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Intestinal infections

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20.10.2025. Тест. Всем учителям, Прочее
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Mcqs for student 4 year for infectious diseases subjects

Список вопросов теста

Вопрос 1

A 24-year-old male presents with continuous fever for 10 days, relative bradycardia, and rose spots on the abdomen.
Lab: Widal test: TO 1:320, TH 1:320; Blood culture: Salmonella Typhi isolated.
Question: What is the most likely stage of the disease?

Варианты ответов
  • First week
  • Convalescence
  • Third week
  • Second week
Вопрос 2

Which disease may closely resemble typhoid fever during early stages but can be distinguished by relative lymphocytosis?
 

Варианты ответов
  • Brucellosis
  • Malaria
  • Leptospirosis
  • Shigellosis
  • Viral hepatitis A
Вопрос 3

A 5-year-old child has fever, tenesmus, and bloody-mucous stools.
Stool microscopy: Many WBCs, RBCs, no protozoa.
Culture: Non-lactose fermenter on MacConkey, oxidase-negative.
Question: Which is the causative agent?
 

Варианты ответов
  • Salmonella enteritidis
  • Vibrio cholerae
  • Shigella flexneri
  • E. coli (ETEC)
  • Campylobacter jejuni
Вопрос 4

Which feature helps differentiate shigellosis from amoebic dysentery?
 

Варианты ответов
  • Mucus in stool
  • Presence of cysts in stool
  • Presence of trophozoites with ingested RBCs
  • Fever and tenesmus
  • Bloody diarrhea
Вопрос 5

After eating raw eggs, several people develop nausea, vomiting, and diarrhea within 8 hours.
Stool culture: Salmonella enteritidis.
Question: What is the mechanism of infection?
 

Варианты ответов
  • Toxin-mediated gastroenteritis
  • Invasive infection via macrophages
  • Bacteremia
  • Spore formation
  • Latent colonization
Вопрос 6

A 30-year-old woman presents with diplopia, dysphagia, and descending paralysis after eating home-canned mushrooms.
Lab: Mouse bioassay positive for botulinum toxin.
Question: What is the key mechanism?
 

Варианты ответов
  • Inhibition of acetylcholine release
  • Demyelination of peripheral nerves
  • Destruction of neuromuscular junction
  • Activation of GABAergic neurons
  • Inhibition of acetylcholinesterase
Вопрос 7

A 12-year-old child presents with jaundice, dark urine, elevated ALT/AST (>1000 IU/L).
Serology: Anti-HAV IgM positive.
Question: What does this indicate?
 

Варианты ответов
  • Past infection
  • Current acute infection
  • Chronic infection
  • Vaccinated status
  • Co-infection with HBV
Вопрос 8

A patient’s lab results:
HBsAg (+), HBeAg (+), Anti-HBc IgM (+), ALT high.
Question: Interpretation?
 

Варианты ответов
  • Acute infection, high infectivity
  • Carrier state
  • Chronic infection, low infectivity
  • Recovery phase
  • Vaccinated status
Вопрос 9

ELISA anti-HCV positive, PCR HCV-RNA positive.
Question: What does this indicate?
 

Варианты ответов
  • Past resolved infection
  • False positive
  • Active ongoing infection
  • Vaccination
  • Window period
Вопрос 10

A patient with acute hepatitis has both HBsAg and anti-HDV IgM.
Question: What is the correct interpretation?
 

Варианты ответов
  • HBV infection only
  • Chronic HBV with HDV superinfection
  • Acute HBV + HDV co-infection
  • Resolved HBV infection
  • Vaccine-induced immunity
Вопрос 11

A 26-year-old teacher presents with abrupt onset fever, myalgia, and dry cough.
Lab: Nasopharyngeal swab positive for Influenza A RNA.
Question: Best initial antiviral therapy?
 

Варианты ответов
  • Penicillin
  • Oseltamivir
  • Azithromycin
  • Acyclovir
  • Ribavirin
Вопрос 12

A 2-year-old child presents with barking cough and inspiratory stridor.
X-ray: Steeple sign.
Diagnosis: Croup.
Question: Most probable etiologic agent?
 

Варианты ответов
  • Parainfluenza virus type 1
  • RSV
  • Adenovirus
  • Influenza B
  • Rhinovirus
Вопрос 13

A 45-year-old male with fever, cough, and loss of smell.
Lab: RT-PCR SARS-CoV-2 positive. CRP 60 mg/L, lymphopenia.
Question: Which marker correlates with severe disease?
 

Варианты ответов
  • Lymphocytosis
  • Elevated CRP and D-dimer
  • Normal ferritin
  • Decreased LDH
  • High platelet count
Вопрос 14

ELISA test positive for HIV antibodies.
Question: Which confirmatory test is recommended?
 

Варианты ответов
  • PCR for RNA
  • Western blot
  • VDRL
  • HBsAg
  • Mantoux test
Вопрос 15

A patient with recurrent oral candidiasis, CD4 = 180/μL.
Question: What is the stage of HIV infection?
 

Варианты ответов
  • a) Acute HIV infection
  • b) Asymptomatic stage
  • c) AIDS stage
  • d) Seroconversion illness
  • e) Early latent
Вопрос 16

A 34-year-old man with jaundice, ALT 800 IU/L, ALP 120 IU/L, bilirubin 150 μmol/L. No history of alcohol use.
Serology: HBsAg negative, anti-HAV IgM positive.
Question: Likely diagnosis?
 

Варианты ответов
  • a) Obstructive jaundice
  • b) Alcoholic hepatitis
  • c) Viral hepatitis A
  • d) Drug-induced hepatitis
  • e) Hemolytic jaundice
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