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: Actinomycosis. This is supported by the presence of purulent foci with druses consisting of short rod-like elements attached to a homogenous center, which is characteristic of Actinomyces species. Actinomycosis commonly presents with granulation tissue and connective tissue formation. B: Tuberculosis does not typically present with druses containing short rod-like elements. C: Syphilis does not typically present with purulent foci or druses. D: Candidosis does not typically present with the described features of purulent fluxing and druses with short rod-like elements.

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: 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: A

Rationale: The correct answer is A: viral DNA polymerase. Herpesviruses require viral DNA polymerase for viral DNA replication. This enzyme is responsible for synthesizing new DNA strands using existing viral DNA as a template. Ribonucleotide reductase (B) is not directly involved in DNA replication but in the synthesis of deoxyribonucleotides. Neuraminidase (C) is an enzyme found in influenza viruses, not herpesviruses. Thymidine kinase (D) is involved in nucleotide metabolism but is not essential for viral DNA replication in herpesviruses.

Correct Answer: C

Rationale: The correct answer is C: Staphylococcus. Staphylococcus is a common bacteria that can cause neonatal conjunctivitis, also known as "sticky eye." Staphylococcal conjunctivitis presents with symptoms like eye redness, discharge, and swelling. Streptococcus (choice A) typically causes throat infections, herpes simplex (choice B) causes genital or oral sores, and Escherichia (choice D) is a bacteria commonly found in the gastrointestinal tract and is not typically associated with neonatal conjunctivitis. Therefore, the most likely pathogen causing "sticky eye" in newborns is Staphylococcus.

Correct Answer: A

Rationale: The correct answer is A: Giardia lamblia. Giardia lamblia is a protozoan parasite that causes foul-smelling diarrhea with trophozoites having two nuclei and flagella in stool microscopy. The presence of flagella and two nuclei is characteristic of Giardia lamblia. Entamoeba histolytica (Choice B) causes amoebic dysentery with trophozoites containing ingested RBCs. Trichomonas vaginalis (Choice C) is a sexually transmitted protozoan causing vaginitis with a distinctive pear-shaped trophozoite. Balantidium coli (Choice D) is a ciliated protozoan causing diarrhea with trophozoites containing a single nucleus.

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This is because it is a protozoan parasite known to cause amoebic dysentery, presenting with chronic diarrhea and cysts with four nuclei in the stool sample. Giardia lamblia (B) causes giardiasis with trophozoites and cysts with two nuclei. Balantidium coli (C) is a ciliated parasite causing dysentery with large trophozoites. Trichomonas hominis (D) is a non-pathogenic flagellate often found in the human intestine. Thus, based on the specific characteristics of the cysts and clinical presentation, Entamoeba histolytica is the most likely causative agent.

Correct Answer: B

Rationale: The correct answer is B because bacteria synthesize enzymes with various nature and action. This is true because bacteria can produce a wide range of enzymes to carry out different functions such as metabolism, cell wall synthesis, and nutrient acquisition. Option A is incorrect because bacteria do not synthesize identical enzyme sets due to their diverse functions. Option C is incorrect as bacteria and viruses have distinct enzyme profiles. Option D is incorrect as viruses typically have a narrower range of enzymes compared to bacteria. Therefore, the variability in enzyme types and actions produced by bacteria supports the correctness of option B.