All the statements about Pseudomonas aeruginosa are correct, EXCEPT:

Correct Answer: C

Rationale: The correct answer is C: It is non-motile and non-spore forming. Pseudomonas aeruginosa is motile due to its flagella and is non-spore forming. A is correct because it is a Gram-negative bacterium, and B is correct as it is oxidase-positive. D is incorrect because C is not true.

Correct Answer: B

Rationale: The correct answer is B: sporadic disease. Infection of several persons without any epidemiological link is considered sporadic because it occurs in a random and isolated manner, with no clear pattern or connection between cases. It is not classified as an epidemic (A) because it does not involve a sudden increase in the number of cases within a specific population. It is also not endemic (C) as endemic diseases are constantly present in a particular region or population. Lastly, it is not a pandemic (D) which refers to a global outbreak affecting a large number of people across different countries.

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. 1. Gram-positive diplococci with pointed ends: characteristic morphology of Streptococcus pneumoniae. 2. Surrounded by a capsule: S. pneumoniae is encapsulated, important for virulence. 3. Klebsiella pneumoniae (B) is a Gram-negative rod, Neisseria meningitidis (C) is a Gram-negative diplococcus, and Staphylococcus aureus (D) is a Gram-positive cocci in clusters, not diplococci.

Correct Answer: A

Rationale: The correct answer is A: Klebsiella pneumoniae. This bacterium is commonly associated with pneumonia in elderly patients. Klebsiella pneumoniae is a Gram-negative, non-motile, rod-shaped bacterium that frequently causes pneumonia in individuals with underlying health conditions. It is known for its ability to produce a distinctive mucoid capsule. Pseudomonas aeruginosa (B) is more commonly associated with hospital-acquired infections, particularly in immunocompromised individuals. Escherichia coli (C) is a common cause of urinary tract infections but is less likely in this case due to the symptoms and sputum sample results. Haemophilus influenzae (D) is another common respiratory pathogen, but in this scenario, Klebsiella pneumoniae is the most likely causative agent based on the patient's age, symptoms, and the characteristics of the bacteria described in the sputum sample.

Correct Answer: A

Rationale: The likely diagnosis is Meningococcal meningitis (Choice A) due to the presence of Gram-negative diplococci in the cerebrospinal fluid. Neisseria meningitidis is a Gram-negative diplococcus commonly associated with meningococcal meningitis. Fever, chills, and neck stiffness are classic symptoms of bacterial meningitis, and Neisseria meningitidis often presents with these symptoms. Pneumococcal meningitis (Choice B) is caused by Streptococcus pneumoniae, a Gram-positive organism. Haemophilus influenzae (Choice C) is also a Gram-negative organism but typically presents with a different clinical picture. Listeria monocytogenes (Choice D) is a Gram-positive rod and is more commonly associated with meningitis in neonates, elderly, and immunocompromised individuals.

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. The presence of cysts with four nuclei is characteristic of Entamoeba histolytica, a protozoan parasite causing amoebic dysentery. It forms cysts with four nuclei before maturing into trophozoites. Balantidium coli (B) is a ciliated protozoan causing balantidiasis, not known for four-nuclei cysts. Giardia lamblia (C) forms cysts with two nuclei, causing giardiasis. Trichomonas hominis (D) is a non-pathogenic flagellate found in the human colon, not associated with four-nuclei cysts.

Correct Answer: D

Rationale: The correct answer is D: peroxisomes. Peroxisomes contain oxidative enzymes, such as catalase and peroxidase, that are capable of oxidizing toxic substances. These enzymes help detoxify harmful molecules by breaking them down into harmless products. Lysosomes (choices B and C) contain hydrolytic enzymes for breaking down cellular waste, not oxidative enzymes. Therefore, the correct choice is peroxisomes due to their specific function in detoxification through oxidation reactions.

Correct Answer: A

Rationale: The correct answer is A: Helicobacter. Helicobacter pylori is the main causative agent of peptic ulcer disease and is characterized by its gram-negative arcuate bent shape and positive urease activity. Helicobacter pylori specifically colonizes the stomach mucosa and is associated with various gastrointestinal disorders. Spirochetes (choice B), spirilla (choice C), and Leptospira (choice D) are not typically associated with peptic ulcer disease or stomach mucosa infections, making them incorrect choices in this context.

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is the most likely causative agent for pneumonia in this case due to the presence of Gram-positive cocci in pairs with a capsule, which is a typical characteristic of S. pneumoniae. This pathogen is a common cause of community-acquired pneumonia and is known for its encapsulated morphology. Staphylococcus aureus (B) is a Gram-positive cocci but does not typically present in pairs with a capsule in pneumonia cases. Klebsiella pneumoniae (C) is a Gram-negative bacterium and does not match the description provided. Pseudomonas aeruginosa (D) is a Gram-negative bacterium that is not typically associated with Gram-positive cocci in pneumonia samples.