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: D

Rationale: The correct answer is D: Structure of cell wall. When studying a bacterial smear stained by the Ozheshko method, the focus is on the cell wall structure. This staining method highlights the cell wall morphology, allowing for detailed examination. Flagella, spores, and capsules are not typically visualized using this staining method. Flagella require special staining techniques, spores are usually observed through specific staining methods like Schaeffer-Fulton, and capsules are not easily visualized with the Ozheshko staining method. Therefore, the structure of the cell wall is the most relevant feature to study in this context.

Correct Answer: A

Rationale: The correct answer is A: Peroxidase and catalase. Peroxidase and catalase are enzymes that break down hydrogen peroxide into water and oxygen. Peroxidase helps in breaking down low levels of hydrogen peroxide, while catalase is crucial for breaking down high levels of hydrogen peroxide efficiently. This process is important for organisms to prevent damage from reactive oxygen species. Choices B, C, and D are incorrect: B: Oxygenase and hydroxylase are enzymes involved in different biochemical reactions and do not break down hydrogen peroxide. C: Cytochrome oxidase and cytochrome B5 are involved in electron transport chain reactions and not in breaking down hydrogen peroxide. D: Oxygenase and catalase are not correct as oxygenase is not involved in hydrogen peroxide breakdown, only catalase is.

Correct Answer: A

Rationale: The correct choice is A: Binding to IgE fixed to mast cells. The Besredka desensitization method involves injecting small, gradually increasing doses of the allergen to induce tolerance and prevent anaphylactic shock. This process works by binding the allergen to IgE antibodies fixed to mast cells, which prevents the release of histamine and other inflammatory mediators that trigger allergic reactions. This desensitization process helps the immune system become less reactive to the allergen over time. Incorrect choices: B: Inhibited synthesis of mast cells mediators - This choice does not reflect the mechanism of the Besredka desensitization method, which involves binding to IgE on mast cells. C: Stimulation of the immunological antigen tolerance - While this may sound plausible, the Besredka method specifically targets the IgE-mast cell interaction. D: Stimulation of antigen-specific IgG synthesis - While IgG antibodies may play a role in desensitization, the

Correct Answer: D

Rationale: The correct answer is D: Parenteral introduction of antitetanus serum. The symptoms described in the question, such as bilateral ptosis, mydriatic pupils, and difficulty reading, are indicative of tetanus infection. The source of infection could be the scratch on the knee, which allowed the tetanus bacteria to enter the body. The most appropriate therapy for tetanus is the administration of antitetanus serum to neutralize the tetanus toxin. Antibotulinic serum (choice A) is not appropriate as it is used for botulism, which presents differently. Disintoxication (choice B) is too general and does not address the specific cause of the symptoms. Antibiotics (choice C) are not effective in treating tetanus because it is caused by a toxin, not a bacterial infection. Therefore, the correct course of action is to administer antitetanus serum to the patient.