Which bacteria are commonly associated with foodborne illnesses?

Correct Answer: D

Rationale: The correct answer is D because all three bacteria - Salmonella enterica, Clostridium botulinum, and Escherichia coli - are commonly associated with foodborne illnesses. Salmonella causes gastroenteritis, Clostridium botulinum causes botulism, and E. coli can lead to severe food poisoning. Each bacterium has different mechanisms of causing illness, but all can be transmitted through contaminated food. Choices A, B, and C alone are incorrect because they do not encompass the full spectrum of bacteria commonly linked to foodborne illnesses.

Correct Answer: C

Rationale: The correct answer is C: leg swelling. Endocarditis is an infection of the inner lining of the heart chambers and valves. Symptoms typically include fever, chills, weight loss, and muscle aches due to the body's immune response to the infection. Leg swelling is not a common symptom of endocarditis. It may occur in conditions like heart failure but is not directly associated with endocarditis. Therefore, choice C is the correct answer. Choices A, B, and D are incorrect because fever and chills, weight loss, and muscle aches are commonly seen in endocarditis due to the systemic inflammatory response to the infection.

Correct Answer: A

Rationale: The correct answer is A: Corynebacterium diphtheriae. This bacterium causes diphtheria, characterized by a grayish pseudomembrane in the throat. The dark blue-staining rods with polar granules seen in microscopic examination are known as metachromatic granules, which are specific to Corynebacterium diphtheriae. Streptococcus pyogenes (choice B) causes strep throat but does not produce pseudomembranes. Haemophilus influenzae (choice C) can cause respiratory infections but does not typically present with a pseudomembrane. Neisseria gonorrhoeae (choice D) is a sexually transmitted bacterium and is not associated with the symptoms described.

Correct Answer: A

Rationale: The correct answer is A: Benzylpenicillin sodium salt. Benzylpenicillin is a beta-lactam antibiotic that inhibits the synthesis of bacterial cell walls by disrupting the formation of murein (peptidoglycan), leading to bacterial cell death. This mechanism specifically targets the causative agent of syphilis, Treponema pallidum. - Choice B: Bijochinol is not a known drug used to treat syphilis. - Choice C: Ciprofloxacin is a fluoroquinolone antibiotic that works by inhibiting bacterial DNA replication and is not the first-line treatment for syphilis. - Choice D: Azithromycin is a macrolide antibiotic that interferes with bacterial protein synthesis and is commonly used to treat other infections but is not the preferred treatment for syphilis.

Correct Answer: A

Rationale: The correct answer is A: Escherichia coli. E. coli is the most common bacteria responsible for causing urinary tract infections due to its ability to adhere to the urinary tract lining and multiply rapidly. It is a normal inhabitant of the gut and can enter the urinary tract through improper hygiene practices. Salmonella enterica and Neisseria gonorrhoeae are typically associated with other infections like food poisoning and gonorrhea, respectively. Mycobacterium tuberculosis causes tuberculosis, not urinary tract infections. Thus, based on its prevalence and pathogenicity in the urinary tract, E. coli is the correct choice.

Correct Answer: A

Rationale: The correct answer is A: Plague. The presence of ovoid Gram-negative bipolar-stained bacilli with a delicate capsule in the sputum is characteristic of Yersinia pestis, the causative agent of plague. Plague presents with symptoms like fever, chills, and cough. Plague is a zoonotic disease usually transmitted through fleas from rodents. The other choices (B: Tuberculosis, C: Leptospirosis, D: Brucellosis) can be ruled out based on the specific description of the bacteria in the sputum. Tuberculosis is caused by Mycobacterium tuberculosis, which is not Gram-negative. Leptospirosis is caused by Leptospira, which are spirochetes and not ovoid bacilli. Brucellosis is caused by Brucella species, which are small, coccobacilli and not ovoid bacilli.

Correct Answer: A

Rationale: Step 1: Understand haematogenic spread means bacteria traveling through blood. Step 2: Urinary tract infections typically occur due to bacteria entering through urethra, not via blood. Step 3: Choice A states bacterial UTIs are usually after haematogenic spread, which is incorrect. Step 4: Therefore, Choice A is NOT true for UTIs. Summary: B, C, and D are incorrect as they align with typical characteristics of UTIs.

Correct Answer: C

Rationale: The correct answer is C because Koch's postulate states that a microorganism must be isolated in pure culture, grown in a laboratory setting, and then inoculated into animals to reproduce the same disease seen in the original host. This step demonstrates a direct cause-and-effect relationship between the isolated microorganism and the disease. Choice A is incorrect because not all cases of a disease may have the same microorganism present. Choice B is incorrect as isolating the microorganism alone does not prove its pathogenicity. Choice D is incorrect as it does not address the need for experimental reproduction of the disease in a new host.

Correct Answer: A

Rationale: The correct answer is A: iatrogenic infections. Iatrogenic infections are those caused by medical interventions like catheter use. Catheters can introduce pathogens into the body, leading to infections. Local infections (B) refer to infections confined to a specific area, not necessarily caused by catheters. Exogenous infections (C) come from an external source, not specifically related to medical interventions. Endogenous infections (D) arise from the body's own flora and are not directly related to catheter use.