During an examination of feces from a patient with dysentery symptoms, large ciliated protozoa with a kidney-shaped macronucleus were found. What is the causative agent?

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Question 1 of 5

During an examination of feces from a patient with dysentery symptoms, large ciliated protozoa with a kidney-shaped macronucleus were found. What is the causative agent?

Correct Answer: A

Rationale: The correct answer is A: Balantidium coli. Balantidium coli is a large ciliated protozoa with a kidney-shaped macronucleus, commonly found in the feces of individuals with dysentery symptoms. Its morphology matches the description given in the question, making it the most likely causative agent. Summary of other choices: B: Entamoeba histolytica - This is not the correct answer because Entamoeba histolytica is a small amoeba with no cilia and a different nucleus shape. C: Giardia lamblia - This is not the correct answer as Giardia lamblia is a flagellated protozoa with a pear-shaped nucleus, different from the description provided. D: Trichomonas hominis - This is not the correct answer as Trichomonas hominis is a flagellated protozoa with multiple flagella and an undulating membrane, which does not match the characteristics of the

Question 2 of 5

Microscopy of a wound smear revealed Gram-positive rods with terminal spores resembling drumsticks. What microorganism is most likely responsible?

Correct Answer: A

Rationale: The correct answer is A: Clostridium tetani. The presence of Gram-positive rods with terminal spores resembling drumsticks indicates Clostridium tetani, the causative agent of tetanus. This bacterium forms spores at one end, giving it a drumstick appearance under the microscope. Clostridium perfringens (B) and Clostridium botulinum (D) do not have terminal spores. Bacillus anthracis (C) forms spores but typically appears as a square-ended or bamboo stick shape. Therefore, based on the microscopy findings, Clostridium tetani is the most likely microorganism responsible for the wound infection.

Question 3 of 5

The bacteria responsible for tuberculosis is:

Correct Answer: A

Rationale: Step-by-step rationale: 1. Mycobacterium tuberculosis is the causative agent of tuberculosis. 2. Mycobacterium tuberculosis is a slow-growing, acid-fast bacterium. 3. It primarily infects the lungs and can spread to other parts of the body. 4. Bacillus anthracis causes anthrax, Clostridium tetani causes tetanus, and Treponema pallidum causes syphilis. 5. Therefore, choice A, Mycobacterium tuberculosis, is the correct answer for the bacteria responsible for tuberculosis.

Question 4 of 5

In the sixteenth century, a father-and-son team, by the name of __________, produced a compound microscope consisting of a simple tube with lenses at each end.

Correct Answer: C

Rationale: The correct answer is C: Janssen. In the 16th century, Hans and Zacharias Janssen were a father-and-son team from the Netherlands who are credited with inventing the compound microscope. They constructed a simple tube with lenses at each end, which allowed for magnification of small objects. Their invention significantly contributed to the development of microscopy. Van Leeuwenhoek is known for his contributions to microscopy but did not invent the compound microscope. Semmelweis is known for his work in handwashing and preventing infection. Hooke made significant contributions to microscopy but did not invent the compound microscope.

Question 5 of 5

A patient with foul-smelling diarrhea had a stool sample showing large ciliated protozoa with a kidney-shaped macronucleus. What is the diagnosis?

Correct Answer: A

Rationale: The correct answer is A: Balantidiasis. The large ciliated protozoa with a kidney-shaped macronucleus described in the stool sample is consistent with Balantidium coli, the causative agent of balantidiasis. Balantidium coli is the only ciliated protozoan parasite that infects humans and presents with these specific characteristics. Giardiasis (B) is caused by Giardia intestinalis, which is flagellated, not ciliated. Amoebiasis (C) is caused by Entamoeba histolytica, which has an amoeboid shape, not ciliated. Trichomoniasis (D) is caused by Trichomonas vaginalis, which is a flagellated protozoan and does not have a kidney-shaped macronucleus. Hence, the correct diagnosis in this case is Balantidiasis.

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