A wound culture grew Gram-positive rods with central spores. The bacteria were catalase-positive and aerobic. Identify the microorganism.

Correct Answer: A

Rationale: The correct answer is A: Bacillus anthracis. The presence of Gram-positive rods with central spores, catalase-positive, and aerobic growth characteristics are indicative of Bacillus anthracis. Bacillus anthracis is known for its central spores and ability to grow aerobically. Summary of why other choices are incorrect: B: Clostridium tetani is a Gram-positive rod with terminal spores and is anaerobic. C: Streptococcus pyogenes is a Gram-positive cocci and catalase-negative. D: Klebsiella pneumoniae is a Gram-negative rod and catalase-positive, but is not associated with central spores.

Correct Answer: A

Rationale: The correct answer is A: Absence of a cell wall. L-form transformation is a phenomenon where the pathogen loses its cell wall, making it resistant to antibiotics like penicillin. The absence of a cell wall allows the pathogen to survive in a hostile environment. Choice B: Absence of flagella is incorrect because flagella are responsible for motility and not directly related to L-form transformation. Choice C: Absence of a capsule is incorrect as the capsule is a protective layer outside the cell wall and not affected by L-form transformation. Choice D: Absence of a spore is incorrect because spores are a dormant form of bacteria and not related to L-form transformation.

Correct Answer: B

Rationale: The correct answer is B: slime mold. Plasmodium is a type of slime mold, specifically a parasitic protist that causes malaria in humans. Slime molds are a group of organisms that share characteristics of both fungi and protozoa. Plasmodium does not belong to the other categories listed: A) protozoan refers to a broad category of single-celled eukaryotic organisms, C) spirochetes are a type of bacteria, and D) helminths are parasitic worms. Therefore, the correct classification for Plasmodium is slime mold.

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: B

Rationale: The correct answer is B (Urethra). Resident microflora are typically found in various parts of the body where they establish a stable population without causing harm. The urethra is one of the locations where resident microflora are commonly present, helping to maintain a healthy microbial balance and prevent pathogenic bacteria from colonizing the area. In contrast, choices A, C, and D are not typical locations for resident microflora. Blood is normally sterile, the lungs have a different microbial environment due to their exposure to the external environment, and the cerebro-spinal fluid is also typically sterile to prevent infections in the central nervous system.

Correct Answer: A

Rationale: The correct answer is A: proteins. Enzymes are mostly composed of proteins due to their complex structure and specific amino acid sequences that are essential for their catalytic activity. Proteins have active sites that bind to substrates and facilitate chemical reactions. Lipids (B), nucleic acids (C), and carbohydrates (D) do not possess the necessary properties and structures to function as enzymes. Lipids serve as energy storage molecules and cell membrane components, nucleic acids store genetic information, and carbohydrates are primarily used for energy production.

Correct Answer: C

Rationale: Neonatal meningitis is commonly caused by E. coli K1 and group B streptococci due to their ability to cross the blood-brain barrier in newborns. E. coli K1 is a frequent cause in early-onset cases, while group B streptococci are common in late-onset cases. Neisseria meningitidis and streptococcus agalactiae are not as likely to cause neonatal meningitis. Listeria and shigella are also uncommon causes in neonates. Therefore, choice C is the most likely pair of organisms responsible for neonatal meningitis.

Correct Answer: A

Rationale: The correct answer is A: Corynebacterium diphtheriae. This bacterium causes diphtheria, characterized by a grayish pseudomembrane in the throat. The dark blue-staining rods with polar granules seen in microscopic examination are known as metachromatic granules, which are specific to Corynebacterium diphtheriae. Streptococcus pyogenes (choice B) causes strep throat but does not produce pseudomembranes. Haemophilus influenzae (choice C) can cause respiratory infections but does not typically present with a pseudomembrane. Neisseria gonorrhoeae (choice D) is a sexually transmitted bacterium and is not associated with the symptoms described.

Correct Answer: D

Rationale: The correct answer is D because antibody diversity is generated by rearrangements of DNA encoding variable regions of heavy and light chains (choice A) and by the combination of different heavy and light chains that form the antigen binding site (choice B). Step 1: DNA rearrangements create different variable regions in heavy and light chains. Step 2: Combination of different heavy and light chains leads to unique antigen binding sites. Step 3: This diversity allows antibodies to bind to different epitopes on the same antigen. Step 4: Choice C is incorrect as antibodies do not physically change shape to bind different epitopes.