The following viruses are referred to the Filoviridae family

Correct Answer: C

Rationale: The correct answer is C because Marburg virus and Ebola virus belong to the Filoviridae family. These viruses are characterized by their filamentous shape and are known to cause severe hemorrhagic fever in humans. Both viruses have caused outbreaks with high mortality rates. Choice A (Lassa virus and lymphocytic choriomeningitis viruses) are not part of the Filoviridae family. They belong to the Arenaviridae family, which also includes viruses that cause hemorrhagic fevers. Choice B (Chikungunya virus and Sindbis virus) are arboviruses belonging to the Togaviridae family, which are not related to the Filoviridae family. Choice D (Crimean-Congo virus and Hantaan virus) are part of the Nairoviridae and Hantaviridae families, respectively, and not the Filoviridae family.

Correct Answer: A

Rationale: The correct answer is A: Spores. The Ozheshko method is used to stain spores, which are resistant structures produced by certain bacterial species. By studying the smear of streptobacillus preparation under oil immersion, one can observe the presence of spores as distinct, oval bodies within the bacteria. Spores are important for bacterial survival in harsh conditions. Summary: B: Capsules are not typically stained using the Ozheshko method. Capsules are usually visualized using negative staining techniques. C: Flagella are not stained by the Ozheshko method. Flagella are visualized using special staining techniques like the flagella stain. D: Inclusions are not specifically stained by the Ozheshko method. Inclusions are often observed using techniques that highlight cellular structures or components.

Correct Answer: A

Rationale: Rationale for correct answer (A: Escherichia coli): 1. Endo agar selects for Gram-negative bacteria. 2. Red colonies on Endo agar indicate lactose fermentation, characteristic of E. coli. 3. E. coli is a common cause of pneumonia, especially in immunocompromised patients. Summary of why other choices are incorrect: - B: Klebsiella pneumoniae: Typically forms mucoid colonies on agar. - C: Pseudomonas aeruginosa: Produces characteristic greenish-blue colonies on agar. - D: Proteus mirabilis: Does not typically ferment lactose, so would not produce red colonies on Endo agar.

Correct Answer: A

Rationale: The correct answer is A: Clostridium perfringens. This bacterium is a Gram-positive rod that forms chains and produces gas due to its ability to ferment carbohydrates. It is also spore-forming, which helps it survive harsh conditions. Clostridium perfringens is commonly associated with severe tissue infections and gas gangrene. Choice B: Bacillus anthracis is also a spore-forming Gram-positive rod but is not typically associated with gas production or severe tissue infections. Choice C: Clostridium tetani is a spore-forming bacterium that causes tetanus, not severe tissue infections with gas production. Choice D: Pseudomonas aeruginosa is a Gram-negative bacterium and does not fit the description provided in the question.

Correct Answer: B

Rationale: The correct answer is B: microvilli. Pili are hair-like structures found on the surface of some bacteria, while microvilli are microscopic cellular projections that increase surface area for absorption in cells like intestinal cells. Pili are involved in bacterial adhesion, while microvilli are important for nutrient absorption. Therefore, the correct answer is B. Incorrect choices: A: Fimbriae are short, thin appendages found on the surface of some bacteria, mainly used for adhesion. C: Cilia are hair-like structures found on the surface of some eukaryotic cells, often involved in movement or sensory functions. D: Flagella are long, whip-like appendages used for bacterial motility.

Correct Answer: A

Rationale: The correct answer is A because the secondary immune response is quicker due to memory B and T cells being already present from the primary response. These memory cells can quickly recognize and respond to the antigen upon re-exposure, leading to a faster and more efficient immune response. Choices B and C are incorrect as the secondary response produces more antibodies and requires fewer antigen stimulations. Choice D is also incorrect as the secondary response is faster than the primary response.

Correct Answer: D

Rationale: The correct answer is D: Proteus vulgaris. This is because Proteus species are non-lactose-fermenting, Gram-negative rods that produce gas in nutrient broth. They are known to cause severe abdominal pain due to their ability to invade the intestinal mucosa. A: Salmonella enterica is a lactose-fermenting organism and typically does not produce gas in nutrient broth. B: Shigella dysenteriae is a lactose-negative organism but does not produce gas in nutrient broth. C: Escherichia coli is a lactose-fermenting organism and does not typically produce gas in nutrient broth. In summary, the presence of non-lactose-fermenting, gas-producing Gram-negative rods points towards Proteus vulgaris as the most likely causative agent of the severe abdominal pain.

Correct Answer: A

Rationale: The correct answer is A: Botulism. Botulism is caused by the toxin produced by Clostridium botulinum bacteria found in improperly preserved or canned foods. The symptoms described align with botulism, such as difficulty swallowing and breathing due to muscle paralysis. The tennis racket appearance seen under microscopy corresponds to the characteristic appearance of Clostridium botulinum spores. The other choices can be ruled out based on the clinical presentation and microscopy findings. Cholera typically presents with severe watery diarrhea, Nontyphoidal Salmonella infection with fever and gastrointestinal symptoms, and Typhoid fever with high fever and abdominal pain. Therefore, the most likely diagnosis in this case is botulism.

Correct Answer: D

Rationale: The correct answer is D, "All of the above." Bacterial meningitis can be caused by Neisseria meningitidis, Haemophilus influenzae, and Streptococcus pneumoniae. These bacteria are common pathogens associated with meningitis. Each of them can lead to serious infections in the brain and spinal cord. Neisseria meningitidis is known for causing meningococcal meningitis, Haemophilus influenzae is a common cause of H. influenzae meningitis, and Streptococcus pneumoniae is responsible for pneumococcal meningitis. Therefore, since all three bacteria can cause bacterial meningitis, the correct answer is D. Choices A, B, and C are incorrect because each of these bacteria individually can cause bacterial meningitis; it is not limited to just one specific type.