After long-term antibiotic treatment a patient has developed whitish spots on the oral mucosa. Gram- positive oval budding cells were detected in the smear preparations. What causative agents were detected?

Correct Answer: A

Rationale: The correct answer is A: Candida fungi. Candida fungi are known to cause oral thrush, characterized by whitish spots on the oral mucosa. The presence of gram-positive oval budding cells in the smear preparations is indicative of Candida species. Staphylococci (choice B) are gram-positive cocci, not oval budding cells. Sarcinae (choice C) are gram-positive bacteria that form cuboidal packets, not oval budding cells. Actinomycetes (choice D) are filamentous gram-positive bacteria, not oval budding cells like Candida fungi.

Correct Answer: A

Rationale: The correct answer is A: Candida fungi. Candida fungi are known to cause oral thrush, characterized by whitish spots on the oral mucosa. The presence of gram-positive oval budding cells in the smear preparations is indicative of Candida species. Staphylococci (choice B) are gram-positive cocci, not oval budding cells. Sarcinae (choice C) are gram-positive bacteria that form cuboidal packets, not oval budding cells. Actinomycetes (choice D) are filamentous gram-positive bacteria, not oval budding cells like Candida fungi.

Correct Answer: C

Rationale: Rationale: 1. Both Clostridium botulinum and Bacillus anthracis are known to form spores. 2. Spore formation is a mechanism for survival in harsh conditions. 3. Both bacteria are capable of causing severe diseases in humans. Summary: - Choice A and B are incorrect because each bacteria listed is capable of spore formation. - Choice D is incorrect as both bacteria mentioned can form spores to survive extreme conditions.

Correct Answer: B

Rationale: Bacillus cereus is known to cause food poisoning due to the production of toxins in contaminated food. It is not the causative agent of anthrax or endocarditis. The correct answer is B because Bacillus cereus is commonly associated with foodborne illnesses, leading to symptoms such as nausea, vomiting, and diarrhea. It's essential to understand the specific characteristics and pathogenicity of Bacillus cereus to differentiate it from other bacterial infections.

Correct Answer: D

Rationale: The correct answer is D: To determine the children that need to receive BCG vaccination. The Mantoux test is used to identify individuals who have been exposed to Tuberculosis (TB) and need BCG vaccination for protection. Parotitis (choice A) is a viral infection unrelated to TB. Allergization rate toward rickettsia (choice B) and immune stress toward diphtheria (choice C) are not related to the Mantoux test or BCG vaccination. Therefore, choice D is the correct answer as it aligns with the purpose of the Mantoux test.

Correct Answer: A

Rationale: The correct answer is A: Nystatin. Nystatin is an antifungal medication, not an antibiotic used to treat bacterial infections like generalized meningococcal infection. Penicillin G, macrolides, and chloramphenicol are antibiotics commonly used to treat bacterial infections, including meningococcal infections. Penicillin G is the drug of choice for meningococcal infections, while macrolides and chloramphenicol are alternative options. Nystatin is not effective against bacteria, so it is not a suitable treatment for meningococcal infections.

Correct Answer: A

Rationale: The correct answer is A: Entamoeba gingivalis. This organism matches the description provided in the question - unicellular with pseudopodia and ingested white blood cells, commonly found in dental plaque. Entamoeba gingivalis is known to inhabit the oral cavity and is associated with periodontal disease. Trichomonas vaginalis, Giardia lamblia, and Balantidium coli do not match the characteristics mentioned in the question and are not typically found in the oral cavity.

Correct Answer: A

Rationale: Step-by-step rationale for choice A: 1. Viruses contain genetic material in the form of nucleic acids (DNA or RNA). 2. Proteins are essential for the structure and function of viral particles. 3. Nucleic acids (genetic material) and proteins are the two main components of viruses. 4. Therefore, choice A (nucleic acid and proteins) is correct. Summary: - Choice B (nucleic acids and lipids) is incorrect as lipids are not a main structural component of viruses. - Choice C (lipids and proteins) is incorrect as nucleic acids are essential components of viruses. - Choice D (proteins and glycoproteins) is incorrect as glycoproteins are a type of protein and not a separate component in viruses.

Correct Answer: A

Rationale: The correct answer is A: Leffler's method. In this staining method, gentian violet solution is used as the primary stain, followed by Lugol's solution as a mordant, 960 spiritus as a decolorizer, and water fuchsin as a counterstain. Gentian violet stains the organisms purple, Lugol's solution helps in fixing the dye, 960 spiritus decolorizes non-specifically, and water fuchsin acts as a counterstain to help visualize the bacteria. Leffler's method is specifically used for staining sputum smears in suspected cases of croupous pneumonia. Summary: B: Gram's staining uses crystal violet, iodine, alcohol, and safranin. It is mainly used for distinguishing between Gram-positive and Gram-negative bacteria. C: Ziehl-Neelsen's staining is used for acid-fast bacteria like Mycobacterium tuberculosis using carbol fuchsin and acid-alcohol