In which of the following cases of immune reactions a large lattice is formed?

Correct Answer: B

Rationale: The correct answer is B because in immune reactions, a large lattice is formed when antigens and antibodies are in optimal proportion. This optimal ratio allows for the formation of a strong antigen-antibody complex, leading to the aggregation of immune complexes into large lattice structures. When antibodies are in excess (choice A), there may not be enough antigens to form a stable lattice. Similarly, when antigens are in excess (choice C), there may be insufficient antibodies to form a strong lattice. Choice D is incorrect because the optimal proportion of antigens and antibodies is crucial for the formation of large lattices in immune reactions.

Correct Answer: D

Rationale: The correct answer is D, "All of the above." Neisseria meningitidis, Haemophilus influenzae, and Streptococcus pneumoniae are all bacteria known to cause meningitis. Neisseria meningitidis is a common cause of bacterial meningitis in young adults, Haemophilus influenzae type b is a common cause in children, and Streptococcus pneumoniae is a leading cause in adults and the elderly. Therefore, all three bacteria can potentially cause meningitis depending on the age group and other factors. The other choices are incorrect because each of the bacteria listed can cause meningitis, so selecting only one of them would be incorrect.

Correct Answer: D

Rationale: The correct answer is D: Relenza and Tamiflu. Both Relenza and Tamiflu are anti-influenza drugs that target the neuraminidase enzyme of the influenza virus, thereby inhibiting its replication and spread. Maxi Grip (A) is not an anti-influenza drug, Theraflu (B) contains different active ingredients, and Amantadine and Rimantadine (C) target a different viral protein, M2 ion channel. Therefore, choices A, B, and C are incorrect as they do not specifically target neuraminidase for influenza treatment.

Correct Answer: B

Rationale: The correct answer is B: colonization. E. Coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa in the pharynx indicate colonization rather than being part of the normal resident flora. Colonization refers to the presence of these bacteria on body surfaces without causing harm. They are not considered normal flora in the pharynx but rather transient or opportunistic pathogens. Choice A is incorrect because these bacteria are not part of the normal resident flora of the pharynx. Choice C is incorrect as it implies that these bacteria are both normal flora and colonization, which is not accurate. Choice D is incorrect as there is evidence of bacterial presence, indicating colonization.

Correct Answer: A

Rationale: The correct answer is A: Clostridium tetani. This bacterium is responsible for causing tetanus due to its production of tetanus toxin. Clostridium perfringens (B) causes gas gangrene, Streptococcus pyogenes (C) causes strep throat and skin infections, and Escherichia coli (D) is a common gut bacteria that can cause food poisoning but not tetanus.

Correct Answer: A

Rationale: The correct answer is A: Immobilization. This technique is called the Treponema pallidum immobilization (TPI) test, used to diagnose syphilis. The rationale is as follows: 1. TPI test detects antibodies that prevent the movement of treponemas, causing their death. 2. By immobilizing the treponemas, it indicates the presence of specific antibodies against syphilis. 3. This test is highly specific for syphilis diagnosis as it directly targets the causative agent. Other choices are incorrect: B: Complement binding - Not specific to syphilis, more commonly used for other diseases. C: Agglutination - Detects clumping of particles, not specific to treponemas or syphilis. D: Precipitation - Involves the formation of a solid, not directly related to treponema movement or death.

Correct Answer: A

Rationale: The correct answer is A: Two-layer. In gram-positive bacteria, the cell envelope consists of two layers: the thick peptidoglycan layer and the cytoplasmic membrane. The peptidoglycan layer is much thicker compared to gram-negative bacteria, providing structural support and protection. The cytoplasmic membrane is located beneath the peptidoglycan layer and serves as a barrier between the cytoplasm and the external environment. The other choices are incorrect because gram-positive bacteria do have a cell envelope, it is composed of two layers, not three layers, and it is not just a single layer. Choice D is incorrect as it states that there is no cell envelope in gram-positive bacteria, which is not true.

Correct Answer: B

Rationale: The correct answer is B: Adhesion. Pili are bacterial appendages that help bacteria adhere to surfaces. This is important for colonization and biofilm formation. Choice A (Chemotaxis) is incorrect because chemotaxis is the movement of bacteria in response to chemical stimuli, not the function of pili. Choice C (Nutrient acquisition) is incorrect because pili are not directly involved in obtaining nutrients. Choice D (None of the above) is incorrect as pili do serve a specific purpose, which is adhesion.

Correct Answer: C

Rationale: The correct answer is C (7.2-7.4) because most pathogenic bacteria and viruses thrive in a neutral pH environment close to 7.0. This pH range is optimal for their growth and survival. Choice A (5.0-5.5) is too acidic for most pathogens. Choice B (8.0-9.6) is too alkaline, which is not conducive for their survival. Choice D (4.2-4.4) is also too acidic and would likely inhibit the growth of pathogenic bacteria and viruses. Thus, a pH range of 7.2-7.4 provides the most suitable conditions for their proliferation.