INFECTIOUS DISEASES 7-sem/ AIR-DROPLET AND INTESTINAL INFECTIONS.

A 21-year-old woman presents with a 3-day duration of discomfort with urination and increased urinary frequency.  She has noted that her urine has a strong odor as well.  She denies fever, abdominal pain, back pain, vaginal discharge, or skin rash.  She is sexually active and takes oral contraceptive pills.  On examination, she is comfortable appearing and afebrile.  She has no costovertebral angle tenderness.  Abdominal exam is notable only for suprapubic tenderness.  Microscopic examination of the sediment of a centrifuged urine sample reveals 10-15 white blood cells per high power field and numerous bacteria.  What is the diagnosis?

A 65-year-old man comes to your office for the evaluation of lower back pain.  For the past 3 days, he has had a sharp, burning pain in his left lower back, which would radiate to his flank and, sometimes, all the way around to his abdomen.  The pain comes and goes, feels like an "electric shock,' is unrelated to activity, and can be severe. He has had no injury to his back and has no history of back problems in the past. He denies fever, urinary symptoms,  or gastrointestinal symptoms. His examination today, including careful back and abdominal examination, is normal. The next day, he returns to your office stating that he has had an allergic reaction to the medication because he's  developed a rash. The rash is in the area where he had the pain for which he was seen the day before. On examination now, he has an eruption consisting of patches of erythema with clusters of vesicles extending in a dermatomal distribution from his left lower back  to the midline of his abdomen. What is the diagnosis?

Which of the following is a very rare medical condition of mumps virus infection?

After causing chickenpox, the varicella-zoster virus can remain in the body for years, before it causes shingles. Where in the body does the virus stay?

People with infectious mononucleosis are encouraged to rest during the first week or two, while symptoms are severe. For about 1 month afterward, doctors advise people to avoid heavy lifting and contact sports. Why are people advised against heavy lifting and contact sports?

Which of the following statements is true of cholera enterotoxin?

A patient enters the emergency room with chest pain and an irregular heart beat. They had previously had scarlet fever but did not finish their course of antibiotics. They got sick again and did not get treatment. Which of the following complications is this patient most likely experiencing?

Which of these is not a common COVID-19 symptom?

Adolescents and young adults most often contract infectious mononucleosis by which of the following?

An 8-year-old boy is brought in to the physician’s office with a 3-day history of fever and a rash. He has also had a mild sore throat and felt somewhat

fatigued. The rash started on his face and then spread to his arms and legs. He has only been given acetaminophen for the fever. He takes no other medications, has no known allergies, has no significant medical history, and has had no contact with anyone known to be ill. On examination, his temperature is 37.7°C (99.8°F), and his other vital signs are normal. His cheeks are notably red, almost as if they had been slapped. His pharynx is normal appearing, and the remainder of his head and neck exam is normal. On his extremities there is a fine, erythematous, maculopapular rash but no vesicles or petechiae. A rapid group A streptococcal antigen test done in the office is negative.

What virus is the likely cause of this illness?

A patient R., 23 years old, was hospitalized on the 4th day of disease, had a contact with a patient of typhoid fever. During hospitalization temperature of body – 37,8 °C, severe headache. A tongue is with a yellow coverings. A stomach is soft, painless, rumbling in an ileocecal corner. Liver +1 cm. Defecation is absent during 3 days. Hospitalized for an inspection on typhoid fever. What examination (laboratory diagnostic) do you suggest for this patient?

A persons 28 y.o., became ill sharply, when a chill, feeling of heat, increase body temperature to 38,5 °C, spastic pain in a left hypogastria area, frequent liquid stool. The excrements have the appearance of bloody-mucous mass (lumps of mucus with the blood). At palpation: abdomen is painful in its left half, a spastic sigmoid colon. What is the previous diagnosis?

A patient D., yesterday in the evening delivered in the hospital due to high temperature of body, increasing pharyngalgia, pain lockjaw of masseters, nausea, vomits. At nasopharhyngoscopy by an otolaryngologist the moderate expressed hyperemia, edema, cyanosys of mucous membrane of left palatal tonsil, oral cavity and nasopharynx were found out. The surface of tonsil is covered by the raid of dirty-grey color pellicle which goes beyond his borders (in nasopharynx). Increasing of left submandibular lymphatic node of dense consistency was also found. The edema of hypoderm of neck reaches to the collar-bone. What is the described disease?

1. The son of a 70-year-old woman asks his family doctor about the usefulness of the varicella zoster vaccine for his mother. Which of the following statements is CORRECT?

Temperature up to 38.4 degrees., constant abdominal pain, false urge to stool, stool without counting with mucus and streaks of blood, sigmoid colon is spasmodically reduced in children with the form of dysentery.

Cyclic sequential change of pre-jaundice, jaundice, post-jaundice and convalescence period in children is characteristic of viral hepatitis.

Choose the correct statement amongst the following:

The variation of which of the following causes influenza despite vaccines available?

 

What pathogenetic mechanisms are characteristic of viral infections?

The main criterion for transferring patients with botulism to artificial lung ventilation is:

How long does it take to recover from foodborne botulism?

Acute colitis syndrome is characterized by:

Food toxicoinfection is characterized by:

Which of the following diseases should be differentiated with-

to cure measles in the catarrhal period:

Name a characteristic rash with measles:

Conjunctivitis, involvement of the lymphatic system in children is characteristic of the clinic оf:

The leading sign of croup in children is.

With the development of neurotoxicosis with severe dysentery.

Does not apply to clinical forms of salmonellosis:

Hand-foot-mouth disease is one of the more distinctive rash syndromes; it is

 MOST frequently caused by?