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: B

Rationale: The correct answer is B: Pseudomonas aeruginosa. This bacterium is commonly associated with hospital-acquired infections due to its ability to survive in hospital environments, resist antibiotics, and infect immunocompromised patients. Streptococcus pneumoniae (choice A) is more commonly associated with community-acquired pneumonia. Vibrio cholerae (choice C) causes cholera, a waterborne disease, and is not typically associated with hospital-acquired infections. Choice D is incorrect because Pseudomonas aeruginosa is indeed associated with hospital-acquired infections.

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.

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: B

Rationale: The correct answer is B: Ethambutol. Ethambutol is known to cause optic neuritis, affecting the visual nerve. It is a well-documented side effect of this drug. Isoniazid (Choice A) is associated with peripheral neuropathy, not optic neuritis. Kanamycin (Choice C) is known for its side effects on the inner ear, causing hearing loss. Rifampicin (Choice D) is not typically associated with optic neuritis but can cause other adverse effects like hepatitis. By process of elimination and knowledge of drug side effects, Ethambutol is the most likely culprit.