🏥 USMLE Exam Prep

A patient develops severe watery diarrhea after consuming contaminated seafood. Stool culture grows a Gram-negative, comma-shaped bacterium that produces a toxin causing irreversible activation of adenylyl cyclase. Which organism is the most likely culprit?

A Salmonella typhi
B Shigella dysenteriae
C Vibrio cholerae
D Escherichia coli O157:H7

✓ Correct Answer: Option C

Vibrio cholerae produces cholera toxin, which ADP-ribosylates the Gs alpha subunit, leading to irreversible activation of adenylyl cyclase and increased cAMP. This causes massive secretion of water and electrolytes into the intestinal lumen.

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