Drugs needed for diseases with fewer than 200,000 patients, and that fail to receive attention for development because of cost and need, are called:

Correct Answer: C

Rationale: The correct answer is C: orphan drugs. Orphan drugs are medications developed to treat rare diseases affecting fewer than 200,000 patients. These diseases often lack attention from pharmaceutical companies due to the high cost and limited market potential. Orphan drugs receive special incentives and regulatory support to encourage their development. A: Secondary drugs do not specifically refer to medications for rare diseases. B: Minor drugs is not a recognized term in the context of rare disease medications. D: Specialty drugs typically refer to high-cost medications used to treat complex or chronic conditions, but not necessarily rare diseases.

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pneumoniae. This bacterium is the most likely causative agent based on the description of Gram-positive cocci in pairs with a capsule. S. pneumoniae is known for its characteristic morphology and the presence of a capsule, which helps in evading the immune system. It commonly causes pneumonia, especially in patients with a productive cough and fever. Incorrect choices: B: Klebsiella pneumoniae typically presents with a mucoid capsule and is associated with pneumonia in immunocompromised individuals. C: Neisseria meningitidis is a Gram-negative diplococcus and is more commonly associated with meningitis and septicemia. D: Staphylococcus aureus is a Gram-positive cocci, but it does not typically present in pairs with a capsule and is more commonly associated with skin and soft tissue infections.

Correct Answer: A

Rationale: The correct answer is A: Clostridium perfringens. Clostridium perfringens is known to cause gas gangrene and is a Gram-positive rod that produces spores and gas in tissue infections. Clostridium tetani causes tetanus, not gas gangrene. Bacillus anthracis causes anthrax, not gas gangrene. Staphylococcus aureus is a Gram-positive cocci and does not produce spores or gas in the context of gas gangrene. Therefore, based on the characteristics of the microorganism isolated from the wound sample, Clostridium perfringens is the most likely causative agent.

Correct Answer: B

Rationale: The correct answer is B: mitochondria. Stroma is a component of chloroplasts, not mitochondria. Lysosomes contain hydrolytic enzymes, not stroma. Mitochondria have an inner and outer membrane structure, with the matrix containing the stroma where important metabolic processes occur. This is where the Krebs cycle and oxidative phosphorylation take place. Stroma in chloroplasts is where photosynthesis occurs. So, the correct answer is B because stroma is a component of mitochondria, where crucial energy production processes happen.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Gram-positive rods with terminal spores suggest Clostridium genus. 2. Terminal spores are characteristic of Clostridium perfringens. 3. C. perfringens is known to cause wound infections. 4. Therefore, the most likely causative agent is Clostridium perfringens. Summary: A: Clostridium perfringens is correct due to its characteristic features and association with wound infections. B: Bacillus anthracis does not typically form terminal spores. C: Clostridium tetani causes tetanus, not wound infections. D: Bacillus cereus does not produce terminal spores like Clostridium perfringens.