TM Exam Questions PDF

185-(№=200097) A 40-year-old male patient on first-line antiretroviral therapy for 9 years with good adherence. He presented to the hospital, with high-grade intermittent fever of 1 month associated with loss of appetite and unquantified weight loss. On physical examination, there was an enlarged sp...

185-(№=200097) A 40-year-old male patient on first-line antiretroviral therapy for 9 years with good adherence. He presented to the hospital, with high-grade intermittent fever of 1 month associated with loss of appetite and unquantified weight loss. On physical examination, there was an enlarged spleen (seven centimeter below the left costal margin) and liver (6 cm below the right costal margin). His complete blood count test showed pancytopenia. From a spleen aspirationLeishman– Donovan bodies were identified, with a parasite grade of +6.10. At admission, his CD4 count was 54 cells/µL, despite having an undetectable viral load. Which one of the following diseases does the patient have? - Anthrax - * Leishmaniasis - Brucellosis - Q-fever 184-(№=200096) Patient V., 35 years old, was admitted on the 6th day of illness in a serious condition. Temperature 37.2°C. Disturbed by vomiting, abdominal pain without a clear localization, back pain. The face is pale, hemorrhage in the outer corner of the left eyes, nosebleeds. Urinated 2 times a day. There was no chair. Diagnosed hemorrhagic fever with renal syndrome. Specify the period of illness. - prodromal - * oliguric - polyuric - convalescence 183-(№=200095) The following laboratory data were revealed in a patient with hemorrhagic fever with renal syndrome. Blood test: quantity erythrocytes and hemoglobin within normal limits; moderate leukocytosis, mainly due to count of stab and segmented neutrophils; increased number of monocytes, single plasma cells are determined; moderate increase in ESR. Analysis urine: specific gravity - 1005, protein - 1.32 g / l, squamous epithelium - 10-15 in p / vision, leukocytes - 2-3 per vision, fresh erythrocytes 30-40 per vision. Biochemical indicators: creatinine – 280 µmol/l, urea - 19 mmol/l. These laboratory parameters correspond to the period of the disease: - primary - * oliguric - polyuric - convalescence period 182-(№=200094) A 36-year-old patient was diagnosed with hemorrhagic fever with renal syndrome that deteriorates by acute kidney injury, has the following symptoms: headache, back pain, anorexia, skin pale, dry mouth, swelling of the face and eyelids, nose bleeding, vomiting with blood, hemorrhagic rash on the trunk and leg, blood pressure is 150/100, bradycardia, anuria. The full blood test: anemia, leukopenia, thrombocytopenia, ESR increased. Which of the following laboratory tests is needed for the patient? - Protein Level - Bilirubin Level - Troponin Level - * Creatinine level 181-(№=200093) A 37-year-old patient was admitted to the infectious diseases hospital on the 5th day of illness with complaints of fever - 39-40C, headache, dizziness, body aches; today nose bleeding and skin rash has appeared. Epidemiological anamnesis: 2 weeks ago there was a tick bite. On physical examination: hyperemia of the face and neck, injection of blood vessels in the sclera, hyperemic pharynx, petechial rash on the lateral surfaces of the abdomen and chest, bleeding gums, blood pressure is 90/60. The doctor suspected Crimean-Congo hemorrhagic fever. What laboratory test should be assigned to this patient to confirm the diagnosis? - * Enzyme-linked immunosorbent assay - Bacteriological blood culture - Microscopy examination of blood - PCR of nasopharyngeal swab 180-(№=200092) A 27-year-old patient with a diagnosis of hemorrhagic fever with the renal syndrome has the following symptoms: headache, back pain, anorexia, skin pale, dry mouth, swelling of the face and eyelids, nose bleeding, vomiting with blood, hemorrhagic rash on the trunk and leg, blood pressure is 150/100, bradycardia, anuria. What kind of specific complications can develop during this period of the disease? - Pneumonia - Septic shock - * Acute kidney injury - Edema of the brain 179-(№=200091) A 37-year-old patient went to the hospital on 28th June with complaints: fever of 39C, nose bleeding, and skin rash. Medical history: the patient got sick 4 days ago when the temperature increased. Epidemiological history: he works as a livestock breeder in the south of Kazakhstan. He was bitten with a tick 7 days ago. On physical examination: the patient`s state is moderate, the temperature is 38,6C, heart rate is 98 beats per minute, blood pressure is 90/60, hyperemia of face, neck, and upper chest, injection of scleral vessels, nose bleeding, petechial rash on the skin of the lateral surface of the chest and abdomen, hepatomegaly. Which of the following diagnoses does the patient have? - Tick-borne encephalitis - Visceral Brucellosis - Hemorrhagic fever with renal syndrome - * Crimean-Congo hemorrhagic fever 178-(№=200090) A 47-year-old man was admitted to a hospital with complaints: high fever, headache, insomnia, skin rashes, jaundice, vomiting, abdominal pain on the right upper part. Medical history: he ate raw fish 2 weeks ago. On physical examination: fever is 39,5C, jaundice, hepatomegaly. Laboratory data: eosinophilia 70%, leukocytosis, increased conjugated bilirubin, increased ALT and AST, increased alkaline phosphatase. On ultrasonography found signs of hepatitis. What helminthiasis does the patient have? - Enterobiasis - Taeniasis - * Opisthorchiasis - Ascariasis 177-(№=200089) A 36-year-old woman went to a doctor with complaints: fever, cough, chest pain, headache, rash. Medical history: she suffers for approximately 6 days. On physical examination: skin pale, urticarial skin rashes, patient irritated, shortness breathing. Laboratory study: anemia, eosinophilia. In Chest X-ray found allergic pneumonitis.Which of the following helminths causes this disease? - Echinococcus - Enterobiosis - Trichinosis - * Ascaris 176-(№=200088) A 47-year-old man was admitted to a hospital with complaints: high fever, headache, insomnia, skin rashes, jaundice, vomiting, abdominal pain on the right upper part. Medical history: he ate raw fish 2 weeks ago. On physical examination: fever is 39,5C, jaundice, hepatomegaly. Laboratory data: eosinophilia 70%, leukocytosis, increased conjugated bilirubin, increased ALT and AST, increased alkaline phosphatase. On ultrasonography found signs of hepatitis. What helminthiasis does the patient have? - Enterobiasis - Taeniasis - * Opisthorchiasis - Ascariasis 175-(№=200087) A 36-year-old woman went to a doctor with complaints: fever, cough, chest pain, headache, rash. Medical history: she suffers for approximately 6 days. On physical examination: skin pale, urticarial skin rashes, patient irritated, shortness breathing. Laboratory study: anemia, eosinophilia. In Chest X-ray found allergic pneumonitis.Which of the following helminths causes this disease? - Echinococcus - Enterobiosis - Trichinosis - * Ascaris 174-(№=200086) A 34-year-old patient, went to a doctor on 20th September with complaints of cramping abdominal pain, loss of appetite, loss of weight, bloody diarrhea. Medical history: the patient was ill 6 days ago with diarrhea. Epidemiology history: the patient traveled through Central Asia in the summer. On physical examination: moderate condition, abdominal pain on the right lower part of the abdomen, stool with lot mucus and blood like" raspberry jelly" 6-8 times a day, losing weight. Which of the following drugs is used to treat this patient? - * Metronidazole - Doxycycline - Albendazole - Ceftriaxone 173-(№=200085) In a thin blood smear for malaria determine: - * Stages of development and type of Plasmodium malaria - Hemolysis of erythrocytes - The level of parasitemia - IgM, IgG to Plasmodium Malaria 172-(№=200084) A mosquito becomes contagious if the following forms of malaria plasmodia enter its body: - Pre-erythrocyte schizontes - erythrocyte schizontes - erythrocyte merozoites - * gametocytes 171-(№=200083) As a result of the examination, the patient was diagnosed with visceral leishmaniasis. The causative agent of this disease is localized in: - Muscles - Red blood cells - Brain cells - * Liver and spleen cells 170-(№=200082) Confirm the diagnosis of Congo hemorrhagic fever by a way of: - Only virological methods - Only bacteriological methods - Bacteriological and serum methods - * Virologic and serum methods 169-(№=200081) At patient, who acted to permanent establishment, on clinical epidemiological indexes of Lassa fever is suspected. What from the resulted clinical indexes are not characteristic for this disease? - * Hemolytic icterus - Generalized lymphadenopathy - Conjunctivitis - Ulcerous pharyngitis 168-(№=200080) Agglutinations with OX 2 means about? - Epidemic and endemic typhus - * Spotted fever - Scrub typhus - Q-fever 167-(№=200079) Complication of Rickettsial infection? - * Disseminated intravascular coagulopathy - Bleeding - Arthritis - Catarrhal syndrom 166-(№=200078) A woman who emigrated from Asia undergoes a spontaneous abortion, and in the recovery room she passes numerous proglottids. The medical technologist injects one of the proglottids with India ink to delineate the uterus. What is an appropriate therapy for the woman in the above case? - Chloroquine - Ivermectin - Metronidazole - * Praziquantel 165-(№=200077) An ophthalmologist makes the diagnosis of sclerosing keratitis in a patient who immigrated to the United States from a Pacific coastal community of Ecuador. Of note are many filariform juveniles in the chambers of the eye. Which of the following parasites is the causative agent? - Dracunculus medinensis - Loa loa - Onchocerca volvulus - * Toxocara canis 164-(№=200076) A woman who emigrated from Asia undergoes a spontaneous abortion, and in the recovery room she passes numerous proglottids. The medical technologist injects one of the proglottids with India ink to delineate the uterus. What is an appropriate therapy for the woman in the above case? - Chloroquine - Ivermectin - Metronidazole - * Praziquantel 163-(№=200075) A 6-year-old boy, who has a history of eating dirt while playing in a New York City park, develops a vision problem in one eye. An opaqueness of pupil or leukokoria is readily discernable by the parents, and this prompts a visit to the ophthalmologist. Funduscopic examination reveals a single granulomatous lesion of the retina) Assuming that his ocular condition is caused by a parasitic worm, what is most likely the etiologic agent? - Ancylostoma caninum - Onchocerca volvulus - * Toxocara canis - Trichuris trichiura 162-(№=200074) An immigrant from eastern Asia develops a cholangiocarcinoma) A fecal sample shows evidence of a parasitic infection which the physician believes to be linked to malignancy. What did the specimen reveal that led to this conclusion? - Ameba cyst - Cryptosporidium oocysts - Flagellated protozoan trophs - * Fluke eggs 161-(№=200073) A child with a helminth parasite is found to be anemic. Which parasitic worm is linked to microcytic anemia in children? - Broad fish tapeworm - * Hookworm - Pinworm - Pork tapeworm 160-(№=200072) Which of the following protozoan parasite can be spread to humans by the bite of a sandfly? - Entamoeba histolytica - Plasmodium falciparum - Trichomonas vaginalis - * Leishmania donovani 159-(№=200071) Which of the following is characteristic of helminths that infect human beings? - * They usually do not multiply in the host - They rarely provoke an eosinophilia - They cause severe disease after infection with only a few parasites - They typically cause lifelong infections 158-(№=200070) Cavitary lung lesions are seen in patients with tuberculosis and which of the following infections? - strongyloidiasis - ascariasis - * paragonimiasis - filariasis 157-(№=200069) If neither individuals nor population are treated, how long must vector control be continued to eliminate onchocerciasis from a designated region? - Less than one year - Five years - 10 years - * More than 10 years 156-(№=200068) Diagnosis and treatment of infected persons is an important means of interrupting transmission due to which of the following? - American cutaneous leishmaniasis - Mediterranean visceral leishmaniasis - * Gambian trypanosomiasis - Chagas’ diseases 155-(№=200067) A woman who returned from India went to the hospital complaining of severe swelling of the limbs, genitals, breasts. The doctor, when interviewing the patient, found out that the woman lived in an area with a large number of mosquitoes. During the survey recurrent lymphadenitis and enlarged mediastinal nodes were detected in the study. For which group of helminthiasis are the above-mentioned symptoms characteristic? - Trematodoses - * Filariatoses - Cestodoses - Dracunculosis 154-(№=200066) The patient was admitted to the clinic with complaints of chest pain, shortness of breath, weakness and cough with sputum mixed with blood) It is known from the anamnesis that he was on a business trip to the Far East for several months and often ate crayfish and crabs. What is the preliminary diagnosis? - * Paragonimosis - Diphyllobothriosis - Opisthorchiasis - Fasciolosis 153-(№=200065) A 15-year-old girl was taken to the hospital with inflammation of the appendix. The blood test showed signs of anemia. Helminth eggs were found in the feces,which have a lemon-shaped shape, size 50×30 microns, with "traffic jams" at the poles. What kind of helminth parasitizes the patient? - Hookworm - * Whipworm - Echinococcus - Pinworm 152-(№=200064) The man has been working in one of the African countries for 3 years. A month after moving to India, he turned to an ophthalmologist with complaints of eye pain, swelling of the eyelids, bleeding and temporary loss of vision. Helminths of 30-50 mm in size were found under the conjunctiva of the eye, which had an elongated filamentous body. What is the most likely diagnosis? - Ascariasis - Enterobiosis - Trichocephalosis - * Filariasis 151-(№=200063) Which nematode larvae migrate through the human bloodstream during the development cycle? - * Hookworms, trichinella, ascarids - Whipworm, intestinal eels, filaria - Ascarids, pinworms, Pinworms - Necator, ascarids 150-(№=200062) Schistosomes are among the most common tropical chelminths. Despite sanitary and epidemic measures, the number of patients with schistosomiasis in Africa, Asia and South America has increased significantly over the past decade. What reasons contributed to this? - * Land reclamation - Pollution of water bodies – Resistance of schistosomes to drugs - Illiteracy of the population - Eating fish 149-(№=200061) A 42-year-old patient after a business trip to India complains of a cough with strong sputum, with an admixture of blood, chest pain, shortness of breath, weakness. Which helminthiasis should be expected first? - Loaosis - Echinococcosis - * Paragonimosis - Vuhereriosis 148-(№=200060) During deworming of the patient, a white-colored helminth with a length of 2 m was isolated) The body is segmented, the length of the segments exceeds the width. On the small head there are 4 suction cups and a hooks in two rows. Determine the type of parasite: - Granulose echinococcus - * Taenia solium - Hymenolepis nana - Taeniarhynchus saginatus 147-(№=200059) A student from Yemen has abdominal pain, fever, and previously had itching, weakness and headache. At home she bathed and washed in the pond) The most likely disease: - * schistosomiasis - ascariasis - teniosis - enterobiosis 146-(№=200058) White helminths 5-10 mm were detected in the feces, in front of them there is a bubble–like expansion of the esophagus. Eggs were found not in feces, but in scraping from the perianal folds, colorless, non-symmetrical, oval. What is the diagnosis? - Hookworm - * Enterobiosis - Teniosis - Trichinosis 145-(№=200057) Helminth larvae were detected in a student from Africa during microscopy of blood smears stained according to Romanovsky. What kind of helminthiasis can we talk about? - Hookworm - Dicroceliosis - * Filariasis - Strongyloidosis 144-(№=200056) A 40-year-old woman has symptoms of mechanical jaundice. As it turned out, she has fascioliasis. Which way did the woman get infected? - Through contaminated hands, after stroking a stray dog - Through dirty hands, after stroking a stray cat - Ate an insufficiently fried pig liver - * Ate unwashed strawberries 143-(№=200055) A sick child periodically has abdominal pain, loose stools, nausea. Once a 15 cm cyanotic white worm was released with vomiting. What kind of laboratory research should be carried out? - Detection of segments in the feces and the number of lateral branches of the uterus - Detection of helminth larvae in the muscles by biopsy - Examination of feces and duodenal contents on eggs - * Fecal examination for eggs 142-(№=200054) Cases of opisthorchiasis have been identified in a locality located on the banks of the river. For the purpose of prevention, the sanitary station is obliged to warn residents about the need to: - cook meat well - * boil and fry the fish well - boil drinking water - follow the rules of personal hygiene, pour boiling water over vegetables and fruits 141-(№=200053) In the feces of the patient , rounded colorless formations with a two-contour yellowish shell were accidentally revealed , 3 pairs of hooks in the middle. There are no filamentous formations. Make a diagnosis: - * teniidosis - hymenolepidosis - teniosis - teniarinhosis 140-(№=200052) A patient has a long white ribbon of helminth in his feces, the segments of which are wider than the length, in their center there is a dark rosette–shaped formation. What is the diagnosis? - Onchocerciasis - * Diphyllobothriosis - Paragonimosis - Teniarinhosis 139-(№=200051) A student from Africa complains of pain in the lower abdomen and when urinating, blood in the urine. RBCs was detected in the urine sedimentroces and large (about 120 microns) oval eggs with a spike on one of the poles. Name the pathogen: - Opisthorchis felineus - * Schistosoma haematobium - Trichocephalus trichiurus - Onchocerca volvulus 138-(№=200050) During microscopy of faeces, small (30 microns) pale yellowish oval eggs with a thin shell were revealed. On one of the poles there is a lid, near which there are noticeable protrusions of the shell. What kind of parasite is this? - Whipworm - Liver fluke - Broad tapeworm - * Cat fluke 137-(№=200049) The patient has headache, muscle pain during movement, swallowing, chewing and eye rotation, weakness,fever, swelling of the eyelids and face. There are no eggs in the feces and perianal region. What is the probable helminthiasis? - Cysticercosis - * Trichinosis - Hookworm - Trichocephalosis 136-(№=200048) In the feces of a patient with a digestive disorder , large oval yellowish eggs with a dark brown uneven shell were found, in the middle - a dark mass, at the poles - free spaces in the shape of a crescent. What is the diagnosis? - * Ascariasis - Teniosis - Fasciolosis - Trichinosis 135-(№=200047) During puncture of a liver cyst (tumor with fluid), small white formations in the form of grains of sand were revealed in a transparent, barely yellowish liquid. What helminthiasis can be foreseen? - * Echinococcosis - Fasciolosis - Schistosomiasis - Hymenolepidosis 134-(№=200046) The family has three children of primary school age. One of them has hymenolepidosis. To exclude the disease in other family members, it is necessary to examine: - sputum - urine - duodenal contents - * feces 133-(№=200045) What is the most likely way of infection with fascioles: - * through raw water from stagnant reservoirs, unwashed vegetables - through raw pig liver - through insufficiently toasted or boiled pig meat - through raw cow liver 132-(№=200044) A student from Yemen has swollen and sore right foot.A whitish cord-like formation is visible under the skin, resembling a varicose vein, at its end there is a bubble with a diameter of 1 cm. Formulate the diagnosis: - onchocerciasis - teniidosis - * dracunculosis - paragonimosis 131-(№=200043) The doctor prescribed a dietary diet for the patient, which includes dishes from raw beef liver. What consequences may arise in this case? - Possible infection with fascioliasis - Possible infection with opisthorchiasis - Possible infection with echinococcosis - * Infection with the listed diseases is impossible 130-(№=200042) The child sleeps restlessly, gnashes his teeth in his sleep, scratches the perianal area. Thin white lines 1 cm long with pointed ends were revealed. What kind of helminthiasis can you think of? - Trichocephalosis - Ascariasis - Trichinosis - * Enterobiosis 129-(№=200041) The sanitary station has banned the sale of a batch of fish infected with plerocercoids. These larvae can cause: - hookworm - * diphyllobothriosis - teniosis - trichocephalosis 128-(№=200040) A patient who lived in Western Siberia complains of weakness, decreased appetite, nausea, headache, pain in the right hypochondrium. Loves fish and pork. Which should helminthiasis be anticipated? - Teniosis - Diphyllobothriosis - Trichinosis - * Opisthorchiasis 127-(№=200039) The patient has an enlarged liver, nausea,fever, hepatic colic)Large (140×80 microns) yellow oval eggs with a lid were found in the feces.What kind of disease can it be? - * Fasciolosis - Opisthorchiasis - Ascariasis - Dicroceliosis 126-(№=200038) Which of the above is a laboratory examination of trichinosis? - Ovoscopy of feces - Detection of parasites and their eggs in scraping from the perianal area - Ovoscopy of duodenal contents - * Muscle biopsy 125-(№=200037) A businessman came to India from South America) During the examination, the doctor revealed that the patient was suffering from sleeping sickness. What was the method of invasion? - Due to mosquito bites - * Due to bug bites - Through contaminated fruits and vegetables - Through dirty hands 124-(№=200036) Tsetse fly (Glossina palpalis), which has just emerged from the pupa, bited a patient suffering from African sleeping sickness. A week later, the same fly bit a healthy person, but the latter did not get sick with trypanosomiasis, so how: - * it takes 20 days for the development of the invasive stage in the body of a trypanosome fly this person promptly made the appropriate preventive vaccinations - the carrier of the causative agent of trypanosomiasis is not a tsetse fly, but a mosquito - the person had innate immunity - trypanosomiasis is a natural focal disease, and the repeated bite obviously occurred outside the natural focus 123-(№=200035) A patient was admitted to the hospital with complaints of pain and swelling of his right leg. A threadlike thickening with a bubble at the end is noticeable under the skin. The patient traveled to Yemen last year, where I sometimes drank water without boiling. What kind of disease can be suspected? - Schistosomiasis - * Dracunculosis - Trichinosis - Paragonimosis 122-(№=200034) What is not an epidemiological criterion for the diagnosis of opisthorchiasis? - Residence in the territory of the epidemiological focus of opisthorchiasis - Short-term stay in the focus of opisthorchiasis - * The presence of pets in the family cats or dogs - Information about the presence of opisthorchiasis in the relatives of the patient 121-(№=200033) With what kind of parasitic invasion is it possible to detect trematodes in the gallbladder and large ducts of the liver during ultrasound examination? - Dicroceliosis - * Fasciolosis - Opisthorchiasis - Clonorhosis 120-(№=200032) What clinical manifestations are not characteristic of the acute phase of opisthorchiasis? - urticaria rashes on the skin - dyspeptic phenomena - * barking cough - Muscle and joint pain 119-(№=200031) What are the contraindications to the use of praziquantel in children? - Age up to 1 year - * Age up to 4 years - Age up to 6 years - Age up to 12 years 118-(№=200030) What are the contraindications to the use of albendazole in children? - Age up to 1 year - * Age up to 2 years - Age up to 6 years - Age up to 12 years 117-(№=200029) In case of trichinosis, the following statement is incorrect: - lethality can reach 10% or more; - the diagnosis is confirmed by trichinelloscopy of suspicious meat consumed by the patient - enzyme immunoassay is highly informative - * metronidazole is highly effective 116-(№=200028) Trichinella larvae take root and are encapsulated in: - connective tissue - the central nervous system - * striated muscles - any organs and tissues 115-(№=200026) In case of trichinosis, the following statement is incorrect: - * infection occurs when eating fish that is insufficiently thermally processed - toxicoallergic reactions play a leading role in pathogenesis; - encapsulated larvae of the parasite can persist for more than 10 years - the most severe course of the disease is observed with a minimum incubation period (5-10 days) 114-(№=200024) Infection with helminthiasis is impossible in the following way: - household contact - alimentary; - water - * percutaneous 113-(№=200021) Pigs or dogs are the sources of human infection by each of the following parasites except: - Echinococcus granulosus - Taenia solium - * Ascaris lumbricoides - Trichinella spiralis 112-(№=200019) What drug is used to treat lymphatic filariasis caused by Wuchereria bancrofti in areas of Africa co-endemic for Onchocerciasis? - Albendazole - DEC - * Ivermectin - Doxycycline 111-(№=200017) Mass drug administration for lymphatic filariasis has to occur for how long and in what population percentage to achieve eradication. - * 4 - 6 years and 70% population coverage - 2 - 4 years and 50% population coverage - 4 - 6 years and 90% population coverage - 6-7 years and 80% population coverage 110-(№=200014) An important drug used for the treatment of malaria – Quinine is extracted from - Red ants - Calyx of cinnamon - Bark of tulsi - * Bark of Cinchona 109-(№=200012) Which of the following “Glossina palpalis” is a vector for - Filariasis - Plague - Dengue - * Gambian fever 108-(№=200009) Tse-tse fly is a vector for sleeping sickness. Which of the following parasite transmits the infective stage? - Wuchereria bancrofti - Leishmania donovani - Plasmodium falciparum - * Trypanosoma gambiense 107-(№=200007) Which of the following parasites is responsible for the cause of African sleeping sickness or Gambiense fever? - Leishmania - * Trypanosoma - Entamoeba - Trichomonas 106-(№=200004) Filarial larva can be collected from man’s - * peripheral blood at midnight - smears of spleen - smears of intestinal contents - biopsy of liver 105-(№=195326) Dracunculiasis is caused by the ____ worm and transmitted by the _____ vector - * Dracunculus medinensis; freshwater crustacean - Dracunculus medinensis; mollusc - Mycobacterium ulcerans; freshwater crustacean - Mycobacterium ulcerans; mollusc 104-(№=195325) After infection, fascioles reach the bile ducts after - 3 weeks - 5 weeks - * 7 weeks - 9 weeks 103-(№=195324) Foci of fascioles caused by Fasciola gigantica are found in - Europe - South America - Asia - * in the Hawaiian Islands 102-(№=195323) The main manifestations of chronic fascioliasis are the symptoms of lesion - * biliary tract - urinary tract - central nervous system - bronchopulmonary system 101-(№=195322) The most reliable method of laboratory diagnosis of yellow fever is: - * Isolation of the virus from the patient's blood, liver and brain of the deceased - Complement binding reaction in titer 1:16 and above - Virus neutralization reaction - Hemagglutination inhibition reaction 100-(№=195321) The difference between hemorrhagic fevers and yellow fever is: - The development of hemorrhagic syndrome against the background of a decrease in temperature - * Change of blood test (leukopenia with neutropenia, lymphopenia) - Absence of specific laboratory data (virus isolation, compliment binding reaction, indirect hemagglutination inhibition reaction) - No liver enlargement and jaundice 99-(№=195320) Epidemiological data characteristic of yellow fever include all of the above, except: - A natural focal disease with an area of distribution in the zone of the tropical belt - There are 2 epidemiological variants of yellow fever: endemic (jungle) and epidemic (urban) - Urban yellow fever is an anthroponotic vector-borne disease - * Susceptibility to yellow fever is low 98-(№=195319) In the pathogenesis of yellow fever, which process is not importance: - Introduction of the virus when a mosquito bites through the skin - Lymphogenic introduction of the virus into regional lymph nodes - Lesions of the endothelium of the capillaries of internal organs and the development of disseminated intravascular coagulation - * Toxinemia 97-(№=195318) Which of them not characterize the etiology of yellow fever: - The causative agent of yellow fever is a filtering virus, ranging in size from 12 to 27 nm - Refers to arboviruses, contains RNA - Has pantropic, especially viscero - and neurotropic properties - * Stable in the external environment 96-(№=195317) The clinical and epidemiological diagnosis of yellow fever is not based on the presence of a combination of the following data: - Endemic focus - Typical two-wave temperature curve - Symptoms of hemorrhagic diathesis - * Heart rate changes 95-(№=195316) Specify the characteristic endoscopic picture of intestinal amoebiasis - diffuse hyperemia of the colon mucosa - hemorrhages and erosions on a hyperemic background of the mucous membrane of the sigmoid colon - * deep ulcers with undercut edges against the background of a little-modified colon shell - inflammation of mucous membrane 94-(№=195315) For the treatment of intestinal amoebiasis, all of the above are used, except: - Metronidazole - Enthymizole - Emetina - * Quinine 93-(№=194947) With a severe course of intestinal amoebiasis, all of the listed complications may occur, except: - Perforations of ulcers, peritonitis - Intestinal bleeding - * Thrombosis of mesenteric vessels - Detachment of the colon mucosa 92-(№=194945) The most common extra-intestinal complication of amoebiasis: - Amoebic brain abscess - * Amoebic liver abscess - Amoebic kidney abscess - Amoebic lung abscess 91-(№=194931) When amoebiasis occurs in the intestine: - Diffuse inflammation of the submucosal layer - Total necrosis of the mucosa - * Ulceration of the colon mucosa - Polypous growths on the mucosa 90-(№=194930) The source of infection in amoebiasis is: - A patient in the acute phase of the disease - * A patient in the period of convalescence and a parasite carrier - Pets - Freshwater shellfish 89-(№=194929) Intestinal amoebiasis is characterized by all of the above: - The pathogen belongs to the type of protozoa - * The pathogen exists in a vegetative form without forming cysts - It usually lives in the upper part of the large intestine, under certain conditions turning into tissue forms - The mechanism of infection is fecal-oral 88-(№=194928) Erythrocyte schizogony lasting 72 hours is characteristic of: - Tropical malaria - Ovale-malaria - * Four-day malaria - Three-day malaria 87-(№=194927) Tropical malaria is caused by a pathogen of the type: - * Falciparum - Ovale - Vivax - Malaria 86-(№=194926) Distant relapses are characteristic of: - * Three-day malaria - Only tropical malaria - Only four-day malaria - For all types of malaria 85-(№=194925) Chemoprophylaxis is carried out by those traveling against malaria if: - * The duration of the trip is more than 1 week - The duration of the trip is more than 1 month - Does not depend on the term - The duration of the trip is more than 2 days 84-(№=194924) The development of complications in malaria prevents: - The timing of hospitalization does not matter - * Absence of concomitant pathology - Appointment of hormones - incubation period 83-(№=194923) A 5-year-old girl in the Caribbean developed fever, fatigue, and headache that persisted for 5 days. As these symptoms were subsiding she noted a red rash on her trunk. She was taken to the family doctor, who described the rash as macular and blanching but some of the spots were petechial and non-blanching. The blood pressure fell to 80/55. She was hospitalized and given intravenous saline. After 3 days the blood pressure rose to 106/74, the rash faded, and she was discharged in improved condition. What are features of this disease? - It is caused by a Flavivirus and spread by Anopheles mosquitoes - * Hemorrhage and shock can result from re-infection by a different serotype of the same virus - It is caused by Hantavirus and spread by Aedes mosquitoes - Antibodies against the virus provide immunity that is cross-protective against multiple serotypes of the same virus 82-(№=194922) Yellow fever virus differs from dengue virus in which way? - 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 81-(№=194920) On a Caribbean island, about 20 patients last year were hospitalized with fever, myalgia, and petechial skin rashes. Two of them died with shock. The outbreak was caused by dengue virus of serotype 2. Ten years earlier there had been an island outbreak of dengue caused by serotype 1. Why was last year’s disease so severe? - Low concentrations of cross-reacting antibodies from exposure to serotype 1 were not sufficient to neutralize virus of serotype 2 - Antibodies against serotype 1 were present but did not cross-react with virus of serotype 2 - * Antibodies against serotype 1 cross-reacted with virus of serotype 2 to opsonize virus for greater uptake by macrophages - Antibodies against serotype 1 cross-reacted with virus of serotype 2 to block its phagocytosis by macrophages 80-(№=194919) 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? - Crimea-Congo Hemorrhagic virus - * Hantavirus - Rift Valley virus - Dengue virus 79-(№=194918) 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? - Yellow fever virus - Ebola virus - * Dengue virus - Marburg virus 78-(№=194917) A patient returning from Uganda presents with abrupt onset of fever, weakness, diarrhea, nausea and vomiting, and a maculopapular rash. 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, (-) ssRNA filamentous virus. What is the reservoir host of the virus responsible for this patient’s disease? - Rats - Humans - * Bats - Ticks 77-(№=194916) 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? - Humans - Bats - Ticks - * Rats 76-(№=194915) What is the current best option for preventing future outbreaks of Ebola? - * Rebuild scientific, medical and nursing infrastructure and train staff - Early and accurate diagnosis with molecular kits - Develop effective vaccines - to control of bats 75-(№=194669) What is the biggest risk factor for infection with Ebola? - Working in a category IV laboratory - Attending a funeral of a victim outside - * Nursing a patient at home - Attending football matches or large gatherings 74-(№=194668) Which of the following are the diagnostics methods for dengue? - * RT–PCR - Nucleic acid amplification tests (NAATs) - Enzyme-linked immunosorbent assays (ELISA) - All of the above 73-(№=194667) The highest proportion of deaths due to malaria occur in which of the following age groups? - * 5 years of age - < 40 years of age - 10- 25 years of age 53-(№=194647) Malaria 20: A clinical situation in which the immune system or a therapy failed to eliminate all the Plasmodium spp infected erythrocytes and numbers of Plasmodium spp in RBCs begin to increase again with subsequent clinical symptoms is called; - Latency - Re-infection - Relapse - * Recrudescence 52-(№=194646) Crescent-shaped or banana-shaped gametocytes are seen in infection with: - Plasmodium vivax - * Plasmodium falciparum - Plasmodium ovale - Plasmodium malariae 51-(№=194645) Which of the following statement(s) regarding Plasmodium falciparum are true? - * causes more severe disease in pregnancy - is associated with recurrent relapses after initial treatment because of liver hypnozoites - is the only malarial parasite causing greater than 20% parasitemia - infection is typically associated with thrombocytopenia 50-(№=194644) After sporozoite gain entrance to the human body, it undergoes a developmental cycle first in the liver than in RBC, only after which fever is seen. This incubation period varies between plasmodium species, and ………….. species has the longest incubation period. - P. falciparum - * P. malariae - P. ovale - P. vivax 49-(№=194643) Rickettsiae: 1. cannot be cultured on artificial media 2. may cause an eschar 3. are spread by arthropods 4. are usually sensitive to tetracyclines 5. cause melioidosis - 1.2.4.5 - * 1.2.3.4 - 2.3.4.5 - 1.3.4.5 48-(№=194642) Amphotericin B is used in the treatment of: - * visceral leishmaniasis - dermatophyte infections of the nails - primary amoebic meningoencephalitis caused by Naegleria species - meningiccol meningitis 47-(№=194641) Yellow fever - * has an incubation period of 3-6 days, is caused by a flavivirus - has a case fatality rate of about 50% - epidemics should be controlled by strict isolation of cases - is spread by anopheline mosquitoes 46-(№=194640) The following occur in Chagas' disease (American trypanosomiasis) - * lymphadenopathy - meningoencephalitis - Calabar swelling - mega-oesophagus 45-(№=194639) The following are characteristic features of acute schistosomiasis - fever - * eosinophilia - convulsions - myocarditis 44-(№=194638) The following are correctly paired: 1. Schistosoma haematobium: Biomphalaria ssp 2. Onchocerca volvulus: Culex quinquefasciatus 3. Loa loa: Chrysops dimidiata 4. Borrelia duttoni (relapsing fever): soft tick (Ornithodorus moubata 5. Rickettsia tsutsugamushi: tromboculid mite - 1.2.4 - 2.3.5 - * 1.4.5 - 1.3.4 43-(№=194637) A fever of two weeks' duration associated with neutropaenia is characteristically due to 1. disseminated tuberculosis 2. brucellosis 3. malaria 4. influenza B 5. amoebic liver abscess - 1.2.4 - * 1.2.3 - 3.4.5 - 1.3.4. 42-(№=194636) The following infections are zoonoses 1. salmonellosis 2. leprosy 3. tularaemia 4. Weil's disease (leptospirosis) 5. cholera - * 1.3.4 - 1.3.5 - 2.3.4. - 3.4.5 41-(№=194635) Concerning African trypanosomiasis - it may cause erythema chronicum migrans in light skinned persons - the Gambian form progresses more rapidly - the Gambian form is associated with a more prominent chancre - * the Gambian form can be treated with pentamidine 40-(№=194634) Characteristic findings in visceral leishmaniasis (kala azar) include: 1. eosinophilia 2. pancytopaenia 3. polyclonal hypergammaglobulinaemia 4. positive leishmanin test 5. lymphadenopathy - * 2.3.5 - 1.2.3 - 2.3.4 - 1.3.4 39-(№=194633) Amoebic liver abscess: - should be treated by diloxanide furoate alone - should be aspirated routinely - is associated with eosinophilia - * usually affects the right lobe of the liver 38-(№=194632) Plasmodium falciparum 1. causes more severe disease in pregnancy 2. is associated with recurrent relapses after initial treatment because of liver hypnozoites 3. is the only malarial parasite causing greater than 20% parasitaemia 4. infection is typically associated with thrombocytopaenia 5. is the only cause of cerebral malaria - 1.2.4 - 1.2.3.5 - 2.3.4.5 - * 1.3.4.5 37-(№=194631) Consumption of raw fish or shellfish is associated with infection caused by - * Clonorchis sinensis - Ancylostoma duodenale - Schistosoma japonicum - Paragonimus westermani 36-(№=194630) Giardia lamblia - is usually acquired by ingestion of food or water contaminated by the trophozoites - * can effectively be treated by mepacrine - cysts are killed by standard chlorination of water - cysts survive in water boiled for ten minutes 35-(№=194629) Choose the incorrect statement about amoebiasis. - Causes dysentery - * Parasite of the small intestine - Houseflies are mechanical carriers - Symptoms include constipation, abdominal pain and cramp 34-(№=194628) A 17 year old asian boy presents with extended, uniform rash that can be localized or generalized. Often used to refer to cutaneous manifestations of viral conditions. Symptoms of neurological conditions like coma,confusion are shown by patient.Which organism and vector is related to these conditions? - Rickettesiaprowazekii and tick - Rickettesia rickettsia and louse - * Rickettesia prowazekii and louse - Rickettesia rickettsia and tick 33-(№=194627) A 50-year-old historian from Boston lived in several coastal villages in Japan for six months. His diet consisted mainly of seafood, including sushi and crab. He ran out of his usual pipe tobacco after two months and began smoking local varieties. After three to four months in Japan, he occasionally noticed small brownish specks in his sputum. After returning to Boston, he had a physical examination at a local hospital that included a stool examination. The size of both objects was approximately 93 micrometers by 49 micrometers. What is your diagnosis which parasite is causing this ? - Fasciolopsis buski - Heterophyes heterophyes - * Paragonimus westermani - F. gigantica 32-(№=194626) Three patients with different age groups and stages of disease are admitted to hospital. A child 4 years old with prolonged fever, abdominal pain, and thrombocytopenia due to C. burnetii. A old man 62 years old having granulomatous hepatitis due to Q fever have a prolonged febrile illness that is unresponsive to antibiotics. A abattoir worker working in endemic area. a) Prednisone 0.5 mg/kg for 4-12 days b) A whole cell vaccine [Q- Vax] c) Interferon gamma therapy - 1-b , 2-c, 3-a - * 1-c, 2-a, 3-b - 1-a, 2-c, 3-b - 1-b, 2-a,3-c 31-(№=194625) A 67 year old man comes to hospital.He is suffering from chronic Q fever. Indirect immunofluorescence is sensitive and specific.What regimen is necessary to follow in this condition? - * Doxycycline + HCQ - Ofloxacin + ornidazole - Rifampin+ HCQ - Chloramphenicol+ ciprofloxacin 30-(№=194624) A patient diagnosed with Q fever and was given appropriate regimen of drugs to follow.Which of the following is not a primary vector of the disease ? - * Flea - Cat - Cattle - Sheep 29-(№=194623) A microbiologist want to assess the life cycle of scrub typhus. He started from the organism O. tsutsugamushi reproduction cycle. He noted that transmission occurs from parent arthropod to offspring arthropod. Which feature he is referring to? - Vertical transmission - * Transovarial transmission - Horizontal transmission - Transplacental transmission 28-(№=194622) A 12 year old boy come to his GP with sign shown in image.Routine laboratory studies in patients reveal early lymphopenia with late lymphocytosis. A decrease in the CD4:CD8 lymphocyte ratio may also noted. Thrombocytopenia is also seen.The hematologic manifestations may raise the suspicion of which infection. What will be the differential diagnosis ? - * Dengue - Measles - Leptospirosis - Rubella 27-(№=194621) A patient came to OPD; suggestive of typhus. Toward the end of the first week, It may be transient and easily missed.Additional symptoms at this time may include enlargement of the spleen, cough, and delirium. Pneumonitis or encephalitis may develop during the second week.Which sign you will not expect from the infection? - * Thrombocytosis - Eschar - Rashes - Atypical lymphocytes 26-(№=194620) A patient presents with sign shown in image.Patients experience abrupt onset of high fever (40- 40.5°C [104-105°F]), headache, malaise, and myalgia approximately 10 days after infection. At that time, the eschar (if present) is well formed. What will be the causative organism? - R. prowazekii - R. rickettsii - O. chutho - * O. tsutsugumashi 25-(№=194619) A 27 year old lady went to his GP with following complaints. Diagnosing scrub typhus early in its course can be difficult because many conditions can present with a high fever; however, the presentation of the rash, a history of exposure to endemic areas, and the presentation of the sore caused by the bite can be diagnostic. What is the incubation period of the infection? - 4-8 days - * 6-20 days - 3-4 weeks - > 4 weeks 24-(№=194618) Scrub typhus is caused by O tsutsugamushi, an obligate intracellular gram-negative bacterium that lives primarily in mites. This organism is found throughout the mite’s body but is present in the greatest number in the salivary glands. Only larval mites can transmit the disease , identify the mite? - L. akamushi - L. delicense - * leptotrombidium - trombiculoid 23-(№=194617) A 31 year old lady came to GP, with symptoms of the endovasculitis leads to a petechial rash (due to focal areas of hemorrhage), encephalitic signs, and gangrene of skin and tissues. Serology came positive for typhus. All of the following are modes of transmission except? - * Man to man transmission - flea feces contaminate pruritic bite lesions - inhalation of aerosols of dried feces of rat flea - oriental rat flea bite 22-(№=194616) A patient is diagnosed with endemic typhus. Causative organism/vector is shown in image. These organisms typically have an animal reservoir and an arthropod vector. Which of the following statement is true regarding this condition ? - man to man transmission occurs - it is caused by R.prowazekii - Neil-Mooser reaction is negative - * Vector is xenopsyllacheopis 21-(№=194615) A patient shows onset of fever, severe headache, malaise, myalgia, abdominal pain, nausea, cough. After 4–5 days: maculopapular or petechial rash that spreads from the trunk to the extremities.Serology is positive for typhus.What will be the drug of choice and regimen of treatment for this condition? - Chloramphenicol 100 mg BD - Doxycycline 150 mg OD - Chloramphenicol 200 mg OD - * Doxycycline 100 mg BD 20-(№=194614) A 17 year old asian boy presents with extended, uniform rash that can be localized or generalized. Often used to refer to cutaneous manifestations of viral conditions.Symptoms of neurological conditions like coma,confusion are shown by patient.Which organism and vector is related to these conditions ? - Rickettesiaprowazekii and tick - * Rickettesia rickettsia and louse - Rickettesia prowazekii and louse - Rickettesia rickettsia and tick 19-(№=194613) A 34 years old male came to his GP with complaints of fever,headache etc.Diagnosis is made using serology tests and it found that patient presents positive for weilfelix reaction.He started on oral tetracycline antibiotics. All of the above conditions are shown by same disease group/species except? - * R.rickettsii - R.prowazekii - R.tsutsugamushi - R.typhi 18-(№=194612) Which of the following bacterial species can be transmitted via aerosol? - Rickettsiae rickettsii - Rickettsiae typhi - * Coxiella burnetii - Rickettsiae prowazekii 17-(№=194611) A 20 y/o patient presents to you with Fever rash , Eschar. On investigation there is Weil Felix reaction. Which of the following bacterial species cause Epidemic Typhus? - * Rickettsiae prowazekii - Rickettsiae typhi - Rickettsiae tsutsugamushi - Rickettsiae akari 16-(№=194610) A 20y/o patient presents to you with symptoms of irregular bouts of fever, weight loss, enlargement of the spleen and liver, and anaemia. Diagnosis confirm it Visceral leishmaniasis (VL). What is the incubation period for kala azar disease? - 24 h - 1 month - * 2-4 months - 7 days 15-(№=194609) A 10 year old villager boy who often helped his father while working in the rice fields in China suddenly developed fever with associated headache, vertigo, photophobia, vomiting and features of confusion which progressed onto tremors and a single episode of generalized convulsions.The disease that this child is likely to be suffering from is? - Dengue hemorrhagic syndrome - Rocky Mountain Spotted Fever - Eastern equine encephalitis - * Japanese encephalitis 14-(№=194608) What is the most common MRI finding in flavivirus encephalitis such as Japanese encephalitis or Murray Valley encephalitis? - * T2/FLAIR hyperintensity of the basal ganglia and/or thalami - T2/FLAIR hyperintensity of the brainstem - T2/FLAIR hyperintensity of the centrum semiovale - T2/FLAIR hyperintensity of the insular cortex 13-(№=194607) A 42 year male farmer from west bengal from west bengal presented to us with hypopigmented macules nodules and plaques in different part of the body itching face hand trunk and both feet for the last 10 months.lesion where painless non pruritic both progressive in nature Miltefosine 50mg twice a day was started and he is now under monitoring what will be most common complication. - * Post-kala-azar dermal leishmaniasis - Leucopenia - Thrombocytopenia - cardiomiopatia 12-(№=194606) A patient was noted with the hypopigmented macules on the face abdomen and lower extremities as shown in the picture after one month it got progressed to painless ulcerative lesion what is the causative agent of the case - leshmenia donovani - * leshmenia Amastigotes - leshmenia tropica - leshmenia mexicana 11-(№=194605) A 23-year-old Korean woman with a residence history in Kenya and Malawi for about 2 years presented with gross hematuria for 1 month. Blood tests were within normal range except eosinophilia. Asymmetrically diffuse wall thickening and calcification were observed at the urinary bladder on CT. Multiple erythematous nodular lesions were observed in the cystoscopy and transurethral resection was done. Numerous eggs of Schistosomahaematobium with granulomatous inflammation were observed in the submucosal layer of the bladder. What complications can be with schistosomiasis? - * bladder cancer - pyelonephritis - myocarditis - meningitis 10-(№=194604) A 38-year-old man went to a doctor with complaints: headache attacks with nausea and vomiting, epileptic seizures. On CT scan of the brain found multiple parasitic cysts. In complete blood count: anemia, eosinophilia. A doctor suspected Cysticercosis. Which of the following laboratory tests confirms the diagnosis? - Stool culture - Microscopy of stool - * ELIZA test - Microscopy of blood 9-(№=194603) A 20-year-old man went to a doctor with a complaint such as itching in the anus at night. Medical history: he has been gotten sick for 2 weeks. Epidemiology history: his child had such symptoms. On physical examination: skin pale, irritability, dermatitis around the anus. Which of the following worms causes this helminthiasis? - Echinococcus - * Enterobiasis - Toxocaracanis - Ascaris 8-(№=194602) A 30-year-old male, married, Caucasian, house painter presented with 1 week of fever and right upper quadrant pain. He had never traveled overseas; however, his wife had been diagnosed with amebiasis 15 months previously. At the time of his wife's diagnosis, he had not been screened and did not receive empirical therapy. Ultrasonography revealed a large collection in the right lobe of the liver. Empirical intravenous ampicillin, gentamicin, and metronidazole were commenced and a pigtail drain inserted. Cultures were sterile, but E. histolytica IHA assay was positive with a titer of 1:4,096. Stool microscopy was negative for E. histolytica. He was prescribed metronidazole, followed by diloxanide. He recovered well and a CT scan performed 3 months subsequently revealed resolution of the abscess. Ten years later, he represented with fever and right upper quadrant pain. A CT scan showed a hepatic abscess and inflammatory changes around the cecum. The E. histolytica IHA of 1:256 was thought to represent past infection. Which of the following drugs is used to treat this patient? - Albendazole - * Paromomycin +metronidazole - Ticarcillin/clavulanate - Amoxicillin 7-(№=194601) A four-month-old male infant from Iran was brought to the emergency room of the Hospital with history of refusal of feeds, hyperactive bowel sound, vomiting, and change in stool texture. The patient also had episodes of retching and mild abdominal distension. The mother suffered abdominal pain and had history of diarrhea.The complete blood count showed a leukocyte count of 7800 µL with eosinophilia of 7%. The results of biochemistry tests were as follows: Na (130.0 mEq/L), Ca (10.4 mg/dL), and total protein (4.6 g/dL). The urine analysis and culture were normal and negative, respectively. Direct examination of fresh fecal samples showed E. histolytica cysts and trophozoites with red blood cells (occult blood) and many leukocytes. The infant was given metronidazole syrups (35–50 mg/kg/BW/day) and oral rehydration salt (ORS), which he took for 5 days with improvement. With extra-intestinal amebiasis, abscesses are most commonly observed: - brain - lungs - spleen - * liver 6-(№=194600) A 67-year-old patient was admitted to a hospital with complaints: loss of appetite, cramping abdominal pain, bloody diarrhea up to 5-7 times a day, losing weight. On physical examination: the temperature is normal, abdominal pain on the right region, stool with a lot of mucus and blood like "raspberry jelly" 5 times a day.Which of the following laboratory tests are used to detection of pathogen? - * Microscopy of stool - Complete blood count - Serological test - Stool culture 5-(№=194599) A 56-year-old patient, a purveyor by profession, often goes on business trips in Central Asia. Complains of rapid stools with mucus and blood, cramping abdominal pain, subfebrile temperature. Sick for about 4 months. The first two weeks the stool was semi-liquid, 1-2 times a day, with mucus, then returned to normal. However, a week later, the stool became more frequent again, periodically blood appeared in it. The last exacerbation began 3 days ago. The general condition of the patient is satisfactory, the temperature is 37.2 gr. C. On palpation of the abdomen, tenderness of the blind and ascending intestines is noted. The stool is mushy, with an admixture of lumps of mucus, painted pink. Specifythe most likely diagnosis: - chronic dysentery - balantidiasis - * amoebiasis - nonspecific ulcerative colitis 4-(№=194598) A 45-year-old patient has a headache, feeling of weakness in the body, high body temperature, sleep disturbances, delusions, hallucinations for 3 days. When viewed on the transitional crease of the left lower eyelid, there are two point hemorrhages. The mucous membrane of the soft palate is hyperemic and with elements of the petechial enanthema. What is diagnosis: - Leptospirosis - Psittacosis - Q fever - * Epidemic Typhus 3-(№=194597) Patient D., 72 years old, was admitted to hospital on the 7th day of illness. Ill acutely with fever. Objectively: tachycardia, hypotension, hepatosplenomegaly, tongue tip tremor, roseol-petechial rash. From the anamnesis: a similar disease was observed 20 years ago - Rabies - * Brill's Disease - Brucellosis - Typhoid fever 2-(№=194596) As a result of the examination, the patient was diagnosed with visceral leishmaniasis. The causative agent of this disease is localized in: - Muscles - Red blood cells - Brain cells - * Liver and spleen cells 1-(№=194595) Patient K., 45 years old, was admitted with complaints: fatigue, itchy skin, dry cough, nausea, vomiting, abdominal pain. Objectively: dry rales in the lungs. In blood test-eosinophilia 40%. Your diagnosis? - opisthorchiasis - enterobiosis - * Ascariasis - taeniasis