Etiological factors for the infectious diseases are often microorganisms with various ultrastructure. Which of the following microorganism groups relates to the eukaryotes?

Correct Answer: A

Rationale: The correct answer is A: Protozoa. Protozoa are single-celled eukaryotic organisms, meaning they have a nucleus and other membrane-bound organelles. Eukaryotes have complex cellular structures that include a nucleus, mitochondria, and other organelles. Therefore, protozoa are eukaryotes. Viruses (B) are not considered cells and lack cellular structures. Viroids (C) are smaller infectious agents that consist of only RNA, lacking the cellular structure of eukaryotes. Prions (D) are infectious proteins and do not possess cellular structures like eukaryotes. So, protozoa are the only choice that relates to eukaryotes due to their cellular structure.

Correct Answer: A

Rationale: The correct answer is A: Nystatin. Nystatin is an antifungal medication, not an antibiotic used to treat bacterial infections like generalized meningococcal infection. Penicillin G, macrolides, and chloramphenicol are antibiotics commonly used to treat bacterial infections, including meningococcal infections. Penicillin G is the drug of choice for meningococcal infections, while macrolides and chloramphenicol are alternative options. Nystatin is not effective against bacteria, so it is not a suitable treatment for meningococcal infections.

Correct Answer: A

Rationale: The correct answer is A: T-lymphocytes. Cell-mediated immunity involves the activation of T-lymphocytes, which play a crucial role in recognizing and killing infected cells. T-lymphocytes include cytotoxic T cells, helper T cells, and regulatory T cells, all of which are involved in different aspects of cell-mediated immunity. Monocytes (choice B) are a type of white blood cell involved in phagocytosis but are not the main mediators of cell-mediated immunity. B-lymphocytes (choice C) are involved in humoral immunity, producing antibodies, not cell-mediated immunity. Choice D (A+B+C) is incorrect because cell-mediated immunity is mainly mediated by T-lymphocytes.

Correct Answer: A

Rationale: The correct answer is A: Leffler's method. In this staining method, gentian violet solution is used as the primary stain, followed by Lugol's solution as a mordant, 960 spiritus as a decolorizer, and water fuchsin as a counterstain. Gentian violet stains the organisms purple, Lugol's solution helps in fixing the dye, 960 spiritus decolorizes non-specifically, and water fuchsin acts as a counterstain to help visualize the bacteria. Leffler's method is specifically used for staining sputum smears in suspected cases of croupous pneumonia. Summary: B: Gram's staining uses crystal violet, iodine, alcohol, and safranin. It is mainly used for distinguishing between Gram-positive and Gram-negative bacteria. C: Ziehl-Neelsen's staining is used for acid-fast bacteria like Mycobacterium tuberculosis using carbol fuchsin and acid-alcohol

Correct Answer: B

Rationale: The correct answer is B: Blood agar. Pneumococci are fastidious bacteria that require enriched media for cultivation. Blood agar provides essential nutrients and growth factors needed for the growth of pneumococci. It contains sheep blood, which provides hemin and NAD, supporting the growth of these bacteria. Kligler iron agar (A) is used for differentiating enteric bacteria based on glucose and lactose fermentation. Apocholate citrate agar (C) is used for the selective isolation of Escherichia coli. Peptone water (D) is a non-selective medium used for the initial cultivation of microorganisms.

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: C

Rationale: The correct answer is C because diphtheria exotoxin is absorbed into the underlying healthy tissues and spreads throughout the body. This is due to the toxin's ability to enter the bloodstream and target various organs, causing systemic effects. Choice A is incorrect as the toxin does not stay localized at the site of infection. Choice B is incorrect as diphtheria exotoxin does not directly affect neuro-muscular transmission. Choice D is also incorrect as the toxin does spread throughout the body.

Correct Answer: A

Rationale: Rationale: A: Early application of gentamicin is not recommended as a specific treatment for C. difficile-associated post antibiotic diarrhea because it does not have efficacy against C. difficile. B: Metronidazole is recommended as first-line treatment for mild to moderate C. difficile infection. C: Stopping antibiotic treatment and observing the clinical response for 48 hours is not a recommended strategy as prompt treatment is crucial in C. difficile infection. D: Vancomycin per os is an appropriate treatment for severe C. difficile infection. In summary, A is incorrect because gentamicin is not effective against C. difficile, while B, C, and D are potential treatment strategies based on severity of the infection.

Correct Answer: A

Rationale: The correct answer is A: Toxin production test. Rationale: 1. Diphtheria is caused by a toxin produced by Corynebacterium diphtheriae. 2. To confirm if the carrier is dangerous, we need to test if they are producing the toxin. 3. The toxin production test directly assesses if the bacteria are producing the harmful toxin. 4. Positive results indicate the carrier is dangerous and can transmit the disease to others. Summary of other choices: B: Mouse neutralization test - Used to detect diphtheria antitoxin levels in blood, not to confirm if the carrier is dangerous. C: Immunofluorescence test - Used to detect specific antigens or antibodies, not directly related to confirming the carrier's danger. D: Complement fixation test - Measures immune response, not specific to toxin production confirmation.