Mcqs for lecture

Onset of typhoid fever is usually gradual, with fever and which of the following additional symptoms occurring most often?            

Botulism is poisoning that is due to Clostridium botulinum toxin. It is a rare, life-threatening medical emergency. C. botulinum elaborates 8 types of antigenically distinct neurotoxins. Of these neurotoxins, which of the following is the most potent toxin known

Disease started acutely with the complains of heavy watery diarrhea, vomiting, cramps in the lower extremities. Objectively: slow voice, shunken eyes, quick pulse, low blood pressure, decrease of urination, weak cardiac sounds. In liver and spleen no changes. Put the correct diagnosis.

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?

3 patients were delivered with sympthoms of fever, diarrhea and vomiting. Stool is  dark-green, without any pathological changes. All patients together took part in the preparation of food and have used eggs, meat, salad. The most likely diagnosis.

.The rotavirus is an important cause of which of the following?
 

Organism that is infected by pathogen is:

The generalized forms of Salmonellosis (non-typhoid)  include:

The rash in typhoid is characterized by:

Toxin of Clostridium botulinum  has selectively affects on:

The absolute indication for parenteral rehydration therapy is

1. Hand-foot-mouth disease is one of the more distinctive rash syndromes; it is  MOST frequently caused by

Hepatitis B – Serological Interpretation

A 32-year-old patient has the following results:
HBsAg +, HBeAg +, anti-HBc IgM +, anti-HBs –.
What is the most likely stage of infection?

Hepatitis B + D Co-infection

A patient with acute hepatitis shows: HBsAg +, anti-HBc IgM +, anti-HDV IgM +.
Which of the following best describes this condition?

A 28-year-old man’s screening test is ELISA positive for HIV antibodies, and confirmatory Western blot is positive for gp120 and gp41 bands.
What is the correct interpretation?
 

A 40-year-old HIV-positive patient on ART shows:
CD4 count = 120 cells/µL, HIV RNA = 25 000 copies/mL.
What is the appropriate clinical action?
 

This infectious disease is contracted when people eat or drink water that is contaminated by the feces or urine of an infected person. There is a sudden onset of fever, a severe headache, nausea, anorexia, and a slow heart rate. It may also be accompanied by a hoarse cough and constipation or diarrhea. What is it?

Disease started acutely with the complains of heavy watery diarrhea, vomiting, cramps in the lower extremities. Objectively: slow voice, shunken eyes, quick pulse, low blood pressure, decrease of urination, weak cardiac sounds. In liver and spleen no changes. Put the correct diagnosis.

Patient K., 30 y.o., a sensitiveness to the cold, nausea, vomits, pain in epigastria and around umbilicus. Vomits frequent. The temperature of body rarely rose to the high numbers. A skin is pale, dry. A tongue is covered by the white or grey cover. Pulse frequent, arterial pressure low. 2 hours prior to the origin of symptoms fed in a dining-room. What is the most possible diagnosis?

A 25-year-old woman develops blurred vision, dysphagia, and descending flaccid paralysis 12 hours after eating home-canned mushrooms. She is afebrile.
Laboratory results:

• CBC: normal

• CSF: normal pressure, no pleocytosis

• EMG: decreased compound muscle action potential amplitude, normal sensory response

• Detection of botulinum toxin in serum: positive

What is the most likely diagnosis?