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: 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: D

Rationale: The correct answer is D: Structure of cell wall. When studying a bacterial smear stained by the Ozheshko method, the focus is on the cell wall structure. This staining method highlights the cell wall morphology, allowing for detailed examination. Flagella, spores, and capsules are not typically visualized using this staining method. Flagella require special staining techniques, spores are usually observed through specific staining methods like Schaeffer-Fulton, and capsules are not easily visualized with the Ozheshko staining method. Therefore, the structure of the cell wall is the most relevant feature to study in this context.

Correct Answer: D

Rationale: The correct answer is D, Salmonella typhi, because it is a motile bacterium due to possessing flagella that aid in movement. Bacillus anthracis (A) is non-motile, Klebsiella pneumoniae (B) lacks flagella for motility, and Shigella flexneri (C) is non-motile as well. Salmonella typhi (D) is known for its flagella-driven motility, allowing it to move and spread within its host and environment. Flagella are essential for bacterial motility, enabling them to navigate and colonize different environments efficiently.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Sodium is the major cation in the intracellular fluid. 2. It plays a crucial role in maintaining cell volume and transmitting nerve impulses. 3. Potassium is the major cation in the extracellular fluid, not intracellular. 4. Bicarbonate and sulfate are anions and not major cations in intracellular fluid. Summary: Choice B (sodium) is correct as it is the major cation in intracellular fluid, essential for various cellular functions. Choices A, C, and D are incorrect as potassium is extracellular, while bicarbonate and sulfate are anions and not predominant cations in intracellular fluid.

Correct Answer: D

Rationale: The correct answer is D: Tuberculosis. Tuberculosis is considered a reemerging disease due to the increase in drug-resistant strains, high global prevalence, and challenges in diagnosis and treatment. This is supported by global health organizations' reports on the resurgence of TB cases. A: AIDS is not considered a reemerging disease as there has been significant progress in HIV prevention and treatment. B: Ebola outbreaks are sporadic and localized, not considered reemerging on a global scale. C: West Nile virus outbreaks occur periodically, but it is not considered a reemerging disease compared to TB.

Correct Answer: C

Rationale: The correct answer is C (25°C) because dimorphic fungi typically grow as molds at lower temperatures. At 25°C, the fungus is likely in its mold phase, which is the preferred temperature range for mold growth. Choices A, B, and D are incorrect because 15°C and 20°C are too low for optimal mold growth, and 37°C is too high as it typically favors the yeast phase of dimorphic fungi. Therefore, the preferred temperature for mold growth of a dimorphic fungus is 25°C.

Correct Answer: A

Rationale: The correct answer is A: Toxin production test. Rationale: 1. Diphtheria is caused by a toxin produced by Corynebacterium diphtheriae. 2. To confirm if the carrier is dangerous, we need to test if they are producing the toxin. 3. The toxin production test directly assesses if the bacteria are producing the harmful toxin. 4. Positive results indicate the carrier is dangerous and can transmit the disease to others. Summary of other choices: B: Mouse neutralization test - Used to detect diphtheria antitoxin levels in blood, not to confirm if the carrier is dangerous. C: Immunofluorescence test - Used to detect specific antigens or antibodies, not directly related to confirming the carrier's danger. D: Complement fixation test - Measures immune response, not specific to toxin production confirmation.

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.