Infectious Diseases. 1st Module for 2nd patok. December 29.
Список вопросов теста
Вопрос 1
What allows to verify a certain infectious disease:
Варианты ответов
- results of x-ray diagnostic imagining
- characteristics of immunogram
- specific IgM class antibodies
- specific IgG class antibodies
Вопрос 2
If acute dysentery is suspected, a differential diagnosis is made with the following diseases:
Варианты ответов
- brucellosis
- non-specific ulcerative colitis
- acute appendicitis
- salmonellosis
Вопрос 3
Specify the characteristic complications of acute dysentery?
Варианты ответов
- meningitis
- dehydration
- endocarditis
- infectious and toxic shock
Вопрос 4
Etiotropic therapy of acute dysentery is based on the following principles?
Варианты ответов
- differentiated based on the severity of the disease
- after determination of susceptibility to antibiotics
- sensitivity to antibiotics of Shigella circulating in a given territory
- combination of several antibacterial drugs
Вопрос 5
What are the complications associated with intravenous rehydration solutions?
Варианты ответов
- Anaphylactic shock
- pulmonary Edema
- Pneumonia
- Common tissue edema
Вопрос 6
Clinical variants of salmonellosis:
Варианты ответов
- abdominal
- gastrointestinal
- typhoid
- septic
Вопрос 7
When is it possible to abolish etiotropic drugs in a patient with typhoid fever?
Варианты ответов
- After normalization of body temperature
- After normalization of sizes of liver and spleen
- After disappearance of roseollas
- After the 10th day of normal body temperature
Вопрос 8
After salmonellosis chronic carrier state.
Варианты ответов
- Formed in 0,1-1 % of the cases
- Formed in 8-10 % of cases
- Formed in 20-30 % of cases
- Formed in 50-80 % of cases
Вопрос 9
By which method is it possible to find out bacterial carrier in case of typhoid fever?
Варианты ответов
- Coproculture
- Reaction of agglutination of Vidall
- Indirect hemaglutination test with О-аntigen
- Indirect hemaglutination test with a Vi-antigen
Вопрос 10
Typhoid fever bleedings are accompanied with:
Варианты ответов
- Body temperature decrease and pulse decrease
- Body temperature increase and pulse increase
- The temperature does not change
- Body temperature decrease and pulse increase
Вопрос 11
An 11-month-old boy developed a high fever. This was associated with malaise, irritability and poor feeding. After 48 hours he developed a macular rash along his arms and legs. There was extensive confluent blistering of the perineum, but otherwise the trunk and back were spared. There were no lesions on his scalp. There were a number of perioral lesions, but no lesions visible inside the mouth. Some of the lesions progressed into thin-walled vesicles containing clear fluid. There were macules on the soles of his feet. The fever resolved 24 hours after the rash appeared. The rash took 10 days to clear, but left no scars. 3 weeks later the skin on his feet began to desquamate. He attended a nursery for 3 days a week. He had had his vaccinations as per the schedule for his age. He had been born at full term and was meeting his developmental milestones. He lived at home with two older siblings.
What is the most likely pathogen?
Варианты ответов
- Adenovirus
- Coxsackie virus A6
- Echovirus
- Herpes simplex virus 1
Вопрос 12
Food toxicoinfection is characterized by:
Варианты ответов
- are caused by opportunistic flora that can multiply in food;
- are caused by pathogenic microbes of the intestinal group;
- are characterized by the fact that the reproduction of the pathogen and toxin formation occurs in the human body;
- the incubation period is 3-7 days;
Вопрос 13
The most informative biochemical test in the pre- icteric period of viral hepatitis A is:
Варианты ответов
- total bilirubin;
- protein fractions of blood;
- ALT, AST enzymes;45
- cholesterol.
Вопрос 14
FOR HERPANGINA THE CHARACTERISTIC SYMPTOMS ARE:
Варианты ответов
- small whitish spots on the buccal mucosa
- small papules and vesicles on Palatine arches, tonsils, palate, uvulae
- aphthae and small erosions on the mucous membranes of the cheeks, lips, tongue, Palatine arches
- located the subepithelial lymphoid festering education
Вопрос 15
Choose the remedies for etiotropic therapy of viral hepatitis?
Варианты ответов
- Normal humanimmunoprotein
- Ribavirin
- Vaccine
- Hepatoprotector
Вопрос 16
Patient with cholera has bradycardia, low blood pressure, weakness. What is most important factor in the given clinical situation?
Варианты ответов
- Hypocalcemia
- Hypokaliemia
- Hyponatremia
- Hyperkaliemia
Вопрос 17
Patient I., 34 years old, entered to the infectious department. She is sick during 4 days. She complained on binocular diplopia, “net” in front of eyes, xerostomya, dysphagia, myastenia. What is previous diagnosis?
Варианты ответов
- Poisoning by Belladonna
- Diphtherial polyneuritis
- Botulism
- Rotaviral infection
Вопрос 18
The combination of symptoms characteristic of the colitis variant of shigellosis:
Варианты ответов
- high fever, nausea, epigastric pain
- high fever, pain in the left iliac region, scanty stools mixed with mucus and blood
- normal temperature, profuse watery stools
- fever, diffuse abdominal pain, profuse watery stools
Вопрос 19
An important role in the pathogenesis of shigellosis is played by:
Варианты ответов
- colonization of the pathogen in the mucous membrane of the colon
- damage to the lymphatic apparatus of the small intestine
- damage to the cardiovascular and nervous systems caused by toxins
- violation of the processes of digestion and absorption of food
Вопрос 20
Isolation in patient with salmonelliosis is done with?
Варианты ответов
- till fever subsides
- till widal becomes negative
- till 3stool test are negative
- for 48hrs of chloramphenicol treatment
Вопрос 21
Which of the following is false about escheriosis mechanism:
Варианты ответов
- enrterotoxigenic e.coli causes attachment of organism to ganglioside receptor1.
- stable toxins produced by enterotoxigenic ecoli increases cyclic GMP
- it also causes increases in secretion of water and electrolytes
- enetrohemorragicecoli produces shiga like toxin increases protein synthesis
Вопрос 22
The 18 students were admitted to the infectious hospital during 1 day. All patients had similar symptoms: nausea, vomiting, pain in stomach with frequent watery diarrhea. 10 patients had low BP and convulsions of the legs. All patients had curds and sour cream in café for breakfast.
Варианты ответов
- Cholera
- Shigellosis
- Salmonellosis
- Botulism
Вопрос 23
What are serological markers characteristic of hepatitis A in the acute period of the disease?
Варианты ответов
- HbsAg
- anti-HB cor IgM;
- anti-HAV IgM
- anti-HCV IgM
Вопрос 24
Which of the biochemical indicators is the most important for assessing the severity of the course of viral hepatitis?
Варианты ответов
- Increased bilirubin
- Increased transaminases
- Increased of timol test
- Increased cholesterol
Вопрос 25
What from the given measures is made during the secondary rehydration?
Варианты ответов
- Determining degree of dehydration from clinical data
- Amount of lost liquid, which was preceded at the time of hospitalization
- Application of isotonic crystalloid solutions
- Amount of liquid loss
Вопрос 26
Which viral hepatitis is often accompanied by chronicity with the outcome of cirrhosis due to the high incidence of asymptomatic forms?
Варианты ответов
- Viral hepatitis A
- Viral hepatitis B
- Viral hepatitis C
- Viral hepatitis D
Вопрос 27
The most important epidemiologic role at shigellosis play:
Варианты ответов
- Sick persons with an acute form of illnesses
- Sick persons with a chronic form of illnesses
- Sick with the latent form of illnesses
- Healthy carriers Children
Вопрос 28
Treatment may be sufficient to treat a person with mild degree of cholera:
Варианты ответов
- Salt solutions intravenous
- Treatment with sorbents
- Oral rehydration solution
- d) 5 % solution of glucose intravenous
Вопрос 29
The antigenic structure of Salmonella is represented by:
Варианты ответов
- О-, Н-, К -antigens;
- only О-antigen
- only Н-antigen
- only A antigen
Вопрос 30
Toxin of Clostridium botulinum has selectively affects on:
Варианты ответов
- Sensory neurons
- Intercalated neurons
- motor neurons
- Nerve fiber


