Formic acid is a fermentation product of

Correct Answer: D

Rationale: Step 1: Formic acid is produced during fermentation by Actinomyces. Step 2: Actinomyces are known to produce organic acids like formic acid through fermentation. Step 3: Other choices like Streptococcus, Klebsiella, and Clostridium are not typically associated with formic acid production. Step 4: Actinomyces is the most likely candidate based on its fermentation capabilities. Summary: Actinomyces is the correct answer because it is known to produce formic acid during fermentation, while the other choices lack this specific metabolic function.

Correct Answer: A

Rationale: The correct answer is A: bacteria. Bacteria are the most common cause of laboratory-acquired infections due to their ability to survive and multiply in various environments. They can easily contaminate lab equipment and surfaces, leading to infections if proper precautions are not taken. Viruses (choice B) are less common in laboratory-acquired infections as they require specific conditions to survive outside a host. Protozoans (choice C) are larger and less likely to be transmitted in a laboratory setting. Prions (choice D) are misfolded proteins and are not considered living organisms, making them an unlikely source of laboratory infections.

Correct Answer: A

Rationale: The correct answer is A: Delayed hypersensitivity reaction. In granuloma development in tuberculosis, macrophages present antigen to T cells, leading to a delayed hypersensitivity reaction. This triggers the recruitment of more macrophages and formation of granulomas. Antibody-dependent cytotoxicity (B) and complement-dependent cytotoxicity (C) involve antibodies and complement proteins in immediate hypersensitivity reactions, which are not the primary mechanisms in tuberculosis. Anaphylactic reaction (D) is an acute systemic allergic reaction mediated by IgE antibodies, not relevant to granuloma formation in tuberculosis.

Correct Answer: A

Rationale: The correct answer is A: BCG. BCG vaccine is commonly used for tuberculosis prevention because it provides immunity against Mycobacterium tuberculosis. Mantoux is a test, not a vaccine. DTaP vaccine is for diphtheria, tetanus, and pertussis, not tuberculosis. Anatoxin is a type of toxoid vaccine, not used for tuberculosis prevention. BCG vaccine has been shown to be effective in preventing severe forms of tuberculosis in infants, making it the appropriate choice in this scenario.

Correct Answer: A

Rationale: The most likely diagnosis is A: Pneumonic plague. The patient's symptoms align with the presentation of pneumonic plague, caused by the bacterium Yersinia pestis. Symptoms include high fever, severe headache, dyspnea, cough with bloody sputum, and cyanosis. The characteristic bubonic plague lymphadenopathy may be absent in the pneumonic form. The patient's recent travel history to India also raises suspicion, as plague is endemic in some regions. The other choices can be ruled out based on the patient's symptoms and presentation. Miliary tuberculosis typically presents with diffuse miliary nodules on imaging. Influenza typically presents with more generalized symptoms and does not usually cause rusty sputum. Ornithosis is caused by Chlamydophila psittaci and usually presents with pneumonia-like symptoms after exposure to infected birds.