Fires from flammable metals require type __________ fire extinguishers.

Correct Answer: D

Rationale: The correct answer is D because fires from flammable metals require specialized Class D fire extinguishers designed to extinguish these unique types of fires. Class A, B, and C fire extinguishers are not suitable for flammable metal fires as they are designed for different types of materials and fire classes. Class A extinguishers are for ordinary combustibles, Class B for flammable liquids, and Class C for electrical fires. Therefore, Class D fire extinguishers are specifically designed for flammable metal fires, making them the correct choice for this scenario.

Correct Answer: D

Rationale: The correct answer is D: All are correct. Patients planned for treatment with monoclonal antibodies should be tested for HBV, HCV, and M. tuberculosis due to the risk of reactivation of these infections during treatment. HBV and HCV reactivation can lead to severe liver damage, while M. tuberculosis reactivation can cause serious respiratory complications. Testing for all three infections helps in identifying and managing any pre-existing infections to ensure patient safety during monoclonal antibody treatment. Choices A, B, and C are incorrect because each of these infections presents specific risks that need to be assessed before initiating monoclonal antibody therapy.

Correct Answer: C

Rationale: The correct answer is C, as Gram-negative bacteria have a cell wall containing lipopolysaccharides. This outer membrane structure is unique to Gram-negative bacteria and plays a critical role in pathogenicity and immune response. Teichoic acid (choice A) is found in Gram-positive bacteria. The cell wall of Gram-negative bacteria is thinner than that of Gram-positive bacteria (choice B). The cell wall of Gram-negative bacteria is not composed entirely of peptidoglycan (choice D), as it also contains other components like lipopolysaccharides.

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas aeruginosa. This is because Pseudomonas aeruginosa is a common Gram-negative rod that is a non-lactose fermenter and a common cause of severe pneumonia, especially in immunocompromised individuals. It is also known for its resistance to many antibiotics, making it difficult to treat. Summary of other choices: B: Escherichia coli is a lactose fermenter and is not commonly associated with severe pneumonia. C: Klebsiella pneumoniae is a lactose fermenter and is more commonly associated with pneumonia in alcoholics or debilitated patients. D: Enterobacter cloacae is a lactose fermenter and is not a common cause of severe pneumonia.

Correct Answer: C

Rationale: The correct answer is C: enterotoxigenic E. Coli (ETEC). ETEC adheres to the intestine wall and produces toxins, leading to symptoms like diarrhea. Shigella spp. invade intestinal cells, Salmonella spp. cause inflammation, and Helicobacter pylori infects the stomach lining. This makes them incorrect choices for bacteria adhering to the intestine wall and producing toxins.

Correct Answer: D

Rationale: The correct answer is D, "All of the above." Staphylococcus aureus, Escherichia coli, and Neisseria meningitidis all produce endotoxins that can lead to septic shock. Endotoxins are part of the outer membrane of Gram-negative bacteria, such as E. coli and N. meningitidis, which can trigger a severe immune response leading to septic shock. S. aureus, a Gram-positive bacterium, produces toxins that can also contribute to septic shock. Therefore, all of these bacteria can produce endotoxins responsible for septic shock. Choices A, B, and C are incorrect because they only identify individual bacteria that produce endotoxins, whereas the correct answer encompasses all bacteria listed.

Correct Answer: C

Rationale: The correct answer is C (coli index of 250 and coli titer of 4). The coli index is calculated by multiplying the number of colonies by the reciprocal of the volume filtered, which gives 2 colonies x (1/0.5 L) = 4. The coli titer is obtained by dividing the volume filtered by the number of colonies, which gives 0.5 L / 2 colonies = 0.25 L or 250 ml. This indicates the concentration of coliform bacteria in the water sample. Choice A (4 and 250) is incorrect because it has the correct coli index but the values are reversed for coli index and coli titer. Choice B (2 and 500) is incorrect as it provides the correct coli titer value but the values are reversed for coli index and coli titer. Choice D (500 and 2) is incorrect because it reverses the values for both coli index and coli titer.

Correct Answer: C

Rationale: The correct answer is C because phagocytosis refers to the process where certain host cells engulf and destroy microorganisms. This is an essential mechanism of the immune system to eliminate pathogens. Choice A is incorrect because phagocytosis does not involve the use of antibiotics. Choice B is incorrect as it describes a different mechanism of action against bacteria. Choice D is incorrect because phagocytosis is a well-established biological process.

Correct Answer: B

Rationale: The correct answer is B: Order. The suffix -virales is used in virology to denote the order level in the taxonomy of viruses. Orders are higher taxonomic ranks compared to species, family, and genus. The suffix -virales is specifically assigned to virus orders, making choice B the correct one. The other choices (A, C, D) are incorrect because the suffix -virales does not apply to species, family, or genus in the taxonomic classification of viruses.