During fibergastroscopy a patient with ulcer disease of the stomach, the mucosal biopsy is taken from the area of an ulcer. Impression smear is prepared from biopsy material and stained by Gram method; the rest of biopsy material is tested for urease activity. Microscopy of the impression smear revealed gram- negative spiral-shaped microorganisms, urease activity test is positive. What bacteria were detected?

Correct Answer: A

Rationale: The correct answer is A: Helicobacter pylori. Rationale: 1. Gram-negative spiral-shaped microorganisms match the morphology of Helicobacter pylori. 2. Positive urease activity is a characteristic feature of Helicjsonacter pylori. 3. Helicobacter pylori is specifically associated with gastric ulcers and is a common pathogen in the gastrointestinal tract. Summary: Choice B, Campilobacter jejuni, is a gram-negative curved bacterium but is not typically associated with gastric ulcers or urease activity. Choice C, Treponema pallidum, is a spirochete bacterium causing syphilis, which is not related to gastric ulcers. Choice D, Spirilla minor, is a generic term for spiral-shaped bacteria and is not a specific pathogen associated with gastric ulcers or urease activity.

Correct Answer: A

Rationale: The correct answer is A: Treponema pallidum. This bacterium is responsible for causing syphilis due to its unique spiral shape and ability to penetrate mucous membranes. It is transmitted through sexual contact or from mother to child during childbirth. Neisseria gonorrhoeae causes gonorrhea, Chlamydia trachomatis causes chlamydia, and Escherichia coli is a common bacterium found in the gut. Therefore, they are not responsible for syphilis.

Correct Answer: C

Rationale: The correct answer is C: genes with plasmid location. Clostridium tetani produces exotoxins through genes located on plasmids. Plasmids are extrachromosomal genetic elements that carry additional genes. These genes encode for the production of exotoxins in Clostridium tetani. Choices A, B, and D are incorrect because Clostridium tetani does produce exotoxins, it does not have only endotoxin activity, and the genes responsible for exotoxin production are located on plasmids, not solely on the chromosome or both chromosome and plasmid.

Correct Answer: B

Rationale: The correct answer is B: lyophilization. This technique involves freezing the sample and then removing the ice through sublimation, preserving the cells in a dry state. Desiccation (A) simply involves drying without freezing. Pasteurization (C) is a heat treatment to kill pathogens, not used for preservation. Radiation (D) can sterilize but doesn't involve freezing and drying like lyophilization.

Correct Answer: D

Rationale: The correct answer is D: pinocytosis. This is an active transport mechanism where cells engulf fluids or solutes through vesicles. Energy is required to transport substances against a concentration gradient. A is incorrect as pinocytosis is an active process, not passive like pinocytosis. B is incorrect as facilitated diffusion is a passive process that uses carrier proteins to move substances down a concentration gradient. C is incorrect as filtration is a passive process that relies on pressure gradients to move substances across a barrier. Therefore, D is the correct choice as it involves the active transport of substances into the cell.

Correct Answer: A

Rationale: The correct answer is A: Antitoxic passive immunity. Antibotulinic serum contains pre-formed antibodies against the botulinum toxin, providing immediate protection to the patient. This is passive immunity as the patient does not produce their antibodies but receives them externally. Choice B is incorrect as botulism is not an infection, so the patient does not develop infection immunity. Choice C is incorrect because active immunity involves the body producing its antibodies after exposure to an antigen, which is not the case here. Choice D is incorrect as antimicrobic immunity relates to protection against microbes, not toxins like in botulism.

Correct Answer: A

Rationale: The correct answer is A: Escherichia coli. E. coli typically produces red colonies on Endo agar due to its ability to ferment lactose. This results in the production of acid, causing the colonies to appear red. Salmonella and Shigella are non-lactose fermenters, so they would appear colorless or transparent on Endo agar. Proteus vulgaris is not commonly associated with red colonies on Endo agar. Therefore, based on the characteristic lactose fermentation pattern, E. coli is the most likely microorganism in this scenario.

Correct Answer: A

Rationale: Step 1: Streptococcus mutans is known for its ability to produce lactic acid, which contributes to the demineralization of tooth enamel, leading to dental caries. Step 2: Streptococcus pneumoniae is a common respiratory pathogen and not directly associated with dental caries. Step 3: Bacillus cereus is a foodborne pathogen and not typically found in the oral cavity or associated with dental caries. Step 4: Clostridium tetani causes tetanus, a neurological condition, and is not involved in the formation of dental caries. Summary: Choice A is correct as Streptococcus mutans is specifically linked to dental caries due to its acidogenic and aciduric properties. Choices B, C, and D are incorrect as they are not associated with dental caries.

Correct Answer: A

Rationale: The correct answer is A: Toxoplasma. The crescent-shaped protozoa with pointed ends and blue cytoplasm described in the question are characteristic of Toxoplasma gondii, the causative agent of toxoplasmosis. Toxoplasma staining with Romanovsky-Giemsa method typically shows these specific morphological features. Plasmodium causes malaria and does not exhibit the described morphology. Leishmania and Trypanosoma are both kinetoplastid parasites, but they do not typically present as crescent-shaped protozoa with blue cytoplasm. Therefore, based on the specific characteristics described in the question, the correct answer is Toxoplasma.