The sepsis is:

Correct Answer: D

Rationale: The correct answer is D. Sepsis is a systemic response to infection resulting in organ dysfunction. A: Sepsis can be caused by bacterial infection, but it is not solely defined by the presence of bacteria in the blood. B: Bacteremia is the presence of bacteria in the blood, which can be a component of sepsis, but sepsis involves a broader systemic response beyond just bacteremia. C: Sepsis can lead to the release of toxins and organ failure, but sepsis itself is not defined solely by the massive proliferation of toxins. Therefore, the correct answer is D, as sepsis can involve the presence of bacteria, bacteremia, systemic manifestations, and organ failure.

Correct Answer: C

Rationale: The correct answer is C: phialospores. Phialospores are conidiospores that bud off from a vase-shaped spore-bearing cell called a phialide. This structure is characteristic of fungi in the genus Penicillium. Arthrospores (A) are formed by the fragmentation of hyphae, porospores (B) are not a recognized term in mycology, and blastospores (D) are produced by budding from yeast cells. Therefore, C is the correct choice based on the specific description provided in the question.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Tularemia is caused by Francisella tularensis, a highly infectious bacterium. 2. Francisella tularensis is the only pathogen specifically known to cause tularemia. 3. The other choices (Bordetella pertussis, Brucella suis, Legionella sp.) are not associated with tularemia. 4. Therefore, the correct answer is A - Francisella tularensis.

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.

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: 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: C

Rationale: The correct answer is C: Erysipelas. Erysipelas is a type of acute infection caused by group A Streptococcus bacteria. This bacteria infects the upper dermis and superficial lymphatics, leading to a distinct raised, well-demarcated, erythematous skin lesion. The other choices are incorrect because: A Carbuncle is a deep skin infection involving hair follicles, B Impetigo is a superficial skin infection caused by Staphylococcus or Streptococcus bacteria, and D Acne is a chronic inflammatory skin condition not typically caused by group A Streptococcus.

Correct Answer: C

Rationale: Step 1: Chlorhexidine belongs to the group of biguanides, which are commonly used for disinfecting hands, skin, and mucous membranes. Step 2: It is known to have broad-spectrum antimicrobial activity against various pathogens. Step 3: The usage of chlorhexidine in healthcare settings for preoperative skin preparation and surgical hand scrub is well-established. Step 4: The effectiveness and safety profile of chlorhexidine make it a preferred choice for disinfection purposes. Summary: - Option A is incorrect as chlorhexidine is not characterized by strong human toxicity. - Option B is incorrect as chlorhexidine is not classified as an alcohol and is primarily used for disinfecting hands, skin, and mucous membranes. - Option D is incorrect as chlorhexidine has a wide range of applications in disinfection, especially in healthcare settings.

Correct Answer: D

Rationale: Interferon is a cell-specific protein that is produced and released from infected cells in response to viral infections. It acts extracellularly to interfere with viral replication, not to inactivate the virus itself. Interferon is not coded for by cellular DNA, but by viral RNA during infection. Therefore, the correct answer, D, is that interferon is not virus-specific but is cell-specific. This is because interferon can be produced by various cell types in response to different types of viral infections, making it a broad-spectrum antiviral defense mechanism.