What type of bacteria is responsible for causing tuberculosis?

Correct Answer: A

Rationale: The correct answer is A: Mycobacterium tuberculosis. This bacterium is responsible for causing tuberculosis, as it has unique characteristics that allow it to infect the lungs and evade the immune system, leading to a chronic infection. Mycobacterium tuberculosis is a slow-growing, acid-fast bacterium that can survive and replicate within macrophages, causing the characteristic granulomas seen in tuberculosis. Choice B, Escherichia coli, is a common gut bacterium and is not responsible for tuberculosis. Choice C, Clostridium botulinum, causes botulism, not tuberculosis. Choice D, Salmonella enterica, causes food poisoning, not tuberculosis.

Correct Answer: C

Rationale: The correct answer is C because diphtheria is primarily spread through respiratory droplets and physical contact with an infected person. The bacteria responsible for diphtheria is transmitted through coughing, sneezing, or sharing personal items. Swimming in contaminated water (A) does not spread diphtheria. Transmission (B) is a broad term and does not specifically address the mode of transmission for diphtheria. Contaminated food (D) is not a typical route of diphtheria transmission. Therefore, option C is the most accurate choice based on the known mode of transmission for diphtheria.

Correct Answer: A

Rationale: The correct answer is A: Human papillomavirus. Genital warts are caused by certain strains of HPV, specifically types 6 and 11. HPV is a sexually transmitted infection that affects the skin and mucous membranes. HPV is directly linked to the development of genital warts through skin-to-skin contact during sexual activity. Herpes simplex virus 2 causes genital herpes, not genital warts. Human immunodeficiency virus (HIV) weakens the immune system but does not directly cause genital warts. Human cytomegalovirus (CMV) is not a common cause of genital warts. Therefore, HPV is the correct and most logical choice for the cause of genital warts.

Correct Answer: A

Rationale: The Ziehl-Neelsen stain is specific for acid-fast bacteria like Mycobacterium tuberculosis. The bright red bacilli seen in the smear indicate the presence of acid-fast organisms, which is characteristic of Mycobacterium tuberculosis. Staphylococcus aureus, Clostridium tetani, and Escherichia coli are not acid-fast bacteria and would not be stained red using the Ziehl-Neelsen method. Therefore, the correct answer is A: Mycobacterium tuberculosis.

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-by-step rationale: 1. Mycobacterium leprae is the correct answer because it is the bacterium responsible for causing leprosy. 2. Neisseria gonorrhoeae causes gonorrhea, not leprosy. 3. Escherichia coli is associated with gastrointestinal infections, not leprosy. 4. Staphylococcus aureus causes various skin infections, but not leprosy. In summary, Mycobacterium leprae is the correct choice because it is the specific bacterium known to cause leprosy, while the other options are associated with different diseases.

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: 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: B

Rationale: The correct answer is B: Escherichia coli. E. coli is the most common cause of UTIs due to its ability to colonize the urinary tract. It possesses adhesive factors that enable it to attach to the bladder and cause infection. Clostridium tetani causes tetanus, Mycobacterium leprae causes leprosy, and Bacillus anthracis causes anthrax, none of which are typically associated with UTIs. E. coli's prevalence in the gut and its pathogenic mechanisms make it the leading cause of UTIs.