The spore in the cells of Clostridium tetani is located:

Correct Answer: D

Rationale: The correct answer is D: Terminally. In Clostridium tetani, spores are located at the terminal end of the cell. This positioning helps the spores to be released easily when the cell lyses, aiding in the spread of the bacteria. Paracentrally (A) and centrally (C) would not be as efficient for spore release. Subterminally (B) is also incorrect as the spores are specifically located at the terminal end of the cell, not just near it.

Correct Answer: B

Rationale: Answer B, Infectious mononucleosis, is not caused by enteroviruses. Infectious mononucleosis is primarily caused by the Epstein-Barr virus, a member of the herpesvirus family, not by enteroviruses. Enteroviruses are known to cause diseases such as myocarditis, herpangina, and Boston exanthema. Therefore, B is the correct answer. Myocarditis, herpangina, and Boston exanthema can all be caused by enteroviruses, making choices A, C, and D incorrect, respectively.

Correct Answer: A

Rationale: The correct answer is A: Tetanus. The patient's symptoms of muscle contractions, fever, and wound history suggest tetanus, caused by Clostridium tetani bacteria commonly found in soil. The spastic muscle contractions around the wound are classic for tetanus due to the neurotoxin produced by the bacteria. General weakness and headache are also common symptoms. B: Anthrax is unlikely as it presents with different symptoms such as skin lesions, respiratory symptoms, and gastrointestinal symptoms. C: Erysipelas is characterized by red, swollen patches on the skin, not consistent with the symptoms described. D: Gram-positive is not a specific diagnosis but a broad category of bacteria. Tetanus is caused by Clostridium tetani, which is a Gram-positive bacterium, but this choice does not provide a specific infection diagnosis.

Correct Answer: B

Rationale: Rationale: 1. Streptococcus pyogenes is the causative agent of strep throat. 2. If untreated, strep throat can lead to rheumatic fever. 3. Rheumatic fever is an autoimmune complication of streptococcal infections. 4. E. coli, S. epidermidis, and S. aureus are not typically associated with rheumatic fever.

Correct Answer: D

Rationale: The correct answer is D: Primaquine. Primaquine is used for individual chemoprophylaxis of malaria caused by Plasmodium vivax and Plasmodium ovale. It is effective in preventing the relapse of these malaria species by eliminating the liver forms of the parasites. Chingamin (A) is not a commonly used drug for malaria prophylaxis. Pyrantel (B) is an anthelmintic drug used for treating parasitic worm infections, not malaria. Pyrimethamine (Chloridinum) (C) is primarily used in combination with sulfadoxine for treating uncomplicated malaria, not for chemoprophylaxis.

Correct Answer: A

Rationale: Exotoxins are proteins produced inside the microbe cell and then released outside the cell to exert their toxic effects on neighboring cells or tissues. This is why choice A is correct. Choices B and C are incorrect because exotoxins are not meant to act within the same cell they are produced in. Choice D is incorrect because exotoxins are usually released without causing cell lysis; they are secreted by the microbe actively rather than being leaked out due to cell damage.

Correct Answer: B

Rationale: Step-by-step rationale: 1. Filamentous spiral nucleocapsid is characteristic of Filoviridae, such as Ebola virus. 2. Linear unsegmented single strand (-) RNA is a key feature of Filoviridae genomes. 3. The lipid bilayer membrane of cellular origin is found in Filoviridae viruses. 4. Therefore, the correct answer is B (Filoviridae) due to the alignment of all three morphological features. Summary: - A (Picornaviridae): Has an icosahedral capsid, not filamentous spiral. - C (Orthomyxoviridae): Has a segmented genome, not linear unsegmented. - D (Togaviridae): Has a spherical capsid, not filamentous spiral.

Correct Answer: A

Rationale: The correct answer is A: Shigella dysenteriae. This bacterium produces Shiga toxin, which inhibits protein synthesis by inactivating the ribosomes. Shigella dysenteriae is known to cause severe gastrointestinal infections. Choice B: Escherichia coli typically does not produce toxins that inhibit protein synthesis. E. coli strains may produce toxins that cause diarrhea. Choice C: Clostridium tetani produces tetanospasmin toxin, which affects the nervous system but does not inhibit protein synthesis. Choice D: Staphylococcus aureus produces toxins like enterotoxins and exotoxins but these toxins do not directly inhibit protein synthesis.

Correct Answer: D

Rationale: The correct answer is D because the defense role of the skin is not related to lysozyme activity. Lysozyme is an enzyme found in tears, saliva, and mucus, not specifically in the skin. The skin's defense role is primarily related to its physical barrier function, low pH creating an acidic environment that inhibits microbial growth, secretion of antimicrobial peptides, and the activity of skin macrophages that phagocytose pathogens. Choices A, B, and C are true statements as they correctly describe different aspects of the skin's defense mechanisms.