Drugs are excreted from the body primarily via the:

Correct Answer: B

Rationale: The correct answer is B: kidneys. The kidneys are the primary organs responsible for excreting drugs from the body through urine. They filter the blood and remove waste products, including drugs, through the process of urine formation. The lungs primarily excrete gases and volatile substances, not drugs. The small intestines are mainly involved in absorption of nutrients, not drug excretion. The spleen is part of the immune system and does not play a direct role in drug excretion.

Correct Answer: B

Rationale: The correct answer is B: Blood agar. Pneumococci are fastidious bacteria that require enriched media for cultivation. Blood agar provides essential nutrients and growth factors needed for the growth of pneumococci. It contains sheep blood, which provides hemin and NAD, supporting the growth of these bacteria. Kligler iron agar (A) is used for differentiating enteric bacteria based on glucose and lactose fermentation. Apocholate citrate agar (C) is used for the selective isolation of Escherichia coli. Peptone water (D) is a non-selective medium used for the initial cultivation of microorganisms.

Correct Answer: B

Rationale: The correct answer is B: genotype. The genotype refers to the actual genetic makeup of an organism, including all the genes and alleles present in its DNA. This determines the traits and characteristics of an organism. Phenotype (A) is the observable physical or biochemical characteristics of an organism. Conjugation (C) is a process in bacteria involving the transfer of genetic material. Construct (D) is not a term related to genetics. Therefore, the correct choice is B as it specifically refers to the genetic composition of an organism.

Correct Answer: B

Rationale: The correct answer is B because anaerobic bacteria can grow in environments without oxygen. Anaerobic bacteria do not require oxygen for their metabolism and energy production. They can thrive in oxygen-deprived conditions by using alternative electron acceptors. Choice A is incorrect because anaerobic bacteria do not require oxygen to survive. Choice C is incorrect because anaerobic bacteria typically cannot survive in the presence of high concentrations of oxygen. Choice D is incorrect because anaerobic bacteria do not perform photosynthesis.

Correct Answer: A

Rationale: Rationale: A: Early application of gentamicin is not recommended as a specific treatment for C. difficile-associated post antibiotic diarrhea because it does not have efficacy against C. difficile. B: Metronidazole is recommended as first-line treatment for mild to moderate C. difficile infection. C: Stopping antibiotic treatment and observing the clinical response for 48 hours is not a recommended strategy as prompt treatment is crucial in C. difficile infection. D: Vancomycin per os is an appropriate treatment for severe C. difficile infection. In summary, A is incorrect because gentamicin is not effective against C. difficile, while B, C, and D are potential treatment strategies based on severity of the infection.

Correct Answer: A

Rationale: The correct answer is A: Entamoeba gingivalis. This organism matches the description provided in the question - unicellular with pseudopodia and ingested white blood cells, commonly found in dental plaque. Entamoeba gingivalis is known to inhabit the oral cavity and is associated with periodontal disease. Trichomonas vaginalis, Giardia lamblia, and Balantidium coli do not match the characteristics mentioned in the question and are not typically found in the oral cavity.

Correct Answer: D

Rationale: The correct answer is D: Parenteral introduction of antitetanus serum. The symptoms described in the question, such as bilateral ptosis, mydriatic pupils, and difficulty reading, are indicative of tetanus infection. The source of infection could be the scratch on the knee, which allowed the tetanus bacteria to enter the body. The most appropriate therapy for tetanus is the administration of antitetanus serum to neutralize the tetanus toxin. Antibotulinic serum (choice A) is not appropriate as it is used for botulism, which presents differently. Disintoxication (choice B) is too general and does not address the specific cause of the symptoms. Antibiotics (choice C) are not effective in treating tetanus because it is caused by a toxin, not a bacterial infection. Therefore, the correct course of action is to administer antitetanus serum to the patient.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Purple-stained diplococci suggest Gram-positive cocci. 2. Capsule presence is a characteristic of Streptococcus pneumoniae. 3. S. pneumoniae is known to form diplococci arrangements. 4. Therefore, the microorganism most likely present is Streptococcus pneumoniae. Summary: - B: Klebsiella pneumoniae is a Gram-negative rod, not a cocci. - C: Neisseria meningitidis is a Gram-negative diplococcus, not a capsule producer. - D: Escherichia coli is a Gram-negative rod, not a cocci or capsule producer.

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. The given characteristics match this bacterium: Gram-positive diplococci, catalase-negative, and alpha-hemolytic. S. pneumoniae is a common cause of community-acquired pneumonia. Other choices are incorrect because Staphylococcus aureus is catalase-positive, Enterococcus faecalis is not alpha-hemolytic, and Klebsiella pneumoniae is not Gram-positive diplococci.