Malaria


Список вопросов теста
Вопрос 1
The patient is 44 years old, fell ill 7 days after returning from Guinea, where he was on a two-month business trip. Personal chemoprophylaxis with quinine was carried out irregularly. Complaints of terrific chills, headache, fever up to 40 ° C. Jaundiced skin, injected sclera, darkening of urine in the form of "black beer". Hemosideria and urobilia were found in the urine. What is your preliminary diagnosis?
Варианты ответов
- Malaria
- Viral hepatitis
- Visceral leishmaniasis
Вопрос 2
An objective examination of a patient with anemia and complaints of fever attacks, which are accompanied by periods of remission, revealed an enlargement of the liver and spleen. It is established from his medical history that he returned from Mali a few days ago.Choose a laboratory test from the list to confirm the diagnosis?
Варианты ответов
- Isolation of hemoculture
- Microscopy of a thick smear*
- Serological examination
Вопрос 3
A 30-year-old patient contacted to the hospital with complaints of chills, severe headache, and severe general weakness. I got sick 3 days ago, felt a chill that lasted 2 hours, then fever, headache, aches all over my body. The temperature of 40.5 C remained for several hours, then dropped to 36.20 with profuse sweating. On the third day, the temperature rose again to 39.5 ° C with chills. Choose a diagnostic method for this disease
Варианты ответов
- PCR
- Immunological
- Parasitological
Вопрос 4
Malaria is endemic in parts of Asia, the Middle East, South America, and Central America. US residents who have not traveled to endemic areas can acquire the disease through which of the following?
Варианты ответов
- Bites from local mosquitoes that harbor mutated pathogens
- Bites from local mosquitoes that feed on infected people
- Exposure to saliva of an infected person
Вопрос 5
During the complex life cycle of the Plasmodium sp that transmit malaria, transmission begins with which of the following?
Варианты ответов
- Gametocytes inside a female Anopheles mosquito reproduce sexually and produce infective sporozoites
- A female Anopheles mosquito feeds on a person with malaria and ingests blood containing gametocytes
- The parasites mature into tissue schizonts within hepatocytes and are released into the bloodstream 1 to 3 wk later when the hepatocyte ruptures
- When a female Anopheles mosquito infected with sporozoites feeds on another human, the sporozoites quickly reach the liver and infect hepatocytes