A sick man with high temperature and a lot of tiny wounds on the body has been admitted to the hospital. Lice have been found in the folds of his clothing. What disease can be suspected in the patient?

Correct Answer: A

Rationale: The correct answer is A: Epidemic typhus. This disease is caused by the bacterium Rickettsia prowazekii, which is transmitted by body lice. The symptoms include high fever, body rash, and tiny wounds due to scratching. The presence of lice in the clothing suggests a possible lice-borne disease like epidemic typhus. Summary: - B: Tularemia is caused by the bacterium Francisella tularensis, transmitted through ticks, deer flies, and contact with infected animals. Lice are not involved in its transmission. - C: Scabies is a skin infestation caused by the mite Sarcoptes scabiei, leading to itching and skin rashes. It is not associated with high fever or lice infestation. - D: Malaria is caused by Plasmodium parasites, transmitted by infected mosquitoes. The symptoms differ from those described in the scenario, and lice are not involved in its

Correct Answer: D

Rationale: The correct answer is D because Mycobacterium tuberculosis is a straight or slightly curved rod with occasional polymorphism. This bacterium does not conform to the characteristics of gram-negative coccus (A), gram-positive coccus (B), or gram-negative rod (C). Mycobacterium tuberculosis is characterized by its unique cell wall composition, which includes high lipid content and mycolic acids, contributing to its acid-fast staining property. The other choices are incorrect because they do not accurately describe the morphology of Mycobacterium tuberculosis.

Correct Answer: B

Rationale: The correct answer is B because a supercapsid is a lipoprotein membrane that encloses the nucleocapsid, providing protection to the genetic material inside. This structure is distinct from the capsid which is the protein coat surrounding the nucleic acid. Choice A is incorrect as there is no shell located between the capsid and supercapsid. Choice C is incorrect as it describes the nucleocapsid itself, not the supercapsid. Choice D is incorrect as a protein envelope around the nucleic acid does not specifically refer to a supercapsid.

Correct Answer: A

Rationale: The most likely diagnosis is Actinomycosis. This is because the patient's presentation of a painful swelling with a fistula containing white granules and yellow-green honeycomb-like tissue is classic for Actinomycosis. Actinomyces is a gram-positive anaerobic bacterium that forms sulfur granules in tissues. Tuberculosis (B) typically presents with caseating granulomas, not sulfur granules. Leprosy (C) presents with skin lesions and nerve damage, not characteristic of this case. Syphilis (D) usually presents with painless ulcers and rash, not the painful swelling and fistula seen in this patient.

Correct Answer: D

Rationale: The correct answer is D, chromoblastomycosis. This is a chronic localized subcutaneous infection caused by certain fungi, resulting in verrucoid lesions on the skin. The other choices are incorrect because: A: Candidiasis is a superficial fungal infection, not characterized by verrucoid lesions. B: Leprosy is a systemic bacterial infection, not localized to the skin with verrucoid lesions. C: Shingles is caused by the varicella-zoster virus, presenting as a painful rash with blisters, not verrucoid lesions.

Correct Answer: A

Rationale: The correct answer is A: Neisseria gonorrhoeae. This bacterium is the likely causative agent of the patient's symptoms based on the presentation of dysuria and purulent discharge, which are classic signs of gonorrhea. Gram-negative diplococci are characteristic of Neisseria species. Neisseria gonorrhoeae is a sexually transmitted pathogen commonly associated with urethral infections. Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis are not typically associated with urethral discharge and are not Gram-negative diplococci.

Correct Answer: B

Rationale: The correct answer is B: BCG vaccine. Bacille Calmette-Guérin (BCG) vaccine is used to prevent tuberculosis, which is caused by a bacterium related to anthrax. BCG vaccine can provide cross-protection against anthrax due to its similar mechanisms of action. STI live vaccine (choice A) is used for sexually transmitted infections, not anthrax. Salk vaccine (choice C) is used for polio, and Sabin's vaccine (choice D) is also for polio, not anthrax. Therefore, BCG vaccine is the most appropriate choice for preventing the spread of anthrax among animals in the countryside.

Correct Answer: A

Rationale: The correct answer is A: Metronidazole. It is the drug of choice for treating systemic amebiasis due to its high efficacy against Entamoeba histolytica. Metronidazole is well-absorbed, reaches therapeutic levels in the intestines, liver, and lungs, making it effective in treating the multi-organ involvement in this case. Choice B: Quiniofone is not a recommended treatment for amebiasis. Choice C: Tetracycline is not the first-line treatment for systemic amebiasis. Choice D: Quingamine is not a recognized drug for treating amebiasis.

Correct Answer: D

Rationale: The correct answer is D: Neuraminidase inhibitors. Neuraminidase is an enzyme crucial for the release of new viral particles from infected cells during influenza infection. By inhibiting neuraminidase, the spread of the virus is limited. Protease inhibitors (choice A) are used to treat HIV, not influenza. Beta-lactamase inhibitors (choice B) are used in combination with beta-lactam antibiotics to increase their effectiveness against bacteria, not viruses. Reverse transcriptase inhibitors (choice C) are used to treat HIV by blocking the enzyme responsible for replicating the virus's genetic material, but they are not effective against influenza.