Medical examination of the first-year pupils included Mantoux test. 15 pupils out of 35 had negative reaction. What actions should be taken against children with negative reaction?

Correct Answer: A

Rationale: The correct answer is A: BCG vaccination. The Mantoux test is used to detect tuberculosis infection. A negative reaction means the child is not infected. BCG vaccination is recommended for individuals without prior TB infection to prevent severe forms of the disease. Antitoxin and rabies vaccinations are not related to TB and are not indicated in this scenario. Repeating the Mantoux test is unnecessary since a negative result indicates absence of TB infection.

Correct Answer: D

Rationale: The correct answer is D: Proteus vulgaris. This is because Proteus species are non-lactose-fermenting, Gram-negative rods that produce gas in nutrient broth. They are known to cause severe abdominal pain due to their ability to invade the intestinal mucosa. A: Salmonella enterica is a lactose-fermenting organism and typically does not produce gas in nutrient broth. B: Shigella dysenteriae is a lactose-negative organism but does not produce gas in nutrient broth. C: Escherichia coli is a lactose-fermenting organism and does not typically produce gas in nutrient broth. In summary, the presence of non-lactose-fermenting, gas-producing Gram-negative rods points towards Proteus vulgaris as the most likely causative agent of the severe abdominal pain.

Correct Answer: A

Rationale: The correct answer is A: cryophiles. Psychrophiles are microorganisms that thrive in cold temperatures. The prefix "cryo-" means cold, which accurately describes the environment in which these organisms grow. Choice B, thermophiles, are organisms that thrive in high temperatures. Choice C, mesophiles, grow best at moderate temperatures. Choice D, psychrotrophs, are organisms that can grow at refrigeration temperatures but have an optimal growth temperature range different from psychrophiles.

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas aeruginosa. Pseudomonas aeruginosa is a gram-negative bacterium known for its green-blue pigmentation and sweet, fruity odor. The large colorless mucous colonies that develop green-blue pigmentation and honey or jasmine smell point towards Pseudomonas aeruginosa. The bacterioscopy revealing gram-negative lophotrichea further supports this identification. Proteus vulgaris and Klebsiella osaenae do not typically exhibit the described characteristics. Streptomyces griseus is a soil bacterium known for its antibiotic production and is not commonly associated with wound infections.

Correct Answer: D

Rationale: The correct answer is D, "All of the above." Bacterial meningitis can be caused by Neisseria meningitidis, Haemophilus influenzae, and Streptococcus pneumoniae. These bacteria are common pathogens associated with meningitis. Each of them can lead to serious infections in the brain and spinal cord. Neisseria meningitidis is known for causing meningococcal meningitis, Haemophilus influenzae is a common cause of H. influenzae meningitis, and Streptococcus pneumoniae is responsible for pneumococcal meningitis. Therefore, since all three bacteria can cause bacterial meningitis, the correct answer is D. Choices A, B, and C are incorrect because each of these bacteria individually can cause bacterial meningitis; it is not limited to just one specific type.

Correct Answer: A

Rationale: The correct answer is A: Botulism. Botulism is a rare but serious illness caused by a toxin produced by the bacterium Clostridium botulinum. In this case, the patient's symptoms align with botulism due to the ingestion of homemade mushrooms. The symptoms of double vision, heavy breathing, paleness, widened pupils, swallowing difficulties, bradycardia, and constipation are all classic signs of botulism poisoning. The toxin affects the nervous system and can lead to paralysis. The other choices (B: Yersiniosis, C: Leptospirosis, D: Salmonellosis) do not match the patient's symptoms and history of consuming mushrooms, making them incorrect.

Correct Answer: B

Rationale: The correct answer is B: microvilli. Pili are hair-like structures found on the surface of some bacteria, while microvilli are microscopic cellular projections that increase surface area for absorption in cells like intestinal cells. Pili are involved in bacterial adhesion, while microvilli are important for nutrient absorption. Therefore, the correct answer is B. Incorrect choices: A: Fimbriae are short, thin appendages found on the surface of some bacteria, mainly used for adhesion. C: Cilia are hair-like structures found on the surface of some eukaryotic cells, often involved in movement or sensory functions. D: Flagella are long, whip-like appendages used for bacterial motility.

Correct Answer: B

Rationale: The correct answer is B: septicemia. Septicemia specifically refers to the presence of bacteria in the bloodstream, leading to a systemic inflammatory response. Bacteremia (choice A) is simply the presence of bacteria in the blood without the systemic inflammatory response. Shock (choice C) is a state of circulatory collapse, often seen in severe septicemia. Bloodborne infection (choice D) is a general term for infections transmitted through the blood but does not specifically refer to the condition of bacterial multiplication causing toxicity.

Correct Answer: C

Rationale: The correct answer is C: Fungi. Molds are a type of fungi, which are eukaryotic organisms characterized by having cell walls made of chitin. Fungi are distinct from protozoans (single-celled eukaryotes), archaea (prokaryotes), and algae (photosynthetic eukaryotes). Fungi, including molds, obtain nutrients through absorption and play crucial roles in decomposition and nutrient cycling. Therefore, molds belong to the group of eukaryotic organisms known as fungi.