A patient with chronic diarrhea had a stool sample revealing cysts with four nuclei. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This is because Entamoeba histolytica is known to cause amebic dysentery, leading to chronic diarrhea. The presence of cysts with four nuclei in the stool sample is characteristic of Entamoeba histolytica. Giardia lamblia (choice B) is known to cause diarrhea but does not present with cysts containing four nuclei. Balantidium coli (choice C) is a ciliated protozoan that can cause diarrhea, but it does not have cysts with four nuclei. Trichomonas hominis (choice D) is a non-pathogenic protozoan commonly found in the human colon and is not associated with causing chronic diarrhea or cysts with four nuclei.

Correct Answer: B

Rationale: The correct answer is B: Staphylococcus aureus. This bacteria is known to cause skin infections and toxic shock syndrome due to its ability to produce toxins that can lead to severe symptoms. Staphylococcus aureus is commonly found on the skin and can enter the body through cuts or wounds, causing infections. Other choices are incorrect because Pseudomonas aeruginosa typically causes infections in immunocompromised individuals, Micrococcus luteus is a common skin bacterium that is not typically pathogenic, and Propionibacterium acnes is associated with acne, not skin infections or toxic shock syndrome.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Anopheles mosquitoes are the primary vectors for transmitting malaria. 2. They prefer stagnant water for breeding, common in tropical regions. 3. Culex mosquitoes primarily spread diseases like West Nile virus. 4. Aedes mosquitoes transmit diseases like Zika and dengue fever. 5. Mansonia mosquitoes are known for transmitting filarial diseases. Therefore, the correct answer is A (Anopheles), as they are specifically associated with spreading malaria.

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.

Correct Answer: D

Rationale: The correct answer is D, Salmonella typhi, because it is a motile bacterium due to possessing flagella that aid in movement. Bacillus anthracis (A) is non-motile, Klebsiella pneumoniae (B) lacks flagella for motility, and Shigella flexneri (C) is non-motile as well. Salmonella typhi (D) is known for its flagella-driven motility, allowing it to move and spread within its host and environment. Flagella are essential for bacterial motility, enabling them to navigate and colonize different environments efficiently.

Correct Answer: A

Rationale: The correct answer is A because penicillins and cephalosporins inactivate transpeptidase activity of penicillin binding proteins, leading to disruption of bacterial cell wall synthesis. This mechanism makes them bactericidal, not bacteriostatic (choice B). Choice C is incorrect as penicillins and cephalosporins target cell wall synthesis, not the cytoplasmic membrane. Choice D is incorrect as option A is the correct statement.

Correct Answer: A

Rationale: The correct answer is A: Bacterial vaginosis (gardnerellosis). The presence of clue cells on the Gram-stained smears is characteristic of bacterial vaginosis. Clue cells are vaginal epithelial cells covered with bacteria, specifically Gardnerella vaginalis, which is the causative agent of bacterial vaginosis. The symptoms described by the patient - itching, burning, watery discharge with a fish-like smell - are classic signs of bacterial vaginosis. The absence of alterations in the cervix, uterus, and appendages rules out other sexually transmitted infections like chlamydiosis, gonorrhea, and trichomoniasis. Therefore, the most likely pathology in this case is bacterial vaginosis.

Correct Answer: A

Rationale: The correct answer is A: Entamoeba gingivalis. This organism matches the description provided in the question - unicellular with pseudopodia and ingested white blood cells, commonly found in dental plaque. Entamoeba gingivalis is known to inhabit the oral cavity and is associated with periodontal disease. Trichomonas vaginalis, Giardia lamblia, and Balantidium coli do not match the characteristics mentioned in the question and are not typically found in the oral cavity.

Correct Answer: D

Rationale: The correct answer is D because enveloped viruses have a lipid bilayer envelope derived from the host cell membrane, which is a complex structure, not exhibiting any specific symmetry. Choice A (cubic symmetry) is incorrect as enveloped viruses do not have any specific geometric shape. Choice B (spiral symmetry) is incorrect as this type of symmetry is typically seen in non-enveloped viruses like helical viruses. Choice C (complex symmetry) is also incorrect as enveloped viruses do not exhibit a specific symmetrical pattern. Therefore, the correct answer is D because enveloped viruses do not have a defined symmetry and can vary in shape and structure.