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Module. Tropical Infectious Diseases 10-semester.

11.04.2022. Тест. Директору, Прочее
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A multiple-choice quiz for module consist of 30 questions, each with 4 possible answers of which only 1 is the correct answer. One correct answer 1 point. If all the answers are correct you will get 30 points. Good luck everyone.!

Список вопросов теста

Вопрос 1

A 43-year-old male is 2 week back from 21 weeks trip to Switzerland , he has fever, myalgia , headache, increased thirst, flank pain, costo vertebral tenderness, he undergone diagnosis. It shows blood urea nitrogen (BUN>7.14MMOL/L).    The doctor reported hemorrhagic fever with renal syndrome . What is the best treatment for this condition ?

Варианты ответов
  • Oxygen therapy
  • Supportive therapy
  • Antiviral drugs
  • Dialysis
Вопрос 2

A 13 year old Indian boy returned from India to Saudi 6 days back, presents with fever, frontal headache, mild cough and muscular pain for 5 days. There was no significant past medical history. Physical examination revealed fully oriented boy with no jaundice or pallor. He refused to ambulate because of  muscular pain. His vital signs were all within normal limits for his age. Systemic exam was unremarkable. CBC showed severe thrombocytopenia PLT 29000/ml, mild neutropenia ANC 1160/ml. What is the Initial Diagnosis of this patient in view of significant travel history &Endemicity?

Варианты ответов
  • Japanese Encephalitis
  • Mountain Spotted Fever
  • Tuberculosis
  • Dengue Fever
Вопрос 3

Vaccine for Japanese Encephalitis is?

Варианты ответов
  • live (mutant) vaccine
  • killed vaccine
  • live(attenunated) vaccine
  • live(recombinant) vaccine
Вопрос 4

After sporozoite gain entrance to human body it undergoes developmental cycle first in liver than in RBC, only after which fever is seen. This incubation period varies between plasmodium species, and ………….. species has longest incubation period.

Варианты ответов
  • P. falciparum
  • P. malariae
  • P. ovale
  • P. vivax
Вопрос 5

Who is a source of  leishmaniasis?

Варианты ответов
  • the patient;
  • mosqito
  • rodents and dog;
  • infected people
Вопрос 6

The route of transmission of hemorrhagic fever with renal syndrome is NOT the following:

Варианты ответов
  • alimentary
  • contact
  • aerogenic
  • droplet
Вопрос 7

Who is the intermediate hosts of schistosomiasis?

Варианты ответов
  • Fish
  • Snail
  • Life stock
  • Birds
Вопрос 8

Which system of the body is affected with schistosomes?

Варианты ответов
  • Gastrointestinal tract
  • Lymphatic system
  • Portal vein
  • Circulatory system
Вопрос 9

After the penetration of cercariae of schistosomes on the skin occurs:

Варианты ответов
  • A pruritic papular rash
  • Chancre
  • Hemorrhage rash
  • Ulcer
Вопрос 10

A 34yr women who had not previously travelled abroad spent two months in India during pre-harvesting period in rice cultivating region. After that she became ill with fever,vomiting and confusion.she is likely to be suffering from

Варианты ответов
  • Dengue
  • JE
  • Ebola
  • Marburg
Вопрос 11

Classical typhus is transmitted by which of the following arthropod?

Варианты ответов
  • Ticks
  • Mites
  • Lice
  • Fleas
Вопрос 12

Which one is not clinical classification of Intestinal Amoebiasis?

Варианты ответов
  • Asymptomatic carriers
  • Amoebic colitis
  • Gastritis
  • Fulminant colitis
Вопрос 13

A 24 years old engineer from Bishkek, has spent one month in India where he drunk unboiled water. After came back home he become ill. He had fever, weakness, lost of appetite, stomach pain, diarrhea - up to 12-15 times a day with mucous and blood (like raspberry jelly stool), so he appeared to the doctor. Physical examination shows the relatively satisfactory state, tongue is coated with white patches. Abdomen was painfull by palpation of patient on right half and hypochodrium area. Liver and spleen are not changed. No change was found in blood analysis.  Clear mucous and hyperemia of mucous membrane in rectum with ulceration in sigmoid colon were found by rectoscopy. What is the most likely diagnosis?

Варианты ответов
  • Strongyloidosis
  • Amebiasis
  • Japanese encephalitis
  • Ulcerative colitis
Вопрос 14

Viral Hemorrhagic Fever is characterized by:

Варианты ответов
  • Diffuse renal system damage
  • Diffuse vascular damage
  • Diffuse liver damage
  • Diffuse brain damage
Вопрос 15

In what form of leishmaniasis is  5-valent antimony used?

Варианты ответов
  • for all varieties, except the New World form
  • only with visceral
  • only with cutaneous
  • only for zoonotic
Вопрос 16

For the treatment of rickettsiosis, the drug of choice is:

Варианты ответов
  • Penicillin
  • Macrolides
  • Tetracycline
  • Antiviral
Вопрос 17

The first clinical manifestation of American trypanosomiasis is:

Варианты ответов
  • Papule occurs at the site of inoculation
  • Chancre occurs at the site of inoculation
  • Ulcer occurs at the site of inoculation
  • Shagoma occurs at the site of inoculation
Вопрос 18

Sexually active, 26-year-old man has had pain on urination for the past 4 days. On physical examination, there are no lesions on the penis. He is afebrile. Urinalysis shows no blood, ketones, protein, or glucose. Microscopic examination of the urine shows few WBCs and no casts or crystals. What infectious agent is most likely to produce these findings?

Варианты ответов
  • Chlamydia trachomatis
  • Mycobacterium tuberculosis
  • Treponema pallidum
  • Candida albicans
Вопрос 19

When the sporozoites enter the human blood, it is carried to the liver and replicate and develops into merozoites in the liver. The merozoites are released into the blood and the parasites invade RBCs. Which of the following statements is Not true regarding the developmental phase of  Plasmodia inside the RBCs?

Варианты ответов
  • The phase is known as the erythrocytic phase of malaria
  • The merozoites go through asexual reproduction
  • The phase lasts for two to three days
  • The merozoites go through sexual reproduction and develop into a zygote
Вопрос 20

In 2021 WHO has recommended the first-ever vaccine against malaria, which of the following age group of people can get the dose of the vaccine who are living in the malaria epidemic regions?

Варианты ответов
  • children 5 months to 10 years
  • 15 years and older
  • 60 years and older
  • Infants only
Вопрос 21

What is the biggest risk factor for infection with Ebola?

Варианты ответов
  • Working in a category IV laboratory
  • Attending a funeral of a victim outside
  • Nursing a patient at home
  • Attending football matches or large gatherings
Вопрос 22

A 38-year-old male UN peacekeeper returning from Liberia, western Africa, presents with fever, malaise, asthenia, cough, sore throat, abdominal pain, diarrhea, nausea, and vomiting. Later in the course of the disease, the patients presents with mucosal bleeding, conjunctival injection, face edema, rales, and hypotension. The patient is treated with ribavirin administered intravenously. Pre-immune serum from the patient is negative for hemorrhagic fever viruses, but serum obtained from the patient 15 days after resolution of the illness is positive for an enveloped, segmented (-) ssRNA virus. What is the reservoir host of the virus responsible for this patient's disease?

Варианты ответов
  • Humans
  • Bats
  • Ticks
  • Rats
Вопрос 23

Which of the following viruses, known to be associated with viral hemorrhagic fevers, can induce an immune response, which may result in a more severe disease if the patient is subsequently infected with a heterologous strain of the same virus?

Варианты ответов
  • Yellow fever virus
  • Ebola virus
  • Dengue virus
  • Marburg virus
Вопрос 24

Your patient is a Native American living on the border between Arizona and Utah. He presented with alternating fever and chills, myalgia, nausea with vomiting and a marked petechial rash over his body. This is the third case you have seen recently from patients from the same Native American reservation. There is no apparent reason for these outbreaks, except that the weather has been even dryer than usual in this region and many mice and other rodents have been seen near human habitation looking for food. Which of the following viruses might you suspect is causing your patient's condition?

Варианты ответов
  • Crimea-Congo Hemorrhagic virus
  • Hantavirus
  • Rift Valley virus
  • Dengue virus
Вопрос 25

Yellow fever virus differs from dengue virus in which way?

Варианты ответов
  • It is a flavivirus whereas dengue is a filovirus
  • It occurs in Asia whereas dengue is limited to South America and Africa
  • It is a naked RNA virus whereas dengue is an enveloped virus
  • It invades the liver whereas dengue is mainly in macrophages and blood
Вопрос 26

The most common site for amoebiasis is:

Варианты ответов
  • Cecum
  • Sigmoid colon
  • Transverse colon
  • Hepatic flexure
Вопрос 27

The pathogen of visceral leishmaniasis multiplies into:

Варианты ответов
  • connective tissue cells
  • hepatocytes
  • mononuclear phagocytes
  • Vascular endothelial cells
Вопрос 28

A 33-year-old physician  worked in Liberia  in hospital with  patients confirmed Ebola Virus Disease since April 2014 . On July 23, 2014, he awoke feeling febrile and fatigued; his oral temperature was 37.8°C. On day 6, a petechial rash developed on his arms and chest, his fever spiked at 40.3°C, and he had increasing malaise. Abdominal pain and profuse diarrhea also developed. The rash progressed to a maculopapular rash covering his body from legs to face.

What is the most likely diagnosis?

Варианты ответов
  • Ebola Virus Disease
  • Malaria
  • Lassa fever
  • Yellow fever
Вопрос 29

What the season of Japanese Encephalitis transmission in south India?

Варианты ответов
  • from August to September
  • from June to November
  • from May to October
  • from September to January
Вопрос 30

The recurrence of malaria (P.vivax, P.Ovale) is connected with:

Варианты ответов
  • The pre-erythrocytic phase of schizogony
  • paraerythrocytic phase of schizogony
  • erythrocyte phase of schizogony
  • the polytypicity of sporozoites
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