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: B

Rationale: The correct answer is B: Before antibiotic therapy is begun. Detecting penicillin-resistant, beta-lactamase-producing strains before antibiotic therapy is crucial to ensure proper treatment. If detected after therapy (choice A), it may lead to treatment failure. Detection during therapy (choice C) may result in delayed or ineffective treatment. Choice D is incorrect as early detection is essential for successful management.

Correct Answer: A

Rationale: The correct answer is A: Peritoneum. Normal flora refers to the microorganisms that naturally inhabit the human body without causing harm. The peritoneum is a sterile area, so it does not harbor normal flora. The urethra, vagina, and mouth all have normal flora due to their moist and warm environments, which provide an ideal habitat for microorganisms to thrive. The peritoneum, being a sterile cavity that houses organs like the stomach and intestines, does not have a natural microbial population like the other areas mentioned. Therefore, it does not contain normal flora.

Correct Answer: D

Rationale: The correct answer is D: All of these. Coating soluble antigen onto Bentonite particles, RBCs, or Latex particles can convert a precipitation reaction into an agglutination reaction. This is because soluble antigens bind to their specific antibodies, causing the particles to clump together, visible as agglutination. Bentonite particles, RBCs, and Latex particles all provide surfaces for the antigen-antibody interaction to occur, leading to agglutination. Therefore, all of these options are correct for converting precipitation reactions to agglutination reactions.

Correct Answer: A

Rationale: The correct answer is A: general-purpose hoods. Bypass fume hoods are designed to handle a wide range of chemical fumes and vapors, making them suitable for various types of experiments and processes. They are not specifically designed for radioisotopes (B), perchloric acid (C), or biological materials (D). Therefore, A is the correct choice for bypass fume hoods.

Correct Answer: C

Rationale: The correct answer is C because Rotaviruses are not a major cause of meningitis; they primarily cause gastroenteritis. This is because Rotaviruses infect the gastrointestinal tract, not the central nervous system. Choice A is incorrect because there is no specific antiviral therapy for Rotaviruses. Choice B is correct as Rotaviruses are indeed widespread globally. Choice D is correct as Rotaviruses are shed in large amounts in feces, contributing to their ability to spread easily.

Correct Answer: A

Rationale: Rifampicin is the correct answer because it inhibits RNA transcription in mycobacteria by binding to the bacterial RNA polymerase. This prevents the synthesis of RNA, leading to the inhibition of protein production essential for bacterial growth. Isoniazid inhibits mycolic acid synthesis, Streptomycin inhibits protein synthesis, and Ethionamide disrupts mycolic acid synthesis. These mechanisms are different from inhibiting RNA transcription, making them incorrect choices.

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: D

Rationale: The correct answer is D: epidermolytic toxin. This toxin specifically targets the epidermis, leading to exfoliation seen in scalded skin syndrome (SSS). Hemolysis (A) refers to the destruction of red blood cells, not relevant to SSS. Enterotoxins (B) cause food poisoning, not SSS. Leucocidins (C) target white blood cells, not pertinent to SSS. Therefore, the epidermolytic toxin (D) is the correct choice for causing SSS.