A patient with fever, headache, and neck stiffness had cerebrospinal fluid microscopy revealing Gram-negative diplococci. What is the likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Neisseria meningitidis. This bacterium is a Gram-negative diplococcus commonly associated with meningitis. Neisseria meningitidis is a leading cause of bacterial meningitis in young adults and adolescents. It is known for causing fever, headache, and neck stiffness. The other choices, Streptococcus pneumoniae, Haemophilus influenzae, and Klebsiella pneumoniae, are not typically Gram-negative diplococci and are not commonly associated with the symptoms described. Streptococcus pneumoniae is a Gram-positive coccus, Haemophilus influenzae is a Gram-negative coccobacillus, and Klebsiella pneumoniae is a Gram-negative rod. Therefore, Neisseria meningitidis is the most likely causative agent in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Protein synthesis. Bacterial ribosomes are responsible for translating mRNA into proteins through a process called translation. This is a crucial step in gene expression, where amino acids are assembled into polypeptide chains. Choice B (DNA replication) is incorrect because ribosomes are not involved in DNA replication. Choice C (Flagella formation) is incorrect as ribosomes do not play a direct role in flagella formation. Choice D (Toxin production) is incorrect as ribosomes are not directly involved in producing toxins.

Correct Answer: A

Rationale: The correct answer is A: Escherichia coli. E. coli is a Gram-negative rod that ferments lactose. It is a common cause of gastroenteritis presenting with fever and diarrhea. Salmonella typhi does not ferment lactose and causes typhoid fever. Shigella dysenteriae causes dysentery and does not ferment lactose. Proteus vulgaris does not typically cause gastroenteritis and is not known for lactose fermentation.

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pyogenes. Rationale: 1. Gram-positive cocci in pairs suggest Streptococcus species. 2. Catalase-negative rules out Staphylococcus. 3. Beta-hemolytic indicates Streptococcus pyogenes due to its beta-hemolytic properties. Summary: B: Streptococcus pneumoniae is catalase-negative but not beta-hemolytic. C: Enterococcus faecalis is not typically beta-hemolytic. D: Staphylococcus aureus is catalase-positive and not typically in pairs.

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus epidermidis. The presence of Gram-positive cocci in clusters, catalase-positive, and coagulase-negative characteristics indicate Staphylococcus species. Specifically, Staphylococcus epidermidis is a common skin commensal and a frequent cause of wound infections. Staphylococcus aureus is catalase-positive and coagulase-positive, making it less likely in this scenario. Streptococcus pyogenes and Enterococcus faecalis are both Gram-positive cocci but are catalase-negative, making them less likely causative agents.