Gram-negative rods producing red colonies on Endo agar were isolated from a fecal sample. The bacteria were lactose-fermenting. What microorganism is likely responsible?

Correct Answer: A

Rationale: The correct answer is A: Escherichia coli. E. coli is a Gram-negative rod that ferments lactose, leading to red colonies on Endo agar. This bacterium is commonly found in the human gut and is known for its ability to ferment lactose. Salmonella and Shigella are also Gram-negative rods but do not ferment lactose, so they would not produce red colonies on Endo agar. Proteus is a Gram-negative rod that is not known for its lactose-fermenting ability and would not produce red colonies on Endo agar. Therefore, based on the characteristics provided, E. coli is the most likely microorganism responsible for the red colonies on Endo agar.

Correct Answer: A

Rationale: The correct answer is A: Acid resistance. The Ziehl-Neelsen staining technique is specifically used to detect acid-fast bacteria like Mycobacterium tuberculosis, which is resistant to acid decolorization. This property allows the tuberculosis bacillus to retain the stain even after exposure to acid-alcohol, appearing red under the microscope. Explanation of incorrect choices: B: Alkali resistance - This property is not relevant in the context of Ziehl-Neelsen staining for acid-fast bacteria. C: Alcohol resistance - While alcohol resistance is related to acid-fastness, it is not the specific property highlighted by Ziehl-Neelsen staining. D: Capsule formation - Capsule formation is a different characteristic and not directly related to the staining behavior of acid-fast bacteria in the Ziehl-Neelsen technique.

Correct Answer: A

Rationale: Subcutaneous mycoses are fungal infections that affect the skin, subcutaneous tissues, and bones. The correct answer is A: tropics, as these infections are more commonly found in warm and humid regions. Fungi that cause subcutaneous mycoses thrive in tropical climates due to the favorable conditions for their growth and transmission. Choices B, C, and D are incorrect because deserts (B) have dry conditions not conducive to fungal growth, forests of the Northern Hemisphere (C) have varying climates that may not support the specific fungi causing subcutaneous mycoses, and the Rocky Mountains (D) are not typically associated with the high humidity required for these infections.

Correct Answer: C

Rationale: Sterilization refers to the complete elimination of all microorganisms, including their spores, which are the most resistant form of microbial life. Spores have a tough outer coating that protects them from harsh conditions, making them more difficult to destroy compared to vegetative cells, viruses, and protozoa. Therefore, the correct answer is C because sterilization targets and eliminates all forms of microorganisms, including spores. Choices A, B, and D are incorrect because sterilization goes beyond just targeting vegetative cells, viruses, or protozoa; it aims to eliminate all microorganisms present.

Correct Answer: C

Rationale: The correct answer is C: Staphylococcus. Staphylococcus is a common bacteria that can cause neonatal conjunctivitis, also known as "sticky eye." Staphylococcal conjunctivitis presents with symptoms like eye redness, discharge, and swelling. Streptococcus (choice A) typically causes throat infections, herpes simplex (choice B) causes genital or oral sores, and Escherichia (choice D) is a bacteria commonly found in the gastrointestinal tract and is not typically associated with neonatal conjunctivitis. Therefore, the most likely pathogen causing "sticky eye" in newborns is Staphylococcus.

Correct Answer: D

Rationale: The correct answer is D because hospital-acquired infections can be caused by a variety of microorganisms, including opportunistic pathogens and obligate pathogens such as bacteria or viruses. Opportunistic microorganisms take advantage of weakened immune systems in hospital patients, while obligate pathogens are capable of causing infections in healthy individuals. Therefore, all the choices are correct in this context as they represent potential etiological causes of hospital-acquired infections.

Correct Answer: D

Rationale: The correct answer is D: lyases. Lyases are enzymes that catalyze the breaking of chemical bonds without the addition of water. They can remove functional groups from substrates or add functional groups to double bonds without the use of water. A: Oxidoreductases involve the transfer of electrons. B: Transferases transfer functional groups from one molecule to another. C: Hydrolases catalyze the breaking of bonds by adding water.

Correct Answer: A

Rationale: The correct answer is A: viral DNA polymerase. Herpesviruses require viral DNA polymerase for viral DNA replication. This enzyme is responsible for synthesizing new DNA strands using existing viral DNA as a template. Ribonucleotide reductase (B) is not directly involved in DNA replication but in the synthesis of deoxyribonucleotides. Neuraminidase (C) is an enzyme found in influenza viruses, not herpesviruses. Thymidine kinase (D) is involved in nucleotide metabolism but is not essential for viral DNA replication in herpesviruses.

Correct Answer: B

Rationale: The correct answer is B: Clostridium tetani. Endospores are formed by certain bacteria as a survival mechanism in harsh conditions. Clostridium species, including C. tetani, have the ability to form endospores. Staphylococcus aureus (A), Neisseria gonorrhoeae (C), and Escherichia coli (D) do not produce endospores. Staphylococcus aureus is a gram-positive cocci bacterium, Neisseria gonorrhoeae is a gram-negative diplococci bacterium, and Escherichia coli is a gram-negative rod-shaped bacterium. Therefore, the correct choice is Clostridium tetani as it is known for its ability to form endospores.