Viral intestinal infections
Список вопросов теста
Вопрос 1
A 9-month-old infant presents with acute onset of repeated vomiting, profuse watery diarrhea without blood, fever 38.2°C, and signs of moderate dehydration. Two siblings have similar symptoms. What is the most likely diagnosis?
Варианты ответов
- Rotavirus
- Cholera
- Enteroviral gastroenteritis
- Corono virus
Вопрос 2
The main pathogenetic mechanism of diarrhea in rotavirus infection is:
Варианты ответов
- A. Invasive destruction of intestinal mucosa
- B. Toxin-mediated secretory diarrhea
- C. Osmotic diarrhea due to secondary lactase deficiency
- D. Hemorrhagic inflammation
Вопрос 3
A 4-year-old child has fever, pharyngitis, conjunctivitis, and mild diarrhea lasting more than 7–10 days. What is the most likely etiologic agent?
Варианты ответов
- A. Adenovirus
- B. Rotavirus
- C. Norovirus
- D. Rhinovirus
Вопрос 4
The most informative laboratory method to confirm adenovirus infection is:
Варианты ответов
- A. Stool culture
- B. PCR from nasopharyngeal swab
- PCR from stool
- D. Single IgG serology
Вопрос 5
8. Which complication is most commonly associated with adenoviral infection in children?
Варианты ответов
- A. Acute myocarditis
- B. Pneumonia
- C. Viral encephalitis
- hypovolemic shock
Вопрос 6
An outbreak of acute gastroenteritis occurs among university students after a banquet. Incubation period is 24–36 hours. The predominant symptom is repeated vomiting; diarrhea is short-lived. What is the most likely causative agent?
D. Astrovirus
Варианты ответов
- A. Rotavirus
- B. Norovirus
- C. Salmonella
- Botulism
Вопрос 7
Which epidemiological feature is characteristic of norovirus infection?
Варианты ответов
- A. Severe dehydration mainly in infants
- B. Long-term viral persistence
- C. Very high contagiousness and low infectious dose
- D. Frequent neurological complications
Вопрос 8
A 3-year-old unvaccinated child develops acute onset of asymmetric flaccid paralysis of the lower limbs following a short febrile illness, without sensory loss. What is the most likely diagnosis?
Варианты ответов
- A. Guillain–Barré syndrome
- B. Meningococcemia
- C. Paralytic disease caused by Poliovirus
- Complications of Rotavirus
Вопрос 9
The main mechanism of nervous system damage in poliomyelitis is:
Варианты ответов
- A. Autoimmune demyelination
- B. Direct cytopathic destruction of motor neurons
- C. Toxin-mediated neuronal injury
- D. Ischemic neuronal damage
Вопрос 10
A 10-month-old infant presents with acute watery diarrhea, repeated vomiting, fever, and moderate dehydration. Stool is negative for blood and leukocytes. Which feature most strongly favors Rotavirus over Norovirus?
Варианты ответов
- A. Short incubation period (12–24 hours)
- B. Predominant vomiting with minimal diarrhea
- C. Severe dehydration in an infant
- D. High attack rate in a closed community
Вопрос 11
A school-aged child has fever, sore throat, conjunctivitis, and mild diarrhea lasting 8–10 days. Which diagnosis is most likely?
Варианты ответов
- A. Adenovirus infection
- B. Rotavirus gastroenteritis
- C. Norovirus gastroenteritis
- D. Paralytic poliomyelitis
Вопрос 12
Several adults develop acute vomiting and diarrhea within 24–36 hours after attending a wedding. Symptoms resolve within 48 hours. Which pathogen is most consistent with this epidemiological pattern?
Варианты ответов
- A. Rotavirus
- B. Norovirus
- C. Adenovirus
- D. Poliovirus
Вопрос 13
A 4-year-old unvaccinated child develops acute asymmetric flaccid paralysis of one lower limb following a mild febrile illness. Sensory function is preserved. Which diagnosis should be prioritized?
Варианты ответов
- A. Poliovirus infection
- B. Acute viral myositis
- C. Transverse myelitis
- D. Botulism
Вопрос 14
Which clinical combination best helps differentiate Adenovirus gastroenteritis from rotavirus infection in children?
Варианты ответов
- A. Severe dehydration with profuse watery diarrhea
- B. Prominent vomiting with minimal respiratory symptoms
- C. Conjunctivitis and pharyngitis preceding diarrhea
- D. Short incubation period with explosive vomiting
- Diarhae with hypovelomia


