Young man is hospitalized in pulmonology with complaints of dry cough, fatigue and suffocations. The anamnesis and the lab tests lead to pneumocystis pneumonia. The CD4+ cells are less than 200/mm3. What test you will order:

Correct Answer: B

Rationale: The correct answer is B: For HIV. Pneumocystis pneumonia in a young man with CD4+ cells less than 200/mm3 is highly suggestive of HIV infection. HIV weakens the immune system, leading to opportunistic infections like pneumocystis pneumonia. Testing for HIV is crucial for diagnosis and appropriate management. Explanation for other choices: A: Testing for ureaplasma urealyticum is not indicated in this case as the symptoms and CD4+ cell count point towards an HIV-related infection. C: Testing for Treponema pallidum (syphilis) is not relevant in the context of a young man with pneumocystis pneumonia and low CD4+ cell count. D: Testing for Neisseria gonorrhoea is not appropriate in this scenario as the symptoms and CD4+ cell count suggest an underlying HIV infection rather than a bacterial sexually transmitted infection.

Correct Answer: A

Rationale: Polyclonal antibodies are produced by different B cells, each recognizing a different epitope on an antigen. Therefore, they can respond to multiple antigens. This diversity in recognition allows polyclonal antibodies to bind to various targets, making option A true. Options B, C, and D are incorrect as they do not accurately reflect the nature of polyclonal antibodies' ability to recognize multiple antigens.

Correct Answer: B

Rationale: The correct answer is B: mitochondria. Stroma is a component of chloroplasts, not mitochondria. Lysosomes contain hydrolytic enzymes, not stroma. Mitochondria have an inner and outer membrane structure, with the matrix containing the stroma where important metabolic processes occur. This is where the Krebs cycle and oxidative phosphorylation take place. Stroma in chloroplasts is where photosynthesis occurs. So, the correct answer is B because stroma is a component of mitochondria, where crucial energy production processes happen.

Correct Answer: C

Rationale: The correct descending order of taxonomic categories is domain, kingdom, phylum, class, order, family, genus, species. This hierarchical classification system helps organize and categorize living organisms based on their shared characteristics and evolutionary relationships. Explanation: - Domain is the broadest category, representing the highest level of classification. - Kingdom further divides organisms into major groups based on similar characteristics. - Phylum, class, order, family, and genus successively narrow down the classification based on more specific shared characteristics. - Species is the most specific category, representing individual organisms capable of interbreeding. Summary of other choices: A: Incorrect as it has the incorrect order of phylum, kingdom, and division. B: Incorrect as it has the incorrect order of family and species. D: Incorrect as it has the incorrect order of domain, kingdom, and class.

Correct Answer: D

Rationale: The correct answer is D because viruses are sensitive to interferon, a natural defense mechanism of the body against viral infections. Interferon helps to inhibit viral replication. A: Viruses are cell-free infectious particles, not living systems. B: Viruses are obligate intracellular parasites as they require host cells to replicate. C: Viruses can have either DNA or RNA as genetic material, which is a characteristic feature.

Correct Answer: B

Rationale: The correct answer is B: Herpangina. Coxsackie Viruses are known to cause Herpangina, which is characterized by sore throat, fever, and painful blisters in the mouth and throat. This is because Coxsackie Viruses typically infect the throat and mouth mucosa. Hemorrhagic conjunctivitis (A) is commonly caused by Adenoviruses, not Coxsackie Viruses. Mumps (C) is caused by the Mumps virus, a completely different virus. Poliomyelitis (D) is caused by the Poliovirus, not Coxsackie Viruses. Therefore, the correct answer is B as it aligns with the known pathogenicity of Coxsackie Viruses.

Correct Answer: A

Rationale: Step 1: Viruses can have either DNA or RNA, not both, hence they have only one type of nucleic acid. Step 2: The extracellular form of viruses is called virion, not viroid. Step 3: Viruses are obligate intracellular parasites, meaning they rely on host cells for replication. Step 4: Viruses are measured in nanometers, not micrometers. Therefore, the correct answer is A.

Correct Answer: D

Rationale: The correct answer is D: protozoan. Malaria is caused by Plasmodium parasites transmitted through the bite of infected female Anopheles mosquitoes. These parasites belong to the protozoa kingdom, not viruses (choice A), bacteria (choice B), or helminths (choice C). Protozoa have complex life cycles involving both mosquito and human hosts, leading to the development of malaria in humans. Other choices are incorrect as they do not align with the known etiology and characteristics of malaria.

Correct Answer: C

Rationale: Rationale: C is the correct answer because antibodies formed against Mycobacterium tuberculosis are not protective. They do not efficiently clear the infection due to the bacterium's ability to evade the immune response by residing intracellularly in macrophages. Antibodies play a minimal role in controlling tuberculosis compared to cell-mediated immunity. Summary: A is incorrect because Mycobacterium tuberculosis does contain mycolic acid in its cell wall. B is incorrect because the pathogen can indeed live intracellularly in macrophages. D is incorrect as C is the correct answer.