This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Unknown
Observation of yeast cells with multiple budding in tissue in the form of a “the shape  shown in below pictomyograph ” is highly suggestive of 
Select and explain. 
A. Blastomycosis, B. Cccidiodomycosis, C. Paracoccidiodomycosis, D. Histoplasmosis
C: Paracoccidiodomycosis
Answer: C: Paracoccidiodomycosis 
Explanation: Paracoccidioides brasiliensis causes paracoccidioido­mycosis. It is a dimorphic fungus that exists as a mold in soil and as a yeast in tissue. The yeast is thick­walled with multiple buds ("ship's wheel" appearance), in contrast to Blastomyces dermatitides, which has a yeast with a single bud that has a broad base. Histoplasma capsulatum occurs as an oval budding yeast inside macrophages, whereas Coccidioides is a spherule in tissue, with many endospores within the spherule. Sporothrix, a dimorphic fungus from vegetation, is introduced into the skin and forms a local pustule or ulcer with nodules; round or cigar-shaped budding yeasts are seen in tissue specimens.