21053353
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Quiz von Med Student , aktualisiert more than 1 year ago
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Frage 1
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The specific CNS complication of Chickenpox is
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cerebellitis
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meningitis serosa
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polyradiculoneuritis - Guillain-Barre
Frage 2
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Treatment of cerebral oedema includes
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Diuretics – spironolactone
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Diuretics – mannitol, furanthril
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Non-steroidal anti-inflammatory drugs
Frage 3
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Common presentations of AIDS are
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prolong morning low grade fever, weight loss, diarrhea
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hyperpyrexia with profuse sweating, dehydration with metabolic changes
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bulimia, hyperactivity, psychomotor agitation
Frage 4
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Which meningitis is characterized by the following CSF findings – lymphocytic pleocytosis, normal or slightly elevated protein and normal glucose level?
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Viral
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Purulent
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Tuberculous
Frage 5
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The rash in Scarlet fever is
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maculo-papules, vesicular, different stages at the same time
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vesicular rash, which most commonly affects a thoracic dermatome
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pustular, at the same stage of development, deep-seated, firm, round, well-circumscribed
Frage 6
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Typical for Diptheria are
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dense, dirty gray, hard deposits on the tonsils
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whitish deposits on the tonsils and buccal mucosa, easily removable
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the disease is widespread in Bulgaria
Frage 7
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The most common clinical manifestation of Salmonellosis is
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sepsis
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cholecystitis
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gastroenteritis
Frage 8
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Which is the antibiotic of choice of for Mediterranean spotted fever
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Gentamycin
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Doxycycline
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Ceftriaxone
Frage 9
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Poliomyelitis is characterised by
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flaccid asymmetric, proximal paralysis
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flaccid symmetric, proximal paralysis
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full recovery of the affected limb
Frage 10
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Typical for clinical presentation of Cholera is
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rigor and high fever
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‘rice water’ stools
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persistent vomiting, severe stomach pain
Frage 11
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The agent of which disease has teratogenic effect?
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Rubella
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Scarlet fever
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Measles
Frage 12
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The main factor for chronicity in HBV infection is
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age
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innate immunity
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gender
Frage 13
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The diarrheal syndrome in shigellosis is characterised with
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large amount of watery stools + abdominal pain
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sparse, bloody mucoid stools + tenesmi
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voluminous liquid, ” rice water” type stools
Frage 14
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Hepatitis with the most severe course with possibility of acute liver failure is
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acute hepatitis C
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acute hepatitis B+ hepatitis D
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viral hepatitis E
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viral hepatitis A
Frage 15
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Which infection is vaccine preventable
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Salmonella
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Measles
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Scarlet fever
Frage 16
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Hypopotassemia may be suspected in a patient with
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enhanced motility and spastic colon
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intestinal paresis and bloated abdomen
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generalized seizures
Frage 17
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Empirical therapy for bacterial meningitis includes
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3rd generation Cephalosporins + Vancomycin
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Penicillin + Metronidazole
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3rd generation Cephalosporins + Clindamycin
Frage 18
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Measles rash appears
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24 h after onset of the disease
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the disease begins with it
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on 3-5-the day of disease onset
Frage 19
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The stools in cholera resemble
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rice water
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sputum with mucus, blood and pus
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raspberry jelly
Frage 20
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The most common causative agents of purulent meningitis are
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S.pneumoniae, N. meningitidis, H. influenzae
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S.pneumoniae, Staph.aureus, Myc. tuberculosis
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N meningitidis, L. monocytogenes, St. epidermidis
Frage 21
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The rash of Chicken pox is
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maculo-papules, vesicular, different stages at the same time
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vesicular rash, which most commonly affects a thoracic dermatome
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pustular, at the same stage of development, deep-seated, firm, round, well-circumscribed
Frage 22
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Who is NOT at risk for severe Chickenpox
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persons with cellular immunodeficiency
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pregnant
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children aged 2-6
Frage 23
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The earliest laboratory test for confirmation of acute hepatitis C is
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Anti-HCV by ELISA
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HCV RNA by PCR
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HCV Ag by ELISA
Frage 24
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Pregnant in the 1st trimester has discrete macular rash and negative serological test (ELISA) for Rubella. What is the next step?
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Therapeutic abortion
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Ribavirin therapy
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Repeating the test after 3 weeks
Frage 25
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Shigellosis is likely to present with seizures in
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elderly people
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children under the age of 3 years
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such onset is unlikely
Frage 26
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Which test is best to confirm EBV as causative agent of infectious mononucleosis
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detection of heterophile antibodies
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detection of specific antibodies to EBV
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detection of nucleic acid of EBV in the blood
Frage 27
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Raspberry tongue is typical for
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Scarlet fever
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Measles
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Chickenpox
Frage 28
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The most common neoplasm in HIV infection is
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Kaposki‘s sarcoma
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Pulmonary carcinoma
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Melanoma
Frage 29
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The aminotransferases (ALT and AST) in acute viral hepatitis are
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Normal
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100 E/L
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> 1000 E/l
Frage 30
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Etiological treatment of choice in cholera is
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penicillin
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cephalosporin 4-th generation
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tetracycline
Frage 31
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Antibiotic of choice for the treatment of Scarlet fever is
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tetracycline
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penicillin / beta-lactam
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gentamicin
Frage 32
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Meningeal irritation includes
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nuchal rigidity, hyperesthesia
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diminished tendon reflexes
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altered mental status
Frage 33
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Route of transmission in Lyme disease is
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via tick bite
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via drinking unpasteurized milk
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via mosquito bites
Frage 34
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The most common causative agent of pneumonia in AIDS patients is
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Mycoplasma pneumoniae
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Pneumocystis jiroveci (carinii)
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Hantavirus
Frage 35
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Typical clinical manifestation of tetanus is
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confusion
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periodic muscle rigidity
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permanent muscle rigidity and periodic seizures
Frage 36
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Antibiotic of choice for treatment of Erythema migrans is
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Cefrtiaxone
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Doxycycline
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Gentamycine
Frage 37
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Measles rash
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appears after 24 h after the disease onset
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the disease starts with it
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appears on 3-5th day of disease onset
Frage 38
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At risk of acute viral hepatitis C are
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intravenous drug abusers
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newborns in poor sanitary conditions
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travellers to tropical countries
Frage 39
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The rash of meningococcemia is
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hemorrhagic necrotic, localized predominantly on the lower limbs and buttocks
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vesicular, diffuse
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vesicular, highly pruritic
Frage 40
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Initial treatment of infectious diarrhea includes
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rehydration
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antibiotic
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correction of ↓K
Frage 41
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On suspicion of acute viral hepatitis the minimum laboratory TESTS are
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alkaline phosphate, gamma glutamyl transferase
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urine (bile pigments), serum (ALT and AST, bilirubin)
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complete blood count, electrolytes, acid-base metabolism
Frage 42
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The evolution of Chickenpox rash is
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macula – papule - vesicle - crust
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macula- papule - brown pigmentation
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petechiae- ecchymosis- suffusion
Frage 43
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The main factor for chronicity in HBV infection is
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age
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innate immunity
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gender
Frage 44
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The mainstay of diphtheria treatment is
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antibiotics
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antitoxin serum
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corticosteroids
Frage 45
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Which infection is vaccine-preventable
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Measles
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Scarlet fever
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Lyme borreliosis
Frage 46
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Koplik spots are pathognomonic sign for
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Scarlet fever
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Measles
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Rubella
Frage 47
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Jaundice as a clinical manifestation of acute viral hepatitis C is seen
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in a few patients
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in the majority of patients
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in about half of the cases
Frage 48
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Laboratory minimum for suspected viral hepatitis is
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urine (bile pigments), serum (ALT and AST, bilirubin)
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CBC, electrolytes, acid-base balance
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abdominal ultrasound
Frage 49
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Meningeal irritation, prolonged clouding consciousness and focal neurological findings are common in
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meningoencephalitis
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encephalitis
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meningitis
Frage 50
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The incubation period in Shigellosis is
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2 weeks
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1-7 days
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4-6 hours
Frage 51
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What type of toxin is released by Salmonella bacteria on cell lysis
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endotoxin
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neurotoxin
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enterotoxin
Frage 52
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Which of the following agents causes hemolytic-uremic syndrome
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enterohemorrhagic E.coli
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enteroinvasive E.coli
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pathogenic E.coli
Frage 53
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The agent of which disease has teratogenic effect?
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Rubella
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Scarlet fever
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Measles
Frage 54
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Which of the following statements regarding enteroviruses as causative agents of aseptic meningitis are NOT TRUE?
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Enteroviruses account for up to 80% of cases of viral meningitis.in children
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the clinical presentation in children is milder than in adults
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lymphocytes are predominant in the first 24 hours, later neutrophils prevail
Frage 55
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Which type of immunity is impaired in HIV infection?
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humoral
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cell mediated
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innate
Frage 56
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Viral hepatitis A is transmitted via
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fecal-oral mechanism
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parenteral mechanism
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sexual mechanism
Frage 57
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The most common causative agent of of Infectious mononucleosis is
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Epstein-Barr virus
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Cytomegalovirus
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HIV
Frage 58
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The main route of transmission of hepatitis C virus is
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fecal-oral
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intravenous usage
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sexual
Frage 59
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The rash in Scarlet fever is ???
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maculo-papules, vesicular, fast evolution of stages
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vesicular rash, which most commonly affects a thoracic dermatome
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pustular, at the same stage of development, deep-seated, firm, round, well-circumscribed
Frage 60
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The mental status in tetanus is
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blurred
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alert
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hallucinations are typical
Frage 61
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Typical Measles rash is
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maculo-papular rash appearing on the first day of the disease
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maculo-papular rash, confluent, appears on the 4-5 the day
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discrete maculo-papular rash fades after 3 days
Frage 62
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Which type of meningitis is characterized by the following CSF findings – lymphocytic pleocytosis, elevated protein and decreased glucose level
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viral
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purulent
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tuberculous
Frage 63
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Which of the following conditions are NOT AIDS-defining illness?
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Herpes zoster
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Kaposki’s sarcoma
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Esophageal candidiasis
Frage 64
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Cholera initially presents with
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chills and high fever
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diarrhea ” rice water” type
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intractable vomiting
Frage 65
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Which of the following microorganisms is associated with diarrhoea after antibiotic therapy or severe operations
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Cl. difficile
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Salmonella
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E.coli
Frage 66
Frage
Diarrheal syndrome in shigellosis is characterised by
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large amount of watery stools + abdominal pain
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sparse, bloody mucoid stools + tenesmi
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voluminous liquid, ” rice water” type stools
Frage 67
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A pregnant woman in first trimester had contact with a sick child, suspected to have rubella. How could you manage her
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to clarify if the child has Rubella
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to recommend abortion on medical grounds
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to determine her immunity by serology
Frage 68
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The most common presentation of Lyme borreliosis is
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erythema migrans
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arthritis
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neuritis
Frage 69
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The most common initial complaints in acute viral hepatitis are
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fatigue, anorexia, nausea, loss of appetite
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severe abdominal pain radiating to the shoulders and vomiting
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fever and diarrhoea
Frage 70
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First choice antibiotic for treatment of pertussis is
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ceftriaxone
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macrolides
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amikacin
Frage 71
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Empirical treatment on suspicion of bacterial meningitis includes
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3rd generation Cephalosporins + Vancomycin
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Penicillin + Metronidazole
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3rd generation Cephalosporins + Clindamycin
Frage 72
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Thick pseudomembrans, spreading across the pharyngeal mucosa and bleeding while dislodging, are characteristic for
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mononucleosis
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diphtheria
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strepto pharyngitis
Frage 73
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Pustula maligna is typical for
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Anthrax
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Mediterranean spotted fever
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Tularemia
Frage 74
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Anthrax infection results from
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exposure to cattle and goats
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tick bite
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mosquito bite
Frage 75
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Acute hepatitis C becomes chronic in
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30-80%
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< 2%
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>90%
Frage 76
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The stages in the course of HIV/AIDS infection are
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early HIV infection, latency period, AIDS
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catarrhal period , rash period , convalescent period
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initial intoxication period, period of generalized lymphnodulomegaly, period of hepatosplenomegaly
Frage 77
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Serological markers of acute viral hepatitis B are
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HBsAg (+) and anti HBc IgM (+)
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HBsAg (+) and anti HBc total (+)
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anti HBsAg (+) and anti HAV IgM (+)
Frage 78
Frage
Arthralgia in acute viral hepatitis presents with
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joint pain without swelling and redness
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swelling, redness and forced position
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swelling without pain and redness
Frage 79
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Tache noire (black spot) at the site of the tick bite represents
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painless ulcer covered with black (necrotic) crust
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painless oval or round pink or red skin plaque> 5 cm
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painful hot red plaque with raised edges
Frage 80
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Which of the following findings IS NOT characteristic of infant meningitis?
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bulging fontanelle, Lessage sign
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distended abdomen
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crie encephalique
Frage 81
Frage
The screening test for HIV infection is
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anti HIV (ELISA)
-
viral RNA (PCR)
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anti HIV (immunoblot)
Frage 82
Frage
The rash in Mediterranean spotted fever is
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maculopapular
-
vesicular
-
erythematous
Frage 83
Frage
Which diseases in not vaccine preventable
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-
Lyme borreliosis
-
Poliomyelitis
-
Measles
Frage 84
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The most common electrolyte abnormalities in patients with diarrhea are
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hyponatremia and hypokaliemia
-
hypercalcemia and hyperkaliemia
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hypernatriemia and hyperchloremia
Frage 85
Frage
Acyclovir is recommended to which of following cases
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Chicken pox - mandatory
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Chicken pox in immunocompromised patients
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Kaposi sarcoma
Frage 86
Frage
Which of the following statements regarding leptospirosis IS NOT true”
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Leptospirosis is a biphasic illness with multiorgan involvement
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Gentamycin is the antibiotic of choice
-
Infection is acquired during walking or bathing in rivers
Frage 87
Frage
At risk for development of Herpes Zoster are
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adolescents (aged 11-19 years)
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patients with HIV infection
-
newborns
Frage 88
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Characteristic clinical manifestation of enteroviral infections is
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Herpagina
-
Gingivostomatitis
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Exudative pharyngitis
Frage 89
Frage
The rash in Scarlet fever is
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small maculopapules predominantly in the axilar and inguinal regions
-
vesicular rash, which most commonly affects a thoracic dermatome
-
pustular, at the same stage of development, deep-seated, firm, round, well-circumscribe
Frage 90
Frage
Inflammatory diarrhea is commonly caused by
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Shigella sp., Campylobacter jejuni, Cl. difficile
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Viruses, enterotoxigenic E. coli
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S. aureus, B. cereus, most Salmonella sp.
Frage 91
Frage
When is ART warranted
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For all HIV positive regardless of CD4 count
-
CD4<200 cells/µL
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CD4< 350 cells/µL
Frage 92
Frage
In the case of infectious mononucleosis-like symptoms, it is important to consider
Antworten
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primary HIV infection
-
neoplasms
-
syphilis
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