The specific treatment of the Clostridium difficile - associated post antibiotic diarrhea is based on all the strategies EXCEPT:

Correct Answer: A

Rationale: Rationale: A: Early application of gentamicin is not recommended as a specific treatment for C. difficile-associated post antibiotic diarrhea because it does not have efficacy against C. difficile. B: Metronidazole is recommended as first-line treatment for mild to moderate C. difficile infection. C: Stopping antibiotic treatment and observing the clinical response for 48 hours is not a recommended strategy as prompt treatment is crucial in C. difficile infection. D: Vancomycin per os is an appropriate treatment for severe C. difficile infection. In summary, A is incorrect because gentamicin is not effective against C. difficile, while B, C, and D are potential treatment strategies based on severity of the infection.

Correct Answer: A

Rationale: Aminoglycosides primarily inhibit protein synthesis by binding to the 30S ribosomal subunit in bacteria. This action leads to misreading of mRNA and ultimately disrupts the translation process, resulting in faulty protein production and bacterial cell death. Incorrect choices: B: Aminoglycosides do not inhibit DNA replication. C: Aminoglycosides do not disrupt cell membrane integrity. D: Aminoglycosides do not inhibit folic acid synthesis. In summary, the correct choice (A) aligns with the known mechanism of action of aminoglycosides, making it the most appropriate answer.

Correct Answer: A

Rationale: Rationale: 1. Epstein-Barr virus causes infectious mononucleosis due to primary infection. 2. Certain types of cancer, such as Burkitt lymphoma and nasopharyngeal carcinoma, are associated with Epstein-Barr virus through oncogenic mechanisms. 3. Chickenpox and shingles are caused by varicella-zoster virus (HHV3). 4. Roseola infantum is caused by human herpesvirus 6 (HHV6). Summary: Choice A is correct as Epstein-Barr virus is linked to infectious mononucleosis and specific cancers. Choices B, C, and D are incorrect as they are caused by different herpesviruses.

Correct Answer: C

Rationale: The correct answer is C because diphtheria exotoxin is absorbed into the underlying healthy tissues and spreads throughout the body. This is due to the toxin's ability to enter the bloodstream and target various organs, causing systemic effects. Choice A is incorrect as the toxin does not stay localized at the site of infection. Choice B is incorrect as diphtheria exotoxin does not directly affect neuro-muscular transmission. Choice D is also incorrect as the toxin does spread throughout the body.

Correct Answer: A

Rationale: Rationale: A is incorrect because whooping cough resurgence is mainly due to decreased vaccine immunity, not changing antigenicity. B is correct as P. aeruginosa can indeed cause infections with blue-green pus due to its pigment production. C is correct as H. influenzae type b capsule is a virulence factor contributing to invasive disease. D is correct as Legionella infection is acquired via inhalation of contaminated water aerosols. Therefore, A is incorrect as the rise in whooping cough is not due to changing antigenicity but vaccine immunity decline.

Correct Answer: B

Rationale: The main function of bacterial pili is to facilitate conjugation and adhesion. Pili are hair-like appendages on bacteria that help in cell-to-cell interactions. They play a crucial role in bacterial conjugation by allowing the transfer of genetic material between cells. Additionally, pili help bacteria adhere to surfaces or host cells, aiding in colonization and biofilm formation. Choices A and D are incorrect because protein synthesis and toxin secretion are not the primary functions of pili. Choice C is incorrect as bacterial motility is mainly mediated by flagella, not pili.

Correct Answer: D

Rationale: The correct answer is D: Single stranded segmented (-) RNA. Orthomyxoviridae family includes influenza viruses, which have a genome composed of single-stranded segmented negative-sense RNA. This specific structure allows for efficient replication and transcription within host cells. Choice A is incorrect as orthomyxoviruses do not have a double-stranded DNA genome. Choice B is incorrect because orthomyxoviruses have a negative-sense RNA genome, not a positive-sense RNA genome. Choice C is incorrect as orthomyxoviruses do not have a double-stranded RNA genome.

Correct Answer: B

Rationale: The correct answer is B: acidic pH. The reproductive tract's acidic pH serves as a defense mechanism by creating an environment hostile to many pathogens, preventing microbial infection. The acidic pH helps to inhibit the growth and survival of harmful microorganisms. A: Alkaline pH would actually be more favorable for microbial growth as most pathogens thrive in neutral to alkaline pH environments. C: High sugar concentration can actually promote microbial growth as many pathogens feed on sugars. D: High body temperature may help in some cases, but it is not as effective as an acidic pH in preventing microbial infection in the reproductive tract.

Correct Answer: B

Rationale: The correct answer is B: Escherichia coli. E. coli is a common bacterium found in the gastrointestinal tract and is a leading cause of UTIs. It has specific virulence factors that enable it to adhere to and infect the urinary tract. Salmonella enterica causes food poisoning, Vibrio cholerae causes cholera, and Streptococcus pyogenes causes strep throat and skin infections, not UTIs. Therefore, B is the correct answer as it is the only bacterium known for causing UTIs.