Microscopic examination of a Gramstained scrape from patient's tongue revealed oval, round, elongated chains of dark-violet gemmating cells. What disease can be caused by this causative agent?

Correct Answer: A

Rationale: Step 1: Oval, round, elongated chains of gemmating cells indicate yeast-like budding cells seen in Candida species. Step 2: Candidosis is caused by Candida species, which is commonly found in the oral cavity and can cause infections on the tongue. Step 3: Candidosis presents as white patches or plaques on the tongue. Step 4: Therefore, the correct answer is A: Candidosis. Summary: B: Actinomycosis is caused by Actinomyces species, which are filamentous bacteria, not oval budding cells. C: Diphtheria is caused by Corynebacterium diphtheriae, which appears as gram-positive rods in chains, not oval budding cells. D: Staphylococcal infections are caused by Staphylococcus species, which appear as clusters of cocci, not oval budding cells.

Correct Answer: B

Rationale: The correct answer is B: Measles. Immunosuppressive drugs are not used for treating viral infections like measles as they target the immune system and can worsen the infection. Organ transplantation requires immunosuppressive drugs to prevent organ rejection. Autoimmune diseases involve an overactive immune response, so immunosuppressive drugs are used to reduce this response. Hemolytic disease of the newborn can be treated with immunosuppressive drugs to prevent the destruction of red blood cells.

Correct Answer: A

Rationale: Step 1: Oval, round, elongated chains of gemmating cells indicate yeast-like budding cells seen in Candida species. Step 2: Candidosis is caused by Candida species, which is commonly found in the oral cavity and can cause infections on the tongue. Step 3: Candidosis presents as white patches or plaques on the tongue. Step 4: Therefore, the correct answer is A: Candidosis. Summary: B: Actinomycosis is caused by Actinomyces species, which are filamentous bacteria, not oval budding cells. C: Diphtheria is caused by Corynebacterium diphtheriae, which appears as gram-positive rods in chains, not oval budding cells. D: Staphylococcal infections are caused by Staphylococcus species, which appear as clusters of cocci, not oval budding cells.

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. The presence of cysts with four nuclei is characteristic of Entamoeba histolytica, a protozoan parasite causing amoebic dysentery. It forms cysts with four nuclei before maturing into trophozoites. Balantidium coli (B) is a ciliated protozoan causing balantidiasis, not known for four-nuclei cysts. Giardia lamblia (C) forms cysts with two nuclei, causing giardiasis. Trichomonas hominis (D) is a non-pathogenic flagellate found in the human colon, not associated with four-nuclei cysts.

Correct Answer: D

Rationale: The correct answer is D because Cytomegalovirus infections are caused by human herpesvirus 5, also known as Human Herpesvirus 5 (HHV-5) or Cytomegalovirus (CMV). This virus belongs to the Herpesviridae family, genus Betaherpesvirinae. Options A, B, and C are incorrect as they do not correspond to the specific virus responsible for causing Cytomegalovirus infections.

Correct Answer: D

Rationale: Step 1: Micellar growth refers to the apical prolongation of hyphae in fungi. Step 2: Fungi have a unique growth structure with hyphae extending at the tips. Step 3: This growth pattern allows fungi to expand and access nutrients. Step 4: Bacterial cells (A) do not exhibit micellar growth. Step 5: Parent and daughter cells in division have similar sizes, not different (B). Step 6: Viruses and rickettsia (C) do not display micellar growth.

Correct Answer: A

Rationale: The correct answer is A: enriched media. Enriched media contain additional nutrients such as blood to support the growth of fastidious bacteria. This allows for the cultivation of a wider range of microorganisms. General-purpose media (B) contain basic nutrients for a variety of bacteria. Reducing media (C) create anaerobic conditions, not necessarily rich in organic substances. Differential media (D) contain indicators to distinguish between different types of microorganisms, not necessarily enriched with organic substances.

Correct Answer: A

Rationale: The correct answer is A: 1. Water testing facilities typically handle low-risk microorganisms, hence requiring Biosafety Level 1. BSL 1 is suitable for working with well-characterized agents not known to consistently cause disease in healthy adults. BSL 2 is for moderate-risk agents, BSL 3 for high-risk agents, and BSL 4 for dangerous pathogens. Therefore, choices B, C, and D are incorrect for water testing facilities due to the low risk involved in handling the microorganisms found in water samples.

Correct Answer: A

Rationale: The correct answer is A because Shigella sonnei escapes phagocytic clearance by lysing the phagosome and replicating in the cytoplasm. This allows the bacterium to avoid being destroyed by the acidic environment and enzymes in the phagolysosome. Choice B is incorrect as Shigella does not have a capsule. Choice C is incorrect because Shigella actually induces phagosome-lysosome fusion to facilitate its escape. Choice D is incorrect as protein A is a component of Staphylococcus aureus, not Shigella sonnei.