An 18-year-old patient has developed candidiasis after the case of pneumonia treated with β- lactam antibiotic. What antimycotic agent should be prescribed?

Correct Answer: B

Rationale: The correct answer is B: Fluconazole. Rationale: 1. Candidiasis is a fungal infection, so an antimycotic agent is needed. 2. β-lactam antibiotics like ampicillin can lead to fungal overgrowth, necessitating an antimycotic. 3. Fluconazole is an antifungal agent effective against Candida species. 4. Streptomycin is an antibiotic, not an antifungal. 5. Phthalylsulfathiazole is an antibacterial sulfonamide, not an antifungal. 6. Ampicillin is an antibiotic, not an antifungal.

Correct Answer: D

Rationale: The correct answer is D: Protoplast. Lipopolysaccharides of Gram-negative bacteria consist of three main components: O-specific polysaccharide chain, R-specific polysaccharide chain, and Lipid A. Protoplast is not a component of lipopolysaccharides. O-specific polysaccharide chain is responsible for serotype specificity, R-specific polysaccharide chain varies among strains, and Lipid A is the endotoxin component. Protoplast refers to a bacterial cell devoid of a cell wall, which is not a component of lipopolysaccharides.

Correct Answer: D

Rationale: The correct answer is D. Botulism typically presents with symptoms such as dry mouth, difficulty swallowing, blurred vision, diplopia, and descending flaccid paralysis. Chills, fever, and loss of consciousness are not typical of botulism. Botulism is caused by a neurotoxin produced by Clostridium botulinum bacteria, which affects the nervous system leading to muscle weakness and paralysis, not fever or altered consciousness. Therefore, choice D is the correct answer.

Correct Answer: A

Rationale: The correct answer is A. Method of Ziel-Neelsen. This method uses a special stain (carbol fuchsin) to detect acid-fast organisms like Mycobacterium tuberculosis, the causative agent of tuberculosis. The staining procedure involves heating the slide to help penetrate the mycolic acid layer of the bacteria, making them resistant to decolorization by acid-alcohol. The red stained acid-fast bacilli stand out against the blue counterstain. This method is specific for identifying tubercle bacilli in sputum samples. Choice B: Method of Romanowsky-Giemsa is used for staining blood smears and is not suitable for detecting acid-fast bacilli in sputum. Choice C: Method of Gram is used for staining bacteria based on their cell wall composition and is not effective for identifying acid-fast bacilli like Mycobacterium tuberculosis. Choice D: Method of Neisser is not a specific staining method for acid-fast bacilli and is not suitable

Correct Answer: C

Rationale: To calculate the total magnification, we multiply the magnification of the ocular lens by the magnification of the objective lens. In this case, 10 (ocular) x 40 (objective) = 400. This is why choice C (400) is correct. Choices A, B, and D are incorrect because they do not represent the correct calculation of total magnification based on the given magnification powers of the ocular and objective lenses.

Correct Answer: B

Rationale: The correct answer is B: Neisseria gonorrhoeae. This bacterium is known to cause gonorrhea, a sexually transmitted infection. Neisseria gonorrhoeae specifically infects the mucous membranes of the reproductive tract in both men and women. It is transmitted through sexual contact. Explanation of other choices: A: Chlamydia trachomatis is a bacterium that causes chlamydia, not gonorrhea. C: Mycoplasma genitalium is associated with non-gonococcal urethritis, not gonorrhea. D: Treponema pallidum is the bacterium that causes syphilis, not gonorrhea. Therefore, Neisseria gonorrhoeae is the correct answer based on its direct association with causing gonorrhea.

Correct Answer: D

Rationale: The correct answer is D because all of the symptoms mentioned (short period of depression, nausea, restlessness) can be early signs of rabies. Rabies typically presents with a variety of non-specific symptoms in the early stages, including behavioral changes such as depression and restlessness, as well as gastrointestinal symptoms like nausea. Therefore, it is important to consider the combination of these symptoms collectively rather than individually when suspecting rabies. Choices A, B, and C alone may not definitively indicate rabies, but when seen together, they should raise suspicion and prompt further evaluation and testing for rabies.

Correct Answer: C

Rationale: The correct answer is C because transcription is the process in which messenger RNA transcripts are produced from DNA. During transcription, a specific segment of DNA is transcribed into mRNA by RNA polymerase. Choice A is incorrect because translation, not transcription, involves converting mRNA into protein. Choice B is incorrect as it describes DNA replication, not transcription. Choice D is incorrect because it refers to translation, where polypeptides are synthesized from mRNA. Therefore, choice C is the correct answer as it accurately describes the process of transcription.

Correct Answer: B

Rationale: The correct answer is B: Thermophiles. Thermophiles are bacteria that can survive in extreme temperatures, typically between 45°C to 80°C. This ability is due to their unique enzymes and cell membrane structures that are adapted to high temperatures. Escherichia coli (A) is a common bacterium found in the human gut and does not thrive in extreme temperatures. Clostridium tetani (C) is a bacterium that causes tetanus and prefers moderate temperatures. Salmonella enterica (D) is a pathogenic bacterium that does not thrive in extreme temperatures. Therefore, Thermophiles are the only bacteria on the list known for surviving in extreme temperatures.