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: Agglutination test type Gruber. This is because the Gruber agglutination test is not typically used for the serological identification of Yersinia pestis. The other options (A, B, C) are commonly used methods for serological identification of Y. pestis: A) Precipitation reaction involves the formation of a visible precipitate when Y. pestis antigen reacts with specific antibodies. B) Indirect hemagglutination test detects antibodies against Y. pestis by measuring the agglutination of red blood cells. C) Immunofluorescence test uses fluorescently labeled antibodies to detect specific antigens of Y. pestis. In summary, the Gruber agglutination test is not a standard method for serological identification of Yersinia pestis, unlike the other options provided.

Correct Answer: D

Rationale: The correct answer is D: Gram-negative bacteria without peptidoglycan. Chlamydia is an intracellular, gram-negative bacteria that lacks peptidoglycan in its cell wall. Peptidoglycan is a key component of the cell wall in most bacteria, but Chlamydia has a unique structure without it. This makes it different from choices A, B, and C, which describe characteristics not applicable to Chlamydia. Choice A is incorrect because Chlamydia is not a gram-positive coccobacteria. Choice B is incorrect because Chlamydia does have a cell wall, albeit lacking peptidoglycan. Choice C is incorrect because Chlamydia is not a gram-negative bacteria with little peptidoglycan, but rather without it.

Correct Answer: C

Rationale: Step 1: The nucleocapsid is the structure containing the viral genome and the protein capsid. Step 2: The genome carries the genetic material of the virus. Step 3: The capsid is the protein coat that encloses and protects the viral genome. Step 4: Therefore, the correct answer is C: Genome and capsid. Summary: A: Capsid and spikes - Incorrect, spikes are not part of the nucleocapsid. B: Genome and envelop - Incorrect, the envelop is not part of the nucleocapsid. D: Capsid and envelope - Incorrect, the envelope is not part of the nucleocapsid.

Correct Answer: A

Rationale: The correct answer is A: Nystatin. Nystatin is an antifungal medication, not an antibiotic used to treat bacterial infections like generalized meningococcal infection. Penicillin G, macrolides, and chloramphenicol are antibiotics commonly used to treat bacterial infections, including meningococcal infections. Penicillin G is the drug of choice for meningococcal infections, while macrolides and chloramphenicol are alternative options. Nystatin is not effective against bacteria, so it is not a suitable treatment for meningococcal infections.