The patient has developed pain in the axillary area, rise of temperature developed 10 hours ago. On examination: shaky gait is marked, the tongue is coated by white coating. The pulse is frequent. The painful lymphatic nodules are determined in the axillary area. The skin is erythematous and glistering over the lymphatic nodules. What is the most probable diagnosis?

Correct Answer: D

Rationale: The most probable diagnosis is D: Tularemia. Tularemia is a bacterial infection caused by Francisella tularensis. The symptoms described align with tularemia, such as pain in axillary area, fever, shaky gait, coated tongue, frequent pulse, painful lymphatic nodules, and erythematous skin over nodules. The key features pointing towards tularemia are the presence of lymphadenitis in the axillary area and the erythematous, glistering skin over the nodules, which are characteristic of ulceroglandular tularemia. Bubonic plague (A) presents with painful, swollen lymph nodes called buboes but typically lacks the erythematous skin findings. Acute purulent lymphadenitis (B) usually presents with pus-filled lymph nodes but does not typically cause shaky gait or coated tongue. Lymphogranulomatosis (C) is a term for Hodgkin's lymphoma, which does not

Correct Answer: D

Rationale: The most probable diagnosis is D: Tularemia. Tularemia is a bacterial infection caused by Francisella tularensis. The symptoms described align with tularemia, such as pain in axillary area, fever, shaky gait, coated tongue, frequent pulse, painful lymphatic nodules, and erythematous skin over nodules. The key features pointing towards tularemia are the presence of lymphadenitis in the axillary area and the erythematous, glistering skin over the nodules, which are characteristic of ulceroglandular tularemia. Bubonic plague (A) presents with painful, swollen lymph nodes called buboes but typically lacks the erythematous skin findings. Acute purulent lymphadenitis (B) usually presents with pus-filled lymph nodes but does not typically cause shaky gait or coated tongue. Lymphogranulomatosis (C) is a term for Hodgkin's lymphoma, which does not

Correct Answer: D

Rationale: The correct answer is D. Escherichia coli, Salmonella enterica, and Pseudomonas aeruginosa all produce endotoxins that can lead to septic shock. Endotoxins are part of the outer membrane of Gram-negative bacteria and can trigger a systemic inflammatory response if released into the bloodstream. E. coli and Salmonella are common causes of bacterial infections that can lead to septic shock, while P. aeruginosa is a known opportunistic pathogen that can produce endotoxins. Therefore, all three bacteria can cause septic shock by releasing endotoxins. Choices A, B, and C are incorrect because each of these bacteria individually can produce endotoxins that contribute to the development of septic shock.

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: 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: B

Rationale: Rationale: 1. Streptococcus pyogenes is the causative agent of strep throat. 2. If untreated, strep throat can lead to rheumatic fever. 3. Rheumatic fever is an autoimmune complication of streptococcal infections. 4. E. coli, S. epidermidis, and S. aureus are not typically associated with rheumatic fever.

Correct Answer: C

Rationale: The correct answer is C: Fungi. Molds are a type of fungi, which are eukaryotic organisms characterized by having cell walls made of chitin. Fungi are distinct from protozoans (single-celled eukaryotes), archaea (prokaryotes), and algae (photosynthetic eukaryotes). Fungi, including molds, obtain nutrients through absorption and play crucial roles in decomposition and nutrient cycling. Therefore, molds belong to the group of eukaryotic organisms known as fungi.

Correct Answer: C

Rationale: The correct answer is C: Identification. Bacteria are studied by identification to determine their specific characteristics and differentiate between different species. Taxonomy (A) is the science of classification, not specific to bacteria. Classification (B) is the process of grouping organisms based on shared characteristics, not specific to bacteria. Nomenclature (D) is the naming system for organisms, not the primary method for studying bacteria. Therefore, identification (C) is the correct choice for studying bacteria.

Correct Answer: C

Rationale: The most probable diagnosis for the homeless male with symptoms of roseolo-petechiae rash, hyperemia, tachycardia, splenomegaly, and euphoria is Leptospirosis. Leptospirosis is a bacterial infection commonly associated with exposure to contaminated water or soil, which is prevalent in homeless populations. The initial diagnosis of "influenza" fits with the flu-like symptoms. The appearance of roseolo-petechiae rash and other symptoms like hyperemia, tachycardia, splenomegaly, and euphoria are consistent with leptospirosis. The other choices can be ruled out: A) Typhus typically presents with headache, fever, and rash, but not the specific symptoms described. B) Alcoholic delirium is more likely with a history of alcohol abuse and presents with confusion, disorientation, and hallucinations. D) Abdominal typhoid presents with prolonged fever, abdominal pain