In 8 days after a surgery the patient developed tetanus. The surgeon suspects this condition to be caused by suture material contaminated by tetanus agent. The material is delivered to a bacteriological laboratory. What nutrient medium is required for primary inoculation of the suture material?

Correct Answer: A

Rationale: The correct answer is A: Kitt-Tarozzi medium. This medium is used for the primary inoculation of suture material suspected of causing tetanus. The rationale is that Kitt-Tarozzi medium contains the necessary nutrients to support the growth of Clostridium tetani, the bacterium responsible for tetanus. This medium is selective and helps in isolating the specific pathogen from the contaminated suture material. Summary of other choices: B: Endo agar is used for the isolation of Gram-negative bacteria from clinical and non-clinical samples. C: Sabouraud agar is used for the isolation of fungi and yeast. D: Egg-yolk salt agar is used for the detection of lipase-producing bacteria, particularly Staphylococcus aureus.

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: 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: B

Rationale: The correct answer is B: prostatitis. Prostatitis is the most common bacterial infection affecting the male reproductive system. It is characterized by inflammation of the prostate gland due to bacterial infection. Symptoms include pain in the pelvic area, difficulty urinating, and fever. Cystitis (A) is a bladder infection, not specific to the male reproductive system. Mastitis (C) is inflammation of the breast tissue, which is not related to the male reproductive system. Nephritis (D) is inflammation of the kidneys, which is also not specific to the male reproductive system.

Correct Answer: B

Rationale: The correct answer is B: Isolation on cell cultures. This method is the gold standard for routine mumps diagnosis as it involves isolating the virus in cell cultures to confirm the presence of the mumps virus. PCR (choice A) is used for detecting viral RNA, not for routine diagnosis. ELISA (choice C) detects antibodies, not the virus itself. Immunofluorescence method (choice D) is used for visualizing viral antigens but is not as reliable as isolating the virus in cell cultures for diagnosis.

Correct Answer: D

Rationale: The correct answer is D: Hyaluronidase synthesis. Hyaluronidase is an enzyme produced by some pathogens to break down hyaluronic acid in the extracellular matrix, aiding their spread. This action does not directly counteract the immune system's mechanisms. Antigenic heterogeneity and mimicry can evade immune recognition. IgA proteases degrade IgA antibodies, impairing mucosal immunity. Therefore, D is the only choice not directly involved in counteracting the immune system.

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: C

Rationale: The correct answer is C: Quinine. Quinine is known for its destructive effect on erythrocytic forms of malarial plasmodia and dysenteric amoebae. It is commonly used for the treatment and prevention of diseases such as malaria, amebiasis, and interstitial disease. Quinine works by interfering with the parasite's ability to break down hemoglobin in red blood cells, ultimately leading to their destruction. Incorrect choices: A: Chingamin - Chingamin is not typically used to treat malaria, amebiasis, or interstitial disease. B: Emetine hydrochloride - Emetine hydrochloride is primarily used for treating amoebic dysentery and is not commonly used for malaria treatment. D: Erythromycin - Erythromycin is an antibiotic used to treat bacterial infections, not parasitic infections like malaria or amebiasis.

Correct Answer: D

Rationale: The correct answer is D: chemoheterotrophs. Chemoheterotrophs use organic compounds as both their carbon source and energy source. They obtain energy by breaking down organic molecules through cellular respiration. Photoautotrophs (A) use light energy to produce organic compounds, chemoautotrophs (B) use inorganic compounds for energy, and photoheterotrophs (C) use light energy but require organic compounds as a carbon source. Therefore, chemoheterotrophs best describe bacteria that obtain both carbon and energy from organic compounds.