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Module Infectious diseases VIII sem

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11.04.2022. Тест. Прочее, 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 correct answer.1 correct answer 1 point.

Список вопросов теста

Вопрос 1

Tetanus toxin mainly affects:

Варианты ответов
  • insertion neurons of afferent reflex arcs
  • motor areas of the cerebral cortex
  • cholinergic synapses
  • the posterior horns of the spinal cord
Вопрос 2

An incorrect statement in tetanus is

Варианты ответов
  • incubation period from 1 to 30 days
  • the first symptom is a trism
  • a "sardonic smile" is characteristic
  • confusion appears;
  • tonic tension extends to the muscles of the trunk and limbs.
Вопрос 3

The correct statement regarding rabies is:

Варианты ответов
  • the pathogen penetrates into the central nervous system hematogenically;
  • the spinal cord is mainly affected;
  • the incubation period with extensive bites may be shortened up to 5 days
  • in the midst of the disease, apathy and drowsiness are characteristic
Вопрос 4

 In case of rabies:

Варианты ответов
  • the diagnosis of the disease is confirmed in vivo by serological methods
  • specific therapy is performed with acyclovir
  • effective use of interferons;
  • the main preventive measure is the introduction of an anti- rabic vaccine
Вопрос 5

 Vaccinoprophylaxis is started immediately:

Варианты ответов
  • when bitten through undamaged tight clothing
  • when bitten by wild rodents
  • in case of provoked blinding of intact skin by unknown pets in areas safe for rabies
  • when bitten by domestic mice or rats in areas where rabies has not been recorded for the last 2 years
Вопрос 6

Infection with tularemia is possible:

Варианты ответов
  • by contact, transmissive, alimentary ways;
  • by contact, water, alimentary, sexual, aspiration routes;
  • by contact, water, alimentary, aspiration and transmission ways
  • by water, alimentary, parenteral, transmissive ways
Вопрос 7

Tularemia occurs in the following clinical forms, except for:

Варианты ответов
  • bubonic;
  • ulcerative-bubonic;
  • anginous-bubonic;
  • meningeal.
  • generalized
Вопрос 8

Veterinarian 57 years old, on the 3rd day of disease appealed to the doctor with complaints of headache, high temperature, pain in gastrocnemius muscles, icterus, dark urine and diminishing of its amount. Objectively: temperature of body is 38 °C, sclerotic big peteachia on overhead part of thorax, hepatospleenomegaly. Most reliable preliminary diagnosis will be:

Варианты ответов
  • Leptospirosis
  • Brucellosis
  • Viral hepatitis
  • Pseudotuberculosis
Вопрос 9

What disease is occupied by the second place after frequency of the first defects at AIDS?

Варианты ответов
  • Sarcoma Kaposhi's
  • Pneumocystis pneumonia
  • Meningitis
  • Encephalitis
Вопрос 10

What diseases may be used for differential diagnosis of tick-borne encephalitis:

Варианты ответов
  • Leptospirosis
  • Shigellosis
  • Bryl's disease.
  • Viral hepatitis
Вопрос 11

 Select drugs for the etiotropic treatment of tick-borne encephalitis:

Варианты ответов
  • penicillin
  • а specific gamma globulin
  • ribavirin
  • Etiotropic treatment is not carried out
Вопрос 12

Daily allowance doses of penicillin at treatment of leptospirosis:

Варианты ответов
  • 2-3 million units
  • 3-12 million units
  • 20 million units
  • 40 million units
Вопрос 13

For anthrax carbuncle the most characteristically:

Варианты ответов
  • Ulcer with a festering bottom, roller on periphery and insignificant area of edema
  • Ulcer with hyperemia on periphery without an edema
  • Ulcer with a black scab, black color, second vesicles and area of edema around of ulcer
  • Ulcer with a festering bottom, roller on periphery, second vesicles and area of edema
Вопрос 14

A patient present to polyclinic having complaints  of fever ,pain in joints,stomach pain on examination there will be hepatosplinomeagly with arthritis and lymphadenopathy the most probable diagnosis is

Варианты ответов
  • anthrax
  • tularemia
  • plague
  • brucellosis
Вопрос 15

A HIV patient complains of visual disturbances. Examination shows   bilateral retinal exudates and perivascular hemorrhages. Which of the following viruses are most likely to be responsible for this retinitis –

Варианты ответов
  • Herpes simplex virus
  • Human herpes virus 8
  • Cytomegalovirus
  • Epstein-Barr virus
Вопрос 16

When does begin antiviral therapy for infant of HIV-infected women?

Варианты ответов
  • In the first 8-12 hr after birth
  • From 24-36 hr after birth
  • Does not conduct
  • After diagnosis of AIDS
Вопрос 17

The penetration of HIV into the cell is carried out by the CD4 receptors of the following cells, with the exception of:

Варианты ответов
  • The glial cells of the nervous system
  • Colorectal epitheliocytes
  • T-suppressors
  • Macrophages
Вопрос 18

All of the statements given below are correct about the diagnosis of Yersinia pseudotuberculosis related infection in humans, EXCEPT

Варианты ответов
  • Appendicitis-like symptoms may be observed
  • Presented as mesenteric lymphadenitis
  • Tuberculosis like symptoms may be seen in laboratory animals after bacterial inoculation
  • Genetic features are similar to Yersinia enterolitica
Вопрос 19

Which of the following statements is Not correct about the disease Tularemia?

Варианты ответов
  • Most commonly transmitted through the poultry to humans
  • The skin, respiratory tract are the primary sites of infection
  • Prevalent in different states of the India
  • It is caused by a gram-negative small bacilli
Вопрос 20

In the life cycle of plague, this is the role of humans

Варианты ответов
  • primary host
  • secondary reservoir
  • accidental intruder in rat flea cycle
  • primary transmission vector
Вопрос 21

This plague type is the most serious of all forms of this disease and is contagious

Варианты ответов
  • Septicemic Plague
  • Pneumonic Plague
  • Bubonic Plague
  • All of these
Вопрос 22

What pathoanatomic picture is not typical for anthrax:

Варианты ответов
  • Anthrax carbuncle on the skin
  • Serous hemorrhagic inflammation of the intestine
  • The presence of hemorrhagic tracheitis, pleurisy, pneumonia
  • Cytolysis of hepatocytes
Вопрос 23

What does not apply to the typical symptoms of anthrax carbuncle:

Варианты ответов
  • Java with a dark bottom
  • Pronounced inflammatory edema at the edges of the ulcer
  • The presence of soreness in the necrosis zone
  • The appearance of "daughter" bubbles on the periphery of the ulcer
Вопрос 24

The clinical picture of intestinal lesions in anthrax is represented by all of the following symptoms, except:

Варианты ответов
  • Repeated vomiting of "coffee grounds"
  • Frequent liquid stool with an admixture of blood
  • Liver and spleen enlargement
  • Soreness during palpation of the abdomen
Вопрос 25

The most common cutaneous form of anthrax is differentiated with:

Варианты ответов
  • A banal carbuncle
  • Erysipelas
  • The skin form of the plague
  • Ulcerative - bubonic form of tularemia
Вопрос 26

Tularemia ulcers differ from anthrax ulcers in all of the above, except:

Варианты ответов
  • Surface location
  • Absence of a black scab in the center of the lesion
  • Swelling of soft tissues on the periphery
  • Severe lymphadenitis
Вопрос 27

The main clinical symptoms of chronic brucellosis include lesions: 1)musculoskeletal system 2)central nervous system 3)peripheral nervous system 4)gastrointestinal tract

Варианты ответов
  • True 1),2), 3)
  • True 1),3)
  • True 2),4)
  • True 4)
Вопрос 28

The main clinical symptoms of acute brucellosis include 1)fever, lymphodenopathy 2)chills, sweating 3) enlarged liver and spleen 4)focal lesions

Варианты ответов
  • True 1),2), 3)
  • True 1),3)
  • True 4)
  • True 1),2), 3), 4)
Вопрос 29

Tick borne encephalitis first phase features

Варианты ответов
  • usually lasts for several days and may be followed by an afebrile
  • encephaitis
  • myelitis
  • ataxia
Вопрос 30

Which of the following is used to prevent transmission of HIV from an infected pregnant mother to newborn child

Варианты ответов
  • lamivudine
  • nevirapine
  • stavudine
  • didanosine
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