A woman hospitalized in the surgical department complains of pain in her lower abdomen and in the small of her back, frequent and painful urination. Urine culture test revealed gram-negative oxidase- positive bacilli that formed green mucoid colonies with specific smell. What causative agent can be suspected?

Correct Answer: D

Rationale: The correct answer is D: Proteus mirabilis. The patient's symptoms of lower abdominal pain, back pain, frequent/painful urination, and the presence of gram-negative oxidase-positive bacilli forming green mucoid colonies with a specific smell suggest a urinary tract infection caused by Proteus mirabilis. This bacterium is known for causing UTIs and is characterized by its swarming motility and distinctive odor. A: Pseudomonas aeruginosa is commonly associated with hospital-acquired infections but does not typically cause UTIs with the specific characteristics described. B: Mycoplasma pneumonia is a bacterium that causes respiratory infections, not UTIs. C: Str.pyogenes (Streptococcus pyogenes) is a common cause of strep throat and skin infections, not UTIs. D: Helicobacter pylori is associated with gastritis and peptic ulcers, not UTIs.

Correct Answer: B

Rationale: The correct answer is B: Absence of hemagglutination. In the reaction inhibition of hemagglutination, specific antibodies bind to antigens on red blood cells, preventing their agglutination. This results in the absence of visible clumping of red blood cells, which is known as hemagglutination. Therefore, the presence of specific antibodies is visualized by the absence of hemagglutination. Incorrect Choices: A: Absence of hemolysis - Hemolysis refers to the rupture of red blood cells, which is not relevant in the context of hemagglutination. C: Presence of hemagglutination - This is the opposite of what is expected when specific antibodies are present and inhibiting hemagglutination. D: Presence of hemolysis - Again, hemolysis is not directly related to the inhibition of hemagglutination by specific antibodies.

Correct Answer: D

Rationale: The correct answer is D: Moeller. Moeller staining method is specifically designed to detect spores due to its ability to differentiate between the spore and the vegetative cell. It involves applying multiple stains such as malachite green, safranin, and heat to visualize the endospore structure. This method is essential for proving the formation of spores as it highlights the resistant spore structures within the bacterial cell. A: Klett and Gins is not used for spore staining. B: Ziehl-Neelsen is used for acid-fast staining, not spore staining. C: Gram and Loeffler's are used for gram staining, not spore staining.

Correct Answer: A

Rationale: The correct answer is A: emergence. The term emergence refers to the process of a new infectious disease appearing and spreading within a population. It signifies the initial introduction and establishment of the disease in the new population. Explanation for other choices: B: Adoption does not accurately describe the process of a disease spreading within a new population. C: Inclusion is not a term commonly used to describe the spread of infectious diseases. D: Appearance is too vague and does not capture the complexity of the process of establishment and spreading of an infectious disease.

Correct Answer: A

Rationale: The most likely diagnosis is A: Leptospirosis. Leptospirosis is caused by the spirochete Leptospira interrogans and is commonly transmitted through contact with water contaminated by animal urine, such as in this case of fishing. The symptoms described match those of leptospirosis, including high fever, headache, muscle pain, jaundice, hemorrhagic rash, and bloody urine. The calf muscle pain is a characteristic symptom of leptospirosis known as "Weil's disease." Yersiniosis (B) typically presents with abdominal symptoms, Salmonellosis (C) with gastrointestinal symptoms, and Brucellosis (D) with flu-like symptoms. Therefore, based on the symptoms and history provided, Leptospirosis is the most likely diagnosis.

Correct Answer: C

Rationale: Step-by-step rationale: 1. Shigella is a nonmotile bacterium. 2. This lack of motility is a key characteristic used to differentiate it from other enteric bacteria. 3. Nonmotile nature of Shigella helps it to cause infections by invading the intestinal epithelial cells. 4. Therefore, choice C is correct as Shigella is indeed nonmotile. Summary: A: Incorrect - Shigella does not produce hydrogen sulfide. B: Incorrect - Shigella does not ferment lactose. D: Incorrect - Shigella is not mannitol positive.

Correct Answer: A

Rationale: The correct answer is A: Contaminated. The air is never completely free of microorganisms, so it is considered contaminated. Microorganisms are ubiquitous in the environment. Permissible limits (B) imply a specific standard, which is not relevant to the general microbiological characteristic of air. Almost pure (C) and pure (D) are not accurate as air always contains some level of microorganisms.

Correct Answer: D

Rationale: The correct answer is D: Salmonella typhi. Typhoid fever is caused by the bacterium Salmonella typhi. This bacterium is responsible for causing the systemic infection that leads to symptoms such as high fever, abdominal pain, and diarrhea. Yersinia pestis (choice A) causes plague, Shigella dysenteriae (choice B) causes dysentery, and Escherichia coli (choice C) can cause various gastrointestinal infections, but not typhoid fever. Salmonella typhi specifically targets the intestines and is transmitted through contaminated food or water. Therefore, choice D is the correct answer for the cause of typhoid fever.

Correct Answer: A

Rationale: Axial filaments, also known as endoflagella, are composed of proteins. These proteins form a helical structure that enables certain bacteria, such as spirochetes, to move in a corkscrew-like motion. Proteins are the main structural component of axial filaments due to their flexibility and ability to generate movement. Choice B, polyphosphates, are not typically associated with axial filaments, as they are more involved in energy storage and transfer. Choice C, volutin granules, are storage inclusions of inorganic polyphosphate and are not part of axial filaments. Choice D, carbohydrates, are not the primary component of axial filaments which are protein-based structures responsible for bacterial motility.