Antibiotics for multiple-resistant microorganisms are:

Correct Answer: D

Rationale: The correct answer is D: Imipenem. Imipenem is a carbapenem antibiotic effective against multiple-resistant microorganisms due to its broad spectrum and resistance to beta-lactamases. It is often used as a last resort for severe infections. Ampicillin (A) and Penicillin (B) are both beta-lactam antibiotics that are less effective against multiple-resistant microorganisms due to widespread resistance mechanisms. Augmentin (C) is a combination of amoxicillin and clavulanic acid, which may have limited efficacy against certain resistant strains but is not as effective as imipenem for treating infections caused by multiple-resistant microorganisms.

Correct Answer: A

Rationale: The correct answer is A: Human papillomavirus. Genital warts are caused by certain strains of HPV, specifically types 6 and 11. HPV is a sexually transmitted infection that affects the skin and mucous membranes. HPV is directly linked to the development of genital warts through skin-to-skin contact during sexual activity. Herpes simplex virus 2 causes genital herpes, not genital warts. Human immunodeficiency virus (HIV) weakens the immune system but does not directly cause genital warts. Human cytomegalovirus (CMV) is not a common cause of genital warts. Therefore, HPV is the correct and most logical choice for the cause of genital warts.

Correct Answer: A

Rationale: Step 1: Clostridia of tetanus, botulism, anaerobic gas infection are spore-forming bacteria. Step 2: Spores are resistant structures that allow bacteria to survive in harsh conditions. Step 3: Feces contain these spore-forming bacteria due to contamination. Step 4: When feces are deposited on soil, the spores of these bacteria enter the soil. Step 5: Spores can remain dormant in soil for long periods. Summary: Choice A is correct as spore-forming bacteria enter soil through feces, which act as a source of contamination. Choices B, C, and D are incorrect as they do not involve the direct introduction of spores into soil like feces do.

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is known for producing a bluish-green pigment called pyocyanin, which presents as a cyan pigment. This bacterium is commonly associated with wound infections and is often found in oral surgery complications. Proteus vulgaris (B) and Klebsiella pneumoniae (D) are not typically associated with cyan pigment production, making them less likely causative agents. Bacillus subtilis (C) is not known to produce cyan pigment and is not a common pathogen in wound infections. Therefore, based on the presence of cyan pigment and the clinical context of an oral surgery complication, Pseudomonas aeruginosa is the most probable causative agent.

Correct Answer: A

Rationale: The correct answer is A: Break down antibiotics like penicillin. Beta-lactamase is an enzyme produced by bacteria to inactivate beta-lactam antibiotics like penicillin by breaking the beta-lactam ring. This mechanism helps bacteria resist the antibiotic's effects. The other choices are incorrect because beta-lactamase does not enhance protein synthesis, facilitate DNA replication, or transport nutrients. It specifically targets and deactivates beta-lactam antibiotics, making choice A the most appropriate answer.

Correct Answer: B

Rationale: The correct answer is B: Protein synthesis. Bacterial ribosomes are responsible for translating the genetic information from mRNA into proteins. This process involves the binding of transfer RNA molecules carrying amino acids to the ribosome and the formation of peptide bonds between the amino acids to create proteins. DNA replication (A) is carried out by DNA polymerase enzymes, not ribosomes. Energy production (C) is primarily the function of mitochondria in eukaryotic cells, and cell division (D) is regulated by a complex network of proteins and signaling pathways, not ribosomes.

Correct Answer: A

Rationale: The correct answer is A because Legionellae are typically found in natural water sources such as lakes, rivers, and soil. Legionellae thrive in aquatic environments and can also be present in mud. Choice B is incorrect as Legionellae are not limited to infected humans but are also found in the natural environment. Choice C is incorrect as Legionellae are not primarily associated with infected animals. Choice D is incorrect as Legionellae do have natural reservoirs in water and soil.

Correct Answer: C

Rationale: The correct answer is C: 10% of the infected men have no symptoms. This is true because gonorrhea can be asymptomatic in some individuals, leading to undiagnosed cases. Testicular pain and epididymal tenderness (choice A) are not typical symptoms of gonorrhea in men. Painful urination (choice B) may or may not be present. Purulent discharge (choice D) is a common symptom but not always present. Therefore, choice C is the most accurate statement regarding gonorrhea symptoms in men.

Correct Answer: D

Rationale: The correct answer is D: Adenovirus. Adenovirus commonly causes acute febrile pharyngitis and pharyngoconjunctival fever. Adenovirus is known to cause respiratory infections and can present with symptoms such as sore throat, fever, and conjunctivitis. VZV (Varicella-Zoster Virus) causes chickenpox and shingles, not these specific symptoms. Measles virus causes a systemic illness with characteristic rash, not typically pharyngitis. Rubella virus causes a mild febrile illness with rash, but not pharyngitis. Therefore, based on the clinical presentation described, adenovirus is the most likely cause.