Which of the following specific immune mechanisms offer NO protection against infection

Correct Answer: C

Rationale: Correct Answer: C - Immunological tolerance to the pathogen Rationale: 1. Immunological tolerance is when the immune system does not mount a response against specific antigens to prevent autoimmunity. 2. In the context of infection, tolerance to the pathogen means the immune system does not recognize the pathogen as a threat and does not initiate a protective response. 3. This lack of response leaves the host vulnerable to infection as there is no specific immune defense mechanism activated against the pathogen. Summary of incorrect choices: A: Opsonic action of antibody - enhances phagocytosis of pathogens B: Viral neutralization by specific antibody - prevents viral entry into host cells D: Neutralization of protein exotoxin - prevents the harmful effects of toxins produced by pathogens.

Correct Answer: D

Rationale: The correct answer is D: Neuraminidase inhibitors. Neuraminidase is an enzyme crucial for the release of new viral particles from infected cells during influenza infection. By inhibiting neuraminidase, the spread of the virus is limited. Protease inhibitors (choice A) are used to treat HIV, not influenza. Beta-lactamase inhibitors (choice B) are used in combination with beta-lactam antibiotics to increase their effectiveness against bacteria, not viruses. Reverse transcriptase inhibitors (choice C) are used to treat HIV by blocking the enzyme responsible for replicating the virus's genetic material, but they are not effective against influenza.

Correct Answer: A

Rationale: The correct answer is A because differential growth media, such as Endo agar and MacConkey agar, contain specific indicators or substrates that allow for the differentiation of microorganisms based on their metabolic properties. For example, Eosin methylene blue agar differentiates between lactose fermenting and non-fermenting bacteria based on color changes. Levine's formulation is selective for Gram-negative bacteria due to bile salts and crystal violet. In contrast, the other choices do not have specific indicators for differentiation among microorganisms. Lowenstein-Jensen and SS agar are selective media for mycobacteria and Salmonella/Shigella species, respectively. ACA and BPLS agar are selective but not differential, and Nutrient agar and Peptone water are general-purpose media without differential properties.

Correct Answer: B

Rationale: The correct answer is B (Urethra). Resident microflora are typically found in various parts of the body where they establish a stable population without causing harm. The urethra is one of the locations where resident microflora are commonly present, helping to maintain a healthy microbial balance and prevent pathogenic bacteria from colonizing the area. In contrast, choices A, C, and D are not typical locations for resident microflora. Blood is normally sterile, the lungs have a different microbial environment due to their exposure to the external environment, and the cerebro-spinal fluid is also typically sterile to prevent infections in the central nervous system.

Correct Answer: A

Rationale: The correct answer is A: The pyocyanin released by Pseudomonas aeruginosa. Pyocyanin is a blue-green pigment produced by Pseudomonas aeruginosa, a common cause of nosocomial infections in burn patients. The presence of blue-green pus and gram-negative rods in the wound along with fever suggests an infection with Pseudomonas aeruginosa. The other choices are incorrect because E. Coli typically causes gastrointestinal infections and releases enterotoxins, Staphylococcus aureus releases hemolysins causing hemolysis of red blood cells, and Shigella dysenteriae releases shigatoxin causing bloody diarrhea, none of which match the clinical presentation described in the question.