What preventive medications should be injected to a patient with open maxillofacial trauma provided that he has never got prophylactic vaccination before?

Correct Answer: C

Rationale: Step 1: Antitetanus serum is crucial for patients with open maxillofacial trauma to prevent tetanus infection from contaminated wounds. Step 2: Antibiotics are needed to prevent infection in the wound. Step 3: Antitetanus serum provides immediate passive immunity while antibiotics help combat potential infections. Step 4: Antitetanus immunoglobulin is not mentioned in the question and is not typically used for prophylaxis. Step 5: Anticonvulsive drugs are not preventive medications for maxillofacial trauma. Step 6: Diphtheria, tetanus, and pertussis vaccines are not specifically indicated for immediate prevention in this scenario.

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: B

Rationale: The correct answer is B because the main target of the toxin produced by Vibrio cholerae is the epithelial cells of the small intestine. This toxin, known as cholera toxin, binds to the surface of these cells and disrupts their normal function, leading to the characteristic watery diarrhea seen in cholera. The other choices are incorrect because macrophages are not the main target, RBCs are not directly affected by the toxin, and the stomach epithelial cells are not specifically targeted by Vibrio cholerae toxin.

Correct Answer: D

Rationale: The correct answer is D because during the incubation period of Salmonella Typhi infection, the bacteria multiply in the macrophages of the Peyer's patches and solitary follicles. This is supported by the fact that S. Typhi is an intracellular pathogen that targets the lymphoid tissues of the intestines. Macrophages in these areas serve as the primary host cells for the bacteria, allowing for their replication and evasion of the host immune response. Choices A, B, and C are incorrect because S. Typhi does not primarily multiply in the small intestine enterocytes, the lumen of the small intestine, or hepatocytes during the initial stages of infection.

Correct Answer: B

Rationale: The correct answer is B: Hepatitis B virus. This is because Hepatitis B virus is a DNA virus, not an RNA virus. The other choices, A (Hepatitis G virus), C (Hepatitis A virus), and D (Hepatitis E virus) are all RNA viruses. Hepatitis B virus is unique as it contains partially double-stranded DNA. DNA viruses replicate through a DNA intermediate, unlike RNA viruses which directly use RNA. Therefore, Hepatitis B virus stands out as the only DNA virus among the given options.

Correct Answer: A

Rationale: The correct answer is A: tRNA. Anticodons are sequences of nucleotides found on tRNA molecules that complement the codons on mRNA during translation. tRNA molecules carry specific amino acids to the ribosome based on the codon-anticodon pairing. Option B, rRNA, forms the structure of the ribosome and is not directly involved in anticodon recognition. Option C, mRNA, contains codons but not anticodons. Option D, ribosomes, are the site of protein synthesis but do not contain the anticodons themselves.

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: 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: Ebola virus. The patient's symptoms align with Ebola virus infection, including fever, severe hemorrhagic syndrome, and CNS involvement. Ebola virus is known to cause hemorrhagic fevers with high mortality rates. A: SARS CoV causes Severe Acute Respiratory Syndrome, which typically presents with respiratory symptoms, not hemorrhagic fever. B: Lymphocytic choriomeningitis virus usually causes a mild illness with flu-like symptoms, not severe hemorrhagic syndrome. D: ECHO 9 virus is associated with aseptic meningitis, not hemorrhagic fever.