A woman gave birth to a stillborn baby with numerous malformations. What protozoan disease could cause intrauterine death?

Correct Answer: A

Rationale: The correct answer is A: Toxoplasmosis. Toxoplasmosis is caused by the protozoan Toxoplasma gondii, which can be transmitted from mother to fetus during pregnancy leading to stillbirth and malformations. This parasite can cross the placenta and infect the fetus, causing severe complications. Leishmaniasis (B), Malaria (C), and Amebiasis (D) are not known to cause intrauterine death or malformations in the same way as Toxoplasmosis. Leishmaniasis is transmitted by sandflies, Malaria by mosquitoes, and Amebiasis by contaminated food or water.

Correct Answer: A

Rationale: The correct answer is A: Protein synthesis. Bacterial ribosomes are responsible for translating mRNA into proteins through a process called translation. This is a crucial step in gene expression, where amino acids are assembled into polypeptide chains. Choice B (DNA replication) is incorrect because ribosomes are not involved in DNA replication. Choice C (Flagella formation) is incorrect as ribosomes do not play a direct role in flagella formation. Choice D (Toxin production) is incorrect as ribosomes are not directly involved in producing toxins.

Correct Answer: C

Rationale: Rationale: 1. Vaccinia is a laboratory product used in smallpox vaccination. 2. Variola is the virus that causes smallpox, not a laboratory product. 3. Monkeypox is a naturally occurring virus, not a laboratory product. 4. Cowpox can be found in nature and is used in vaccine production, but it is not a laboratory product like Vaccinia.

Correct Answer: B

Rationale: The correct answer is B: Toxoplasmosis. Toxoplasmosis is caused by the protozoan Toxoplasma gondii. The rationale for this is that protozoa are single-celled organisms that can cause diseases in humans. Cat scratch disease (A) is caused by a bacterium, Bartonella henselae. Relapsing fever (C) is caused by the bacterium Borrelia recurrentis. Plague (D) is caused by the bacterium Yersinia pestis. Therefore, the only choice caused by a protozoan is toxoplasmosis, making it the correct answer.

Correct Answer: C

Rationale: The correct answer is C: Fecal enterococcus. In a drugstore setting, finding a fecal-indicative microorganism like fecal enterococcus indicates a potential contamination from fecal matter, which poses a significant health risk. Staphylococcus aureus (Choice A) and α-haemolytic streptococcus (Choice D) are not typically indicative of fecal contamination. Colon bacillus (Choice B) is a common bacterium found in the gut but is not specifically indicative of fecal contamination. Therefore, choice C, fecal enterococcus, is the most appropriate microorganism indicating unsanitary conditions in a drugstore.

Correct Answer: C

Rationale: The correct answer is C: S.aureus. Stomatitis is commonly caused by S.aureus due to its ability to form clusters of oval polymorphous Gram-positive microorganisms. S.aureus is known to colonize the oral mucous membrane and can cause infections, especially after prolonged antibiotic use. Explanation for other choices: A: С.albicans - Candida albicans is a fungus commonly associated with oral thrush, not typically causing stomatitis. B: C.perfringens - Clostridium perfringens is a bacterium associated with food poisoning and gas gangrene, not commonly causing stomatitis. D: S.pyogenes - Streptococcus pyogenes is known to cause strep throat and skin infections, but not typically associated with stomatitis.

Correct Answer: C

Rationale: The correct answer is C: gram-negative bacteria have an outer membrane that acts as an extra barrier. This outer membrane in gram-negative bacteria contains lipopolysaccharides and porins, which restrict the entry of antibiotics like penicillin. The outer membrane acts as an additional layer of protection, making it harder for penicillin to penetrate and reach its target, the peptidoglycan layer. Choices A, B, and D do not directly address the specific mechanism of resistance seen in gram-negative bacteria. Choice A focuses on transpeptidase enzyme quantity, which is not the primary reason for penicillin resistance. Choice B refers to β-lactamase enzymes in the periplasmic space, which are actually enzymes that degrade penicillin and contribute to resistance, but this is not unique to gram-negative bacteria. Choice D mentions a thicker cell wall, which is a characteristic of gram-positive bacteria, not gram-negative bacteria.

Correct Answer: A

Rationale: The correct answer is A: Facultative anaerobes. Facultative anaerobes can survive in both aerobic and anaerobic conditions because they have the metabolic flexibility to switch between utilizing oxygen for respiration in aerobic conditions and using fermentation in anaerobic conditions. Obligate aerobes (B) require oxygen for survival, obligate anaerobes (C) cannot survive in the presence of oxygen, and microaerophiles (D) require low levels of oxygen to grow effectively. Therefore, the ability of facultative anaerobes to adapt to varying oxygen levels makes them the correct choice for this question.

Correct Answer: B

Rationale: The correct answer is B: Pseudomonas aeruginosa. P. aeruginosa is known for producing pyocyanin, a green pigment. This bacterium is commonly associated with infections in immunocompromised individuals. Staphylococcus aureus (choice A) produces golden-yellow pigments, not green. Escherichia coli (choice C) and Clostridium difficile (choice D) do not produce pyocyanin. Therefore, the correct choice is B based on the characteristic pigment produced by Pseudomonas aeruginosa.