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?

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Question 1 of 5

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.

Question 2 of 5

A patient with fever, enlarged lymph nodes, and bacteremia was diagnosed with plague. The Gram-stained smear revealed bipolar-staining, Gram-negative rods. What is the causative agent?

Correct Answer: A

Rationale: The correct answer is A: Yersinia pestis. Y. pestis is the causative agent of plague, characterized by fever, enlarged lymph nodes, and bacteremia. The bipolar-staining, Gram-negative rods seen on Gram stain are typical of Y. pestis. Incorrect choices: B: Francisella tularensis causes tularemia, not plague. C: Brucella abortus causes brucellosis, not plague. D: Clostridium botulinum causes botulism, not plague. In summary, the key features of the patient's presentation and the Gram stain findings align with Yersinia pestis as the correct causative agent of plague.

Question 3 of 5

A patient with chronic diarrhea had stool microscopy revealing flagellated protozoa with two nuclei. What is the most likely causative agent?

Correct Answer: A

Rationale: The correct answer is A: Giardia lamblia. Giardia lamblia is a flagellated protozoan with two nuclei found in the stool. It commonly causes chronic diarrhea. The other choices are incorrect because B: Entamoeba histolytica causes dysentery, not chronic diarrhea; C: Trichomonas vaginalis is a sexually transmitted infection, not typically found in stool; D: Balantidium coli is a ciliated protozoan, not flagellated.

Question 4 of 5

The process in which bacteria take up foreign DNA from the environment is called:

Correct Answer: A

Rationale: The correct answer is A: Transformation. During transformation, bacteria take up foreign DNA from the environment and incorporate it into their own genetic material. This process allows for genetic diversity and adaptation. Transduction (B) involves transfer of DNA via a virus, conjugation (C) involves direct transfer of DNA between bacterial cells, and binary fission (D) is a form of asexual reproduction in bacteria. Transformation is the only process specifically related to bacteria taking up foreign DNA.

Question 5 of 5

A patient with diarrhea had stool microscopy revealing large, oval protozoa with a single nucleus and four flagella. What is the most likely causative agent?

Correct Answer: A

Rationale: Step 1: Large, oval protozoa with a single nucleus and four flagella indicate Giardia lamblia. Step 2: Giardia lamblia is a flagellated protozoan causing diarrhea. Step 3: It has a distinct appearance under microscopy. Step 4: Entamoeba histolytica causes dysentery with no flagella. Step 5: Balantidium coli is a ciliated protozoan with a larger size. Step 6: Trichomonas vaginalis lacks a cyst stage and causes genitourinary infections.

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