Microscopic examination of vaginal discharge revealed pear-shaped flagellated protozoa with an undulating membrane. What is the causative agent?

Correct Answer: A

Rationale: The correct answer is A: Trichomonas vaginalis. Trichomonas vaginalis is a sexually transmitted protozoan that causes trichomoniasis. The pear-shaped flagellated protozoa with an undulating membrane described in the question match the morphology of Trichomonas vaginalis. It is typically found in vaginal discharge of infected individuals. Giardia lamblia (B) is a different protozoan that causes giardiasis and has a distinct morphology of a teardrop shape with flagella. Trypanosoma brucei (C) causes African sleeping sickness and Leishmania donovani (D) causes visceral leishmaniasis, both of which have different morphologies and clinical presentations compared to Trichomonas vaginalis.

Correct Answer: C

Rationale: The correct answer is C because both Mycobacterium bovis and Mycobacterium tuberculosis are bacteria that can cause tuberculosis in humans. Mycobacterium bovis primarily infects animals but can be transmitted to humans, while Mycobacterium tuberculosis is the main causative agent of tuberculosis in humans. Therefore, both choices A and B are correct. Choice D is incorrect because we know that Mycobacterium bovis and Mycobacterium tuberculosis are causative agents of tuberculosis in humans.

Correct Answer: A

Rationale: The correct answer is A: Alexander Fleming. He discovered the antibiotic properties of Penicillium in 1928. Fleming observed that a mold called Penicillium notatum inhibited the growth of bacteria, leading to the discovery of penicillin. Louis Pasteur is known for his work on pasteurization and microbiology, not penicillin. Joseph Lister is known for pioneering antiseptic surgery techniques. Edward Jenner is known for developing the smallpox vaccine, not penicillin. Fleming's discovery revolutionized medicine by introducing the first antibiotic, penicillin, which has saved countless lives.

Correct Answer: C

Rationale: Step 1: Define sexually transmitted infections (STIs) as infections primarily spread through sexual contact. Step 2: Understand that STIs can also be transmitted through non-sexual means like blood transfusions. Step 3: Recognize that choice C is incorrect as it limits STIs to only sexually transmitted infections. Step 4: Therefore, the correct answer is C as it does not encompass all possible modes of transmission for STIs. Summary: Choices A, B, and D are incorrect as they all accurately describe the characteristics of sexually transmitted infections, while choice C is incorrect as it excludes other potential modes of transmission for STIs.

Correct Answer: D

Rationale: The correct answer is D because all three choices, Clostridium botulinum, Morbillivirus morbillorum, and Clostridium tetani, can cause infections of the central nervous system (CNS). Clostridium botulinum can lead to botulism, which affects the nervous system. Morbillivirus morbillorum can cause measles, which can lead to viral encephalitis. Clostridium tetani can cause tetanus, which affects the CNS by producing neurotoxins. Therefore, all three choices are pathogens that can cause infections of the CNS.

Correct Answer: B

Rationale: The correct answer is B because humoral immunity involves the formation of specific antibodies by B cells. B cells differentiate into plasma cells that produce antibodies to target specific antigens. T cells are involved in cell-mediated immunity, not humoral immunity. Choice A is incorrect because T cells do not produce antibodies. Choice C is incorrect as only B cells are responsible for antibody production in humoral immunity. Choice D is incorrect as B cells play a crucial role in the humoral immune response.

Correct Answer: B

Rationale: The correct answer is B because the AST reaction, or anti-streptolysin titer, is used in the diagnostic of post-streptococcal sequelae, such as rheumatic fever and glomerulonephritis. This test measures the level of antibodies produced by the body in response to Streptolysin O, a toxin produced by Group A Streptococcus bacteria. It helps in identifying if a patient has had a recent Streptococcus infection that could lead to these complications. A: Incorrect. The AST reaction does not require urine samples, but rather blood samples. C: Incorrect. The AST reaction specifically targets antibodies produced in response to Group A Streptococcus. D: Incorrect. The AST reaction does not directly identify isolated streptococci but rather measures the body's immune response to Streptolysin O.

Correct Answer: B

Rationale: The correct answer is B: Thermophiles. Thermophiles are bacteria that can survive in extreme temperatures, typically between 45°C to 80°C. This ability is due to their unique enzymes and cell membrane structures that are adapted to high temperatures. Escherichia coli (A) is a common bacterium found in the human gut and does not thrive in extreme temperatures. Clostridium tetani (C) is a bacterium that causes tetanus and prefers moderate temperatures. Salmonella enterica (D) is a pathogenic bacterium that does not thrive in extreme temperatures. Therefore, Thermophiles are the only bacteria on the list known for surviving in extreme temperatures.

Correct Answer: B

Rationale: The correct answer is B: peptidoglycan and calcium dipicolinate. Bacterial endospores are resistant structures formed by certain bacterial species under unfavorable conditions. Peptidoglycan provides structural support, while calcium dipicolinate aids in heat resistance. Lipid bilayers (choice A) are not a primary component. Capsular polysaccharides (choice C) are part of the bacterial capsule, not the endospore. Teichoic acid (choice D) is a component of the cell wall, not the endospore.