A patient working at a pig farm complains about paroxysmal abdominal pain, liquid feces with admixtures of mucus and blood, headache, weakness, fever. Examination of large intestine revealed ulcers from 1 mm up to several cm large, feces contained oval unicellular organisms with cilia. What disease should be suspected?

Correct Answer: A

Rationale: Rationale: The symptoms described are consistent with Balantidiasis, caused by the parasite Balantidium coli. The presence of ciliated oval organisms in the feces is characteristic of this disease. Ulcers in the large intestine are common in Balantidiasis due to tissue invasion by the parasite. Headache, fever, and abdominal pain are typical symptoms. Other choices can be ruled out: B) Amebiasis presents with similar symptoms but usually involves the liver. C) Toxoplasmosis typically presents with lymphadenopathy and flu-like symptoms. D) Lambliasis usually causes watery diarrhea without blood or mucus. Therefore, the correct answer is A: Balantidiasis.

Correct Answer: A

Rationale: The correct serological test for diagnosing toxoplasmosis is the Complement Binding Assay (A) because it detects antibodies specific to the Toxoplasma gondii parasite. This test is highly sensitive and specific for toxoplasmosis. Choice B, Precipitation test, is not used for toxoplasmosis diagnosis but rather for other diseases like syphilis. Choice C, Neutralization test, is not specific for toxoplasmosis and is used for other types of infections. Choice D, Widal's test, is used for diagnosing typhoid fever and is not relevant for toxoplasmosis. In summary, the correct answer (A) is specific to toxoplasmosis, while the other choices are used for different diseases and are not suitable for diagnosing toxoplasmosis.

Correct Answer: C

Rationale: Rationale: 1. Presence of gram-negative bacilli suggests Enterobacteriaceae family, which includes E. coli. 2. Green soluble pigment indicates pyocyanin production, characteristic of E. coli. 3. E. coli is the most common cause of acute cystitis due to its ability to colonize the urinary tract. Summary: A: Pseudomonas aeruginosa is not typically associated with acute cystitis and does not produce mucous colonies. B: Klebsiella pneumoniae may cause UTIs, but does not produce green pigment and is less common than E. coli. D: Salmonella enteritidis is associated with gastrointestinal infections, not cystitis.

Correct Answer: A

Rationale: The correct answer is A: Metronidazole. Metronidazole is a synthetic antiprotozoan drug with high activity against Helicobacter pylori, a bacterium that can cause wound infections. Metronidazole specifically targets anaerobic bacteria like H. pylori, making it effective in preventing wound infections. Incorrect choices: B: Doxycycline hydrochloride - Doxycycline is primarily used for bacterial infections, not protozoan infections like H. pylori. C: Chingamin - Chingamin is not a commonly used drug for treating H. pylori infections or preventing wound infections. D: Acyclovir - Acyclovir is an antiviral drug used to treat herpes infections, not bacterial or protozoan infections like H. pylori.

Correct Answer: A

Rationale: The correct answer is A: Itraconazole. Itraconazole is an antifungal medication commonly used to treat candidosis. It works by inhibiting the synthesis of ergosterol, a key component of fungal cell membranes. This action disrupts the integrity of the fungal cell membrane, leading to cell death. Griseofulvin (B) is primarily used to treat fungal infections of the skin and nails, not mucous membranes. Nitrofungin (C) is not commonly used for candidosis treatment. Amphotericin (D) is a potent antifungal medication but is typically reserved for severe or systemic fungal infections due to its potential side effects.