Which of the following bacteria is responsible for causing tuberculosis?

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Question 1 of 9

Which of the following bacteria is responsible for causing tuberculosis?

Correct Answer: B

Rationale: The correct answer is B: Mycobacterium tuberculosis. This bacterium is responsible for causing tuberculosis. Mycobacterium leprae (choice A) causes leprosy, not tuberculosis. Streptococcus pneumoniae (choice C) is known for causing pneumonia, not tuberculosis. Neisseria gonorrhoeae (choice D) is responsible for causing gonorrhea, not tuberculosis. Mycobacterium tuberculosis is the specific bacterium associated with tuberculosis due to its ability to infect the lungs and other organs, leading to the characteristic symptoms of the disease.

Question 2 of 9

Which of the following is a feature of Gram-negative bacteria?

Correct Answer: B

Rationale: The correct answer is B: Outer membrane with lipopolysaccharides. Gram-negative bacteria have an outer membrane containing lipopolysaccharides (LPS), which are important in pathogenesis and immune response. This feature is unique to Gram-negative bacteria, distinguishing them from Gram-positive bacteria (choice A). Teichoic acids (choice C) are found in the cell walls of Gram-positive bacteria, not Gram-negative. The statement in choice D, absence of a cell wall, is incorrect as all bacteria have a cell wall, although the composition may vary between Gram-negative and Gram-positive bacteria.

Question 3 of 9

Acute hemorrhagic cystitis may be due to:

Correct Answer: C

Rationale: Rationale for choice C (Adenovirus) being correct: 1. Adenovirus is a common cause of acute hemorrhagic cystitis. 2. Adenovirus infects the bladder epithelium, leading to inflammation and bleeding. 3. Symptoms include hematuria and bladder pain. 4. Diagnosis is confirmed through viral culture or PCR testing. Summary of why other choices are incorrect: A: Parvovirus B19 - More commonly associated with erythema infectiosum (fifth disease) and aplastic anemia. B: CMV - Known to cause congenital infections, mononucleosis, and retinitis, not typically associated with hemorrhagic cystitis. D: Herpesvirus type 2 - Commonly causes genital herpes, but not typically associated with acute hemorrhagic cystitis.

Question 4 of 9

A centrifugate of urine sample obtained from patient with suspected renal tuberculosis was used to make a slide mount for microscopy. What method should be used to stain the slide and detect the causative agent?

Correct Answer: A

Rationale: The correct answer is A: Zielh-Neelsen stain. This stain is specifically used to detect acid-fast bacteria like Mycobacterium tuberculosis, the causative agent of renal tuberculosis. The staining process involves using carbol fuchsin to penetrate the mycolic acid layer of the bacterial cell wall, making it resistant to decolorization with acid-alcohol. This allows the red stained bacteria to be visualized under a microscope. Loeffler stain (B) is used for staining bacteria like diphtheria bacilli, Gram stain (C) is used for bacterial classification based on cell wall properties, and Aujeszky stain (D) is not a recognized staining method for detecting acid-fast bacteria.

Question 5 of 9

Warts are commonly caused by the:

Correct Answer: A

Rationale: Step-by-step rationale: 1. Warts are caused by human papillomavirus (HPV) due to its ability to infect the skin. 2. HPV infects the top layer of skin and causes the rapid growth of cells, leading to the formation of warts. 3. Herpesvirus (choice B) causes herpes, not warts. 4. HIV (choice C) weakens the immune system but does not directly cause warts. 5. Varicella-zoster virus (choice D) causes chickenpox and shingles, not warts. Summary: Choice A is correct as warts are primarily caused by HPV, which infects the skin cells. Choices B, C, and D are incorrect as they are associated with different viral infections that do not lead to the development of warts.

Question 6 of 9

After the second abortion a 23 year old woman has been diagnosed with toxoplasmosis. Which drug should be used for toxoplasmosis treatment?

Correct Answer: A

Rationale: The correct answer is A: Co-trimoxazole. This drug combination is the first-line treatment for toxoplasmosis due to its efficacy against Toxoplasma gondii. Co-trimoxazole consists of sulfamethoxazole and trimethoprim, which work synergistically to inhibit bacterial and protozoal folate synthesis, effectively treating toxoplasmosis. B: Itraconazole is an antifungal medication and not effective against toxoplasmosis. C: Mebendazole is an anthelmintic drug used for treating parasitic worm infections, not toxoplasmosis. D: Azidothimidine, also known as AZT, is used for treating HIV, not toxoplasmosis.

Question 7 of 9

While examining the feces of a patient with diarrhea, cysts with four nuclei were found. What protozoan is most likely causing the condition?

Correct Answer: A

Rationale: The correct answer is A: Entamoeba histolytica. This protozoan causes amoebiasis, which presents with symptoms like diarrhea. The cysts with four nuclei found in the feces are characteristic of Entamoeba histolytica. This protozoan is known to cause invasive infection, leading to tissue destruction and ulcers in the intestines. Lamblia (choice B) typically presents with cysts containing two nuclei. Trichomonas (choice C) is a sexually transmitted parasite and does not form cysts. Balantidium (choice D) is a ciliated protozoan that does not have four nuclei in its cyst form.

Question 8 of 9

Which of the following pathogens has the widest infectious spectrum

Correct Answer: A

Rationale: The correct answer is A, Anthrax bacillus, because it has the widest infectious spectrum among the options provided. Anthrax bacillus can infect a wide range of hosts, including humans and various animals. It is known for its ability to survive in different environments and cause disease through various routes of exposure. In contrast, choices B, C, and D have more limited infectious spectra. Mumps virus primarily infects humans, the causative agent of gonorrhea mainly affects humans through sexual contact, and the rabies virus typically infects mammals through bites from infected animals. Therefore, Anthrax bacillus is the correct choice due to its broader range of hosts and modes of transmission compared to the other options.

Question 9 of 9

What would be the conclusion?

Correct Answer: B

Rationale: Step-by-step rationale for choice B being correct: 1. The conclusion should be based on evidence or observations. 2. "Doubtful" suggests uncertainty, indicating lack of definitive safety. 3. Choice A is too absolute without considering potential risks. 4. Choice C uses extreme language without proper evidence. 5. Choice D is overly definitive without considering varying levels of contamination. Therefore, choice B is the most reasonable conclusion.

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