During bacteriological examination of the purulent discharge obtained from a postoperative wound an inoculation on meat infusion agar has been performed. The inoculation has resulted in large colorless mucous colonies that in 24 hours with exposure to sunlight developed green-blue pigmentation and smell of honey or jasmine. Bacterioscopy revealed gram-negative lophotrichea. What bacterial culture is contained in purulent discharge?

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is a gram-negative bacterium known for its green-blue pigmentation and sweet, fruity odor. The large colorless mucous colonies that develop green-blue pigmentation and honey or jasmine smell point towards Pseudomonas aeruginosa. The bacterioscopy revealing gram-negative lophotrichea further supports this identification. Proteus vulgaris and Klebsiella osaenae do not typically exhibit the described characteristics. Streptomyces griseus is a soil bacterium known for its antibiotic production and is not commonly associated with wound infections.

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: D

Rationale: The correct answer is D (A and B both). In viral multiplication, the presence of a specific cytopathic effect (CPE) in cell culture indicates viral replication. This is detected visually through changes in cell morphology. Additionally, immunofluorescence detection methods can be used to detect viral antigens within infected cells, confirming viral multiplication. Options C is incorrect as viral colonies are not typically used to detect viral multiplication in cell culture. Option B alone is not sufficient as it only focuses on immunofluorescence detection, while option A alone may not always be specific. Therefore, the combination of A and B provides a more comprehensive and accurate detection method for viral multiplication in cell culture.

Correct Answer: B

Rationale: The correct answer is B: pertussis toxin. This toxin is the most important virulence factor of Bordetella pertussis because it plays a key role in causing the characteristic symptoms of whooping cough. Pertussis toxin interferes with the host's immune response, leading to inflammation and tissue damage in the respiratory tract. The other choices (A: the flagellum, C: P fimbriae, D: mannose-resistant adhesins) are important for bacterial attachment and colonization, but they do not directly contribute to the severity of the disease like pertussis toxin does.

Correct Answer: C

Rationale: The correct answer is C: Bacterial adhesion to the surface of the host cells, conjugation. Villi and cilia on the cell surface of pathogenic bacteria help in bacterial adhesion to host cells, facilitating the process of infection. Conjugation is the transfer of genetic material between bacterial cells, which can be aided by these structures. The other choices are incorrect because RNA exchange between cells (A) is typically facilitated by different structures like pili, inhibition of complement activity (B) is not related to the function of villi and cilia, and resistance to antibody opsonization (D) is usually achieved through other mechanisms such as capsule formation.