Microscopical examination of an infiltrate removed from the submandibular skin area of a 30 y.o. man revealed foci of purulent fluxing surrounded by maturing granulations and mature connective tissue, the pus contains druses consisting of multiple short rod-like elements with one end attached to the homogenous centre. What disease is it?

Correct Answer: A

Rationale: The correct answer is A: Actinomycosis. This is supported by the presence of purulent foci with druses consisting of short rod-like elements attached to a homogenous center, which is characteristic of Actinomyces species. Actinomycosis commonly presents with granulation tissue and connective tissue formation. B: Tuberculosis does not typically present with druses containing short rod-like elements. C: Syphilis does not typically present with purulent foci or druses. D: Candidosis does not typically present with the described features of purulent fluxing and druses with short rod-like elements.

Correct Answer: A

Rationale: The correct answer is A. Rubella virus has icosahedral type of symmetry due to its spherical shape with 20 faces. This symmetry allows for efficient packaging of genetic material and structural stability. Choice B is incorrect as rubella virus is an ssRNA virus, not ssDNA. Choice C is incorrect as rubella virus does have an envelope derived from the host cell membrane. Choice D is incorrect as rubella virus does have glycoprotein spikes on its surface that aid in host cell recognition and entry.

Correct Answer: B

Rationale: The correct answer is B: Klebsiella pneumoniae. This bacterium is gram-negative, capsulated, and forms lactose-positive colonies. It was first isolated in pneumonia but is more commonly associated with urinary infections, otitis, meningitides, sepsis, and nosocomial infections. Klebsiella pneumoniae fits all the characteristics mentioned in the question, making it the correct choice. Incorrect choices: A: Staphylococcus aureus is gram-positive and does not have a capsule. C: Streptococcus pneumoniae is also gram-positive and does not fit the description given. D: Mycobacterium tuberculosis is an acid-fast bacterium associated with tuberculosis, but it is neither gram-negative nor lactose-positive.

Correct Answer: A

Rationale: The correct answer is A: Gin's stain method. Gin's stain method is specifically used to detect capsules of bacteria. This method involves staining the bacteria with crystal violet and copper sulfate, which highlights the capsules as a clear halo around the stained bacterial cells. Ziehl-Neelsen's stain is used for acid-fast bacteria like Mycobacterium tuberculosis, Neisser's stain is for detecting Neisseria species, and Gram's stain is for differentiating bacteria based on their cell wall composition (Gram-positive vs. Gram-negative). Therefore, choices B, C, and D are incorrect for this scenario.

Correct Answer: C

Rationale: The correct answer is C: RNA-dependent RNA polymerase. This enzyme is required for replicating viral RNA due to its ability to catalyze the synthesis of RNA using an RNA template. Reverse transcriptase (A) is used to transcribe RNA into DNA, not replicate viral RNA. DNA polymerase (B) is used for replicating DNA, not RNA. Ligase (D) is involved in joining DNA fragments, not in replicating viral RNA. Therefore, RNA-dependent RNA polymerase is the only enzyme that specifically performs the function required for replicating viral RNA.