When a smear is stained by Burri-Gins method a mucous structure that is tightly bound with the cellular wall of bacteria and has well-defined outer boundaries can be detected. This element of a bacteria cell is called:

Correct Answer: A

Rationale: The correct answer is A: Capsule. A capsule is a mucous structure tightly bound to the bacterial cell wall with distinct outer boundaries. This structure helps bacteria evade the host immune system, resist desiccation, and adhere to surfaces. In contrast, spores are resistant structures formed by certain bacteria for survival, filaments are long chains of bacterial cells, and ribosomes are cellular organelles responsible for protein synthesis. Therefore, based on the characteristics described in the question, the most appropriate choice is A: Capsule.

Correct Answer: C

Rationale: Step-by-step rationale for Choice C (Streptococcus pyogenes) being the correct answer: 1. Erysipelas is a skin infection characterized by well-defined red, inflamed skin areas. 2. Streptococcus pyogenes is a common causative agent of erysipelas. 3. This bacterium produces enzymes that break down skin proteins, leading to the characteristic symptoms of erysipelas. 4. Streptococcus pyogenes is known for causing skin infections, including erysipelas. Summary of why the other choices are incorrect: A. Pseudomonas aeruginosa: Typically causes opportunistic infections, but not commonly associated with erysipelas. B. Staphylococcus aureus: Can cause skin infections, but not typically associated with erysipelas. D. Candida albicans: Fungal infection, not a bacterium, and not known to cause erysipelas.

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas aeruginosa. This is because Pseudomonas aeruginosa is a common Gram-negative rod that is a non-lactose fermenter and a common cause of severe pneumonia, especially in immunocompromised individuals. It is also known for its resistance to many antibiotics, making it difficult to treat. Summary of other choices: B: Escherichia coli is a lactose fermenter and is not commonly associated with severe pneumonia. C: Klebsiella pneumoniae is a lactose fermenter and is more commonly associated with pneumonia in alcoholics or debilitated patients. D: Enterobacter cloacae is a lactose fermenter and is not a common cause of severe pneumonia.

Correct Answer: B

Rationale: The correct answer is B: Mycobacterium leprae. This bacterium is responsible for causing leprosy, also known as Hansen's disease. Mycobacterium leprae specifically targets the skin, peripheral nerves, and mucosa of the upper respiratory tract. It is an acid-fast bacterium with a slow growth rate, making it difficult to culture in the laboratory. Streptococcus pyogenes (choice A) is responsible for various infections such as strep throat, Neisseria gonorrhoeae (choice C) causes gonorrhea, and Escherichia coli (choice D) is commonly found in the gut and can lead to various infections but not leprosy.

Correct Answer: A

Rationale: The correct answer is A: Pseudomonas aeruginosa. P. aeruginosa is known for producing a blue-green pigment called pyocyanin, which gives a characteristic color to the colonies. The fruity odor is due to the production of a compound called 2-aminoacetophenone by P. aeruginosa. These features are classic for P. aeruginosa and help differentiate it from other Gram-negative rods. Proteus mirabilis (B) typically does not produce blue-green pigment or fruity odor. Klebsiella pneumoniae (C) and Escherichia coli (D) also do not exhibit these specific characteristics associated with P. aeruginosa.

Correct Answer: C

Rationale: The correct answer is C: enterotoxigenic E. Coli (ETEC). ETEC adheres to the intestine wall and produces toxins, leading to symptoms like diarrhea. Shigella spp. invade intestinal cells, Salmonella spp. cause inflammation, and Helicobacter pylori infects the stomach lining. This makes them incorrect choices for bacteria adhering to the intestine wall and producing toxins.

Correct Answer: B

Rationale: The correct answer is B: Helicobacter pylori. This bacterium is associated with stomach ulcers as it can survive in the acidic environment of the stomach and produce substances that weaken the stomach lining. Escherichia coli (A) is associated with foodborne illnesses, not ulcers. Bacillus cereus (C) causes food poisoning. Clostridium difficile (D) is associated with antibiotic-associated colitis, not ulcers. Therefore, Helicobacter pylori is the correct answer based on its specific association with stomach ulcers.

Correct Answer: C

Rationale: The correct answer is C (coli index of 250 and coli titer of 4). The coli index is calculated by multiplying the number of colonies by the reciprocal of the volume filtered, which gives 2 colonies x (1/0.5 L) = 4. The coli titer is obtained by dividing the volume filtered by the number of colonies, which gives 0.5 L / 2 colonies = 0.25 L or 250 ml. This indicates the concentration of coliform bacteria in the water sample. Choice A (4 and 250) is incorrect because it has the correct coli index but the values are reversed for coli index and coli titer. Choice B (2 and 500) is incorrect as it provides the correct coli titer value but the values are reversed for coli index and coli titer. Choice D (500 and 2) is incorrect because it reverses the values for both coli index and coli titer.

Correct Answer: D

Rationale: The correct answer is D. Clostridium botulinum produces botulinum toxin, Salmonella enterica produces salmonella toxin, and certain strains of Escherichia coli produce toxins like shiga toxin. These toxins can cause severe foodborne illnesses. Therefore, all of the above bacteria can produce toxins that lead to foodborne illnesses. Choices A, B, and C alone are incorrect because each of these bacteria individually can produce toxins that lead to foodborne illnesses.