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Infectious diseases

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15.10.2024. Тест. Всем учителям, Прочее
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Viral hepatitis is an infection that causes liver inflammation and damage. Several different viruses cause hepatitis, including hepatitis A, B, C, D, and E. The hepatitis A and E viruses typically cause acute infections. The hepatitis B, C, and D viruses can cause acute and chronic infections.

Список вопросов теста

Вопрос 1

What is the  signs of cytolysis of liver function test are:

 

 

 

 

 

Варианты ответов
  • increase in bilirubin and - globulins;
  • increase in thymol and decrease in sulemic acid;
  • increased activity of aminotransferases;
  • increased bilirubin and alkaline phosphatase
Вопрос 2

Which  statement is  incorrect about viral hepatitis D:

 

 

 

Варианты ответов
  • infection with the D virus in patients with HCG B causes a sharp exacerbation of the disease;
  • infection with the D virus of carriers of HBS Ad is not accompanied by clinical manifestations;
  • when simultaneously infected with viruses B and D, acute mixed hepatitis develops;
  • caused by a virus that requires HBS to replicate.;
Вопрос 3

The small known articulate protein leading to enhanced replication of HBV as well as HIV is

 

Варианты ответов
  • Hbx Ag
  • hbcAg
  • HBsAg
  • Hbe Ag
Вопрос 4

True about immune response of hepatitis B is

 

Варианты ответов
  • Antibody of HBs Ag is associated with resistance to infection
  • Antibody to HBC is not protective
  • Highest titres of anti HBC are found in persistent carriers of HBs Ag
  • CMI disappears soon after recover
Вопрос 5

Which of the following represents the serologic evidence of recent Hepatitis B virus infection during “window” period?

 

Варианты ответов
  • HBs Ag
  • IgM 1anti – HBc
  • Anti HBs
  • None of the above
Вопрос 6

Which of the following correctly indicates the infectivity of hepatitis virus in human?

 

Варианты ответов
  • HBCAg
  • HBeAg
  • Anti-HBC
  • Anti – HBS
Вопрос 7

Hepatitis A virus is best diagnosed by:

 

Варианты ответов
  • IgM antibodies in serum
  • Isolation from stool
  • Culture from blood
  • Isolation from bile
Вопрос 8

1- A 70-year-old male presents with a complaint of fatigue. There is no history of alcohol abuse or liver disease; the patient is on no medication. Scleral icterus is noted on physical exam. There is no evi- dence for chronic liver disease on physical exam, and the liver and spleen are nonpalpable. The patient is noted to have a normo- cytic, nomochromic anemia. The first step in evaluation of this patient would be :

Варианты ответов
  • CT scan of the abdomen.
  • Hepatitis profile.
  • Liver function tests, including direct versus indirect bilirubin and urine bilirubin.
  • Abdominal ultrasound
Вопрос 9

The patient above is noted to have conjugated hyperbilirubi- nema, with bilirubin detected in the urine. Serum bilirubin 12 mg/dL, AST and ALT in normal range, and alkaline phosphatase 300 U/L. The next step in evaluation would be

Варианты ответов
  • Ultrasound or CT scan
  • Hepatitis profile
  • Reticulocyte count
  • Family history for hemochromatosis
Вопрос 10

A nursing student has just completed her hepatitis B vaccine series. On reviewing her laboratory studies and assuming she has no prior exposure to hepatitis B, you would expect:

Варианты ответов
  • Positive test for hepatitis B surface antigen
  • Antibody against hepatitis B surface antigen (anti-HB5) alone
  • Antibody against hepatitis core antigen (anti-HBC)
  • Antibody against both surface and core antigen E.Antibody against hepatitis E anti- gen
Вопрос 11

What is the most severe complication associated with Hepatitis D superinfection in individuals with chronic Hepatitis B?

Варианты ответов
  • Acute liver failure
  • Hepatic encephalopathy
  • Cirrhosis
  • Liver cancer
  • Jaundice
Вопрос 12

Which method is primarily used to diagnose active Hepatitis D infection?

Варианты ответов
  • Liver biopsy
  • Blood culture
  • Detection of anti-HDV antibodies
  • Measurement of hepatitis D RNA levels
  • Liver function tests
Вопрос 13

Hepatitis E can be controlled in the community by which two of the following?

Варианты ответов
  • A vaccine
  • Attention to hand and surface hygiene
  • Reducing the number of sexual partners
  • Cooking meat properly
Вопрос 14

Ingested E. coli O157:H7 produces high levels of toxins in the large intestine. These toxins are closely related to those produced by which of the following organisms

 

Варианты ответов
  • Entamoeba histolytica
  • Clostridium difficile
  • Giardia lamblia
  • Shigella dysenteriae
Вопрос 15

Duration of excretion of enteroviruses with feces

Варианты ответов
  • 7 days
  • 5-6 weeks
  • 3-6 months
  • 24 hours
Вопрос 16

12. In developed countries, Salmonella typhi is most likely transmitted via which of the following pathways? 

Варианты ответов
  • a) Food
  • b)Sexual contact
  • c)Soiled clothing s
  • d)Water
Вопрос 17

13. What is the key step in the lV life cycle that involves the conversion of viral RNA into DNA?
 

Варианты ответов
  • Integration
  • Reverse transcription
  • Budding
  • Transcription
Вопрос 18

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?

Варианты ответов
  • Amoebiasis
  • Escherichiosis
  • Shigellosis
  • Balanthidiasis
Вопрос 19

The IgM response occurs earlier in the illness, generally peaking at 7-10 days after infection, and usually disappears within a few weeks, but for some infections it can  persist for months such as

Варианты ответов
  • hepatitis A
  • Botulism
  • Shigella
  • Salmonelllosis
Вопрос 20

Botulism can occur when neurotoxin is elaborated in vivo by C. botulinum (ie, wound botulism) or when preformed neurotoxin is acquired in an external source (ie, ingestion of food). Which of the following foods is the most common source of ingested toxin?

Варианты ответов
  • Home-canned fruits
  • Honey
  • Milk products
  • Seafood
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