Among public catering workers examined by doctors of sanitary and epidemiologic station often occur asymptomatic parasite carriers. This means that a healthy person carries cysts that infect other people. Such parasitizing is possible for the following causative agent:

Correct Answer: A

Rationale: Rationale: 1. Dysenteric amoeba (Choice A) is the correct answer because it can exist asymptomatically in carriers and be transmitted through cysts. 2. Malarial plasmodium (Choice B) causes malaria, not carried asymptomatically in cysts. 3. Intestinal trichomonad (Choice C) causes trichomoniasis, not carried asymptomatically in cysts. 4. Dermatotropic leishmania (Choice D) causes skin lesions, not carried asymptomatically in cysts.

Correct Answer: D

Rationale: The correct answer is D: Chlamydia trachomatis. Lymphogranuloma venereum (LGV) is caused by Chlamydia trachomatis serovars L1, L2, and L3. These serovars infect the lymphatic system leading to swelling and inflammation. Choice A, Chlamydia pneumoniae, is associated with respiratory infections, not LGV. Choice B, Chlamydia psittaci, causes psittacosis in birds and humans. Choice C, Mycoplasma genitalium, is a separate STI but is not the causative agent for LGV. The key to the correct answer is understanding the specific pathogen responsible for LGV based on its clinical presentation and mode of transmission.

Correct Answer: A

Rationale: The correct answer is A: Clostridium botulinum. This bacterium is responsible for causing botulism due to its production of botulinum toxin, which is one of the most potent neurotoxins known. Clostridium botulinum thrives in anaerobic conditions like improperly canned foods. Staphylococcus aureus (B), Bacillus anthracis (C), and Pseudomonas aeruginosa (D) do not produce the botulinum toxin and are not associated with botulism. Staphylococcus aureus is known for causing food poisoning, Bacillus anthracis for anthrax, and Pseudomonas aeruginosa for various infections, but not botulism.

Correct Answer: B

Rationale: The correct answer is B because the AST reaction, or anti-streptolysin titer, is used in the diagnostic of post-streptococcal sequelae, such as rheumatic fever and glomerulonephritis. This test measures the level of antibodies produced by the body in response to Streptolysin O, a toxin produced by Group A Streptococcus bacteria. It helps in identifying if a patient has had a recent Streptococcus infection that could lead to these complications. A: Incorrect. The AST reaction does not require urine samples, but rather blood samples. C: Incorrect. The AST reaction specifically targets antibodies produced in response to Group A Streptococcus. D: Incorrect. The AST reaction does not directly identify isolated streptococci but rather measures the body's immune response to Streptolysin O.

Correct Answer: A

Rationale: The correct answer is A: Propionibacterium shermanii. This bacterium is used in the production of certain types of cheese, such as Swiss cheese, to create the characteristic holes and flavor. Propionibacterium produces carbon dioxide gas during fermentation, forming the holes in the cheese. Acetobacter aceti (B) is used in vinegar production. Giardia (C) is a parasite that causes gastrointestinal issues, not used in cheese production. Fusobacterium (D) is a type of bacteria associated with infections in humans, not used in cheese production.

Correct Answer: A

Rationale: The correct answer is A: Treponema pallidum. This bacterium is responsible for causing syphilis due to its unique spiral shape and ability to penetrate mucous membranes. It is transmitted through sexual contact or from mother to fetus. Neisseria gonorrhoeae causes gonorrhea, Chlamydia trachomatis causes chlamydia, and Escherichia coli is a common bacterium in the gastrointestinal tract. Syphilis is distinct due to its characteristic symptoms and stages, making Treponema pallidum the correct choice.

Correct Answer: C

Rationale: The correct answer is C: Endospore. Endospores are highly resistant structures formed by certain bacterial species to withstand harsh conditions like desiccation. They contain a tough outer layer that protects the bacterial DNA and other essential components. Capsules (choice A) provide protection against host immune responses but not specifically against desiccation. Flagella (choice B) are used for bacterial motility. Pili (choice D) are involved in bacterial adhesion but do not protect against desiccation. Therefore, endospores are the most suitable choice for protecting against desiccation.

Correct Answer: B

Rationale: Correct Answer: B - Plasmids are circular DNA molecules Rationale: 1. Plasmids are extrachromosomal DNA molecules found in bacteria. 2. Plasmids are typically circular in structure, not linear. 3. Circular plasmids are easily replicated and transferred between bacteria. 4. Plasmids can carry genes for antibiotic resistance, making option C incorrect. 5. Not all bacteria have plasmids, making option D incorrect. 6. While plasmids can provide benefits, they are not essential for bacterial survival, making option A incorrect.

Correct Answer: A

Rationale: The correct answer is A: Wasserman test, IFT. The patient's symptoms of diffuse alopecia and Pinkus' sign are suggestive of secondary syphilis. The Wasserman test and Immunofluorescence Test (IFT) are used to detect antibodies against Treponema pallidum, the bacterium causing syphilis. This would confirm or rule out syphilis as the underlying cause of the patient's symptoms. Choice B (T.pallidum Immobilization Test) is similar to the Wasserman test but less commonly used. Choice C (Detection of the nasal mucous membrane for M.leprae) is irrelevant as leprosy does not present with the described symptoms. Choice D (Consultation of neuropathist) is premature without ruling out syphilis first. Thus, the Wasserman test, IFT should be the initial examination to investigate the likely cause of the patient's symptoms.