Patients after transplantation of allogeneic stem cells are monitored periodically for reactivation of

Correct Answer: B

Rationale: The correct answer is B: CMV. Patients after allogeneic stem cell transplantation are monitored for CMV reactivation due to its potential to cause severe complications in immunocompromised individuals. CMV can lead to organ damage and even mortality in these patients. Monitoring for CMV reactivation allows for early detection and prompt intervention. Incorrect Choices: A: HAV - Hepatitis A virus reactivation is not commonly monitored in post-transplant patients. C: Rubella virus - Rubella is not a common concern for reactivation in this patient population. D: Measles virus - Measles reactivation is not typically monitored in these patients.

Correct Answer: C

Rationale: The correct answer is C: Protection against harsh conditions. Bacterial endospores are dormant structures produced by certain bacteria as a survival strategy under unfavorable conditions. They protect the bacterial DNA and other essential components from damage caused by heat, chemicals, desiccation, and radiation. Endospores do not directly participate in energy production (A), DNA replication (B), or protein synthesis (D). These functions are carried out by the active, vegetative form of the bacterial cell.

Correct Answer: B

Rationale: The correct answer is B: Humoral immunity. Humoral immunity involves the production of antibodies by B cells that can bind to antigens on viruses, leading to their agglutination. This process prevents the spread of the virus in the body. Passive immunity (A) involves receiving pre-formed antibodies, not the production of antibodies. Cell-mediated immunity (C) involves the activation of T cells, not the direct agglutination of viruses. Non-specific immunity (D) refers to general defense mechanisms like inflammation and fever, not targeted agglutination of viruses.

Correct Answer: A

Rationale: The correct answer is A: Commensalism. In this relationship, the skin microflora benefits from the host without causing harm or benefitting it. This is evident in the mutualistic interaction where the microflora receive nutrients and a place to live, while the host remains unaffected. Choice B, Infection, is incorrect because it implies harm to the host. Choice C, Parasitism, is also incorrect as it involves one organism benefiting at the expense of the other. Choice D, No correct answer, is not applicable here as Commensalism accurately describes the relationship between the macroorganism and skin microflora.

Correct Answer: B

Rationale: The correct answer is B: Polymorphonuclear leukocyte. APCs are specialized immune cells that present antigens to T cells. B cells and dendritic cells are classic examples of APCs, as they can efficiently present antigens. Polymorphonuclear leukocytes, such as neutrophils, are not considered traditional APCs because they are primarily involved in phagocytosis and killing of pathogens rather than antigen presentation. Therefore, they do not play a significant role in initiating adaptive immune responses. The incorrect choices are A (B cell) and C (Dendritic cell) because they are both well-known antigen-presenting cells in the immune system. Choice D (All of the above) is incorrect because B cells and dendritic cells are indeed antigen-presenting cells.

Correct Answer: B

Rationale: Step-by-step rationale for why B (Gamma Interferon) is the correct answer: 1. Gamma Interferon is a type of immunomodulator that helps regulate the immune response. 2. It activates macrophages and enhances the immune system's ability to fight infections. 3. Rifampin is an antibiotic, not an immunomodulator. 4. Hexacima and Pentaxim are combination vaccines, not immunomodulators. In summary, Gamma Interferon is the correct answer as it directly influences the immune response, while the other choices are not immunomodulators.

Correct Answer: B

Rationale: The correct answer is B: scalp. Tinea capitis is a fungal infection that specifically affects the scalp. This infection is caused by dermatophytes, which thrive in warm and moist environments. It typically presents with symptoms such as scaling, itching, and hair loss on the scalp. Choices A, C, and D are incorrect because tinea pedis (athlete's foot) affects the feet, oral thrush is a fungal infection of the mouth, and tinea manuum affects the hands. By process of elimination and understanding the specific characteristics of tinea capitis, we can determine that the scalp is the correct location for this fungal infection.

Correct Answer: D

Rationale: The correct answer is D because all three bacteria (Salmonella enterica, Escherichia coli, Pseudomonas aeruginosa) are known to produce endotoxins, specifically lipopolysaccharides in their cell walls. Endotoxins are released upon bacterial cell death and can trigger an immune response, leading to septic shock. Salmonella and E. coli are common causes of bacterial infections, while Pseudomonas is associated with nosocomial infections. Therefore, all of the above choices are correct in terms of producing endotoxins that can cause septic shock. Choices A, B, and C are incorrect individually because they do not encompass all the bacteria known to produce endotoxins that can lead to septic shock.

Correct Answer: B

Rationale: The correct answer is B because endotoxins are part of the outer membrane of gram-negative bacteria. When these bacteria undergo cell lysis, the endotoxins are released, causing harmful effects. This process does not occur during bacterial replication (choice A), antibody production (choice C), or formation of spores (choice D). Bacterial replication involves the creation of new bacterial cells, not the release of endotoxins. Antibody production is the immune response to pathogens, not the direct cause of endotoxin release. Spores are dormant structures formed by some bacteria, which are not directly related to the release of endotoxins.