What is the name of the enzyme that allows the bacteria to become resistant to most penicillins?

Correct Answer: C

Rationale: The correct answer is C: Beta lactamase. This enzyme is produced by bacteria to break down the beta-lactam ring structure of penicillins, rendering them ineffective. Beta lactam ring (A) is part of the penicillin molecule, not an enzyme. MRSA (B) stands for methicillin-resistant Staphylococcus aureus, a type of bacteria resistant to certain antibiotics, not an enzyme. Aminoglycoside ring (D) refers to a different class of antibiotics and is not related to penicillin resistance in bacteria.

Correct Answer: B

Rationale: The correct answer is B: Anatoxin. An anatoxin is a toxin that has been rendered harmless while retaining its ability to stimulate an immune response. Gas gangrene is caused by the toxins produced by Clostridium perfringens, not the bacteria itself. Therefore, vaccination with an anatoxin can trigger the immune system to produce antibodies against the toxin, providing immunity against the disease. A: Killed whole cell vaccine - Gas gangrene is caused by toxins, not the whole bacterium. This type of vaccine may not be effective in preventing the disease. C: There is no specific prevention by vaccination - This is incorrect, as vaccination with an anatoxin can prevent gas gangrene. D: Alive attenuated vaccine - Attenuated vaccines contain live, weakened forms of the pathogen. However, for gas gangrene prevention, targeting the specific toxin with an anatoxin vaccine is more appropriate.

Correct Answer: A

Rationale: Step 1: The soil is low-contaminated according to the sanitary indicative value, which indicates that the contamination is recent. Step 2: The soil is contaminated according to coli titer, suggesting the presence of coliform bacteria typically found in fresh fecal matter. Step 3: The soil is low-contaminated according to the anaerobe titer (Cl. perfringens), which is an indicator of recent fecal contamination. Step 4: Based on the above steps, the correct answer is A: Fresh fecal contamination, as the presence of coliform bacteria and recent anaerobe titer levels point to recent fecal contamination. Summary: B: Old fecal contamination - Incorrect because the indicators suggest recent contamination. C: Insufficient intensity of soil humification - Incorrect as it is not related to the specific indicators mentioned in the question. D: Constant entry of organic protein contaminations - Incorrect as the indicators point towards fecal contamination, not protein

Correct Answer: B

Rationale: The correct answer is B: Protein synthesis. Bacterial ribosomes are responsible for translating the genetic information from mRNA into proteins. This process involves the binding of transfer RNA molecules carrying amino acids to the ribosome and the formation of peptide bonds between the amino acids to create proteins. DNA replication (A) is carried out by DNA polymerase enzymes, not ribosomes. Energy production (C) is primarily the function of mitochondria in eukaryotic cells, and cell division (D) is regulated by a complex network of proteins and signaling pathways, not ribosomes.

Correct Answer: C

Rationale: The correct answer is C: Beta lactamase. This enzyme is produced by bacteria to break down the beta-lactam ring structure of penicillins, rendering them ineffective. Beta lactam ring (A) is part of the penicillin molecule, not an enzyme. MRSA (B) stands for methicillin-resistant Staphylococcus aureus, a type of bacteria resistant to certain antibiotics, not an enzyme. Aminoglycoside ring (D) refers to a different class of antibiotics and is not related to penicillin resistance in bacteria.

Correct Answer: B

Rationale: The correct answer is B because retroviruses, including those in the Family Retroviridae, have a capsid consisting of two copies of single-stranded RNA (ssRNA). This is a defining characteristic of retroviruses, which use reverse transcriptase to convert their ssRNA into DNA. This DNA is then integrated into the host cell's genome. Choices A, C, and D are incorrect because Family Retroviridae viruses are not helical non-enveloped viruses (C), they are not helical enveloped viruses (A), and they do not have a complex type of symmetry (D).

Correct Answer: C

Rationale: Step 1: Actinomycotic granules are colonies of actinomycetes located in purulent secretions. Step 2: Actinomycosis is a disease caused by actinomycetes forming these granules. Step 3: Actinomycotic granules are typically found in tissue exudates or pus. Step 4: Therefore, choice C is correct as it accurately describes actinomycotic granules. Summary: Choice A is incorrect because actinomycotic granules are not a form of actinomycosis itself, but a characteristic of the disease. Choice B is incorrect as actinomycotic granules are not an additional outer membrane but rather colonies of actinomycetes. Choice D is incorrect as actinomycotic granules are not intracellular inclusions but extracellular colonies found in purulent secretions.

Correct Answer: D

Rationale: The correct answer is D: Imipenem. Imipenem is a carbapenem antibiotic effective against multiple-resistant microorganisms due to its broad spectrum and resistance to beta-lactamases. It is often used as a last resort for severe infections. Ampicillin (A) and Penicillin (B) are both beta-lactam antibiotics that are less effective against multiple-resistant microorganisms due to widespread resistance mechanisms. Augmentin (C) is a combination of amoxicillin and clavulanic acid, which may have limited efficacy against certain resistant strains but is not as effective as imipenem for treating infections caused by multiple-resistant microorganisms.

Correct Answer: C

Rationale: The correct answer is C: 10% of the infected men have no symptoms. This is true because gonorrhea can be asymptomatic in some individuals, leading to undiagnosed cases. Testicular pain and epididymal tenderness (choice A) are not typical symptoms of gonorrhea in men. Painful urination (choice B) may or may not be present. Purulent discharge (choice D) is a common symptom but not always present. Therefore, choice C is the most accurate statement regarding gonorrhea symptoms in men.