Correct Answer: B

Rationale: Rationale: The correct answer is B. Viruses of the family Paramyxoviridae cause the formation of giant multinucleated cells called syncytia. This occurs when infected cells fuse together, resulting in large, multinucleated structures. This is a characteristic cytopathic effect of paramyxoviruses. Summary: A: Fine grained degeneration is not typically seen in paramyxovirus infections. C: Large cell degeneration with grape clustering of cells is not a typical cytopathic effect of paramyxoviruses. D: Paramyxoviruses do provoke a cytopathic effect, so this statement is incorrect.

Correct Answer: B

Rationale: The correct answer is B: Treponema pallidum. The scenario describes symptoms of primary syphilis, which is caused by Treponema pallidum. The presence of a painless ulcer (chancre) and enlarged inguinal lymph nodes are characteristic of syphilis. Dark field microscopic examination showing motile, curved spirochetes is highly specific for Treponema pallidum. Incorrect explanations: A: Chlamydia trachomatis typically causes urethritis or cervicitis, not painless ulcers. C: Neisseria gonorrhoeae causes gonorrhea, which presents with purulent discharge, not painless ulcers. D: Herpes simplex virus type 2 causes genital herpes, leading to painful ulcers and vesicles, not painless ulcers seen in syphilis.

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus aureus. This bacterium causes food poisoning by producing enterotoxins that lead to symptoms like nausea and vomiting. Staphylococcus aureus can survive in various food items and multiply rapidly, producing toxins that are heat-stable. Clostridium botulinum causes botulism due to neurotoxins, not enterotoxins. Salmonella enterica causes gastrointestinal infections, not primarily food poisoning. Vibrio cholerae causes cholera by producing a toxin that leads to severe watery diarrhea and dehydration, not enterotoxins like Staphylococcus aureus.

Correct Answer: B

Rationale: The correct answer is B: Measles. Immunosuppressive drugs are not used for treating viral infections like measles as they target the immune system and can worsen the infection. Organ transplantation requires immunosuppressive drugs to prevent organ rejection. Autoimmune diseases involve an overactive immune response, so immunosuppressive drugs are used to reduce this response. Hemolytic disease of the newborn can be treated with immunosuppressive drugs to prevent the destruction of red blood cells.

Correct Answer: A

Rationale: Step 1: Gram-positive diplococci suggest a pneumococcal infection. Step 2: Catalase-negative indicates Streptococcus. Step 3: Alpha-hemolysis matches S. pneumoniae's characteristics. Therefore, Streptococcus pneumoniae is the most likely causative agent. Staphylococcus aureus (B) is catalase-positive, Neisseria meningitidis (C) is Gram-negative, and Klebsiella pneumoniae (D) is not diplococci or alpha-hemolytic.