A stool sample from a patient with chronic diarrhea revealed cysts with four nuclei. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This is because it is a protozoan parasite known to cause amoebic dysentery, presenting with chronic diarrhea and cysts with four nuclei in the stool sample. Giardia lamblia (B) causes giardiasis with trophozoites and cysts with two nuclei. Balantidium coli (C) is a ciliated parasite causing dysentery with large trophozoites. Trichomonas hominis (D) is a non-pathogenic flagellate often found in the human intestine. Thus, based on the specific characteristics of the cysts and clinical presentation, Entamoeba histolytica is the most likely causative agent.

Correct Answer: B

Rationale: The correct answer is B: prions. Autoclaving, a method of sterilization using high pressure and steam, is effective at destroying most microorganisms including fungi, bacteria, viruses, and most bacterial spores due to denaturation of their proteins and nucleic acids. However, prions are highly resistant infectious proteins that are not easily eliminated by autoclaving. Prions can withstand high temperatures and pressure, making them a challenge to eradicate. Neurotoxins (A), protozoan cysts (C), and mycoplasmas (D) are susceptible to autoclaving and would be destroyed during the process.

Correct Answer: C

Rationale: Rationale: Both Clostridium botulinum and Clostridium tetani produce neurotoxins. Botulinum toxin affects the nervous system by blocking neurotransmitter release, causing paralysis. Tetanus toxin affects the nervous system by interfering with neurotransmitter release, leading to muscle stiffness and spasms. Therefore, Choice C is correct. Choices A and B alone are incorrect because they only mention one of the bacteria that produces a neurotoxin. Choice D is incorrect because both bacteria mentioned in Choices A and B produce neurotoxins.

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas. Rationale: 1. Mobile nonspore-forming gram-negative bacteria with a capsule substance indicate Pseudomonas. 2. Pseudomonas grow well on ordinary nutrient media, matching the description. 3. The secretion of a blue-green pigment is a characteristic feature of Pseudomonas. 4. Proteus is a gram-negative bacterium but does not match all the given properties. 5. Clostridium is a gram-positive bacterium that forms spores. 6. Shigella is a gram-negative bacterium but does not have the other characteristics mentioned. Therefore, based on the properties described, the most likely genus of the microorganism is Pseudomonas.

Correct Answer: C

Rationale: The correct answer is C: Staphylococcus. Staphylococcus is a common bacteria that can cause neonatal conjunctivitis, also known as "sticky eye." Staphylococcal conjunctivitis presents with symptoms like eye redness, discharge, and swelling. Streptococcus (choice A) typically causes throat infections, herpes simplex (choice B) causes genital or oral sores, and Escherichia (choice D) is a bacteria commonly found in the gastrointestinal tract and is not typically associated with neonatal conjunctivitis. Therefore, the most likely pathogen causing "sticky eye" in newborns is Staphylococcus.

Correct Answer: C

Rationale: The correct answer is C: RNA-dependent RNA polymerase. This enzyme is required for replicating viral RNA due to its ability to catalyze the synthesis of RNA using an RNA template. Reverse transcriptase (A) is used to transcribe RNA into DNA, not replicate viral RNA. DNA polymerase (B) is used for replicating DNA, not RNA. Ligase (D) is involved in joining DNA fragments, not in replicating viral RNA. Therefore, RNA-dependent RNA polymerase is the only enzyme that specifically performs the function required for replicating viral RNA.

Correct Answer: A

Rationale: The correct answer is A: McConkey agar. Selective media selectively inhibit the growth of certain organisms while allowing others to grow. McConkey agar contains crystal violet and bile salts that inhibit the growth of Gram-positive bacteria, making it selective for Gram-negative bacteria. Choices B and C are not selective media, as they do not specifically inhibit the growth of certain types of bacteria. Choice D is incorrect as McConkey agar is indeed an example of selective media.

Correct Answer: B

Rationale: The correct answer is B: intravenous administration. This route bypasses the first-pass metabolism, allowing the drug to directly enter the bloodstream for immediate distribution. In contrast, on the skin (A) and sublingual (D) routes have slower absorption rates due to barriers like skin layers or mucous membranes. Intramuscular (C) absorption is slower than intravenous due to slower perfusion rates in muscle tissues. Overall, intravenous administration provides the fastest and most direct route for drug absorption, making it the most rapid method.

Correct Answer: A

Rationale: The correct answer is A: Tetanus. Tetanus is caused by the bacterium Clostridium tetani, which produces a toxin affecting the nervous system. Symptoms such as malaise, irritability, muscular twitching, and high body temperature are characteristic of tetanus due to muscle spasms and rigidity. The 15-day incubation period after trauma aligns with the typical onset of tetanus symptoms. Incorrect choices: B: Anaerobic gas gangrene - This condition usually presents with localized tissue necrosis and gas bubbles in the affected area, not systemic symptoms like malaise and headache. C: Erysipelas - This is a bacterial skin infection presenting with red, swollen patches, not the neurological symptoms seen in tetanus. D: Acute thrombophlebitis - This is a blood clot in a vein causing pain and swelling, not associated with the systemic symptoms and muscle twitching seen in tetanus.