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: McConkey agar. Selective media selectively inhibit the growth of certain organisms while allowing others to grow. McConkey agar contains crystal violet and bile salts that inhibit the growth of Gram-positive bacteria, making it selective for Gram-negative bacteria. Choices B and C are not selective media, as they do not specifically inhibit the growth of certain types of bacteria. Choice D is incorrect as McConkey agar is indeed an example of selective media.

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: Yersinia pestis. This bacterium causes the plague, which presents with fever and swollen lymph nodes. The safety pin appearance on Gram stain is characteristic of Yersinia pestis. B: Francisella tularensis causes tularemia, which presents differently and does not show safety pin appearance on Gram stain. C: Brucella abortus causes brucellosis, which does not typically present with the same symptoms as described in the question. D: Clostridium botulinum causes botulism, which does not show safety pin appearance on Gram stain and does not typically present with fever and swollen lymph nodes.

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus epidermidis. 1. Gram-positive cocci suggest a staphylococcal species. 2. Catalase-positive indicates it belongs to the Staphylococcus genus. 3. Coagulase-negative rules out Staphylococcus aureus. 4. Staphylococcus epidermidis is a common cause of infections in immunocompromised patients. Summary: - B: Staphylococcus aureus is coagulase-positive. - C: Streptococcus pneumoniae is a Gram-positive diplococci. - D: Neisseria meningitidis is a Gram-negative diplococci.

Correct Answer: A

Rationale: The correct answer is A: nematode. Trichinosis is caused by the roundworm Trichinella spiralis, a type of nematode. Nematodes are multicellular parasites commonly found in raw or undercooked meat. Viruses, bacteria, and fungi do not cause trichinosis. Viruses are not parasitic worms, bacteria are single-celled organisms, and fungi are eukaryotic organisms distinct from nematodes. Therefore, the ingestion of nematodes, not viruses, bacteria, or fungi, leads to trichinosis.

Correct Answer: C

Rationale: The correct answer is C: Respiratory tract. The respiratory tract is likely the most frequently used portal of entry for pathogens because it is constantly exposed to the external environment and has a large surface area lined with mucous membranes that can trap and facilitate the entry of pathogens. Additionally, the respiratory tract serves as a direct pathway for pathogens to reach the bloodstream and other organs. Skin (choice A) is a physical barrier that can prevent pathogen entry, while the gastrointestinal tract (choice B) has acidic pH and enzymes that can kill many pathogens. Conjunctiva (choice D) is a less common portal of entry compared to the respiratory tract due to its smaller surface area and protective mechanisms such as tears.

Correct Answer: C

Rationale: Rationale: Both Clostridium botulinum and Clostridium tetani produce neurotoxins. Botulinum toxin affects the nervous system by blocking neurotransmitter release, causing paralysis. Tetanus toxin affects the nervous system by interfering with neurotransmitter release, leading to muscle stiffness and spasms. Therefore, Choice C is correct. Choices A and B alone are incorrect because they only mention one of the bacteria that produces a neurotoxin. Choice D is incorrect because both bacteria mentioned in Choices A and B produce neurotoxins.

Correct Answer: A

Rationale: The correct answer is A: Gp120. Gp120 is a glycoprotein on the surface of the HIV virus that specifically binds to the CD4 receptor on target cells. This binding is essential for the virus to enter the host cell and initiate the infection process. Gp41 is another glycoprotein on the virus that helps with membrane fusion, not binding to CD4. Gp32 and Gp55 are not involved in the specific binding of HIV to CD4 molecules. So, A is correct as it directly plays a key role in the initial attachment of HIV to target cells.