Urine examination of a patient with acute cystitis revealed leukocytes and a lot of gram-negative bacilli. Inoculation resulted in growth of colonies of mucous nature that formed green soluble pigment. What microorganism is the most probable cause of the disease?

Correct Answer: C

Rationale: Rationale: 1. Presence of gram-negative bacilli suggests Enterobacteriaceae family, which includes E. coli. 2. Green soluble pigment indicates pyocyanin production, characteristic of E. coli. 3. E. coli is the most common cause of acute cystitis due to its ability to colonize the urinary tract. Summary: A: Pseudomonas aeruginosa is not typically associated with acute cystitis and does not produce mucous colonies. B: Klebsiella pneumoniae may cause UTIs, but does not produce green pigment and is less common than E. coli. D: Salmonella enteritidis is associated with gastrointestinal infections, not cystitis.

Correct Answer: C

Rationale: The correct answer is C: Thermophiles. Thermophiles are bacteria that thrive in high temperatures, typically between 45-80 degrees Celsius. They have adapted to extreme heat environments and have enzymes that function optimally at high temperatures. Mesophiles (A) grow best at moderate temperatures, Psychrophiles (B) thrive in cold temperatures, and Halophiles (D) thrive in high salt concentrations. Therefore, only Thermophiles are specifically adapted to high temperatures, making it the correct choice.

Correct Answer: A

Rationale: The correct answer is A: Syphilis. Hutchinson's triad is a classic presentation of congenital syphilis in children. Barrel-shaped incisors, parenchymatous keratitis, and deafness are key manifestations. Barrel-shaped incisors result from mulberry molars, a type of abnormal tooth. Parenchymatous keratitis is an inflammation of the cornea, a common ocular sign in congenital syphilis. Deafness can occur due to damage to the auditory nerve caused by the infection. Choices B, C, and D are incorrect as they do not typically present with the specific triad of symptoms seen in congenital syphilis.

Correct Answer: A

Rationale: The correct answer is A: Bacillus anthracis. This bacterium is known to cause anthrax, a serious infectious disease in humans and animals. Bacillus anthracis is a gram-positive, spore-forming bacterium that produces toxins leading to the characteristic symptoms of anthrax. Clostridium tetani causes tetanus, Mycobacterium tuberculosis causes tuberculosis, and Streptococcus pneumoniae causes pneumonia, none of which are related to anthrax. Therefore, based on the specific pathogen responsible for anthrax, Bacillus anthracis is the correct answer.

Correct Answer: C

Rationale: Rationale for choice C (Strep. pneumoniae): 1. Strep. pneumoniae is a common cause of bacterial meningitis. 2. It is a leading pathogen responsible for meningitis in adults and children. 3. It can invade the bloodstream and reach the meninges, causing inflammation. 4. Treatment guidelines often include antibiotics effective against Strep. pneumoniae. Summary of why other choices are incorrect: A. Staph. aureus is not a common cause of meningitis. B. Strep. pyogenes typically causes streptococcal infections but not meningitis. D. "None of the above" is incorrect as Strep. pneumoniae can cause meningitis.

Correct Answer: B

Rationale: The correct answer is B: Halophiles. Halophiles are bacteria that can survive in extreme salty environments. They have adapted to thrive in high salt concentrations. Psychrophiles (A) thrive in cold temperatures, Thermophiles (C) thrive in high temperatures, and Mesophiles (D) thrive in moderate temperatures. Therefore, they are not adapted to survive in extreme salty environments like Halophiles.

Correct Answer: C

Rationale: The correct answer is C: adhesion. Adhesion refers to the attachment of microbes to surfaces in or on the body without causing harm. Infections (choice A) occur when microbes invade and multiply in the body, leading to harmful effects. Contamination (choice B) refers to the presence of unwanted or potentially harmful substances, not necessarily microbes. Disease (choice D) is a state of poor health caused by a specific agent, such as microbes, resulting in identifiable symptoms. In this context, adhesion best describes the presence of microbes without causing harm or leading to an infection.

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This pathogen is known to cause amoebic dysentery, characterized by diarrhea with bloody or mucoid stools. The presence of cysts with four nuclei in the stool microscopy is a characteristic feature of Entamoeba histolytica. Other choices are incorrect because Giardia lamblia typically presents with binucleate cysts, Balantidium coli is a ciliated protozoan, and Trichomonas hominis is a non-pathogenic parasite found in the human intestine.

Correct Answer: C

Rationale: The correct hierarchical order for virus classification is order, family, subfamily, genus, species. This is because classification starts at a broader level (order) and narrows down to a more specific level (species). Order comes first to group viruses based on common characteristics, followed by family, which further categorizes them. Subfamily refines the classification, then genus groups similar viruses together, and species distinguishes different strains within a genus. Choice A is incorrect because it places genus before family, which is not the correct sequence. Choice B is incorrect as it starts with species, which is the most specific level. Choice D is incorrect because it places genus at the beginning, which is too specific for the hierarchical order.