A stool sample from a patient with diarrhea revealed Gram-negative rods with a greenish hue on MacConkey agar. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Escherichia coli. E. coli is a Gram-negative rod that typically has a greenish hue on MacConkey agar due to its ability to ferment lactose, producing acid that changes the pH indicator to green. E. coli is a common cause of diarrhea, particularly in cases of traveler's diarrhea. Salmonella (B), Shigella (C), and Klebsiella (D) are also Gram-negative rods but do not typically show a greenish hue on MacConkey agar and are less commonly associated with causing diarrhea compared to E. coli.

Correct Answer: B

Rationale: Step 1: The description of microorganisms resembling tennis racket indicates Corynebacterium diphtheriae, the causative agent of diphtheria. Step 2: Diphtheria is a bacterial infection that can cause severe respiratory and systemic symptoms. Step 3: Botulism is caused by Clostridium botulinum, not tennis racket-shaped microorganisms. Step 4: Typhoid fever is caused by Salmonella typhi, which does not resemble tennis rackets. Step 5: Salmonellosis is caused by various Salmonella species, which also do not have the described tennis racket appearance.

Correct Answer: B

Rationale: The correct answer is B: psittacosis. Psittacosis is an infection caused by Chlamydia psittaci that primarily affects the lower respiratory tract, leading to pneumonia-like symptoms. Mycoplasma pneumoniae causes atypical pneumonia, not pharyngitis (Choice A). Chronic atrophic rhinitis (Choice C) and rhinoscleroma (Choice D) both affect the upper respiratory tract, not the lower respiratory tract. Psittacosis specifically targets the lower respiratory tract, making it the most appropriate answer.

Correct Answer: A

Rationale: The correct answer is A: Cell wall. In the Gram staining method, the primary differentiation of bacteria is based on the composition of their cell walls. Gram-positive bacteria have a thick layer of peptidoglycan in their cell walls, which retains the crystal violet dye and appears purple under the microscope. On the other hand, Gram-negative bacteria have a thinner layer of peptidoglycan and an outer membrane, which allows the crystal violet dye to be washed out during the decolorization step and take up the counterstain safranin, appearing pink. The different responses to stains are primarily due to the structural differences in the cell walls of these two types of bacteria. Summary: - Choice A: Cell wall is correct because it determines the differential staining in Gram staining. - Choice B: Cytoplasm is incorrect as it does not directly influence the staining properties of bacteria. - Choice C: Cytoplasmic membrane is incorrect as it is not the main structural

Correct Answer: A

Rationale: The correct answer is A: infants. Staphylococcal scalded skin syndrome is most common in infants because their immune systems are not fully developed, making them more susceptible to Staphylococcus aureus infections. This bacteria produces exotoxins that cause the skin to blister and peel, characteristic of the syndrome. Adolescents, young adults, and the elderly have more mature immune systems, making them less vulnerable to this specific infection. Therefore, infants are at a higher risk for developing Staphylococcal scalded skin syndrome compared to other age groups.

Correct Answer: B

Rationale: The correct answer is B: Quorum sensing in bacteria refers to a process of cell-cell communication. Bacteria release signaling molecules to communicate with each other, coordinating group behaviors such as biofilm formation or virulence factor production when a certain population density is reached. This communication helps bacteria respond collectively to environmental cues. A: Incorrect - Locomotion refers to movement, not communication between bacteria. C: Incorrect - Uptake of foreign DNA is related to genetic transfer mechanisms, not communication. D: Incorrect - Antibiotic resistance mechanisms may involve genetic changes but are not directly related to inter-bacterial communication. In summary, quorum sensing is a vital communication system that allows bacteria to coordinate behaviors for survival and adaptation.

Correct Answer: A

Rationale: The correct answer is A: Vibrio cholerae. 1. Vibrio cholerae is a Gram-negative, comma-shaped bacterium known to cause cholera. 2. Shigella dysenteriae causes dysentery, not cholera. 3. Salmonella typhi causes typhoid fever, not cholera. 4. Campylobacter jejuni causes gastroenteritis, not cholera. Therefore, based on the symptoms presented and the characteristics of the bacterium, Vibrio cholerae is the most likely microorganism.

Correct Answer: A

Rationale: The most probable diagnosis is Tetanus (Choice A) based on the symptoms described. Tetanus is characterized by muscle stiffness, difficulty opening the mouth (trismus), muscle spasms, and convulsions. The progression of symptoms from muscle tension to generalized convulsions every 10-15 min is classic for tetanus. Tetania (Choice B) is similar but typically presents with more subtle muscle contractions rather than convulsions. Meningoencephalitis (Choice C) presents with fever, headache, and altered mental status, not the muscle symptoms described. Hemorrhagic stroke (Choice D) presents with sudden onset neurological deficits like weakness or sensory changes, not the muscle symptoms described.

Correct Answer: A

Rationale: The correct answer is A: protein envelope around the nucleic acid. Viral capsid is the protein coat that surrounds and protects the viral nucleic acid (DNA or RNA). This structure helps in protecting the genetic material from degradation and facilitates the attachment of the virus to host cells. Option B is incorrect as it suggests the nucleic acid is coated with protein, which is not the case. Option C is incorrect as not all viruses have an outer membrane. Option D is incorrect as viruses typically do not have a lipoprotein membrane.