Study of bacteriological sputum specimens stained by the Ziel-Neelsen method revealed some bright-red acid-resistant bacilli that were found in groups or singularly. When inoculated onto the nutrient media, the signs of their growth show up on the 10-15 day. These bacteria relate to the following family:

Correct Answer: A

Rationale: The correct answer is A: Mycobacterium tuberculosis. 1. Bright-red acid-resistant bacilli indicate the presence of mycolic acids in the cell wall, characteristic of Mycobacterium species. 2. Found in groups or singularly suggests the clumping nature of acid-fast bacilli. 3. Growth appearing after 10-15 days on nutrient media is consistent with the slow growth rate of Mycobacterium tuberculosis. 4. Yersinia pseudotuberculosis (B) and Klebsiella rhinoscleromatis (D) are not acid-fast bacilli and do not match the growth characteristics described. 5. Histoplasma dubrosii (C) is a fungus, not a bacterium, and does not exhibit acid-fast staining or the described growth pattern.

Correct Answer: A

Rationale: The correct answer is A: Botulism. The tennis racket appearance seen under the microscope is characteristic of Clostridium botulinum, the bacterium responsible for botulism. This bacterium produces spores that resemble a tennis racket shape. Botulism is a type of food poisoning caused by the ingestion of the toxin produced by Clostridium botulinum. Summary: B: Salmonellosis is caused by Salmonella bacteria, which do not exhibit a tennis racket appearance. C: Cholera is caused by Vibrio cholerae, which also does not resemble a tennis racket under the microscope. D: Dysentery is typically caused by bacteria such as Shigella or Entamoeba histolytica, neither of which exhibit the characteristic tennis racket appearance.

Correct Answer: B

Rationale: The correct answer is B: M.tuberculosis. The description of bacillus in the form of accumulations resembling a pack of cigarettes and staining red with Ziehl-Neelsen staining is characteristic of Mycobacterium tuberculosis. M.leprae (Choice A) is associated with leprosy and does not typically appear as described. A.bovis (Choice C) is a type of Mycobacterium but is not typically found in the oral cavity. A.israilii (Choice D) is not associated with the characteristics mentioned in the question. Therefore, based on the specific characteristics described, M.tuberculosis is the most likely pathogenic organism revealed in the tissue sampling.

Correct Answer: C

Rationale: The correct answer is C because diphtheria is primarily spread through respiratory droplets and physical contact with an infected person. The bacteria responsible for diphtheria is transmitted through coughing, sneezing, or sharing personal items. Swimming in contaminated water (A) does not spread diphtheria. Transmission (B) is a broad term and does not specifically address the mode of transmission for diphtheria. Contaminated food (D) is not a typical route of diphtheria transmission. Therefore, option C is the most accurate choice based on the known mode of transmission for diphtheria.

Correct Answer: C

Rationale: The correct answer is C: IgG. IgG is the only antibody that can cross the placenta due to its small size and unique structure, allowing it to provide passive immunity to the fetus. IgA is mainly found in mucosal secretions, IgM is too large to cross the placental barrier, and IgD plays a role in B cell activation but is not involved in placental transfer.

Correct Answer: D

Rationale: The correct answer is D because all the options listed can cause respiratory tract infections. 1. Francisella tularensis can cause pneumonia. 2. Bordetella pertussis causes whooping cough, a respiratory infection. 3. Coxiella brunetti can lead to Q fever, which affects the respiratory system. Therefore, all choices are correct for causing respiratory tract infections. Choices A, B, and C are incorrect because they are individual causes of respiratory infections, whereas choice D encompasses all possible causes listed.

Correct Answer: C

Rationale: The correct answer is C: Vibrio. Cholera is caused by Vibrio cholerae bacteria. These bacteria produce a toxin that causes severe diarrhea and dehydration. Escherichia (choice A) and Salmonella (choice B) are known for causing other types of gastrointestinal infections but not cholera. Acinetobacter (choice D) typically causes respiratory infections, not gastrointestinal illnesses like cholera. Therefore, the correct choice is Vibrio as it is specifically associated with cholera.

Correct Answer: B

Rationale: The correct answer is B: pasteurization. This process involves heating food to a specific temperature to kill harmful bacteria while preserving the flavor and quality of the food. Sanitation (A) refers to maintaining cleanliness to prevent contamination. Disinfection (C) involves killing most, but not all, microbes on surfaces. Purification (D) typically refers to the process of removing impurities, not specifically targeting microbes. In this case, pasteurization best describes the process of reducing harmful microbes in food without completely eliminating all microorganisms.

Correct Answer: C

Rationale: Rationale for Correct Answer (C - Immunity): 1. Immunity refers to the body's ability to defend against foreign agents. 2. Homeostasis is the state of steady internal conditions, not specifically related to defense. 3. Infection is the invasion and multiplication of pathogens, not the overall defense mechanism. 4. Commensalism is a symbiotic relationship where one organism benefits without harming the other.