Which form of human plague is present with high fever and large lymphadenopathies (buboes). The case fatality in untreated cases may reach 60%.

Correct Answer: A

Rationale: The correct answer is A: Bubonic plague. Bubonic plague is characterized by high fever and large swollen lymph nodes (buboes). The case fatality rate in untreated cases can reach 60%. This form of plague is typically transmitted through the bite of an infected flea. B: Pneumonic plague presents with respiratory symptoms and is transmitted through respiratory droplets. C: Gastrointestinal plague is not a recognized form of plague. D: Septicemic plague is a severe form of plague where the bacteria multiply in the bloodstream. It may not always present with buboes.

Correct Answer: B

Rationale: The correct answer is B: Herpangina. Family Parvoviridae includes Parvovirus B19, which causes Fifth disease, aplastic crisis in chronic anemia, and fetal infections. Herpangina is caused by Enteroviruses, not Parvoviridae. Parvovirus B19 specifically targets erythroid progenitor cells, leading to anemia in susceptible individuals. Fetal infections can result in hydrops fetalis. Aplastic crisis occurs in patients with chronic anemia due to suppression of erythropoiesis by the virus.

Correct Answer: B

Rationale: The correct answer is B: Neisseria gonorrhoeae. This bacterium is responsible for causing gonorrhea. Neisseria gonorrhoeae is a sexually transmitted bacterium that infects the mucous membranes of the reproductive tract. It is known for causing symptoms such as painful urination and discharge. Chlamydia trachomatis (choice A) is another sexually transmitted bacterium but is not responsible for gonorrhea. Treponema pallidum (choice C) causes syphilis, not gonorrhea. Escherichia coli (choice D) is a common bacterium found in the gut and is not associated with causing gonorrhea. Therefore, Neisseria gonorrhoeae is the correct answer for this question.

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: D

Rationale: The correct answer is D: Propionibacterium acnes. This bacterium plays a key role in acne formation by colonizing hair follicles, leading to inflammation and acne lesions. It produces fatty acids that contribute to the development of acne. Staphylococcus aureus (A) and Staphylococcus epidermidis (B) are not directly linked to acne. Streptococcus pyogenes (C) is associated with skin infections but not acne. In summary, Propionibacterium acnes is the primary bacterium responsible for acne due to its ability to induce inflammation and follicular blockages.

Correct Answer: D

Rationale: The correct answer is D: Dinoflagellates. Red tides are caused by the rapid growth of certain species of dinoflagellates, which are single-celled algae. These algae produce toxins that can harm marine life and humans. Lichens (A) are not associated with red tides. While some bacteria (B) can contribute to harmful algal blooms, they are not the primary cause of red tides. Pfiesteria (C) is a type of harmful algal species, but it is not the main organism responsible for red tides. Therefore, the correct answer is dinoflagellates (D) due to their ability to cause red tides through toxin production.

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: C

Rationale: The correct answer is C, both A and B. Clostridium botulinum and Bacillus anthracis are both capable of forming spores, which are a protective mechanism that allows them to survive harsh conditions. Clostridium botulinum causes botulism and forms spores in anaerobic environments, while Bacillus anthracis causes anthrax and forms spores in aerobic environments. Therefore, both choices A and B are correct. Choice D is incorrect as it contradicts the fact that both bacteria are capable of forming spores.

Correct Answer: D

Rationale: The correct answer is D, "All of the above." Clostridium botulinum produces botulinum toxin causing botulism. Salmonella enterica can produce enterotoxins causing food poisoning. Staphylococcus aureus also produces enterotoxins leading to food poisoning. Therefore, all three options can cause food poisoning due to their production of enterotoxins.