Bacteriological inspection of disinfection quality at a pharmacy revealed a microorganism in an utility room (in the sink). The microorganism has the following properties: mobile nonspore-forming gram- negative bacteria that form capsular substance, grow well on ordinary nutrient media, secrete the blue-green pigment. This microorganism is most likely to be of the following genus:

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas. Rationale: 1. Mobile nonspore-forming gram-negative bacteria with a capsule substance indicate Pseudomonas. 2. Pseudomonas grow well on ordinary nutrient media, matching the description. 3. The secretion of a blue-green pigment is a characteristic feature of Pseudomonas. 4. Proteus is a gram-negative bacterium but does not match all the given properties. 5. Clostridium is a gram-positive bacterium that forms spores. 6. Shigella is a gram-negative bacterium but does not have the other characteristics mentioned. Therefore, based on the properties described, the most likely genus of the microorganism is Pseudomonas.

Correct Answer: A

Rationale: The correct answer is A: Actinomycosis. This is supported by the presence of purulent foci with druses consisting of short rod-like elements attached to a homogenous center, which is characteristic of Actinomyces species. Actinomycosis commonly presents with granulation tissue and connective tissue formation. B: Tuberculosis does not typically present with druses containing short rod-like elements. C: Syphilis does not typically present with purulent foci or druses. D: Candidosis does not typically present with the described features of purulent fluxing and druses with short rod-like elements.

Correct Answer: A

Rationale: The correct answer is A: Giardia lamblia. Giardia lamblia is a protozoan parasite that causes foul-smelling diarrhea with trophozoites having two nuclei and flagella in stool microscopy. The presence of flagella and two nuclei is characteristic of Giardia lamblia. Entamoeba histolytica (Choice B) causes amoebic dysentery with trophozoites containing ingested RBCs. Trichomonas vaginalis (Choice C) is a sexually transmitted protozoan causing vaginitis with a distinctive pear-shaped trophozoite. Balantidium coli (Choice D) is a ciliated protozoan causing diarrhea with trophozoites containing a single nucleus.

Correct Answer: D

Rationale: The correct answer is D: lyases. Lyases are enzymes that catalyze the breaking of chemical bonds without the addition of water. They can remove functional groups from substrates or add functional groups to double bonds without the use of water. A: Oxidoreductases involve the transfer of electrons. B: Transferases transfer functional groups from one molecule to another. C: Hydrolases catalyze the breaking of bonds by adding water.

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus epidermidis. 1. Gram-positive cocci suggest a staphylococcal species. 2. Catalase-positive indicates it belongs to the Staphylococcus genus. 3. Coagulase-negative rules out Staphylococcus aureus. 4. Staphylococcus epidermidis is a common cause of infections in immunocompromised patients. Summary: - B: Staphylococcus aureus is coagulase-positive. - C: Streptococcus pneumoniae is a Gram-positive diplococci. - D: Neisseria meningitidis is a Gram-negative diplococci.

Correct Answer: B

Rationale: The correct answer is B: Klebsiella pneumoniae. This bacterium is gram-negative, capsulated, and forms lactose-positive colonies. It was first isolated in pneumonia but is more commonly associated with urinary infections, otitis, meningitides, sepsis, and nosocomial infections. Klebsiella pneumoniae fits all the characteristics mentioned in the question, making it the correct choice. Incorrect choices: A: Staphylococcus aureus is gram-positive and does not have a capsule. C: Streptococcus pneumoniae is also gram-positive and does not fit the description given. D: Mycobacterium tuberculosis is an acid-fast bacterium associated with tuberculosis, but it is neither gram-negative nor lactose-positive.

Correct Answer: B

Rationale: The correct answer is B: Coxiella burnetii. Q-fever is caused by the bacterium Coxiella burnetii. It is not caused by viruses like Bunyaviridae or Filoviridae. Rickettsia conorii causes Mediterranean spotted fever, not Q-fever. Coxiella burnetii is the only bacterium among the choices known to be the etiological agent of Q-fever.

Correct Answer: B

Rationale: The correct answer is B: prophage. In the repressed stage, a phage integrates its DNA into the host cell's chromosome, becoming a prophage. This integration allows the phage to replicate along with the host cell without causing immediate lysis. A: Antiphage is not a term used to describe a phage in a repressed stage. C: Virulent phage refers to a phage that immediately causes lysis of the host cell. D: Latent phage is not a commonly used term in this context.

Correct Answer: C

Rationale: The correct answer is C: Respiratory tract. The respiratory tract is likely the most frequently used portal of entry for pathogens because it is constantly exposed to the external environment and has a large surface area lined with mucous membranes that can trap and facilitate the entry of pathogens. Additionally, the respiratory tract serves as a direct pathway for pathogens to reach the bloodstream and other organs. Skin (choice A) is a physical barrier that can prevent pathogen entry, while the gastrointestinal tract (choice B) has acidic pH and enzymes that can kill many pathogens. Conjunctiva (choice D) is a less common portal of entry compared to the respiratory tract due to its smaller surface area and protective mechanisms such as tears.