Genus Rickettsia representatives are characterized by:

Correct Answer: C

Rationale: The correct answer is C: Intracellular parasitism. Genus Rickettsia representatives are known for their ability to live and replicate inside the host's cells, making them obligate intracellular parasites. This characteristic distinguishes them from other bacteria. A: Gram-positive cell wall is incorrect because Rickettsia have a gram-negative cell wall. B: High resistance to external environment factors is incorrect because Rickettsia are sensitive to environmental conditions and require specific host cells for survival. D: None of the above is incorrect because Rickettsia do exhibit the characteristic of intracellular parasitism.

Correct Answer: C

Rationale: The correct answer is C because disinfectants are non-selective and can harm a wide range of microbial cells. Disinfectants work by disrupting cell membranes, proteins, and nucleic acids, affecting both harmful and beneficial microorganisms. Choices A and B are incorrect because disinfectants are designed to be potent and non-selective. Choice D is incorrect because the effects of disinfectants are often permanent and irreversible on microbial cells.

Correct Answer: D

Rationale: The correct answer is D because the flu vaccine primarily stimulates systemic immunity rather than local immunity. It is administered parenterally (C) as it is injected into the body. It is a subunit vaccine (B) as it contains only specific antigens of the virus. It is a recommended vaccine (A) due to its effectiveness in preventing influenza. In summary, D is the correct choice as the flu vaccine mainly targets systemic immunity, not local immunity, unlike the other characteristics listed.

Correct Answer: A

Rationale: The correct answer is A: Neisser's staining. Neisser's staining is used to detect metachromatic granules in bacteria, which appear as dark blue-staining granules at the ends of rod-shaped bacteria in diphtheria. This technique specifically targets these granules, making it ideal for identifying Corynebacterium diphtheriae, the causative agent of diphtheria. Ziehl-Neelsen staining is used for acid-fast bacteria like Mycobacterium tuberculosis, Gram staining is for classifying bacteria based on cell wall composition, and Giemsa staining is used for detecting parasites and certain blood cells, making them incorrect for identifying granules in diphtheria.

Correct Answer: C

Rationale: The correct answer is C: Helicobacter pylori. This bacterium is a well-known cause of peptic ulcers due to its ability to survive in the acidic environment of the stomach and produce enzymes that weaken the protective mucous layer of the stomach lining. Treponema pallidum (choice A) causes syphilis, Vibrio cholerae (choice B) causes cholera, and Escherichia coli (choice D) can cause various infections but is not a common cause of peptic ulcers. Therefore, Helicobacter pylori is the correct answer as it is specifically associated with peptic ulcer formation.

Correct Answer: A

Rationale: The correct answer is A: Botulism. The symptoms described, such as ptosis, mydriasis, anisocoria, dry mouth, and absent gag reflex, are classic signs of botulism. Botulism is caused by the bacterium Clostridium botulinum, commonly found in improperly preserved canned foods. The progression from gastrointestinal symptoms to neurological symptoms, like double vision and difficulty swallowing, is characteristic of botulism due to the toxin's effect on neuromuscular transmission. Poliomyelitis primarily affects the motor neurons and presents with different symptoms. Food toxicoinfection typically involves gastrointestinal symptoms and does not manifest with the neurological findings seen in this case. Acute ischemic stroke presents with sudden onset neurological deficits due to impaired blood flow to the brain, which is not consistent with the gradual progression of symptoms in this scenario.

Correct Answer: D

Rationale: The correct answer is D, Formation of CD4+ cells. In autoimmune reactions, CD4+ cells are actually involved in the immune response. Here's the rationale: 1. CD4+ cells are helper T cells that play a crucial role in activating other immune cells in autoimmune reactions. 2. Decreased functional activity of T-suppressors (Choice A) is typical in autoimmune reactions as it leads to unchecked immune responses. 3. Loss of tolerance for T-helpers and B-lymphocytes (Choice B) is common in autoimmune reactions, where the immune system mistakenly attacks self-cells. 4. Ag released by normally isolated tissues (Choice C) is a typical mechanism in autoimmune reactions where self-antigens trigger immune responses.

Correct Answer: B

Rationale: The correct answer is B: Mefloquine. Mefloquine is a histoschizontocidal antimalarial drug commonly prescribed for prevention of malaria in travelers. It is effective against the liver stage of the malaria parasite, which is crucial for preventing the development of the disease. Chingamin (A) is not a commonly used antimalarial drug. Biseptol (C) is a combination antibiotic and is not effective against malaria parasites. Quinine (D) is primarily used for treating malaria, not preventing it, and it is not specifically histoschizontocidal.

Correct Answer: B

Rationale: The correct answer is B: Acute purulent lymphadenitis. The symptoms described indicate an acute bacterial infection of the lymph nodes. The presence of painful lymph nodes, erythema, and shiny appearance of the skin overlying the nodes suggest an inflammatory process. The rise in temperature and frequent pulse indicate an active infection. The white-coated tongue may be a sign of systemic involvement. The shaky gait may indicate systemic toxicity. Bubonic plague (A) presents with buboes, not just painful lymph nodes. Lymphogranulomatosis (C) is a type of lymphoma and would not present with these acute bacterial infection symptoms. Anthrax (D) typically presents with a black eschar and is less likely in this context.