A patient with suspected liver abscess was admitted to the surgical department. The patient had been staying for a long time on business in one of African countries and fell repeatedly ill with acute gastrointestinal disorders. What protozoal disease may the patient be now ill with?

Correct Answer: A

Rationale: Rationale: The correct answer is Amebiasis (choice A) because the patient's symptoms of acute gastrointestinal disorders and prolonged stay in an African country suggest exposure to Entamoeba histolytica, the causative agent of amebiasis. This protozoal infection commonly occurs in tropical regions, including Africa. Trypanosomosis (choice B) is caused by Trypanosoma species transmitted by tsetse flies, primarily found in sub-Saharan Africa. Leishmaniasis (choice C) is transmitted by sandflies and presents with skin lesions or visceral involvement, not acute gastrointestinal symptoms. Malaria (choice D) is caused by Plasmodium parasites transmitted by mosquitoes and typically presents with fever, not acute gastrointestinal disorders. Therefore, choices B, C, and D are incorrect based on the patient's clinical presentation and travel history.

Correct Answer: D

Rationale: The correct answer is D because all three bacteria (Neisseria meningitidis, Haemophilus influenzae, and Streptococcus pneumoniae) can cause bacterial meningitis. Neisseria meningitidis is a common cause of meningococcal meningitis, Haemophilus influenzae can cause H. influenzae meningitis, and Streptococcus pneumoniae is a leading cause of pneumococcal meningitis. Therefore, all of the above choices are correct. The other choices are incorrect because each of the bacteria listed can independently cause bacterial meningitis, so none of them alone can be the sole correct answer.

Correct Answer: A

Rationale: The correct answer is A: Yersinia pestis. Y. pestis is responsible for causing the plague, a severe infectious disease. This bacterium is transmitted via fleas from rodents to humans. It causes bubonic, septicemic, and pneumonic plague. Clostridium difficile causes gastrointestinal infections, Neisseria gonorrhoeae causes gonorrhea, and Pseudomonas aeruginosa can cause various infections but not the plague.

Correct Answer: B

Rationale: The correct answer is B: Personal eyewash. Personal eyewash is designed for immediate flushing until the victim reaches a more suitable safety unit. It provides a controlled flow of water to safely flush eyes while transporting the victim. The emergency shower (A) is meant for full-body coverage, not just for the eyes. Handheld drench hose (C) may not provide adequate flushing pressure. Combination unit (D) may not be easily portable for immediate use.

Correct Answer: A

Rationale: The correct answer is A: Ziehl-Neelsen staining method was applied. 1. Ziehl's solution is used as a primary stain in Ziehl-Neelsen staining for acid-fast organisms like Mycobacterium tuberculosis. 2. Sulfuric acid is used as a decolorizer to remove excess stain. 3. Methylene blue is not part of the Ziehl-Neelsen staining method. 4. Burri's, Gram's, and Peshkov's staining methods are not used for acid-fast staining.

Correct Answer: A

Rationale: The correct answer is A: Giardia lamblia. This protozoan matches the description of the causative agent because it has two nuclei, four flagella, and a ventral adhesive disc. Giardia lamblia is commonly found in the duodenum and causes giardiasis. The other choices can be eliminated because Leishmania donovani causes visceral leishmaniasis, not the described symptoms. Entamoeba coli is a non-pathogenic amoeba found in the large intestine. Trypanosoma gambiense causes African trypanosomiasis and is transmitted by the tsetse fly, not matching the described characteristics.

Correct Answer: A

Rationale: The correct answer is A: cultivating on artificial media and biochemical identification. This method is appropriate for diagnosing listeriosis because it allows for the isolation and growth of Listeria species on selective media, followed by biochemical tests to confirm the identity. Serological diagnosis with ELISA (choice B) is not as specific for Listeria and may yield false positives. Choice C, serological diagnosis with agglutination hype Widal, is not typically used for listeriosis diagnosis. Cultivating in cell cultures (choice D) is not the primary method for diagnosing listeriosis as it is less specific compared to cultivating on artificial media and biochemical identification.

Correct Answer: B

Rationale: The correct answer is B: Biological oxidation. Haematrophic bacteria obtain energy through biological oxidation, where they break down organic compounds to generate ATP for cellular processes. This process involves the transfer of electrons from the substrate to an electron transport chain to produce energy. Heat production (A) is a byproduct of metabolism, not the primary way to obtain energy. In biosynthetic reactions (C), energy is utilized rather than generated. Cultivation in culture media (D) is a method of growing bacteria but does not directly provide energy. Therefore, the correct answer is B as it aligns with the metabolic process of haematrophic bacteria.

Correct Answer: B

Rationale: The correct answer is B: Treponema pallidum. 1. Treponema pallidum is a spirochete bacterium known to cause syphilis. 2. Borrelia burgdorferi causes Lyme disease, not syphilis. 3. Leptospira interrogans causes leptospirosis, not syphilis. 4. Rickettsia rickettsii causes Rocky Mountain spotted fever, not syphilis. Therefore, Treponema pallidum is the causative agent of syphilis, making it the correct answer.