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: B

Rationale: Rationale: 1. The patient has symptoms of fever, enlarged lymph nodes, red and tender skin, which are indicative of systemic infection. 2. The inguinal lymph nodes in plague become enlarged, tender, and painful, forming buboes. 3. The presence of acute serohemorrhagic inflammation in the lymph node is characteristic of plague. 4. Plague is a zoonotic bacterial infection caused by Yersinia pestis, commonly transmitted through fleas from rodents. 5. Brucellosis, anthrax, and tularemia do not typically present with inguinal lymph node involvement and acute serohemorrhagic inflammation. Summary: - Brucellosis: Usually presents with flu-like symptoms, joint pain, and fever, not inguinal lymph node enlargement. - Anthrax: Presents with skin lesions, respiratory symptoms, or gastrointestinal symptoms, not inguinal lymph node involvement. - Tularemia: Presents with fever, skin ulcers,

Correct Answer: A

Rationale: The correct answer is A: Yersinia pestis. This bacterium causes the plague, which presents with fever and swollen lymph nodes. The safety pin appearance on Gram stain is characteristic of Yersinia pestis. B: Francisella tularensis causes tularemia, which presents differently and does not show safety pin appearance on Gram stain. C: Brucella abortus causes brucellosis, which does not typically present with the same symptoms as described in the question. D: Clostridium botulinum causes botulism, which does not show safety pin appearance on Gram stain and does not typically present with fever and swollen lymph nodes.

Correct Answer: D

Rationale: The correct answer is D (All of the above) because different bacteria can cause pneumonia. Streptococcus pneumoniae is the most common cause of community-acquired pneumonia. Mycobacterium tuberculosis causes tuberculosis, which can lead to pneumonia. Pseudomonas aeruginosa is a common cause of hospital-acquired pneumonia. Therefore, all three bacteria can be responsible for causing pneumonia in different contexts. Choices A, B, and C are incorrect because each bacterium individually can cause pneumonia, so selecting only one option would not cover the full spectrum of bacterial causes of pneumonia.

Correct Answer: B

Rationale: The correct answer is B because bacteria synthesize enzymes with various nature and action. This is true because bacteria can produce a wide range of enzymes to carry out different functions such as metabolism, cell wall synthesis, and nutrient acquisition. Option A is incorrect because bacteria do not synthesize identical enzyme sets due to their diverse functions. Option C is incorrect as bacteria and viruses have distinct enzyme profiles. Option D is incorrect as viruses typically have a narrower range of enzymes compared to bacteria. Therefore, the variability in enzyme types and actions produced by bacteria supports the correctness of option B.

Correct Answer: B

Rationale: The correct answer is B: intravenous administration. This route bypasses the first-pass metabolism, allowing the drug to directly enter the bloodstream for immediate distribution. In contrast, on the skin (A) and sublingual (D) routes have slower absorption rates due to barriers like skin layers or mucous membranes. Intramuscular (C) absorption is slower than intravenous due to slower perfusion rates in muscle tissues. Overall, intravenous administration provides the fastest and most direct route for drug absorption, making it the most rapid method.

Correct Answer: D

Rationale: Bacteriophages are viruses that infect bacteria, not living organisms. They do not reproduce through division, mitosis, or meiosis because they lack the cellular machinery for these processes. Instead, bacteriophages replicate by inserting their genetic material into a host bacterium and hijacking its cellular machinery to produce new viral particles. Therefore, the correct answer is D - None of them. Division and mitosis involve cellular division in living organisms, while meiosis is a specialized process for sexual reproduction in eukaryotic organisms, none of which apply to bacteriophages.

Correct Answer: A

Rationale: The correct answer is A because a soft chancre is a type of sexually transmitted infection caused by the bacterium Haemophilus ducreyi. It presents as a painless ulcer on the genitals. The other choices are incorrect. B is incorrect because STIs can enter the body through various routes, not only the urogenital tract mucosa. C is incorrect because immunity to syphilis is not lifelong; reinfection is possible. D is incorrect because STIs can occur in any country regardless of social status or hygiene levels.

Correct Answer: C

Rationale: Sterilization refers to the complete elimination of all microorganisms, including their spores, which are the most resistant form of microbial life. Spores have a tough outer coating that protects them from harsh conditions, making them more difficult to destroy compared to vegetative cells, viruses, and protozoa. Therefore, the correct answer is C because sterilization targets and eliminates all forms of microorganisms, including spores. Choices A, B, and D are incorrect because sterilization goes beyond just targeting vegetative cells, viruses, or protozoa; it aims to eliminate all microorganisms present.