A patient was diagnosed with active focal pulmonary tuberculosis. What drug should be prescribed in the first place?

Correct Answer: A

Rationale: The correct answer is A: Isoniazid. Isoniazid is a first-line drug for treating active pulmonary tuberculosis due to its high efficacy and low toxicity. It works by inhibiting the synthesis of mycolic acids in the bacterial cell wall. Sulfalen, Cyclocerine, and Ethionamide are not first-line drugs for tuberculosis. Sulfalen is used for urinary tract infections, Cyclocerine for drug-resistant tuberculosis, and Ethionamide as a second-line drug for multidrug-resistant tuberculosis. Therefore, Isoniazid is the most appropriate initial choice for treating active focal pulmonary tuberculosis.

Correct Answer: C

Rationale: Step 1: The nucleocapsid is the structure containing the viral genome and the protein capsid. Step 2: The genome carries the genetic material of the virus. Step 3: The capsid is the protein coat that encloses and protects the viral genome. Step 4: Therefore, the correct answer is C: Genome and capsid. Summary: A: Capsid and spikes - Incorrect, spikes are not part of the nucleocapsid. B: Genome and envelop - Incorrect, the envelop is not part of the nucleocapsid. D: Capsid and envelope - Incorrect, the envelope is not part of the nucleocapsid.

Correct Answer: B

Rationale: Step 1: Gram-negative, comma-shaped bacterium suggests a curved rod morphology, typical of Campylobacter jejuni. Step 2: Motility is a characteristic of Campylobacter species. Step 3: Campylobacter jejuni is a common cause of bacterial diarrhea in humans. Step 4: Vibrio cholerae causes cholera, not typically associated with comma-shaped morphology. Shigella dysenteriae and Escherichia coli are not comma-shaped.

Correct Answer: B

Rationale: The correct answer is B: Escherichia coli. E. coli is a common bacterium found in the gastrointestinal tract and is a leading cause of UTIs. It has specific virulence factors that enable it to adhere to and infect the urinary tract. Salmonella enterica causes food poisoning, Vibrio cholerae causes cholera, and Streptococcus pyogenes causes strep throat and skin infections, not UTIs. Therefore, B is the correct answer as it is the only bacterium known for causing UTIs.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Sodium is the major cation in the intracellular fluid. 2. It plays a crucial role in maintaining cell volume and transmitting nerve impulses. 3. Potassium is the major cation in the extracellular fluid, not intracellular. 4. Bicarbonate and sulfate are anions and not major cations in intracellular fluid. Summary: Choice B (sodium) is correct as it is the major cation in intracellular fluid, essential for various cellular functions. Choices A, C, and D are incorrect as potassium is extracellular, while bicarbonate and sulfate are anions and not predominant cations in intracellular fluid.

Correct Answer: A

Rationale: Aminoglycosides primarily inhibit protein synthesis by binding to the 30S ribosomal subunit in bacteria. This action leads to misreading of mRNA and ultimately disrupts the translation process, resulting in faulty protein production and bacterial cell death. Incorrect choices: B: Aminoglycosides do not inhibit DNA replication. C: Aminoglycosides do not disrupt cell membrane integrity. D: Aminoglycosides do not inhibit folic acid synthesis. In summary, the correct choice (A) aligns with the known mechanism of action of aminoglycosides, making it the most appropriate answer.

Correct Answer: D

Rationale: The correct answer is D (15-Oct) because boiling items for at least 15 minutes is necessary to effectively kill most vegetative bacteria and viruses. This duration ensures that the water reaches a high enough temperature to destroy harmful microorganisms. Choices A, B, and C are incorrect because they do not provide a sufficient amount of time for the water to reach the necessary temperature to effectively kill bacteria and viruses. Shorter durations may not be effective in ensuring food safety.

Correct Answer: D

Rationale: The correct answer is D: Gram-negative bacteria without peptidoglycan. Chlamydia is an intracellular, gram-negative bacteria that lacks peptidoglycan in its cell wall. Peptidoglycan is a key component of the cell wall in most bacteria, but Chlamydia has a unique structure without it. This makes it different from choices A, B, and C, which describe characteristics not applicable to Chlamydia. Choice A is incorrect because Chlamydia is not a gram-positive coccobacteria. Choice B is incorrect because Chlamydia does have a cell wall, albeit lacking peptidoglycan. Choice C is incorrect because Chlamydia is not a gram-negative bacteria with little peptidoglycan, but rather without it.

Correct Answer: A

Rationale: Step-by-step rationale for choice A: 1. Viruses contain genetic material in the form of nucleic acids (DNA or RNA). 2. Proteins are essential for the structure and function of viral particles. 3. Nucleic acids (genetic material) and proteins are the two main components of viruses. 4. Therefore, choice A (nucleic acid and proteins) is correct. Summary: - Choice B (nucleic acids and lipids) is incorrect as lipids are not a main structural component of viruses. - Choice C (lipids and proteins) is incorrect as nucleic acids are essential components of viruses. - Choice D (proteins and glycoproteins) is incorrect as glycoproteins are a type of protein and not a separate component in viruses.