Trichinosis is an infection caused by ingestion of a:

Correct Answer: A

Rationale: The correct answer is A: nematode. Trichinosis is caused by the roundworm Trichinella spiralis, a type of nematode. Nematodes are multicellular parasites commonly found in raw or undercooked meat. Viruses, bacteria, and fungi do not cause trichinosis. Viruses are not parasitic worms, bacteria are single-celled organisms, and fungi are eukaryotic organisms distinct from nematodes. Therefore, the ingestion of nematodes, not viruses, bacteria, or fungi, leads to trichinosis.

Correct Answer: C

Rationale: The correct answer is C: protozoans. Protozoans are eukaryotic organisms that possess both a macronucleus, responsible for general cell functions, and a micronucleus, involved in genetic processes like reproduction. Algae (choice A) typically have a single nucleus, fungi (choice B) lack distinct macronucleus and micronucleus structures, and slime molds (choice D) do not have the same nucleus organization as protozoans. Thus, protozoans are the only group among the choices that exhibit the specific characteristics of having both a macronucleus and a micronucleus.

Correct Answer: D

Rationale: The correct answer is D: Hyaluronidase synthesis. Hyaluronidase is an enzyme produced by some pathogens to break down hyaluronic acid in the extracellular matrix, aiding their spread. This action does not directly counteract the immune system's mechanisms. Antigenic heterogeneity and mimicry can evade immune recognition. IgA proteases degrade IgA antibodies, impairing mucosal immunity. Therefore, D is the only choice not directly involved in counteracting the immune system.

Correct Answer: A

Rationale: The correct answer is A because a soft chancre is a type of sexually transmitted infection caused by the bacterium Haemophilus ducreyi. It presents as a painless ulcer on the genitals. The other choices are incorrect. B is incorrect because STIs can enter the body through various routes, not only the urogenital tract mucosa. C is incorrect because immunity to syphilis is not lifelong; reinfection is possible. D is incorrect because STIs can occur in any country regardless of social status or hygiene levels.

Correct Answer: B

Rationale: The correct answer is B: Staphylococcus epidermidis. This bacterium is a normal skin flora commonly found on human skin. It is part of the skin microbiota and helps protect against pathogenic organisms. Streptococcus pyogenes (A), Pseudomonas aeruginosa (C), and Acinetobacter baumannii (D) are not normal skin flora. Streptococcus pyogenes is a pathogenic bacterium causing various infections, Pseudomonas aeruginosa is an opportunistic pathogen commonly found in water and soil, and Acinetobacter baumannii is associated with healthcare-associated infections.

Correct Answer: B

Rationale: The correct answer is B: Clostridium tetani. Endospores are formed by certain bacteria as a survival mechanism in harsh conditions. Clostridium species, including C. tetani, have the ability to form endospores. Staphylococcus aureus (A), Neisseria gonorrhoeae (C), and Escherichia coli (D) do not produce endospores. Staphylococcus aureus is a gram-positive cocci bacterium, Neisseria gonorrhoeae is a gram-negative diplococci bacterium, and Escherichia coli is a gram-negative rod-shaped bacterium. Therefore, the correct choice is Clostridium tetani as it is known for its ability to form endospores.

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus epidermidis. 1. Gram-positive cocci suggest a staphylococcal species. 2. Catalase-positive indicates it belongs to the Staphylococcus genus. 3. Coagulase-negative rules out Staphylococcus aureus. 4. Staphylococcus epidermidis is a common cause of infections in immunocompromised patients. Summary: - B: Staphylococcus aureus is coagulase-positive. - C: Streptococcus pneumoniae is a Gram-positive diplococci. - D: Neisseria meningitidis is a Gram-negative diplococci.

Correct Answer: A

Rationale: The correct answer is A: Yersinia pestis. Y. pestis is the causative agent of plague, characterized by fever, enlarged lymph nodes, and bacteremia. The bipolar-staining, Gram-negative rods seen on Gram stain are typical of Y. pestis. Incorrect choices: B: Francisella tularensis causes tularemia, not plague. C: Brucella abortus causes brucellosis, not plague. D: Clostridium botulinum causes botulism, not plague. In summary, the key features of the patient's presentation and the Gram stain findings align with Yersinia pestis as the correct causative agent of plague.

Correct Answer: D

Rationale: The correct answer is D: All of the above. Clostridium tetani, Staphylococcus aureus, and Escherichia coli are all capable of producing exotoxins. Exotoxins are proteins released by bacteria that can cause damage to the host. Clostridium tetani produces tetanospasmin, causing tetanus. Staphylococcus aureus produces toxins like enterotoxin and toxic shock syndrome toxin-1. Escherichia coli can produce Shiga toxin and heat-labile toxin. Therefore, all three bacteria listed can produce exotoxins, making choice D the correct answer. Choices A, B, and C are incorrect as they do not encompass all the bacteria capable of producing exotoxins.