Impression smear of mucosa biopsy material has been obtained from a patient with peptic ulcer disease of the stomach. Gram-negative arcuate bent microorganisms were detected, urease activity test was positive. What microorganisms were detected in the patient?

Correct Answer: A

Rationale: The correct answer is A: Helicobacter. Helicobacter pylori is the main causative agent of peptic ulcer disease and is characterized by its gram-negative arcuate bent shape and positive urease activity. Helicobacter pylori specifically colonizes the stomach mucosa and is associated with various gastrointestinal disorders. Spirochetes (choice B), spirilla (choice C), and Leptospira (choice D) are not typically associated with peptic ulcer disease or stomach mucosa infections, making them incorrect choices in this context.

Correct Answer: A

Rationale: The correct answer is A: enriched media. Enriched media contain additional nutrients such as blood to support the growth of fastidious bacteria. This allows for the cultivation of a wider range of microorganisms. General-purpose media (B) contain basic nutrients for a variety of bacteria. Reducing media (C) create anaerobic conditions, not necessarily rich in organic substances. Differential media (D) contain indicators to distinguish between different types of microorganisms, not necessarily enriched with organic substances.

Correct Answer: A

Rationale: The correct answer is A because it lists the genera that belong to the family Reoviridae accurately. Orthoreovirus and Rotavirus are well-known genera within the family Reoviridae. Orbivirus is another genus belonging to the same family. Choice B is incorrect because Orthoretrovirus and Retrovirus are not part of the Reoviridae family. Orbfiloviridae is also not a valid genus within this family. Choice C is incorrect because Orthoretrovirus and Retrovirus are not part of the Reoviridae family. Orbivirus is the correct genus but the other two are inaccurate. Choice D is incorrect because Orthoretrovirus and Retrovirus are not part of the Reoviridae family. Orbarenaviridaefiloviridae is not a valid genus within Reoviridae.

Correct Answer: D

Rationale: Step 1: Micellar growth refers to the apical prolongation of hyphae in fungi. Step 2: Fungi have a unique growth structure with hyphae extending at the tips. Step 3: This growth pattern allows fungi to expand and access nutrients. Step 4: Bacterial cells (A) do not exhibit micellar growth. Step 5: Parent and daughter cells in division have similar sizes, not different (B). Step 6: Viruses and rickettsia (C) do not display micellar growth.

Correct Answer: C

Rationale: The correct answer is C: It is non-motile and non-spore forming. Pseudomonas aeruginosa is motile due to its flagella and is non-spore forming. A is correct because it is a Gram-negative bacterium, and B is correct as it is oxidase-positive. D is incorrect because C is not true.

Correct Answer: A

Rationale: The correct answer is A because Shigella sonnei escapes phagocytic clearance by lysing the phagosome and replicating in the cytoplasm. This allows the bacterium to avoid being destroyed by the acidic environment and enzymes in the phagolysosome. Choice B is incorrect as Shigella does not have a capsule. Choice C is incorrect because Shigella actually induces phagosome-lysosome fusion to facilitate its escape. Choice D is incorrect as protein A is a component of Staphylococcus aureus, not Shigella sonnei.

Correct Answer: A

Rationale: The correct answer is A: Bacillus anthracis. The presence of Gram-positive rods in chains with central spores on the Gram stain indicates Bacillus anthracis. This bacterium is known to cause severe pneumonia. Clostridium tetani does not typically cause pneumonia but rather tetanus. Streptococcus pneumoniae is a Gram-positive cocci, not rods. Klebsiella pneumoniae is a Gram-negative bacterium commonly associated with pneumonia, but it does not form central spores.

Correct Answer: D

Rationale: The correct answer is D: Intestinal trichomonad. This protozoan matches the description provided, with pyriform shape, twin nuclei, four pairs of flagella, supporting filaments, and a suctorial disc. Lamblia (A) lacks flagella and supporting filaments. Toxoplasma (B) is an intracellular parasite with different morphology. Leishmania (C) belongs to a different class with no flagella or supporting filaments. In summary, the unique combination of features described in the question points to an intestinal trichomonad, making it the correct answer.

Correct Answer: A

Rationale: Step 1: Gram-positive diplococci suggest a pneumococcal infection. Step 2: Catalase-negative indicates Streptococcus. Step 3: Alpha-hemolysis matches S. pneumoniae's characteristics. Therefore, Streptococcus pneumoniae is the most likely causative agent. Staphylococcus aureus (B) is catalase-positive, Neisseria meningitidis (C) is Gram-negative, and Klebsiella pneumoniae (D) is not diplococci or alpha-hemolytic.