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: Binary fission. Binary fission is a method of bacterial cell division, not a method of acquiring genetic material. Transformation, conjugation, and transduction are mechanisms through which bacteria can acquire genetic material from other sources. Transformation involves the uptake of naked DNA from the environment, conjugation is the transfer of genetic material through direct cell-to-cell contact, and transduction is the transfer of genetic material via bacteriophages. Therefore, binary fission is the only option that does not involve the acquisition of new genetic material.

Correct Answer: B

Rationale: The correct answer is B: Within 24 hours. Rabies post-exposure prophylaxis should ideally be initiated as soon as possible after a potentially infectious bite to prevent the virus from spreading and causing symptoms. Immediate treatment is crucial to prevent the virus from reaching the central nervous system. Waiting beyond 24 hours increases the risk of the virus reaching the brain and becoming fatal. Choices A, C, and D are incorrect because waiting for 6 months, a week, or 2 weeks respectively would significantly delay treatment, allowing the virus to progress and potentially become untreatable.

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: 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: P.aeruginosa. This bacterium is commonly found in water and soil, making its presence in indoor air an indicator of poor sanitation. Step 1: P.aeruginosa is an opportunistic pathogen known to cause infections in hospitals. Step 2: Its presence in the air indicates potential contamination and poor air quality. Step 3: Regular monitoring of P.aeruginosa levels can help assess the effectiveness of sanitation measures. Summary: A, B, and C are not suitable indicators of air sanitation in an enclosed space as they are not typically associated with environmental contamination or poor air quality.

Correct Answer: B

Rationale: The correct answer is B: Motility. The bacterial flagellum is a whip-like appendage that helps bacteria move by rotating like a propeller. This motility allows bacteria to navigate their environment, find nutrients, and avoid harmful conditions. Choices A, C, and D are incorrect because the bacterial flagellum is not involved in protein synthesis, DNA replication, or spore formation. Protein synthesis occurs in ribosomes, DNA replication takes place in the nucleus or nucleoid, and spore formation is a specialized process involving the production of spores for survival in harsh conditions.

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: Streptococcus pneumoniae. The given characteristics match this bacterium: Gram-positive diplococci, catalase-negative, and alpha-hemolytic. S. pneumoniae is a common cause of community-acquired pneumonia. Other choices are incorrect because Staphylococcus aureus is catalase-positive, Enterococcus faecalis is not alpha-hemolytic, and Klebsiella pneumoniae is not Gram-positive diplococci.