A patient returning from Congo republic a week ago is with fever, headache vomiting and diarrhea, Three days after his admission to the infectious ward, despite antibiotic therapy, severe hemorrhagic syndrome developed and as well as CNS involvement, The diagnosis is hemorrhagic fever. Which of these viruses can be a causative agent?

Correct Answer: C

Rationale: The correct answer is C: Ebola virus. The patient's symptoms align with Ebola virus infection, including fever, severe hemorrhagic syndrome, and CNS involvement. Ebola virus is known to cause hemorrhagic fevers with high mortality rates. A: SARS CoV causes Severe Acute Respiratory Syndrome, which typically presents with respiratory symptoms, not hemorrhagic fever. B: Lymphocytic choriomeningitis virus usually causes a mild illness with flu-like symptoms, not severe hemorrhagic syndrome. D: ECHO 9 virus is associated with aseptic meningitis, not hemorrhagic fever.

Correct Answer: B

Rationale: The correct answer is B: FALSE. The statement is incorrect because the secondary immune response is actually faster than the primary immune response. This is due to memory cells that are formed during the primary response, allowing for a quicker and more robust reaction upon re-exposure to the same antigen. The secondary response produces more antibodies and is more effective in clearing the pathogen. Choice A is incorrect because the secondary response is faster, not slower. Choice C is incorrect because the statement is objectively false, regardless of the situation. Choice D is incorrect as the correct answer is B.

Correct Answer: C

Rationale: The correct answer is C: Bacillus, Clostridium. Both Bacillus and Clostridium are known to form spores. Bacillus species produce endospores, which are resistant structures for survival in harsh conditions, while Clostridium species also form spores for protection and dispersal. The other choices are incorrect because Borrelia and Treponema are spirochetes and do not form spores, Bacteroides and Fusobacterium are anaerobic bacteria that do not produce spores, and Bordetella and Brucella are non-spore forming bacteria as well.

Correct Answer: B

Rationale: The correct answer is B: Diarrhea. Brucellosis typically presents with symptoms such as arthralgia, headache, and undulating fever, but diarrhea is not a common symptom associated with the disease. Brucellosis is primarily characterized by systemic symptoms like fever, joint pain, and headache due to the bacterial infection. Diarrhea is more commonly seen in gastrointestinal infections rather than brucellosis. Therefore, the absence of diarrhea as a symptom in brucellosis helps in differentiating it from other diseases with similar clinical presentations.

Correct Answer: D

Rationale: The correct answer is D: Agar media. Influenza viruses cannot be isolated in agar media because they require specific conditions present in laboratory animals, embryonated eggs, or cell cultures for successful isolation and propagation. Agar media lack the necessary components and environment needed for influenza virus replication. In laboratory animals, such as mice, the viruses can replicate and cause infection. Embryonated eggs provide a suitable environment for influenza virus growth and isolation due to the presence of necessary nutrients and factors. Cell cultures offer controlled conditions for virus propagation and study, making them a valuable tool in influenza virus research.