The patient 25 y.o. was admitted on the 1st day of the disease with complaints of double vision in the eyes, heavy breathing. The day before the patient ate homemade mushrooms. On objective examination: paleness, widened pupils, disorder of swallowing, bradycardia, constipation are marked. What is the diagnosis?

Correct Answer: A

Rationale: The correct answer is A: Botulism. Botulism is a rare but serious illness caused by a toxin produced by the bacterium Clostridium botulinum. In this case, the patient's symptoms align with botulism due to the ingestion of homemade mushrooms. The symptoms of double vision, heavy breathing, paleness, widened pupils, swallowing difficulties, bradycardia, and constipation are all classic signs of botulism poisoning. The toxin affects the nervous system and can lead to paralysis. The other choices (B: Yersiniosis, C: Leptospirosis, D: Salmonellosis) do not match the patient's symptoms and history of consuming mushrooms, making them incorrect.

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.

Correct Answer: A

Rationale: The correct answer is A: cryophiles. Psychrophiles are microorganisms that thrive in cold temperatures. The prefix "cryo-" means cold, which accurately describes the environment in which these organisms grow. Choice B, thermophiles, are organisms that thrive in high temperatures. Choice C, mesophiles, grow best at moderate temperatures. Choice D, psychrotrophs, are organisms that can grow at refrigeration temperatures but have an optimal growth temperature range different from psychrophiles.

Correct Answer: A

Rationale: The correct answer is A: chronic. A persistent infection that is not lytic but productive is characterized by ongoing viral replication without cell lysis. This type of infection is referred to as chronic, as it persists over an extended period. Latent infections involve periods of dormancy with intermittent reactivation. Slow infections typically have a prolonged incubation period before causing symptoms. Transforming infections lead to permanent alterations in host cell behavior. The key distinction for this question is the continuous viral replication without cell destruction, which aligns with the definition of a chronic infection.

Correct Answer: B

Rationale: The correct answer is B because reinfection is indeed possible with rabies virus. Step 1: Reinfection occurs if a person is exposed to the virus again after initial infection. Step 2: Once infected, the virus can remain dormant in the body and become active upon re-exposure. Step 3: Therefore, it is essential to continue preventive measures even after initial immunization. Summary: Choices A, C, and D are incorrect because antibodies develop within 14-15 days post-immunization, HRIG is administered shortly after exposure, and a specific vaccination schedule is followed for rabies prophylaxis, respectively.

Correct Answer: C

Rationale: 1. OSHA stands for Occupational Safety and Health Administration. 2. OSHA is responsible for ensuring safe and healthy working conditions in the US. 3. The U.S. Department of Labor oversees OSHA's operations and regulations. 4. Therefore, the correct answer is C, as OSHA is a division of the U.S. Department of Labor. 5. Other choices are incorrect because they are not directly related to OSHA's jurisdiction or responsibilities.

Correct Answer: D

Rationale: The correct answer is D, Shiga anatoxin. This is because the Salk and Sabin vaccines are actually for polio, not chemical vaccines. HPV vaccine is a biological vaccine, not a chemical one. Shiga anatoxin is a chemical vaccine used against Shigella bacteria, making it the only correct choice for chemical vaccines in this question.

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: Rationale: The correct answer is A: Trichomonas vaginalis. 1. Symptoms of urogenital inflammation match Trichomonas vaginalis infection. 2. Description matches Trichomonas vaginalis characteristics: pear-shaped, pointed spike, big nucleus, undulating membrane. 3. Trichomonas hominis and buccalis do not typically infect urogenital tracts. 4. Trypanosoma gambiense causes African trypanosomiasis, not urogenital infections.