Measures that can be taken to prevent bacterial vaginitis include:

Correct Answer: D

Rationale: The correct answer is D because bacterial vaginitis is often caused by an imbalance in the vaginal flora, which can be disrupted by frequent douching (eliminating beneficial bacteria), tight clothing (restricting airflow), and non-breathable underwear. Avoiding tight pants and using cotton underwear allow for better ventilation, promoting a healthy vaginal environment. Infrequent douching helps maintain the natural balance of bacteria in the vagina. Choices A and B are incorrect because they recommend practices that can disrupt the vaginal flora and increase the risk of bacterial vaginitis. Choice C is partially correct but lacks the emphasis on avoiding frequent douching, which is crucial in preventing bacterial vaginitis.

Correct Answer: C

Rationale: The correct answer is C: Ebola virus. The patient's symptoms align with Ebola virus infection, including fever, severe hemorrhagic syndrome, and CNS involvement. Ebola virus is known to cause hemorrhagic fevers with high mortality rates. A: SARS CoV causes Severe Acute Respiratory Syndrome, which typically presents with respiratory symptoms, not hemorrhagic fever. B: Lymphocytic choriomeningitis virus usually causes a mild illness with flu-like symptoms, not severe hemorrhagic syndrome. D: ECHO 9 virus is associated with aseptic meningitis, not hemorrhagic fever.

Correct Answer: A

Rationale: The correct answer is A: Nystatin. Nystatin is an antifungal medication specifically used to treat candida infections. It works by disrupting the cell membrane of the fungus, leading to its death. Penicillin (B) is an antibiotic effective against bacterial infections, not fungal. Streptomycin (C) is also an antibiotic used for bacterial infections. Isoniazid (D) is used to treat tuberculosis, not candida infections. Therefore, Nystatin is the best choice for treating candida infections due to its antifungal properties.

Correct Answer: A

Rationale: The correct answer is A: Wright's agglutination reaction. For brucellosis diagnosis, this test detects antibodies against Brucella species. Wright's test specifically targets agglutinins, which are produced in response to Brucella infection. The other choices are incorrect because: B: Widal's test is used for typhoid fever caused by Salmonella typhi. C: Ascoli's test is for pneumococcal infections. D: Weigl's test is used for typhus fever caused by Rickettsia prowazekii.

Correct Answer: B

Rationale: The correct answer is B: ribosome. Ribosomes are responsible for protein synthesis, not packaging. The Golgi complex (A) processes and packages proteins. The rough endoplasmic reticulum (rER) (C) is involved in protein synthesis and transport. Lysosomes (D) contain enzymes for digestion, not protein packaging. Therefore, ribosomes are the organelle directly involved in protein synthesis, making it the correct choice.

Correct Answer: C

Rationale: Step 1: Antitetanus serum is crucial for patients with open maxillofacial trauma to prevent tetanus infection from contaminated wounds. Step 2: Antibiotics are needed to prevent infection in the wound. Step 3: Antitetanus serum provides immediate passive immunity while antibiotics help combat potential infections. Step 4: Antitetanus immunoglobulin is not mentioned in the question and is not typically used for prophylaxis. Step 5: Anticonvulsive drugs are not preventive medications for maxillofacial trauma. Step 6: Diphtheria, tetanus, and pertussis vaccines are not specifically indicated for immediate prevention in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Trichomonas vaginalis. Trichomonas vaginalis is a flagellated protozoan that causes trichomoniasis, a sexually transmitted infection commonly found in vaginal discharges. In this case, the presence of flagellates in the vaginal discharge aligns with the characteristics of Trichomonas vaginalis. Leishmania donovani causes leishmaniasis, transmitted by sandflies. Trypanosoma gambiense causes African sleeping sickness through the tsetse fly bite. Trihomonas hominis is a non-pathogenic flagellate found in the human intestine. Therefore, the correct choice is A due to the correlation between the flagellates found in the vaginal discharge and the characteristics of Trichomonas vaginalis.

Correct Answer: C

Rationale: The correct answer is C because Gram staining after culture on Loeffler's medium or tellurite-containing medium will show the characteristic Chinese letter arrangement of Corynebacterium diphtheriae. This arrangement consists of metachromatic granules that stain more deeply than the rest of the cell. This specific staining pattern is a key diagnostic feature of C. diphtheriae in microbiological diagnosis of diphtheria. Choice A is incorrect because simply identifying the isolate as C. diphtheriae is not sufficient for diagnosis. Choice B is incorrect as C. diphtheriae can be stained via Gram staining despite its small cell size. Choice D is incorrect as option C is indeed correct for microbiological diagnosis of diphtheria.

Correct Answer: A

Rationale: The correct answer is A: decompose hydrogen peroxide. Catalase is an enzyme that breaks down hydrogen peroxide into water and oxygen. This is important in bacteria to protect them from the harmful effects of hydrogen peroxide, a byproduct of metabolism. Choice B is incorrect as peptidoglycan synthesis is not the function of catalase. Choice C is incorrect as oxidative phosphorylation is a metabolic process unrelated to catalase function. Choice D is incorrect as endotoxin production is not a role of catalase.