Which of the following bacteria produces an endotoxin responsible for septic shock?

Correct Answer: D

Rationale: The correct answer is D, "All of the above." Staphylococcus aureus, Escherichia coli, and Neisseria meningitidis all produce endotoxins that can lead to septic shock. Endotoxins are part of the outer membrane of Gram-negative bacteria, such as E. coli and N. meningitidis, which can trigger a severe immune response leading to septic shock. S. aureus, a Gram-positive bacterium, produces toxins that can also contribute to septic shock. Therefore, all of these bacteria can produce endotoxins responsible for septic shock. Choices A, B, and C are incorrect because they only identify individual bacteria that produce endotoxins, whereas the correct answer encompasses all bacteria listed.

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus aureus. Staphylococcus aureus is a Gram-positive cocci bacterium that forms clusters and commonly causes pneumonia with a productive cough and fever. It is frequently found in sputum smears in such cases. Streptococcus pneumoniae (B) is another common cause of pneumonia but typically appears in pairs or chains, not clusters. Neisseria meningitidis (C) is a Gram-negative diplococcus that causes meningitis, not pneumonia. Klebsiella pneumoniae (D) is a Gram-negative bacterium that can cause pneumonia but appears as Gram-negative rods, not Gram-positive cocci in clusters.

Correct Answer: D

Rationale: After the transfer of the F plasmid from the donor to the recipient cell, the correct answer is D. This is because the F plasmid carries genes for conjugation, allowing the recipient cell to become F+ (containing the F plasmid). The donor cell remains F. Choice A is incorrect as the outcome can be predicted based on the transfer of the F plasmid. Choice B is incorrect because the donor cell does not become F after transferring the F plasmid. Choice C is incorrect as only the recipient cell becomes F+, not both cells.

Correct Answer: A

Rationale: The correct answer is A: Syphilis. The presentation of painless inguinal lymph nodes, along with a small-sized ulcer with thickened edges and a "laquer" bottom of greyish color on the genital mucous membrane, is classic for primary syphilis. The painless nature of the lymph nodes and the specific characteristics of the ulcer are key features of syphilitic infection. Primary syphilis is caused by the bacterium Treponema pallidum and typically presents with a single, painless ulcer known as a chancre. It is important to consider syphilis in the differential diagnosis of genital ulcers. Summary of other choices: B: Tuberculosis - Unlikely, as tuberculosis typically presents with pulmonary symptoms and does not cause genital ulcers. C: Lepra - Unlikely, as leprosy does not typically present with painless inguinal lymph nodes and the specific ulcer characteristics described. D: Trophic ulcer - Unlikely

Correct Answer: C

Rationale: The correct answer is C: Mumps. Group II diseases are vaccine-preventable diseases that are communicable and can cause outbreaks. Mumps fits this criteria as it is preventable through vaccination, easily transmitted through respiratory droplets, and can lead to outbreaks in communities. Anthrax (A) is a zoonotic disease, Lyme disease (B) is transmitted by ticks, and Smallpox (D) has been eradicated.

Correct Answer: B

Rationale: The correct answer is B: Yersinia pestis. Y. pestis is the causative agent of plague, a serious infectious disease transmitted through fleas. It causes bubonic, pneumonic, and septicemic plague. Bordetella pertussis causes whooping cough, Rickettsia prowazekii causes epidemic typhus, and Treponema pallidum causes syphilis. Y. pestis is the correct answer because it is specifically associated with plague, making the other options incorrect.

Correct Answer: C

Rationale: Step-by-step rationale for Choice C (Streptococcus pyogenes) being the correct answer: 1. Erysipelas is a skin infection characterized by well-defined red, inflamed skin areas. 2. Streptococcus pyogenes is a common causative agent of erysipelas. 3. This bacterium produces enzymes that break down skin proteins, leading to the characteristic symptoms of erysipelas. 4. Streptococcus pyogenes is known for causing skin infections, including erysipelas. Summary of why the other choices are incorrect: A. Pseudomonas aeruginosa: Typically causes opportunistic infections, but not commonly associated with erysipelas. B. Staphylococcus aureus: Can cause skin infections, but not typically associated with erysipelas. D. Candida albicans: Fungal infection, not a bacterium, and not known to cause erysipelas.

Correct Answer: C

Rationale: The correct answer is C (coli index of 250 and coli titer of 4). The coli index is calculated by multiplying the number of colonies by the reciprocal of the volume filtered, which gives 2 colonies x (1/0.5 L) = 4. The coli titer is obtained by dividing the volume filtered by the number of colonies, which gives 0.5 L / 2 colonies = 0.25 L or 250 ml. This indicates the concentration of coliform bacteria in the water sample. Choice A (4 and 250) is incorrect because it has the correct coli index but the values are reversed for coli index and coli titer. Choice B (2 and 500) is incorrect as it provides the correct coli titer value but the values are reversed for coli index and coli titer. Choice D (500 and 2) is incorrect because it reverses the values for both coli index and coli titer.

Correct Answer: B

Rationale: The correct answer is B: All are correct. Candida albicans can cause skin infections such as candidiasis. Staphylococcus aureus and Streptococcus pyogenes are common bacteria that can also cause skin infections. Therefore, choice B is correct as all three microorganisms listed can cause skin infections. Choices A, C, and D are incorrect because individually, each of the microorganisms listed can cause skin infections.