A patient with diarrhea had stool microscopy revealing large, oval protozoa with a single nucleus and four flagella. What is the most likely causative agent?

Correct Answer: A

Rationale: Step 1: Large, oval protozoa with a single nucleus and four flagella indicate Giardia lamblia. Step 2: Giardia lamblia is a flagellated protozoan causing diarrhea. Step 3: It has a distinct appearance under microscopy. Step 4: Entamoeba histolytica causes dysentery with no flagella. Step 5: Balantidium coli is a ciliated protozoan with a larger size. Step 6: Trichomonas vaginalis lacks a cyst stage and causes genitourinary infections.

Correct Answer: A

Rationale: The correct answer is A: Streptomycin. Streptomycin is an aminoglycoside antibiotic used to treat tuberculosis that can cause hearing loss as a side effect. It is known to damage the cochlear and vestibular organs in the inner ear. The other choices, B: Isoniazid, C: Rifampicin, and D: Ethionamide, are not associated with causing hearing deterioration as a side effect. Isoniazid can rarely cause peripheral neuropathy, Rifampicin can lead to hepatotoxicity, and Ethionamide may cause gastrointestinal disturbances, but none of these drugs are known to specifically cause hearing loss.

Correct Answer: A

Rationale: The correct answer is A because sanitary control is crucial for monitoring the quality of a wide range of essential services to ensure public health and safety. Food safety, drinking water quality, cleanliness in restaurants, hygiene in healthcare settings, and transportation systems all fall under the purview of sanitary control. Therefore, option A is the most comprehensive and accurate choice. Option B is incorrect because it does not include monitoring restaurants, health care services, and transport, which are important aspects of sanitary control. Option C is incorrect as it excludes transportation, an essential area that requires sanitary monitoring. Option D is incorrect as it does not cover health care services, which are critical for ensuring public health and safety.

Correct Answer: A

Rationale: The correct answer is A: Kitt-Tarozzi medium. This medium is used for the primary inoculation of suture material suspected of causing tetanus. The rationale is that Kitt-Tarozzi medium contains the necessary nutrients to support the growth of Clostridium tetani, the bacterium responsible for tetanus. This medium is selective and helps in isolating the specific pathogen from the contaminated suture material. Summary of other choices: B: Endo agar is used for the isolation of Gram-negative bacteria from clinical and non-clinical samples. C: Sabouraud agar is used for the isolation of fungi and yeast. D: Egg-yolk salt agar is used for the detection of lipase-producing bacteria, particularly Staphylococcus aureus.

Correct Answer: D

Rationale: The correct answer is D (All of the above) because different bacteria can cause pneumonia. Streptococcus pneumoniae is the most common cause of community-acquired pneumonia. Mycobacterium tuberculosis causes tuberculosis, which can lead to pneumonia. Pseudomonas aeruginosa is a common cause of hospital-acquired pneumonia. Therefore, all three bacteria can be responsible for causing pneumonia in different contexts. Choices A, B, and C are incorrect because each bacterium individually can cause pneumonia, so selecting only one option would not cover the full spectrum of bacterial causes of pneumonia.

Correct Answer: A

Rationale: The correct answer is A: Artificial food media. Treponema pallidum is a fastidious bacterium that cannot be cultivated on artificial food media due to its complex nutritional requirements. It can be cultivated on cell lines and intratesticular in rabbits. Therefore, option A is incorrect. Option B and C are correct.

Correct Answer: C

Rationale: The correct answer is C: protozoans. Protozoans are eukaryotic organisms that possess both a macronucleus, responsible for general cell functions, and a micronucleus, involved in genetic processes like reproduction. Algae (choice A) typically have a single nucleus, fungi (choice B) lack distinct macronucleus and micronucleus structures, and slime molds (choice D) do not have the same nucleus organization as protozoans. Thus, protozoans are the only group among the choices that exhibit the specific characteristics of having both a macronucleus and a micronucleus.

Correct Answer: B

Rationale: The correct answer is B: homeostasis. Homeostasis refers to the process by which living organisms maintain a stable internal environment despite external changes. It involves various biological processes and mechanisms that regulate factors such as temperature, pH, and nutrient levels within narrow limits. This is crucial for the proper functioning of cells, tissues, and organs. Now, let's analyze the other choices: A: Infection - Infection refers to the invasion and multiplication of harmful microorganisms in the body, leading to illnesses. It is not the correct answer as it does not encompass the overall maintenance of internal conditions. C: Immunity - Immunity is the body's ability to resist and fight off infections. While immunity is related to defense against foreign agents, it does not fully capture the concept of maintaining internal stability. D: Commensalism - Commensalism is a type of symbiotic relationship between different species where one benefits without harming the other. It is not related to the overall regulation of

Correct Answer: C

Rationale: The correct answer is C (Both A and B) because both Clostridium botulinum and Bacillus anthracis are capable of producing spores. Spores are highly resistant structures that allow bacteria to survive harsh environmental conditions. Clostridium botulinum and Bacillus anthracis produce spores as a survival mechanism when conditions become unfavorable. Choice A (Clostridium botulinum) is incorrect because it only represents one of the bacteria capable of producing spores. Choice B (Bacillus anthracis) is also incorrect as it alone does not encompass all bacteria capable of producing spores. Choice D (None of the above) is incorrect as both bacteria mentioned can produce spores.