Correct Answer: D

Rationale: The correct answer is D. Escherichia coli, Salmonella enterica, and Pseudomonas aeruginosa all produce endotoxins that can lead to septic shock. Endotoxins are components of the outer membrane of Gram-negative bacteria that can trigger a systemic inflammatory response, potentially leading to septic shock. E. coli and Salmonella are common causes of bacterial infections that can result in septic shock, while P. aeruginosa is known for causing infections in immunocompromised individuals. Therefore, since all three bacteria produce endotoxins that can lead to septic shock, the correct answer is D.Choices A, B, and C are incorrect because each of these bacteria individually produces endotoxins that can contribute to septic shock.

Correct Answer: A

Rationale: The correct answer is A: anabolic. Anabolic reactions involve the synthesis of larger organic molecules from smaller precursor molecules. This process requires energy input and is essential for growth and repair in living organisms. Choice B: Catabolic reactions involve the breakdown of larger molecules into smaller ones, releasing energy in the process. This is the opposite of what is described in the question. Choice C: Metabolic is a broad term that encompasses all chemical processes in living organisms, including both anabolic and catabolic reactions. It is not specific to the assembly of small molecules into larger ones. Choice D: "Any of the above" is incorrect because only anabolic reactions specifically involve the assembly of small precursor molecules into larger organic molecules.

Correct Answer: B

Rationale: The correct answer is B: Zoonosis. Tularemia is primarily a zoonotic disease, meaning it is transmitted from animals to humans. The bacterium that causes tularemia, Francisella tularensis, commonly infects animals like rabbits, rodents, and ticks, which serve as reservoir hosts. Humans can get infected through direct contact with infected animals, insect bites, or contaminated water or soil. This zoonotic nature of tularemia distinguishes it from anthroponosis (A), which is transmitted only between humans, and sapronosis (C), which is transmitted through non-living environmental sources. Choice D is incorrect because there is a correct answer, which is zoonosis.

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: Leptospira interrogans. Darkfield microscopy is used to visualize spirochetes, which are spiral-shaped bacteria. Leptospira is a spirochete bacterium that causes leptospirosis, which presents with jaundice, muscle aching, chill, and nosebleeds. Leptospira is commonly transmitted through contact with contaminated water or soil. B: Borrelia dutlonii causes Lyme disease, which is transmitted by ticks and does not typically present with jaundice or nosebleeds. C: Calymmatobacterium granulomatis causes granuloma inguinale, a sexually transmitted infection that does not present with the symptoms described. D: Bartonella bacilloformis causes Carrion's disease, which presents with fever, anemia, and skin lesions but not jaundice or nosebleeds.