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: D

Rationale: The correct answer is D: To determine the children that need to receive BCG vaccination. The Mantoux test is used to identify individuals who have been exposed to Tuberculosis (TB) and need BCG vaccination for protection. Parotitis (choice A) is a viral infection unrelated to TB. Allergization rate toward rickettsia (choice B) and immune stress toward diphtheria (choice C) are not related to the Mantoux test or BCG vaccination. Therefore, choice D is the correct answer as it aligns with the purpose of the Mantoux test.

Correct Answer: A

Rationale: The correct choice is A: Binding to IgE fixed to mast cells. The Besredka desensitization method involves injecting small, gradually increasing doses of the allergen to induce tolerance and prevent anaphylactic shock. This process works by binding the allergen to IgE antibodies fixed to mast cells, which prevents the release of histamine and other inflammatory mediators that trigger allergic reactions. This desensitization process helps the immune system become less reactive to the allergen over time. Incorrect choices: B: Inhibited synthesis of mast cells mediators - This choice does not reflect the mechanism of the Besredka desensitization method, which involves binding to IgE on mast cells. C: Stimulation of the immunological antigen tolerance - While this may sound plausible, the Besredka method specifically targets the IgE-mast cell interaction. D: Stimulation of antigen-specific IgG synthesis - While IgG antibodies may play a role in desensitization, the

Correct Answer: D

Rationale: The correct answer is D, Klebsiella pneumoniae. Klebsiella pneumoniae is a fermentative gram-negative rod, which means it can ferment sugars. In contrast, Pseudomonas aeruginosa, Acinetobacter baumannii, and Stenotrophomonas maltophilia are non-fermentative gram-negative rods. These organisms do not ferment sugars for energy production. Therefore, Klebsiella pneumoniae is the only fermentative organism among the choices, making it the correct answer.

Correct Answer: D

Rationale: The correct answer is D: Tuberculosis. Tuberculosis is considered a reemerging disease due to the increase in drug-resistant strains, high global prevalence, and challenges in diagnosis and treatment. This is supported by global health organizations' reports on the resurgence of TB cases. A: AIDS is not considered a reemerging disease as there has been significant progress in HIV prevention and treatment. B: Ebola outbreaks are sporadic and localized, not considered reemerging on a global scale. C: West Nile virus outbreaks occur periodically, but it is not considered a reemerging disease compared to TB.

Correct Answer: D

Rationale: The correct answer is D: Fifth disease. Rubella virus is associated with Fifth disease, also known as erythema infectiosum. It is caused by parvovirus B19, not rubella virus. Mumps (choice A) is caused by the mumps virus. Roseola (choice B) is caused by human herpesvirus 6 or 7. Rubeola (choice C) is the scientific name for measles, caused by the measles virus. Therefore, the correct answer is Fifth disease as it is the disease associated with rubella virus.

Correct Answer: D

Rationale: The correct answer is D, Salmonella typhi, because it is a motile bacterium due to possessing flagella that aid in movement. Bacillus anthracis (A) is non-motile, Klebsiella pneumoniae (B) lacks flagella for motility, and Shigella flexneri (C) is non-motile as well. Salmonella typhi (D) is known for its flagella-driven motility, allowing it to move and spread within its host and environment. Flagella are essential for bacterial motility, enabling them to navigate and colonize different environments efficiently.

Correct Answer: C

Rationale: The correct answer is C: rotaviruses. Rotaviruses are the most common cause of infectious diarrhea in infants and children due to their highly contagious nature and ability to spread easily in childcare settings. They are known to cause severe diarrhea, vomiting, and dehydration in young children. Noroviruses (A), adenoviruses (B), and caliciviruses (D) can also cause diarrhea, but rotaviruses are specifically known for their prevalence and severity in the pediatric population. This is why C is the correct answer.

Correct Answer: A

Rationale: The correct answer is A: Toxoplasmosis. Toxoplasmosis is a parasitic infection caused by Toxoplasma gondii, which can be transmitted to humans through contact with infected cat feces. During pregnancy, Toxoplasma infection can result in severe birth defects such as microcephaly and mental retardation in the child. In this case, the presence of a cat in the family and the child's abnormalities suggest a possible link to Toxoplasmosis. Other choices are incorrect because: B: Leishmaniasis is a parasitic disease transmitted by sandflies and does not typically cause the specific birth defects mentioned in the scenario. C: Dysentery is a bacterial infection that primarily affects the intestines and does not cause the neurological abnormalities described. D: Balantidiasis is a parasitic infection caused by Balantidium coli, a ciliated protozoan, but it is not associated with