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Tularemia

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13.04.2025. Тест. Всем учителям, Прочее

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zoonotic infectious diseases caused by Fransicella Tularensis

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Список вопросов теста

Вопрос 1

What is the most common clinical form of tularaemia?

Варианты ответов

Pneumonic
Typhoidal
Ulceroglandular
Oculoglandular

Вопрос 2

Which method is NOT a typical way tularaemia is transmitted?

Варианты ответов

Contaminated water
Contact with infected animals
Direct human-to-human transmission
Deer flies
Tick bites

Вопрос 3

Which antibiotic is commonly used to treat tularaemia?

Варианты ответов

Penicillin
Erythromycin
Cephalexin
Amoxicillin
Streptomycin

Вопрос 4

Which form of tularaemia has the highest historical mortality rate if untreated?

Варианты ответов

Ulceroglandular
Oropharyngeal
Pneumonic
Glandular
Oculoglandular

Вопрос 5

Which type of professional is at particularly high risk of contracting tularaemia?

Варианты ответов

Office workers
Bankers
Software developers
Teachers
Hunters

Вопрос 6

In which form of tularaemia is there lymphadenopathy without an obvious skin lesion?

Варианты ответов

A. Oculoglandular
Pulmonary
Ulceroglandular
Glandular
Typhoidal

Вопрос 7

In the oropharyngeal-bubonic form of tularaemia, the bubo most commonly develops in the:

Варианты ответов

Supraclavicular region
Infraclavicular region
Submandibular region
Axillary region

Вопрос 8

In the oropharyngeal form of tularaemia, the primary lesion is located on the:

Варианты ответов

Nasal mucosa
Facial skin
Gastric mucosa
Palatine tonsils

Вопрос 9

The typical time of bubo appearance in tularaemia is:

Варианты ответов

On the 6th–7th day of illness
On the 4th–5th day of illness
On the 2nd–3rd day of illness
On the 1st day of illness

Вопрос 10

What distinguishes the ulceroglandular form of tularaemia from the glandular form?

Варианты ответов

Presence of a primary ulcerative lesion (primary affect)
Absence of periadenitis
Absence of bubo tenderness
Absence of skin erythema over the bubo

Вопрос 11

Rabies Immunoglobulin?

Варианты ответов

A. Is only manufactured as a human immunoglobulin
D. If you are really concerned can be given IV in very high risk cases
C. Can only be given within 1 week of a bite
B. At least half the dose should be infiltrated around the wound

Вопрос 12

Which of the following is true regarding intradermal rabies vaccine versus intramuscular routes?

Варианты ответов

A. ID gives lower antibody titres using the same time schedule (days 0, 7, and 28) as IM administered vaccines
D. Five injections of ID vaccine are required (days 0, 3, 7, 14 and 28) compared to two IM injections (days 0 and 3) in post-exposure cases where the traveller has had a full pre-exposure prophylaxis by either the ID or the IM routes.
C. ID vaccine is less effective in post-exposure prophylaxis than IM vaccine
B. An ID schedule is less effective in the long term than an IM one

Вопрос 13

The rabies vaccine?

Варианты ответов

A. Is a live vaccine
D. Can not be given to breast feeding mothers
C. Is a polysaccharide vaccine derived from culture on human diploid cells
B. Is cell cultured, freeze dried and reconstituted prior to administration

Вопрос 14

A traveller comes to your clinic after getting two doses of a vaccine 6 months ago and next week is travelling to an endemic area for rabies. What should you do?

Варианты ответов

A. Start the scheduling again and get him to cancel his trip
D. Assume he already has enough cover
C. Order the same vaccine he used and give him one extra dose
B. Give one dose of vaccine and assume he has good cover

Вопрос 15

The best public health measure is?

Варианты ответов

Kill all stray dogs
Vaccinate all dogs
Add the rabies vaccine to the countries immunisation schedule
Capture all animals that bite to observe them for 15 days to guide medical management

Вопрос 16

The atypical (paralytic) form of rabies develops more often after bites from:

Варианты ответов

rabies-infected wild animals
pets
farm animals
bats

Вопрос 17

In brain cells, the rabies virus forms

Варианты ответов

Aschoff-Talalaev granulomas;
Pfeiffer cells
taurus Babesha-Negri
Osler's nodules

Вопрос 18

The paralytic stage of rabies is characterized by

Варианты ответов

arousal;
Reassurance of the patient
an attack of hydrophobia;
depression;