Urinalysis of a patient with acute cystitis shows leukocytes and a large number of gram-negative bacilli. Inoculation has resulted in the growth of mucous colonies that produce a green soluble pigment. What microorganism is the most likely cause of the patient's disorder?

Correct Answer: C

Rationale: The correct answer is C: Escherichia coli. E. coli is the most common cause of acute cystitis. It typically presents with leukocytes and gram-negative bacilli in the urine. The green pigment production indicates pyocyanin, which is a characteristic of E. coli. Pseudomonas aeruginosa (A) can also produce green pigment, but it is less common in urinary tract infections. Proteus mirabilis (B) is associated with a swarming motility pattern on agar, not mucous colonies. Klebsiella pneumoniae (D) is associated with pneumonia and other respiratory infections, not cystitis.

Correct Answer: A

Rationale: The correct answer is A: Metronidazole. Amebic dysentery is caused by the parasite Entamoeba histolytica, not bacteria. Metronidazole is the drug of choice for treating this parasitic infection. It works by disrupting the DNA structure of the parasite, leading to its death. Mebendazole (B) is used to treat certain worm infections, not amebic dysentery. Itrakonazole (C) is an antifungal medication and not effective against parasites. Furacillin (D) is an antibacterial agent and not suitable for treating parasitic infections like amebic dysentery.

Correct Answer: A

Rationale: The correct answer is A: Trichomonas vaginalis. Trichomonas vaginalis is a flagellated protozoan that causes trichomoniasis, a sexually transmitted infection commonly found in vaginal discharges. In this case, the presence of flagellates in the vaginal discharge aligns with the characteristics of Trichomonas vaginalis. Leishmania donovani causes leishmaniasis, transmitted by sandflies. Trypanosoma gambiense causes African sleeping sickness through the tsetse fly bite. Trihomonas hominis is a non-pathogenic flagellate found in the human intestine. Therefore, the correct choice is A due to the correlation between the flagellates found in the vaginal discharge and the characteristics of Trichomonas vaginalis.

Correct Answer: C

Rationale: The correct answer is C: nucleotides. Nucleotides are the structural units of nucleic acids, consisting of a nitrogenous base, a sugar molecule, and a phosphate group. The nitrogenous base can be adenine, thymine, cytosine, guanine, or uracil. Histones (B) are proteins that DNA wraps around in chromosomes, not structural units of nucleic acids. Nucleosides (A) are composed of a nitrogenous base and a sugar molecule but lack the phosphate group present in nucleotides. N-bases (D) is not a recognized term in biology and does not accurately describe the structural units of nucleic acids.

Correct Answer: A

Rationale: The correct answer is A: Toxoplasma. Toxoplasma gondii is a protozoan parasite that can infect the brain and cause vision loss. The description of half-moon-shaped organisms with a pointed end matches the appearance of Toxoplasma under the microscope. Toxoplasma is known to cause a condition called toxoplasmosis, which can lead to neurological symptoms such as vision loss. Leishmania, Lamblia, Amoeba, and Trichomonad are not known to cause brain infections or vision loss, making them incorrect choices.

Correct Answer: A

Rationale: The correct answer is A: 1 chromosome. Bacterial cells typically have a singular circular chromosome that contains their genetic material. This chromosome is essential for the cell's survival and contains all the necessary genetic information for its functions. Choices B, C, and D are incorrect because they refer to the chromosome numbers found in human cells (23 pairs or 46 individual chromosomes). Bacteria, being prokaryotic organisms, have a simpler genetic makeup compared to eukaryotic organisms like humans, hence they possess only one chromosome.

Correct Answer: A

Rationale: The correct answer is A: Halophiles. Halophiles are bacteria that thrive in high-salinity environments due to their ability to tolerate high salt concentrations. They have adapted mechanisms to maintain osmotic balance and survive in such extreme conditions. Thermophiles (B) thrive in high-temperature environments, not high-salinity. Acidophiles (C) prefer acidic conditions, not high-salinity. Mesophiles (D) grow optimally at moderate temperatures and are not specifically adapted to high-salinity environments.

Correct Answer: D

Rationale: The correct answer is D because bacterial vaginitis is often caused by an imbalance in the vaginal flora, which can be disrupted by frequent douching (eliminating beneficial bacteria), tight clothing (restricting airflow), and non-breathable underwear. Avoiding tight pants and using cotton underwear allow for better ventilation, promoting a healthy vaginal environment. Infrequent douching helps maintain the natural balance of bacteria in the vagina. Choices A and B are incorrect because they recommend practices that can disrupt the vaginal flora and increase the risk of bacterial vaginitis. Choice C is partially correct but lacks the emphasis on avoiding frequent douching, which is crucial in preventing bacterial vaginitis.

Correct Answer: C

Rationale: The correct answer is C: Granuloma formation. In response to tuberculosis antigen (tuberculin), the immune system forms a granuloma at the injection site as a defense mechanism. Granulomas are organized collections of immune cells that wall off the antigen and prevent its spread. This process involves macrophages, T cells, and fibroblasts. Choice A (Cells cytotoxity) is incorrect because tuberculin test does not involve direct cell cytotoxicity. Choice B (Reagin type cytotoxity) is incorrect as reagin type hypersensitivity is associated with allergic reactions, not granuloma formation. Choice D (Immunocomplex cytotoxity) is also incorrect as immunocomplex cytotoxicity refers to tissue damage caused by immune complexes, not granuloma formation.