What drug is more advisable for the patient with amebic dysentery?

Correct Answer: A

Rationale: The correct answer is A: Metronidazole. Metronidazole is the drug of choice for amebic dysentery as it effectively targets the protozoa causing the infection. It has good tissue penetration and high efficacy against Entamoeba histolytica. Pyrantel (B) is used for nematode infections, not amebiasis. Levamisole (C) is an anthelmintic for roundworms and not effective against amoebas. Bicillin-5 (D) is a penicillin antibiotic, which is not indicated for treating amebic dysentery.

Correct Answer: B

Rationale: The correct answer is B: Absence of hemagglutination. In the reaction inhibition of hemagglutination, specific antibodies bind to antigens on red blood cells, preventing their agglutination. This results in the absence of visible clumping of red blood cells, which is known as hemagglutination. Therefore, the presence of specific antibodies is visualized by the absence of hemagglutination. Incorrect Choices: A: Absence of hemolysis - Hemolysis refers to the rupture of red blood cells, which is not relevant in the context of hemagglutination. C: Presence of hemagglutination - This is the opposite of what is expected when specific antibodies are present and inhibiting hemagglutination. D: Presence of hemolysis - Again, hemolysis is not directly related to the inhibition of hemagglutination by specific antibodies.

Correct Answer: A

Rationale: The correct answer is A: Streptococcus pyogenes. This bacterium fits the description of Gram-positive cocci in chains and is catalase-negative. S. pyogenes commonly causes sore throat (pharyngitis) and fever, making it the most likely causative agent in this scenario. Staphylococcus aureus (B) is catalase-positive and is not typically associated with pharyngitis. Enterococcus faecalis (C) is not typically found in chains and is rarely a cause of acute pharyngitis. Micrococcus luteus (D) is not typically associated with pharyngitis and is catalase-positive.

Correct Answer: D

Rationale: The correct answer is D: Middlebrook's medium. This medium is specifically designed for the growth of Mycobacterium tuberculosis due to its low concentration of malachite green, which inhibits the growth of other bacteria but not Mycobacterium species. Middlebrook's medium also contains various nutrients that support the growth of Mycobacterium tuberculosis. A: Middlebrook's medium is the correct answer, not incorrect. B: Heart infusion broth is a general-purpose medium, not specific for Mycobacterium tuberculosis. C: MacConkey agar is selective for gram-negative bacteria and would not support the growth of Mycobacterium tuberculosis. In summary, Middlebrook's medium is the ideal choice for cultivating Mycobacterium tuberculosis due to its specific formulation that promotes the growth of this pathogen while inhibiting other bacteria.

Correct Answer: D

Rationale: The correct answer is D: Rubella virus. Rubella virus does not belong to the family Paramyxoviridae because it belongs to the Togaviridae family. The other choices, A (Measles virus), B (Respiratory syncytial virus), and C (Mumps virus) are all members of the Paramyxoviridae family. This classification is based on the genetic and structural characteristics of the viruses. Rubella virus is distinct in its genetic composition and replication cycle compared to the Paramyxoviridae family, making it the correct choice.

Correct Answer: D

Rationale: The correct answer is D: Salmonella typhi. Typhoid fever is caused by the bacterium Salmonella typhi. This bacterium is responsible for causing the systemic infection that leads to symptoms such as high fever, abdominal pain, and diarrhea. Yersinia pestis (choice A) causes plague, Shigella dysenteriae (choice B) causes dysentery, and Escherichia coli (choice C) can cause various gastrointestinal infections, but not typhoid fever. Salmonella typhi specifically targets the intestines and is transmitted through contaminated food or water. Therefore, choice D is the correct answer for the cause of typhoid fever.

Correct Answer: C

Rationale: Legionella pneumophila is a Gram-negative coccobacillus. It is not a coccus (round shape), spiral bacterium, or Gram-positive coccobacillus. The correct answer is C because Legionella pneumophila has a characteristic coccobacillary shape and stains Gram-negative due to its cell wall composition. The other choices are incorrect because they do not accurately describe the morphology or staining characteristics of Legionella pneumophila.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Mumps is a contagious disease transmitted through air droplets and direct contact. 2. The correct answer is A because mumps can infect both humans and animals. 3. Choice B is incorrect as mumps is vaccine-preventable. 4. Choice C is correct as mumps is highly contagious. 5. Choice D is accurate as mumps is transmitted via air droplets and direct contact. Summary: The correct answer is A because mumps can infect both humans and animals, making it untrue that only humans can be infected. Choices B, C, and D are incorrect as mumps is vaccine-preventable, highly contagious, and transmitted through air droplets and direct contact.

Correct Answer: B

Rationale: The correct answer is B: Candida albicans. Candida albicans is the most common cause of vaginal yeast infections due to its ability to overgrow in warm, moist environments like the vagina. It is a type of fungus that naturally resides in the body, but can cause infection when its growth is not regulated. Histoplasma capsulatum (A) causes a lung infection, Aspergillus niger (C) causes fungal sinusitis, and Saccharomyces cerevisiae (D) is a type of yeast used in baking and brewing, not typically associated with vaginal infections.