Microbiology A Systems Approach Test Bank

Correct Answer: D

Rationale: The correct answer is D: Sporotrichosis. Sporotrichosis is caused by the fungus Sporothrix schenckii, which commonly presents as a subcutaneous infection. In the given case, the presence of a small abscess with yellowish-green pus containing white granules is indicative of sporotrichosis. The histological examination showing drusen of a fungus, plasmatic and xanthome cells, and macrophages further supports the diagnosis of sporotrichosis. Choice A: Actinomycosis is a bacterial infection caused by Actinomyces species, not a fungal infection. Choice B: Aspergillosis is caused by Aspergillus species and typically presents as a pulmonary infection, not a subcutaneous abscess as described in the case. Choice C: Candidosis is caused by Candida species and usually presents as mucocutaneous infections, not a subcutaneous abscess with the

Correct Answer: C

Rationale: The correct answer is C: psychrophiles. Psychrophiles are bacteria that can grow at low temperatures, typically below 20�C. This is because they have adapted to survive and thrive in cold environments. Mesophiles (A) grow best at moderate temperatures, thermophiles (B) thrive in high temperatures, and halophiles (D) prefer high salt concentrations. Psychrophiles are specifically adapted to cold temperatures, making them the correct choice in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Amebiasis. Amebiasis is caused by the parasite Entamoeba histolytica, presenting with symptoms like acute abdominal pain, bloody diarrhea with mucus, and inconstant shape organisms seen in fecal smear. The presence of erythrocytes supports the diagnosis due to the parasite's ability to invade intestinal mucosa causing bleeding. Choice B (Lambliasis) presents with different symptoms like steatorrhea and fatigue. Choice C (Schistosomiasis) is mainly associated with liver and urinary symptoms. Choice D (Intestinal trichomoniasis) commonly presents with watery diarrhea and does not typically cause bloody stools. Therefore, based on the patient's symptoms and fecal smear findings, Amebiasis is the most likely diagnosis.

Correct Answer: A

Rationale: Rationale: 1. Salmonella typhi causes typhoid fever, which can lead to intestinal infections. 2. Shigella flexneri causes dysentery, primarily affecting the colon. 3. Helicobacter pylori causes stomach ulcers, not intestine infections. Summary: A is correct as Salmonella typhi causes intestine infection. B and C are incorrect as they cause different gastrointestinal issues. D is incorrect as A is a valid choice.

Correct Answer: A

Rationale: The correct answer is A because enteropathogenic E. coli (EPEC) have fimbrial adhesins that help them bind to enterocytes in the intestines, leading to colonization and infection. This is a key virulence factor of EPEC. Explanation for why other choices are incorrect: B: EPEC typically cause watery diarrhea in infants, not bloody diarrhea similar to shigellosis. C: EPEC are not part of the normal intestinal flora; they are pathogenic bacteria. D: EPEC are not invasive and do not typically produce enterotoxin; they primarily adhere to the intestinal epithelium.