A patient with a sore throat had a throat culture revealing Gram-positive cocci in pairs with a capsule. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is the most likely causative agent because it is a Gram-positive cocci in pairs with a capsule, which matches the description provided. S. pneumoniae is a common cause of bacterial pharyngitis and can present with sore throat. Summary of other choices: B: Staphylococcus aureus is a Gram-positive cocci in clusters, not pairs, and is not typically associated with sore throat. C: Neisseria meningitidis is a Gram-negative diplococcus and more commonly causes meningitis or septicemia, not sore throat. D: Klebsiella pneumoniae is a Gram-negative rod bacterium, not a Gram-positive cocci, and is not a common cause of sore throat.

Correct Answer: D

Rationale: The correct answer is D: stereomicroscopes. These types of microscopes, also known as dissecting microscopes, are designed for observing larger objects like insects or worms. They have a lower magnification power compared to electron microscopes (A), which are used to observe smaller objects at a much higher resolution. Dark-field microscopes (B) are used for observing live and unstained samples with high contrast, not specifically for larger objects. Fluorescence microscopes (C) are used to observe specimens that fluoresce under specific wavelengths of light, not necessarily for large objects like insects or worms. Therefore, the most suitable choice for observing fairly large objects like insects or worms is stereomicroscopes.

Correct Answer: D

Rationale: The correct answer is D. Staphylococcus aureus, Escherichia coli, and Clostridium difficile are all known for causing hospital-acquired infections. Staphylococcus aureus can cause skin infections and pneumonia. Escherichia coli can lead to urinary tract infections. Clostridium difficile is associated with gastrointestinal infections. Each of these bacteria has been linked to healthcare-associated infections due to their ability to spread in healthcare settings. Therefore, the correct answer is D. Choices A, B, and C are incorrect because each of these bacteria individually is known to cause hospital-acquired infections.

Correct Answer: B

Rationale: The correct answer is B: Mycobacterium tuberculosis. This bacterium is specifically associated with tuberculosis, a contagious disease that primarily affects the lungs. Mycobacterium leprae (choice A) is associated with leprosy, not tuberculosis. Neisseria gonorrhoeae (choice C) causes gonorrhea, a sexually transmitted infection. Streptococcus pneumoniae (choice D) is known for causing pneumonia, not tuberculosis. Therefore, based on the association with the disease tuberculosis, the correct answer is Mycobacterium tuberculosis.

Correct Answer: D

Rationale: Step 1: Streptococcus pneumoniae is a common cause of community-acquired pneumonia. Step 2: Mycobacterium tuberculosis can lead to tuberculosis, which can manifest as pulmonary tuberculosis. Step 3: Escherichia coli is not typically associated with causing pneumonia. Step 4: Since Streptococcus pneumoniae and Mycobacterium tuberculosis are linked to pneumonia, and Escherichia coli is not, the correct answer is D - All of the above.