In Transmissive infections, the vector is:

Correct Answer: A

Rationale: The correct answer is A: Air. In transmissive infections, the vector refers to the means by which the infectious agent is transmitted from one host to another. Air can carry pathogens such as viruses and bacteria, leading to respiratory infections like the flu or tuberculosis. Airborne transmission occurs when droplets containing the pathogens are inhaled. Objects (B), medical devices (C), and water (D) can also transmit infections, but they are not specifically related to transmissive infections. Objects and medical devices can harbor pathogens, while waterborne infections are transmitted through contaminated water sources. However, in the context of transmissive infections, the primary vector is the air due to its ability to carry infectious agents over distances.

Correct Answer: D

Rationale: The correct answer is D, as all options A, B, and C are determinants of antigenicity. A: Chemical nature influences how the immune system recognizes antigens. B: The size of the antigen affects its ability to be recognized by immune cells. C: Antigens of foreign origin are more likely to trigger an immune response. Therefore, all of these factors together play a crucial role in determining antigenicity.

Correct Answer: D

Rationale: The correct answer is D. Sepsis is a systemic response to infection resulting in organ dysfunction. A: Sepsis can be caused by bacterial infection, but it is not solely defined by the presence of bacteria in the blood. B: Bacteremia is the presence of bacteria in the blood, which can be a component of sepsis, but sepsis involves a broader systemic response beyond just bacteremia. C: Sepsis can lead to the release of toxins and organ failure, but sepsis itself is not defined solely by the massive proliferation of toxins. Therefore, the correct answer is D, as sepsis can involve the presence of bacteria, bacteremia, systemic manifestations, and organ failure.

Correct Answer: B

Rationale: The correct answer is B because lysozyme, lactoferrin, interferon, and complement are all humoral factors involved in natural resistance. Lysozyme and lactoferrin are antimicrobial proteins that help defend against pathogens. Interferon is a signaling protein that inhibits viral replication, while complement is a group of proteins that enhance the immune response by promoting inflammation and opsonization. Choices A, C, and D are incorrect: - Choice A mentions only macrophages, which are not humoral factors but rather phagocytic cells. - Choice C lists immune cells involved in adaptive immunity (B and T lymphocytes, NK cells) rather than humoral factors of natural resistance. - Choice D includes immunoglobulins, which are part of adaptive immunity, not natural resistance.

Correct Answer: C

Rationale: The correct answer is C: ELISA, Western blot. These tests are commonly used for diagnosing Lyme borreliosis due to their high sensitivity and specificity in detecting antibodies against Borrelia burgdorferi, the causative agent. ELISA is the initial screening test, while Western blot is used for confirmation. Widal agglutination test (A) is used for diagnosing typhoid fever, not Lyme disease. Cultivation on blood and chocolate agar (B) is not commonly used for diagnosing Lyme borreliosis as Borrelia species are difficult to culture. Ascoli thermoprecipitation test (D) is used for diagnosing pneumonia caused by Streptococcus pneumoniae, not Lyme disease.