Which one IS NOT true for the urinary tract infections?

Correct Answer: A

Rationale: Step 1: Understand haematogenic spread means bacteria traveling through blood. Step 2: Urinary tract infections typically occur due to bacteria entering through urethra, not via blood. Step 3: Choice A states bacterial UTIs are usually after haematogenic spread, which is incorrect. Step 4: Therefore, Choice A is NOT true for UTIs. Summary: B, C, and D are incorrect as they align with typical characteristics of UTIs.

Correct Answer: C

Rationale: The correct answer is C: Escherichia coli. E.coli is the most common urinary tract pathogen due to its ability to adhere to and infect the urinary tract epithelium. It accounts for approximately 80-85% of urinary tract infections. It possesses specific virulence factors that enable it to colonize and cause infection in the urinary tract. Proteus mirabilis (A) is known for causing complicated UTIs, but it is less common than E.coli. Staphylococcus aureus (B) is not a common urinary pathogen. Pseudomonas aeruginosa (D) is more commonly associated with hospital-acquired infections, rather than community-acquired urinary tract infections.

Correct Answer: A

Rationale: The correct answer is A: Staphylococcus epidermidis. The presence of Gram-positive cocci arranged in clusters, catalase-positive, and coagulase-negative characteristics are indicative of Staphylococcus species. Staphylococcus epidermidis is a common skin commensal that causes wound infections. Staphylococcus aureus is coagulase-positive and often causes more aggressive infections. Streptococcus pyogenes is catalase-negative and typically forms chains, not clusters. Enterococcus faecalis is catalase-negative and commonly found in the GI tract, not a common cause of wound infections.

Correct Answer: A

Rationale: The correct answer is A: Lipopolysaccharides. Endotoxins are a type of bacterial toxin found in the outer membrane of Gram-negative bacteria. They consist of lipid A, which is a lipid component, and polysaccharides, making them lipopolysaccharides. Lipoproteins (choice B) and glycoproteins (choice C) do not accurately describe the chemical structure of endotoxins. "None of the above" (choice D) is incorrect as lipopolysaccharides are indeed the chemical structure of endotoxins.

Correct Answer: C

Rationale: The correct answer is C: Pili. Pili are bacterial structures involved in conjugation, which is the process of transferring genetic material between bacterial cells. Pili facilitate the physical contact between donor and recipient cells, allowing for the transfer of plasmids or other genetic material. Capsules (choice A) are involved in protection and adherence, not conjugation. Flagella (choice B) are responsible for bacterial motility. Fimbriae (choice D) are also involved in adherence but not in conjugation. Therefore, the correct answer is C as pili specifically play a crucial role in the process of conjugation.

Correct Answer: A

Rationale: The correct answer is A: proteins. Enzymes are mostly composed of proteins due to their complex structure and specific amino acid sequences that are essential for their catalytic activity. Proteins have active sites that bind to substrates and facilitate chemical reactions. Lipids (B), nucleic acids (C), and carbohydrates (D) do not possess the necessary properties and structures to function as enzymes. Lipids serve as energy storage molecules and cell membrane components, nucleic acids store genetic information, and carbohydrates are primarily used for energy production.

Correct Answer: A

Rationale: Step 1: Vibrio cholerae is a bacterium known to cause cholera, a foodborne illness transmitted through contaminated water. Step 2: Cholera outbreaks are often linked to unsanitary water sources, making Vibrio cholerae the correct choice. Step 3: Clostridium difficile causes gastrointestinal infections, not typically associated with contaminated water. Step 4: Mycobacterium tuberculosis causes tuberculosis, a respiratory disease, not related to foodborne illnesses. Step 5: Neisseria gonorrhoeae is a sexually transmitted bacterium, not linked to foodborne illnesses from contaminated water.

Correct Answer: D

Rationale: The correct answer is D, All of these. Orthopoxvirus genus includes Vaccinia, Smallpox, and Cowpox viruses. They share similar characteristics such as brick-shaped virions and double-stranded DNA genomes. Vaccinia virus is used in smallpox vaccine, Smallpox virus caused the eradicated disease, and Cowpox virus can infect both animals and humans. Therefore, all three viruses belong to the Orthopoxvirus genus. Choices A, B, and C are incorrect because they each represent a different virus from the genus Orthopoxvirus.

Correct Answer: A

Rationale: The correct answer is A: Overcrowding. Overcrowding can facilitate the spread of infectious diseases due to increased contact between individuals, making it easier for pathogens to transmit from one person to another. This is a risk factor on the part of the macroorganism as it directly impacts the likelihood of disease transmission. Environmental pollution (B) may impact overall health but is not a direct risk factor for infectious diseases. Physical fatigue (C) weakens the immune system but is not a direct facilitator of disease transmission. Ionizing radiation (D) can cause cellular damage but is not a typical risk factor for infectious diseases.