Crude herbal drugs must be examined for yeast-like fungi. What agar can ensure development of these microorganisms so that associating microflora will grow very slowly or won't grow at all?

Correct Answer: A

Rationale: The correct answer is A: Sabouraud's peptone agar. This agar is specifically designed for the isolation of yeast and molds due to its low pH and high sugar content, creating an environment conducive for their growth. Yeast-like fungi thrive in this selective medium, while inhibiting the growth of bacteria and other contaminants. Summary: - Sabouraud's peptone agar is ideal for cultivating yeast-like fungi. - Endo agar is used for isolation of gram-negative bacteria, not fungi. - Milk-salt agar is used for lactobacilli and streptococci, not fungi. - Meat infusion agar is a general-purpose medium for cultivation of a wide range of microorganisms, not specifically for yeast-like fungi.

Correct Answer: C

Rationale: Rationale: Metronidazole is the drug of choice for systemic amebiasis due to its high efficacy against Entamoeba histolytica. It has good tissue penetration and can treat intestinal, liver, and lung involvement. Quiniofone (A) has limited use and is not recommended for amebiasis. Enteroseptol (B) is not effective against systemic amebiasis. Tetracycline (D) is not the first-line treatment for amebiasis and has limited efficacy against Entamoeba histolytica.

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is a common cause of pneumonia and is characterized by being Gram-positive cocci arranged in pairs with a capsule, as described in the question. The presence of a capsule is a key characteristic of Streptococcus pneumoniae, distinguishing it from the other choices. Staphylococcus aureus (B) is a Gram-positive cocci, but it typically forms clusters, not pairs. Klebsiella pneumoniae (C) is a Gram-negative rod, not a Gram-positive cocci. Enterococcus faecalis (D) is a Gram-positive cocci, but it does not typically present with a capsule in the same way Streptococcus pneumoniae does.

Correct Answer: B

Rationale: The correct answer is B: septicemia. Septicemia specifically refers to the presence of bacteria in the bloodstream, leading to a systemic inflammatory response. Bacteremia (choice A) is simply the presence of bacteria in the blood without the systemic inflammatory response. Shock (choice C) is a state of circulatory collapse, often seen in severe septicemia. Bloodborne infection (choice D) is a general term for infections transmitted through the blood but does not specifically refer to the condition of bacterial multiplication causing toxicity.

Correct Answer: D

Rationale: Interferon delta is not a known type of interferon, making choice D incorrect. Interferon beta is indeed produced by fibroblasts (choice A), interferon alpha by leukocytes (choice B), and interferon gamma by lymphocytes (choice C). Each type of interferon is produced by specific cells in the immune system, contributing to the body's defense against viruses and other pathogens.

Correct Answer: A

Rationale: Step 1: Gram-negative rod with safety pin appearance indicates bipolar staining. Step 2: Yersinia pestis is a Gram-negative rod causing bubonic plague. Step 3: Y. pestis has bipolar staining due to its unique F1 capsule. Step 4: The swollen lymph node and bacteremia are consistent with bubonic plague. Step 5: Therefore, the correct answer is A: Yersinia pestis. Summary: - B: Clostridium tetani causes tetanus, not characterized by a safety pin appearance. - C: Brucella melitensis causes brucellosis, not characterized by a safety pin appearance. - D: Pasteurella multocida causes animal bites infections, not characterized by a safety pin appearance.

Correct Answer: C

Rationale: The primary target of beta-lactam antibiotics is cell wall synthesis. These antibiotics inhibit enzymes called penicillin-binding proteins, which are essential for building the bacterial cell wall. By disrupting cell wall synthesis, beta-lactam antibiotics weaken the cell wall, leading to bacterial cell lysis and death. Protein synthesis (Choice A), DNA replication (Choice B), and folic acid synthesis (Choice D) are not directly targeted by beta-lactam antibiotics, making them incorrect choices.

Correct Answer: A

Rationale: The correct answer is A: Botulism. Botulism is a rare but serious illness caused by a toxin produced by the bacterium Clostridium botulinum. In this case, the patient's symptoms align with botulism due to the ingestion of homemade mushrooms. The symptoms of double vision, heavy breathing, paleness, widened pupils, swallowing difficulties, bradycardia, and constipation are all classic signs of botulism poisoning. The toxin affects the nervous system and can lead to paralysis. The other choices (B: Yersiniosis, C: Leptospirosis, D: Salmonellosis) do not match the patient's symptoms and history of consuming mushrooms, making them incorrect.

Correct Answer: B

Rationale: The correct answer is B: Corynebacterium diphtheriae. This bacterium produces a toxin that causes diphtheria. It forms a grayish membrane in the throat, leading to difficulty breathing. Bacillus anthracis (Choice A) causes anthrax, Streptococcus pneumoniae (Choice C) causes pneumonia, and Escherichia coli (Choice D) causes various infections but not diphtheria.