Which of the following has a fecal-oral route of transmission

Correct Answer: C

Rationale: The correct answer is C: ECHO virus infection. ECHO virus is transmitted via the fecal-oral route, meaning the virus is passed from feces to the mouth. This transmission occurs through contaminated food, water, or surfaces. Relapsed fever and spotted fever are generally transmitted by arthropod vectors like ticks. Pertussis, also known as whooping cough, spreads through respiratory droplets. Therefore, the fecal-oral route is not applicable to these diseases.

Correct Answer: A

Rationale: The correct answer is A: Shigella dysenteriae. It is the likely causative agent because it is a non-lactose-fermenting, Gram-negative rod commonly associated with severe diarrhea. Shigella dysenteriae specifically causes bacillary dysentery. Other choices are incorrect because: B: Escherichia coli is a lactose-fermenting bacterium commonly found in the gut and not typically associated with severe diarrhea. C: Salmonella typhi causes typhoid fever, not severe diarrhea. D: Proteus mirabilis is a urease-positive bacterium associated with urinary tract infections, not severe diarrhea.

Correct Answer: A

Rationale: The Burri-Gins staining technique is used to identify capsule formation in bacteria. Capsules are protective layers around bacteria that can be visualized using this staining method. Capsules are important virulence factors for pathogens like Yersinia pestis, the causative agent of plague. This technique helps in differentiating encapsulated bacteria from non-encapsulated ones. Spore formation (B), acid resistance (C), and alkali resistance (D) are not properties that can be identified using the Burri-Gins technique, making them incorrect choices.

Correct Answer:

Rationale: Correct Answer: C: opportunists Rationale: 1. Opportunistic microorganisms cause infections only when the host's immune system is compromised. 2. They are typically harmless in healthy individuals but can become pathogenic in weakened hosts. 3. Saprophytic microorganisms are environmental decomposers, not inherently pathogenic. 4. Facultative pathogens can cause disease in both healthy and compromised hosts. 5. Obligate pathogens always cause disease regardless of the host's condition. Summary: A: Facultative pathogens can cause disease in healthy hosts. B: Saprophytes are not inherently pathogenic. D: Obligate pathogens always cause disease.

Correct Answer: A

Rationale: The correct answer is A: Metronidazole. Amebic dysentery is caused by the parasite Entamoeba histolytica, not a bacterium, hence antibiotics like Chloramphenicol or Phthalazole are ineffective. Metronidazole is the drug of choice for treating amebic dysentery due to its efficacy against anaerobic organisms like Entamoeba histolytica. Furasolidone is used for treating bacterial infections, not parasitic ones like amebiasis. The patient's symptoms of diarrhea, stomach aches, and a recent history of drinking water from a potentially contaminated source in the forest are indicative of a parasitic infection, supporting the choice of Metronidazole for treatment.

Correct Answer: A

Rationale: The correct answer is A: Meningitides. H. Influenzae type b (Hib) is a bacterium known to cause meningitis, a serious infection of the protective membranes covering the brain and spinal cord. Hib does not typically cause tonsillitis, urinary tract infections, or gastroenteritis. Meningitis is a life-threatening condition that requires prompt treatment, making it crucial to identify Hib as the causative agent.

Correct Answer: B

Rationale: The correct answer is B: Legionella and Neisseria are both gram-negative aerobic rods and cocci. Legionella is a rod-shaped bacterium, while Neisseria is a diplococcus. Both are aerobic, meaning they require oxygen for growth. The other choices are incorrect because Legionella and Neisseria are not facultative anaerobes (A), spirochetes (C), or anaerobic cocci (D). Understanding the characteristics of these bacteria helps in differentiating and selecting the correct answer.

Correct Answer: D

Rationale: The correct answer is D because it encompasses the true statements regarding the laboratory diagnosis of urinary tract infections. A: Bacteriuria of less than 10^5 can be significant in treated patients due to the development of antibiotic resistance. B: Staphylococcus aureus, Salmonella typhi, and Mycobacterium tuberculosis may be significant regardless of quantity due to their pathogenic nature. C: Leukocyturia indicates inflammation, and even a lower number of leukocytes can be clinically significant. Therefore, option D covers all these aspects making it the correct choice.

Correct Answer: A

Rationale: The correct answer is A: spleen. The spleen is not a component of the gastrointestinal tract; it is part of the lymphatic system. The pharynx, esophagus, and stomach are all part of the gastrointestinal tract responsible for digestion and absorption of food. The spleen's main functions include filtering blood, storing blood cells, and supporting the immune system, making it unrelated to the digestive process.