The main virulence factor of Neisseria meningitidis is?

Correct Answer: A

Rationale: The correct answer is A: The polysaccharide capsule. The capsule of Neisseria meningitidis plays a crucial role in its virulence by preventing phagocytosis, allowing the bacteria to evade the host's immune system. This leads to increased survival and colonization in the host. Choice B: The beta lactamase is incorrect because it is an enzyme that breaks down beta-lactam antibiotics and does not directly contribute to the virulence of Neisseria meningitidis. Choice C: The erythrogenic toxin is incorrect as this toxin is produced by Streptococcus pyogenes, not Neisseria meningitidis. Choice D: None of the above is incorrect as the polysaccharide capsule is indeed a key virulence factor of Neisseria meningitidis.

Correct Answer: C

Rationale: The correct answer is C: Gram-negative bacterial outer membrane. Lipopolysaccharides (LPS) are major components of the outer membrane of Gram-negative bacteria. LPS consist of lipid A, core oligosaccharide, and O-antigen. They play a crucial role in the structural integrity and protection of Gram-negative bacteria. Choice A (Gram-positive bacteria) is incorrect because LPS are not present in Gram-positive bacteria. Choice B (Fungal cell walls) is incorrect as LPS are specific to bacterial outer membranes. Choice D (Viral capsids) is incorrect as LPS are not associated with viral structures.

Correct Answer: D

Rationale: The correct answer is D because all three viruses, Vaccinia virus, Smallpox virus, and Cowpox virus, belong to the genus Orthopoxvirus. They share similar characteristics and genetic makeup. Vaccinia virus is used as a vaccine against smallpox, Smallpox virus causes smallpox disease, and Cowpox virus can infect both animals and humans. Choice A, B, and C are incorrect because each of these viruses is a member of the Orthopoxvirus genus.

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus aureus. Staphylococcus aureus is a Gram-positive cocci that is catalase-positive and coagulase-positive, making it the most likely causative agent for the wound infection. Catalase-positive bacteria produce the enzyme catalase, which helps break down hydrogen peroxide. Coagulase-positive bacteria produce the enzyme coagulase, which causes the plasma proteins to clot. Staphylococcus epidermidis is catalase-positive but coagulase-negative, making it less likely to cause a wound infection. Streptococcus pyogenes is catalase-negative, and Enterococcus faecalis is catalase-negative and coagulase-negative, so they are less likely to be the causative agent.

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pyogenes. This is because Streptococcus pyogenes is a Gram-positive cocci in chains bacterium that is catalase-negative, making it the most likely causative agent in this scenario. Streptococcus pyogenes is a common pathogen causing bacterial endocarditis. Summary of other choices: B: Staphylococcus aureus is a Gram-positive cocci bacterium but is catalase-positive, so it is unlikely in this case. C: Enterococcus faecalis is a Gram-positive cocci bacterium, but it is catalase-negative, which is not consistent with the given information. D: Micrococcus luteus is a Gram-positive cocci bacterium but is catalase-positive, making it an unlikely causative agent.

Correct Answer: A

Rationale: The correct answer is A: Norwalk Virus. The Norwalk Virus belongs to the family Caliciviridae because it has characteristic features such as a nonenveloped, single-stranded RNA genome. The other options, Yellow fever virus, Rubella virus, and CMV, belong to different virus families and have distinct characteristics that differentiate them from Caliciviridae. Yellow fever virus is a Flavivirus, Rubella virus belongs to Togaviridae, and CMV is a member of the Herpesviridae family. Therefore, based on the genomic and structural characteristics of the Norwalk Virus, it is the correct choice for belonging to the Caliciviridae family.

Correct Answer: A

Rationale: The correct answer is A: Neisseria species. Gram staining differentiates bacteria based on cell wall composition. Gram-negative bacteria like Neisseria have a thin peptidoglycan layer and an outer membrane, making them appear pink under the microscope. Streptococcus species (B) are Gram-positive cocci with a thick peptidoglycan layer, appearing purple. Bacillus (C) and Clostridium (D) species are Gram-positive rods, not Gram-negative cocci. Thus, the correct answer is A because Neisseria species are the only Gram-negative cocci among the choices provided.

Correct Answer: C

Rationale: The correct answer is C: Up to 3 months. Hepatitis B has an average incubation period of 60-90 days, which aligns with the timeframe of up to 3 months. This period refers to the time between exposure to the virus and the onset of symptoms. One week to 10 days (choice A) is too short for hepatitis B, as it typically takes longer to manifest. One month to 45 days (choice B) is also shorter than the average incubation period for hepatitis B. Up to 6 months (choice D) is too long for hepatitis B, as the virus typically shows symptoms within 3 months.

Correct Answer: A

Rationale: Rationale: 1. Gram-positive cocci in pairs indicate Streptococcus pneumoniae. 2. Presence of a capsule points to S. pneumoniae as it has a polysaccharide capsule. 3. S. pneumoniae commonly causes sore throat. 4. Neisseria meningitidis, Haemophilus influenzae, and Klebsiella pneumoniae are not typically associated with sore throat.