Parents with ill child came to the infectionist. They worked in one of the Asian countries for a long time. Child has eathy colored skin, loss of appetite, laxity, enlarged liver, spleen, peripheral glands. What protozoan illness can this child have?

Correct Answer: C

Rationale: The correct answer is C: Visceral leishmaniasis. This disease is caused by the protozoan parasite Leishmania, which is transmitted by sandfly bites. The symptoms described in the question, such as enlarged liver and spleen, peripheral gland enlargement, and eathy colored skin, are characteristic of visceral leishmaniasis. Amebiasis (choice A) typically presents with gastrointestinal symptoms, Balantidiasis (choice B) is caused by a different parasite and presents with dysentery, and Lambliasis (choice D) is caused by Giardia lamblia and presents with diarrhea.

Correct Answer: C

Rationale: The correct answer is C because antibacterial chemotherapeutics need to be maximally toxic to microorganisms, not lead to allergic reactions, be stable, and have a wide spectrum of activity to effectively treat bacterial infections. A is incorrect because maximum toxicity to bacteria can lead to harmful side effects in the body. B is incorrect because rapid disintegration and insolubility in water would hinder the drug's effectiveness. D is incorrect because the basic requirements for antibacterial chemotherapeutics are outlined in option C.

Correct Answer: B

Rationale: The correct answer is B: Personal eyewash. Personal eyewash is designed for immediate flushing until the victim reaches a more suitable safety unit. It provides a controlled flow of water to safely flush eyes while transporting the victim. The emergency shower (A) is meant for full-body coverage, not just for the eyes. Handheld drench hose (C) may not provide adequate flushing pressure. Combination unit (D) may not be easily portable for immediate use.

Correct Answer: A

Rationale: The presence of acid-fast bacilli stained red against a blue background indicates mycobacteria, specifically Mycobacterium tuberculosis in this case. Ziehl-Neelsen staining is commonly used to detect tuberculosis. Diphtheria is caused by Corynebacterium diphtheriae, which does not stain with Ziehl-Neelsen. Pneumonia is a general term for lung infections caused by various pathogens. Leprosy is caused by Mycobacterium leprae, which requires special staining methods different from Ziehl-Neelsen.

Correct Answer: B

Rationale: The correct answer is B: Biological oxidation. Haematrophic bacteria obtain energy through biological oxidation, where they break down organic compounds to generate ATP for cellular processes. This process involves the transfer of electrons from the substrate to an electron transport chain to produce energy. Heat production (A) is a byproduct of metabolism, not the primary way to obtain energy. In biosynthetic reactions (C), energy is utilized rather than generated. Cultivation in culture media (D) is a method of growing bacteria but does not directly provide energy. Therefore, the correct answer is B as it aligns with the metabolic process of haematrophic bacteria.

Correct Answer: B

Rationale: The correct answer is B: glycocalyx. The glycocalyx is a matrix formed outside the plasma membrane that consists of glycoproteins and glycolipids. It plays crucial roles in cell-cell recognition, protection, and immune response. Cytoplasm (A) is the gel-like substance inside the cell, not outside. Exoplasm (C) is not a recognized term in biology. Cell wall (D) is a rigid structure found in plant cells, not outside the plasma membrane in all cells.

Correct Answer: A

Rationale: The correct answer is A: Picornaviridae. Picornaviruses, such as enteroviruses, are commonly found in the feces of infected individuals. Therefore, their presence in water indicates fecal contamination and the need for additional purification. B: Herpesviridae are not typically associated with fecal contamination. C: Flaviviridae are mainly transmitted through arthropods like mosquitoes, not fecal contamination. D: Retroviridae, including HIV, are not typically excreted in high levels in feces and are not indicators of fecal contamination.

Correct Answer: D

Rationale: The correct answer is D, "All of the above." Clostridium botulinum produces botulinum toxin causing botulism, Vibrio cholerae produces cholera toxin leading to severe diarrhea, and certain strains of Escherichia coli produce toxins causing gastrointestinal illness. Therefore, all three bacteria are known for producing toxins that can cause severe gastrointestinal illness. Choices A, B, and C individually represent bacteria known for producing toxins that can cause severe gastrointestinal illness, making them incorrect individual choices.

Correct Answer: D

Rationale: The correct answer is D: Positive strand RNA viruses. These viruses have RNA genomes that can be directly translated by host ribosomes without the need for transcription. In contrast, single-strand DNA and double-strand DNA viruses require transcription to generate mRNA for translation. Choice A is incorrect as there is a correct answer. Choice B and C are incorrect because both single-strand DNA and double-strand DNA viruses require transcription for mRNA synthesis.