On the 15-th day after a minor trauma of the right foot a patient felt malaise, fatigability, irritability, headache, high body temperature, feeling of compression, tension and muscular twitching of his right crus. What disease can it be?

Correct Answer: A

Rationale: The correct answer is A: Tetanus. Tetanus is caused by the bacterium Clostridium tetani, which produces a toxin affecting the nervous system. Symptoms such as malaise, irritability, muscular twitching, and high body temperature are characteristic of tetanus due to muscle spasms and rigidity. The 15-day incubation period after trauma aligns with the typical onset of tetanus symptoms. Incorrect choices: B: Anaerobic gas gangrene - This condition usually presents with localized tissue necrosis and gas bubbles in the affected area, not systemic symptoms like malaise and headache. C: Erysipelas - This is a bacterial skin infection presenting with red, swollen patches, not the neurological symptoms seen in tetanus. D: Acute thrombophlebitis - This is a blood clot in a vein causing pain and swelling, not associated with the systemic symptoms and muscle twitching seen in tetanus.

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: 20 minutes. Escherichia coli has a short generation time, typically around 20 minutes. This means that under ideal conditions, one bacterium can divide and produce two daughter cells every 20 minutes. This rapid growth rate is a characteristic of E. coli and is important in various fields such as microbiology and biotechnology. Choice B (60 minutes) and Choice C (20 hours) are incorrect as they do not align with the typical generation time of E. coli. Choice D (24 hours) is also incorrect as it is too long for the generation time of E. coli.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Monotrichous means having a single flagellum at one end. 2. The term "polar" indicates that the flagellum is located at one end of the bacterium. 3. Therefore, bacteria with a single polar flagellum are referred to as monotrichous. 4. Choice A is a typo, as it is the same as the correct answer B. Summary: - Choice A is a typo, as it duplicates the correct answer. - Choice C, amphitrichous, refers to bacteria with a flagellum at each end. - Choice D, peritrichous, describes bacteria with flagella distributed over the entire surface.

Correct Answer: B

Rationale: The optochin sensitivity test is used to differentiate Pneumococcal (Streptococcus pneumoniae) from other streptococci. Optochin sensitivity is a characteristic feature of Pneumococcal, as it inhibits its growth. The test involves placing optochin discs on a culture plate and observing the zone of inhibition around the disc for Pneumococcal. Neisseria gonorrhoeae, Staphylococci, and Group A streptococci do not exhibit optochin sensitivity, making them incorrect choices. In summary, the optochin sensitivity test is specific to Pneumococcal, making choice B the correct answer.

Correct Answer: C

Rationale: Rationale: 1. Infectious process involves interactions between macro and microorganisms. 2. It is not limited to manifested diseases or typical symptoms. 3. The process can occur without leading to a full-blown infectious disease. 4. Choice C correctly captures the dynamic relationship between different organisms. Summary: - A: Incorrect - Infectious process is not solely about clinically manifested diseases. - B: Incorrect - Not all infectious diseases have typical symptoms. - D: Incorrect - Ambulatory form is a specific type, not encompassing all infectious processes.

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: D

Rationale: The correct answer is D: All of the above. 1. Escherichia coli can produce endotoxin due to its lipopolysaccharide component. 2. Salmonella enterica also produces endotoxin as part of its cell wall structure. 3. Pseudomonas aeruginosa is known to produce endotoxin as well. Therefore, all of these bacteria are capable of producing endotoxin, which can trigger an excessive immune response leading to septic shock. Other choices are incorrect because they do not cover all the bacteria mentioned in the question that are capable of producing endotoxin.

Correct Answer: A

Rationale: The correct answer is A: Giardia lamblia. Giardia lamblia is a flagellated protozoan with two nuclei found in the stool. It commonly causes chronic diarrhea. The other choices are incorrect because B: Entamoeba histolytica causes dysentery, not chronic diarrhea; C: Trichomonas vaginalis is a sexually transmitted infection, not typically found in stool; D: Balantidium coli is a ciliated protozoan, not flagellated.