A smear of sputum from the patient with suspected lobar pneumonia was stained with the use of the following stains and reagents: solution of gentian violet, Lugol’s solution, 960 alcohol, watermagenta. What staining method was applied in this case?

Correct Answer: A

Rationale: The correct answer is A: Gram staining method. The rationale is as follows: 1. Gentian violet is a primary stain used in the Gram staining procedure to stain the bacterial cells. 2. Lugol's solution is a mordant that helps to fix the crystal violet stain in Gram-positive bacteria. 3. 95% alcohol is used as a decolorizing agent in the Gram staining process to remove the stain from Gram-negative bacteria. 4. Watermagenta is not a standard reagent in the Gram staining method. Therefore, based on the reagents mentioned, the staining method applied in this case is the Gram staining method. Other choices are incorrect: B: Ziehl-Nielsen's - This staining method is used for acid-fast staining, not for lobar pneumonia. C: Romanovsky - This staining method is used for blood smears, not for bacterial staining in pneumonia. D: Neisser - This staining method is not commonly used in routine bacterial staining procedures.

Correct Answer: C

Rationale: The correct answer is C: Helicobacter pylori. Group I organisms are classified based on their low infectious doses and potential for bioterrorism. H. pylori is known to cause gastric ulcers and is categorized as a Group I organism due to its ability to cause disease at low doses. A: Francisella tularensis is a Group A bioterrorism agent, not Group I. B: Clostridium difficile is not typically classified as a Group I organism. D: Bacillus anthracis is a Group A bioterrorism agent, not Group I.

Correct Answer: C

Rationale: The correct answer is C: Erysipelas. Erysipelas is a type of acute infection caused by group A Streptococcus bacteria. This bacteria infects the upper dermis and superficial lymphatics, leading to a distinct raised, well-demarcated, erythematous skin lesion. The other choices are incorrect because: A Carbuncle is a deep skin infection involving hair follicles, B Impetigo is a superficial skin infection caused by Staphylococcus or Streptococcus bacteria, and D Acne is a chronic inflammatory skin condition not typically caused by group A Streptococcus.

Correct Answer: D

Rationale: The correct answer is D: pinocytosis. This is an active transport mechanism where cells engulf fluids or solutes through vesicles. Energy is required to transport substances against a concentration gradient. A is incorrect as pinocytosis is an active process, not passive like pinocytosis. B is incorrect as facilitated diffusion is a passive process that uses carrier proteins to move substances down a concentration gradient. C is incorrect as filtration is a passive process that relies on pressure gradients to move substances across a barrier. Therefore, D is the correct choice as it involves the active transport of substances into the cell.

Correct Answer: C

Rationale: The correct answer is C: ELISA, Western blot. These tests are commonly used for diagnosing Lyme borreliosis due to their high sensitivity and specificity in detecting antibodies against Borrelia burgdorferi, the causative agent. ELISA is the initial screening test, while Western blot is used for confirmation. Widal agglutination test (A) is used for diagnosing typhoid fever, not Lyme disease. Cultivation on blood and chocolate agar (B) is not commonly used for diagnosing Lyme borreliosis as Borrelia species are difficult to culture. Ascoli thermoprecipitation test (D) is used for diagnosing pneumonia caused by Streptococcus pneumoniae, not Lyme disease.

Correct Answer: B

Rationale: The correct answer is B: Protection against phagocytosis. The bacterial capsule is a protective layer outside the cell wall that helps bacteria evade phagocytosis by the host immune system. It acts as a physical barrier against immune cells like macrophages and neutrophils, allowing the bacteria to survive and multiply in the host. Energy production (A), DNA replication (C), and protein synthesis (D) are essential cellular functions but are not directly associated with the major function of the bacterial capsule, which is protection against phagocytosis.

Correct Answer: B

Rationale: The correct answer is B because collecting specimens from the surface of a wound does not provide adequate samples for anaerobic agent detection. Anaerobic agents thrive in deep tissue environments with low oxygen levels, making surface specimens unreliable. Tissue samples and aspirations (choice A) are superior for diagnosing skin infections. Excessive production of toxins, not skin rash (choice C), causes symptoms in some infections. While healthy skin provides some protection, it is not completely impenetrable to microorganisms (choice D).

Correct Answer: A

Rationale: The correct answer is A: Bacillus anthracis. This bacterium is known to form highly resistant spores that can survive for long periods in soil. Bacillus anthracis causes anthrax, a dangerous disease that can be transmitted to humans and animals. The other choices, Francisella tularensis, Brucella abortus, and Yersinia pestis, do not form spores as resistant as Bacillus anthracis. Therefore, only Bacillus anthracis is likely to have survived in the soil of the old burial ground for animal refuse for over 50 years.

Correct Answer: C

Rationale: The correct answer is C: Up to 3 months. Hepatitis B has an average incubation period of 60-90 days, which aligns with the timeframe of up to 3 months. This period refers to the time between exposure to the virus and the onset of symptoms. One week to 10 days (choice A) is too short for hepatitis B, as it typically takes longer to manifest. One month to 45 days (choice B) is also shorter than the average incubation period for hepatitis B. Up to 6 months (choice D) is too long for hepatitis B, as the virus typically shows symptoms within 3 months.