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Viral intestinal infections

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18.02.2026. Тест. Всем учителям, Прочее
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Rotavirus, Adinovirus, Coronovirus, Norwalkvirus

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
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