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: A

Rationale: The correct answer is A. Rubella virus has icosahedral type of symmetry due to its spherical shape with 20 faces. This symmetry allows for efficient packaging of genetic material and structural stability. Choice B is incorrect as rubella virus is an ssRNA virus, not ssDNA. Choice C is incorrect as rubella virus does have an envelope derived from the host cell membrane. Choice D is incorrect as rubella virus does have glycoprotein spikes on its surface that aid in host cell recognition and entry.

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus aureus. 1. Gram-positive cocci in clusters suggest staphylococci. 2. Catalase-positive indicates staphylococci since streptococci are catalase-negative. 3. Coagulase-positive further confirms Staphylococcus aureus, distinguishing it from other staphylococci. Summary: B is incorrect as Streptococcus pyogenes is catalase-negative. C is incorrect as Micrococcus luteus is catalase-negative and coagulase-negative. D is incorrect as Enterococcus faecalis is catalase-negative and coagulase-negative.

Correct Answer: C

Rationale: Sterilization refers to the complete elimination of all microorganisms, including their spores, which are the most resistant form of microbial life. Spores have a tough outer coating that protects them from harsh conditions, making them more difficult to destroy compared to vegetative cells, viruses, and protozoa. Therefore, the correct answer is C because sterilization targets and eliminates all forms of microorganisms, including spores. Choices A, B, and D are incorrect because sterilization goes beyond just targeting vegetative cells, viruses, or protozoa; it aims to eliminate all microorganisms present.

Correct Answer: D

Rationale: The correct answer is D: lyases. Lyases are enzymes that catalyze the breaking of chemical bonds without the addition of water. They can remove functional groups from substrates or add functional groups to double bonds without the use of water. A: Oxidoreductases involve the transfer of electrons. B: Transferases transfer functional groups from one molecule to another. C: Hydrolases catalyze the breaking of bonds by adding water.

Correct Answer: D

Rationale: The correct answer is D: All of the above. 1. Escherichia coli can produce endotoxin due to its lipopolysaccharide component. 2. Salmonella enterica also produces endotoxin as part of its cell wall structure. 3. Pseudomonas aeruginosa is known to produce endotoxin as well. Therefore, all of these bacteria are capable of producing endotoxin, which can trigger an excessive immune response leading to septic shock. Other choices are incorrect because they do not cover all the bacteria mentioned in the question that are capable of producing endotoxin.

Correct Answer: C

Rationale: Rationale: 1. Infectious process involves interactions between macro and microorganisms. 2. It is not limited to manifested diseases or typical symptoms. 3. The process can occur without leading to a full-blown infectious disease. 4. Choice C correctly captures the dynamic relationship between different organisms. Summary: - A: Incorrect - Infectious process is not solely about clinically manifested diseases. - B: Incorrect - Not all infectious diseases have typical symptoms. - D: Incorrect - Ambulatory form is a specific type, not encompassing all infectious processes.

Correct Answer: A

Rationale: The correct answer is A: 96% ethanol. In Gram's staining method, after applying gentian violet, Lugol's solution, and aqueous fuchsin, the next step is to use a decolorizing agent like 96% ethanol to wash away the excess stain from the Gram-negative bacteria. This step is crucial as it helps differentiate between Gram-positive and Gram-negative bacteria based on their cell wall properties. The other choices are incorrect because sulfuric acid is not used in Gram's staining method, methylene blue is typically used in other staining techniques like the simple stain, and carbolic fuchsin is not a standard reagent in the Gram's staining process.

Correct Answer: A

Rationale: The correct answer is A: viral DNA polymerase. Herpesviruses require viral DNA polymerase for viral DNA replication. This enzyme is responsible for synthesizing new DNA strands using existing viral DNA as a template. Ribonucleotide reductase (B) is not directly involved in DNA replication but in the synthesis of deoxyribonucleotides. Neuraminidase (C) is an enzyme found in influenza viruses, not herpesviruses. Thymidine kinase (D) is involved in nucleotide metabolism but is not essential for viral DNA replication in herpesviruses.