Which are the most suitable materials for isolation of polio viruses?

Correct Answer: D

Rationale: The correct answer is D because polio viruses are primarily found in the gastrointestinal tract and respiratory secretions. Feces contain the highest concentration of the virus, while nasopharyngeal swabs and cerebrospinal fluid can also contain the virus. Blood, sputum, and urine do not typically contain high levels of polio virus. Choice A is incorrect as bile content is not a common site for polio virus isolation. Choice C is incorrect because only testing feces may not provide a comprehensive picture of the infection.

Correct Answer: C

Rationale: Rationale for choice C (Strep. pneumoniae): 1. Strep. pneumoniae is a common cause of bacterial meningitis. 2. It is a leading pathogen responsible for meningitis in adults and children. 3. It can invade the bloodstream and reach the meninges, causing inflammation. 4. Treatment guidelines often include antibiotics effective against Strep. pneumoniae. Summary of why other choices are incorrect: A. Staph. aureus is not a common cause of meningitis. B. Strep. pyogenes typically causes streptococcal infections but not meningitis. D. "None of the above" is incorrect as Strep. pneumoniae can cause meningitis.

Correct Answer: A

Rationale: The correct answer is A because fires from combustibles such as wood fall under Class A fires. Type A fire extinguishers are specifically designed to extinguish fires involving ordinary combustible materials like wood, paper, and cloth. Choice B, C, and D are incorrect because they do not correspond to the correct classification of the fire. Choice B refers to Class B fires involving flammable liquids, Choice C refers to Class C fires involving electrical equipment, and Choice D refers to Class D fires involving combustible metals. It is crucial to match the type of fire extinguisher with the type of fire to effectively combat the fire.

Correct Answer: C

Rationale: The correct answer is C: Gram-positive rod-shaped bacteria. Listeria monocytogenes is a Gram-positive bacterium, as it retains the crystal violet stain during the Gram staining process. The bacteria are rod-shaped, not spherical. Choice A is incorrect as Listeria monocytogenes is not Gram-negative. Choice D is incorrect as Listeria monocytogenes does fall under the category of Gram-positive bacteria. The key is to remember the characteristics of Listeria monocytogenes, which are Gram-positive and rod-shaped.

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This protozoon is responsible for causing amoebic dysentery, which presents with bloody diarrhea. The "raspberry jelly" appearance of stool is due to the presence of mucosal lining and blood. The large mononuclear cells with absorbed red blood cells are characteristic of the histopathology of Entamoeba histolytica infection. Giardia lamblia (B) causes watery diarrhea, not bloody stools. Campylobacter jejuni (C) is a bacterial pathogen associated with gastroenteritis, but does not typically cause bloody diarrhea. Toxoplasma gondii (D) causes toxoplasmosis, a systemic infection with symptoms such as fever and lymphadenopathy, but not bloody diarrhea.

Correct Answer: D

Rationale: The correct answer is D because the catarrhal stage of whooping cough is characterized by mild respiratory symptoms such as mild coughing, sneezing, or a runny nose. During this stage, the cough may start to worsen but is not yet severe. A: Incorrect - Decrease in paroxysms of coughing is not seen in the catarrhal stage; it occurs later in the paroxysmal stage. B: Incorrect - Subsequent respiratory infection for many months after the onset of pertussis is not a characteristic of the catarrhal stage. C: Incorrect - Uncontrollable coughing followed by a high pitched 'whoop' sound is typical of the paroxysmal stage, not the catarrhal stage.

Correct Answer: A

Rationale: The correct answer is A: Clostridium botulinum and Staphylococcus aureus. Clostridium botulinum produces a potent neurotoxin causing botulism, commonly associated with improperly canned foods. Staphylococcus aureus produces toxins causing symptoms of food poisoning. Bacillus anthracis and Mycobacterium tuberculosis are not typically associated with food poisoning. Treponema pallidum and Neisseria gonorrhoeae are bacteria causing sexually transmitted infections. Escherichia coli and Klebsiella pneumoniae are not directly linked to food poisoning.

Correct Answer: C

Rationale: The correct answer is C: IgA. IgA is the most prominent immunoglobulin class present in external secretions like saliva, tears, and mucus. It plays a crucial role in mucosal immunity by preventing pathogens from entering the body. IgG is mainly found in the blood and tissues, IgM is the first antibody produced in response to an infection, and IgE is involved in allergic reactions. IgA's presence in external secretions helps protect the body from infections at mucosal surfaces, making it the correct choice in this context.

Correct Answer: A

Rationale: The correct answer is A: Enteropathogenic E. Coli (EPEC). EPEC bacteria adhere to the intestine wall using a protein called intimin, leading to microvilli damage. This attachment disrupts the normal absorption function of the intestine. Summary of why other choices are incorrect: B: Enterohemorrhagic E. Coli (EHEC) primarily causes bloody diarrhea and does not specifically target microvilli. C: Enterotoxigenic E. Coli (ETEC) produces toxins that lead to watery diarrhea but does not directly target microvilli. D: Enteroinvasive E. Coli (EIEC) invades and replicates within intestinal cells, causing inflammatory diarrhea, but does not specifically damage microvilli.