question. Proteus mirabilis is a gram-negative rod-like bacterium that forms greenish mucoid colonies with a specific smell due to its production of urease enzyme. This enzyme leads to the formation of struvite crystals, which can cause painful and frequent urination. Pseudomonas aeruginosa (A) is not typically associated with UTIs. E.coli (C) is the most common cause of UTIs but does not match the specific description provided. Str.pyogenes (D) is a gram-positive bacterium and is not typically associated with UTIs.

Correct Answer: A

Rationale: Rationale for Correct Answer (A: Fluconazole): Fluconazole is an antifungal medication used to treat yeast infections caused by Candida albicans. It targets the fungal cell membrane, disrupting its structure and function. This makes it an effective treatment for oral thrush, which is caused by Candida overgrowth in the oral mucosa. The continuous use of antibiotics can disrupt the normal balance of microorganisms in the body, leading to fungal overgrowth. Fluconazole specifically targets the yeast fungi without affecting bacteria, making it the appropriate choice for this complication. Summary of Incorrect Choices: B: Biseptol - Biseptol is an antibiotic that targets bacteria, not fungi like Candida albicans. C: Tetracycline - Tetracycline is also an antibiotic that targets bacteria, not fungi. D: Furazolidone - Furazolidone is an antibiotic primarily used for treating bacterial infections, not fungal infections like oral thrush caused by Candida

Correct Answer: C

Rationale: Rationale for choice C (Adenovirus) being correct: 1. Adenovirus is a common cause of acute hemorrhagic cystitis. 2. Adenovirus infects the bladder epithelium, leading to inflammation and bleeding. 3. Symptoms include hematuria and bladder pain. 4. Diagnosis is confirmed through viral culture or PCR testing. Summary of why other choices are incorrect: A: Parvovirus B19 - More commonly associated with erythema infectiosum (fifth disease) and aplastic anemia. B: CMV - Known to cause congenital infections, mononucleosis, and retinitis, not typically associated with hemorrhagic cystitis. D: Herpesvirus type 2 - Commonly causes genital herpes, but not typically associated with acute hemorrhagic cystitis.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Warts are caused by human papillomavirus (HPV) due to its ability to infect the skin. 2. HPV infects the top layer of skin and causes the rapid growth of cells, leading to the formation of warts. 3. Herpesvirus (choice B) causes herpes, not warts. 4. HIV (choice C) weakens the immune system but does not directly cause warts. 5. Varicella-zoster virus (choice D) causes chickenpox and shingles, not warts. Summary: Choice A is correct as warts are primarily caused by HPV, which infects the skin cells. Choices B, C, and D are incorrect as they are associated with different viral infections that do not lead to the development of warts.

Correct Answer: A

Rationale: Flagella are the correct answer because they are long, whip-like structures that aid in bacterial movement towards or away from chemical stimuli. They rotate like propellers, allowing the bacterium to navigate its environment. Pili are used for attachment, not movement. Capsules are involved in protection and adherence, not chemotaxis. Fimbriae help in attachment to surfaces, not in movement towards stimuli.

Correct Answer: B

Rationale: The correct answer is B: Mycobacterium tuberculosis. This bacterium is responsible for causing tuberculosis. Mycobacterium leprae (choice A) causes leprosy, not tuberculosis. Streptococcus pneumoniae (choice C) is known for causing pneumonia, not tuberculosis. Neisseria gonorrhoeae (choice D) is responsible for causing gonorrhea, not tuberculosis. Mycobacterium tuberculosis is the specific bacterium associated with tuberculosis due to its ability to infect the lungs and other organs, leading to the characteristic symptoms of the disease.

Correct Answer: C

Rationale: The correct answer is C: (+RNA). This indicates that the scientist found a positive-sense RNA strand that can be directly translated by host cell machinery to produce viral proteins. Positive-sense RNA can act as messenger RNA, allowing immediate protein synthesis during viral replication. Choice A (RNA major) and D (RNA minor) are not standard terms used to describe RNA strands in virology. Choice B (-RNA) indicates a negative-sense RNA strand, which requires transcription to form a complementary positive-sense strand before protein synthesis. Thus, the identification of a strand of RNA that directly codes for viral proteins aligns with the characteristics of a positive-sense RNA strand.

Correct Answer: A

Rationale: The correct answer is A: cytomegalovirus. CMV is the most common virus transmitted during pregnancy, leading to potential serious complications for the fetus. It can cause birth defects, hearing loss, and developmental delays. CMV is commonly spread through bodily fluids. HIV (B) can also be transmitted during pregnancy but is less common. Herpes simplex virus (C) can be transmitted but typically results in localized infection. Epstein-Barr virus (D) is not commonly transmitted during pregnancy.

Correct Answer: B

Rationale: The correct answer is B: Fimbriae. Fimbriae are hair-like appendages found on the surface of bacteria that enable attachment to host cells. This attachment is crucial for establishing infection. Flagella (A) are used for movement, not attachment. Capsules (C) provide protection and help evade the host immune system, but do not directly facilitate attachment. Endospores (D) are dormant structures for survival, not for attachment to host cells. Fimbriae specifically aid in adherence to host cells, making them the correct choice in this context.