There are __________ known forms of gastroenteritis caused by Escherichia coli.

Correct Answer: D

Rationale: The correct answer is D: five. Escherichia coli can cause enterotoxigenic E. coli (ETEC), enteroinvasive E. coli (EIEC), enterohemorrhagic E. coli (EHEC), enteroaggregative E. coli (EAEC), and diffusely adherent E. coli (DAEC). Each form has distinct characteristics and pathogenesis. Therefore, the other choices (A, B, C) are incorrect because they do not accurately represent the number of known forms of gastroenteritis caused by Escherichia coli.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Gram-positive rods with terminal spores suggest Clostridium genus. 2. Terminal spores are characteristic of Clostridium perfringens. 3. C. perfringens is known to cause wound infections. 4. Therefore, the most likely causative agent is Clostridium perfringens. Summary: A: Clostridium perfringens is correct due to its characteristic features and association with wound infections. B: Bacillus anthracis does not typically form terminal spores. C: Clostridium tetani causes tetanus, not wound infections. D: Bacillus cereus does not produce terminal spores like Clostridium perfringens.

Correct Answer: A

Rationale: Step-by-step rationale: 1. IgG is the most abundant immunoglobin in a normal healthy adult due to its long half-life and diverse functions. 2. It plays a crucial role in immune response by neutralizing pathogens and enhancing phagocytosis. 3. IgA is mainly found in mucosal areas, IgE is involved in allergic reactions, and IgD's function is not fully understood. 4. Therefore, IgG is the correct answer as it is the predominant immunoglobin in circulation, providing broad immune protection.

Correct Answer: C

Rationale: The correct answer is C: Hepatitis A virus. This is because Hepatitis A virus is a non-enveloped virus, while choices A, B, and D are all enveloped viruses. Enveloped viruses have a lipid bilayer membrane surrounding their protein capsid, aiding in their ability to infect host cells. Hepatitis C, B, and D viruses all possess this lipid envelope, making them enveloped viruses. Hepatitis A virus, on the other hand, lacks this lipid envelope and is classified as a non-enveloped virus. Therefore, the correct answer is C.

Correct Answer: C

Rationale: The correct answer is C: Looking for Ernst-Babes granules. Laboratory diagnosis of rabies typically involves looking for Negri bodies in the brain tissue, intracerebrally infecting mice for virus isolation, and using immunofluorescence method to detect viral antigens. Ernst-Babes granules are not associated with rabies virus and are not used in the diagnosis of rabies. Therefore, choice C is incorrect.

Correct Answer: D

Rationale: The correct answer is D: Relapsing fever. The description matches Borrelia species, the causative agent of relapsing fever. The thin, spiral-shaped microorganisms with pointed ends and specific length are characteristic of Borrelia. The number of coils and size mentioned also align with Borrelia morphology. Relapsing fever is transmitted by tick bites and manifests as recurring febrile episodes. Incorrect choices: A: Syphilis - Syphilis is caused by Treponema pallidum, which is not spiral-shaped. B: Trypanosomiasis - Trypanosomiasis is caused by Trypanosoma species, which are not spiral-shaped. C: Leptospirosis - Leptospirosis is caused by Leptospira species, which are not spiral-shaped and do not match the specific description provided.

Correct Answer: A

Rationale: The correct answer is A: Hyperresponsiveness reaction type IV. This type of reaction, also known as delayed-type hypersensitivity, is characterized by the activation of T lymphocytes and macrophages, leading to inflammation at the site of antigen exposure. In the case of the Mantoux test, the appearance of a papule 48 hours later indicates a delayed hypersensitivity reaction mediated by T cells. Choice B: Reaction of Arthus phenomenon type is incorrect as this type of reaction involves immune complexes forming in the blood vessels leading to tissue damage, which is not the mechanism seen in the Mantoux test reaction. Choice C: Reaction of serum sickness type is incorrect as this type of reaction involves the formation of immune complexes in the blood leading to systemic symptoms like fever, rash, and joint pain, which is not typically seen in the Mantoux test reaction. Choice D: Atopic reaction is incorrect as atopic reactions involve IgE antibodies and mast cell degranulation, which are not the mechanisms

Correct Answer: B

Rationale: The correct answer is B: Agglutination. During a suspected plague outbreak, agglutination testing is used to quickly identify the antigen of the causative agent. In this test, specific antibodies are added to a sample containing the suspected antigen. If the antigen is present, it will clump together (agglutinate) with the antibodies, indicating a positive result. This method is rapid and efficient for identifying the presence of the plague-causing agent. Choice A: Precipitation involves the formation of a visible precipitate when antigen and antibody react, but it is not as quick or specific as agglutination for identifying the antigen in this scenario. Choice C: Passive hemagglutination is a variation of agglutination that uses red blood cells as carriers for antigens or antibodies. While it can be useful in certain situations, it is not typically the first choice for rapid identification of plague antigen. Choice D: Complement binding is a different type of

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pyogenes. This bacterium fits all the given characteristics: Gram-positive cocci arranged in chains, catalase-negative, and beta-hemolytic on blood agar. Streptococcus pyogenes is known for causing skin and soft tissue infections. Staphylococcus aureus (B) is catalase-positive and typically forms clusters, not chains. Enterococcus faecalis (C) is catalase-negative but not beta-hemolytic. Micrococcus luteus (D) is catalase-positive and not typically associated with wound infections.