Quiz
Infectious Diseases Test 1- 5th Year- PMU
Perguntas do quiz (39)
1The most frequent clinical form of Salmonellosis in adults is
- ASepsis
- BCholecystitis acuta
- CGastroenteritis acuta
2Shigella bacteria are isolated from
- Aurine
- Bfaeces
- Csputum
3Salmonellosis is associated with consumption of
- Aeggs
- Bhomemade canned foods
- Csweets
4The average incubation period in Shigellosis is
- A2 weeks
- B3-4 days
- C4-6 hours
5The onset of cholera is typical with
- Ahigh temperature and fever
- Bdiarrhoea "rice water” type
- Crepeated vomiting
6Colienteritis affects most frequently
- Ayoung adults
- Bpre-school children
- Cinfants
7Specific for Shigellosis diarrhoea is
- Alarge amount of watery stools + abdominal pain
- Bsmall volume, bloody and mucous stained stools + tenesmi
- Clarge amount of watery ” rice water” type stools
8The most frequent clinical form of Salmonellosis in infants is
- Aenterocolitis
- Bfood poisoning
- Cgastritis
9Shigellosis is likely to present with seizures and altered consciousness in
- Athe elderly
- Bin early childhood (children under 3 years of age)
- Csuch onset is unlikely
10Antibiotic treatment of choice in cholera is
- APenicillin
- B3% generation cephalosporin
- CTetracyclin
11The most appropriate culture media for E. coli is
- ABordet-Gengou
- BEndo, Levin, Gasner
- CLoffler
12Early dehydration, without fever and abdominal cramps are typical of
- Ashigellosis
- Bsalmonellosis
- Ccholera
13Vibrio cholere does not produce
- Aneurotoxin
- Bendotoxin
- Centerotoxin (choleragen)
14In patients with Salmonellosis, bacteremia
- Anever occurs
- Bis frequent, but transient and insignificant in immuno-competent
- Cis very rare
15A 35 year old previously ill patient presents with acute fever, temperature up to 39°C, vomiting and frequent watery green stools inter mixed with small amount of mucus. He has had chicken neal 24 hours preceding the onset of the illness. He is admitted to the Clinics of Infectious disease in poor general condition, ones dehydrated, with RR- 80/40 mmHg, with abdominal pain - in the umbilical area, elevated, vacuous pulse cool extremities.
Laboratory findings: leucocytosis, neutrophilia, elevated erythrocyte sedimentation rate, elevated CRP, hypoalbuminemia, sub-compensated metabolic acidosis.
Which is the most likely etiological agent- AStaphylococci
- BEnteroviruses
- CSalmonella
- DE coli (EPEC)
16A 35 year old previously ill patient presents with acute fever, temperature up to 39°C, vomiting and frequent watery green stools inter mixed with small amount of mucus. He has had chicken neal 24 hours preceding the onset of the illness. He is admitted to the Clinics of Infectious disease in poor general condition, ones dehydrated, with RR- 80/40 mmHg, with abdominal pain - in the umbilical area, elevated, vacuous pulse cool extremities.
Laboratory findings: leucocytosis, neutrophilia, elevated erythrocyte sedimentation rate, elevated CRP, hypoalbuminemia, sub-compensated metabolic acidosis
What is the initial treatment- Arehydration
- Banti-emetics and anti-spasmodic
- Cantibiotics
17A 35 year old previously ill patient presents with acute fever, temperature up to 39°C, vomiting and frequent watery green stools inter mixed with small amount of mucus. He has had chicken neal 24 hours preceding the onset of the illness. He is admitted to the Clinics of Infectious disease in poor general condition, ones dehydrated, with RR- 80/40 mmHg, with abdominal pain - in the umbilical area, elevated, vacuous pulse cool extremities.
Laboratory findings: leucocytosis, neutrophilia, elevated erythrocyte sedimentation rate, elevated CRP, hypoalbuminemia, sub-compensated metabolic acidosis
Diagnostic work-up includes- AFecal culture
- BColonoscopy
- CELISA
- DPCR
18The onset of cholera is usually with
- Afever and chills
- Bdiarrhoea “ rice water" type
- Crepeated vomiting
19The most frequent clinical form of salmonellosis in adults is
- Asepsis
- Bcholecystitis
- Cgastroenteritis
20Stools, dysenteric sputum” type are
- Agreen coloured, with plenty of mucus intermixture
- Bwatery stools, with bad odour
- Csmall amount of feces, stained with blood, mucus and pus
21The most important pathogenic factor in cholera is
- Athe direct cytotoxic effect of Vibrio cholerae
- Bcholeragen effect
- Chematogenous spread of Vibrio cholerae
22European cholera variant is characterised of
- Avery severe course with rapid dehydration
- Bhigh mortality rate
- Cless severe course with moderate dehydration
23Causative agent of HUS is
- Aentero haemorrhagic E coli (EHEC)
- Bentero invasive E coli (EIEC)
- Centero pathogenic E coli (EPEC)
24Which type of toxin is released on lysis of Salmonella bacteria
- Aendotoxin
- Bneurotoxin
- Centerotoxin
25The deficit of fluids in dehydration state is defined by
- Adifference between actual body weight and body weight before the illness
- Bmeasurement of RR
- Cmeasurement of pulse rate
26Low potassium level is suspected in a patient with
- Aincreased intestinal motility and spastic colon
- Bintestinal paresis and distended abdomen
- Cgeneralized seizures
27The incubation period in colienteritis is
- A2 months
- B3-7 days
- C4-6 hours
28The most common abnormality of acid-base balance in diarrhoea is
- Ametabolic acidosis
- Bmetabolic acidosis plus respiratory alkalosis
- Cmetabolic alkalosis
2932- year old healthy man became unwell one day after eating sandwiches with minced meat. The disease onset is abrupt with fever of 39.5 C, rigor, fatigue, repeated vomiting and watery diarrhea with green colored stools with mucus, but no blood. The patient is admitted to the infectious unit of the hospital. At the time of admission he is in poor general condition, pale, intoxicated with reduced skin turgor, oliguria, RR 80/40mmHg, and marked tachycardia, weak pulse, cool extremities and acrocyanosis.
The laboratory tests results show: mild leukocytosis with presence of bans, CRP- 16, elevated Hct, blood urea nitrogen- 16 mol/l, Na 130 mmol/L, decompensated metabolic acidosis.
Which is the most likely causative agent?- ASalmonella species
- BRotaviruses
- CShigella
- DE.coli
3032- year old healthy man became unwell one day after eating sandwiches with minced meat. The disease onset is abrupt with fever of 39.5 C, rigor, fatigue, repeated vomiting and watery diarrhea with green colored stools with mucus, but no blood. The patient is admitted to the infectious unit of the hospital. At the time of admission he is in poor general condition, pale, intoxicated with reduced skin turgor, oliguria, RR 80/40mmHg, and marked tachycardia, weak pulse, cool extremities and acrocyanosis.
The laboratory tests results show: mild leukocytosis with presence of bans, CRP- 16, elevated Hct, blood urea nitrogen- 16 mol/l, Na 130 mmol/L, decompensated metabolic acidosis.
Which is the degree of dehydration in the patient?- Athird degree
- Bno signs of dehydration
- Csecond degree
- Dfirst degree
3132- year old healthy man became unwell one day after eating sandwiches with minced meat. The disease onset is abrupt with fever of 39.5 C, rigor, fatigue, repeated vomiting and watery diarrhea with green colored stools with mucus, but no blood. The patient is admitted to the infectious unit of the hospital. At the time of admission he is in poor general condition, pale, intoxicated with reduced skin turgor, oliguria, RR 80/40mmHg, and marked tachycardia, weak pulse, cool extremities and acrocyanosis.
The laboratory tests results show: mild leukocytosis with presence of bans, CRP- 16, elevated Hct, blood urea nitrogen- 16 mol/l, Na 130 mmol/L, decompensated metabolic acidosis.
What is the treatment of first choice?- Aantibiotic
- Bantipyretic
- Canti-diarrheal agent
- Drehydration
32Which of the following agents causes hemolytic-uremic syndrome
- Aenterohemorrhagic E. coli
- Benteroinvasive E. coli
- Cpathogenic E. coli
33The stools in cholera resemble
- Arice water
- Bsputum with mucus blood and pus
- Craspberry jelly
34The incubation period in Shigellosis is
- A2 weeks
- B1-7 days
- C4-6 hours
35Third degree dehydration is considered a fluid loss of
- A< 5 % body weight loss
- B< 10 % body weight loss
- C> 10% body weight loss
36Four year old child has been unwell for 4 days. The symptoms include fever (37.5 - 39 C), fatigue, repeated vomiting, diarrhea with watery yellow-brawn stools with mucus, no urine production in the last 10-12 hours. The child has been treated with loperamide. On the day of the hospital admission, she is in poor general condition, intoxicated, with reduced skin turgor, cold extremities, and tachycardia.
Laboratory tests show mild anemia, leukocytosis with presence of immature cells, thrombocytopenia, slightly elevated bilirubin, elevated blood urea nitrogen and creatinine decompensated metabolic acidosis.
Which is the most likely causative agent?- ASalmonella species
- BRotaviruses
- CShigella
- DE.coli
37Four year old child has been unwell for 4 days. The symptoms include fever (37.5 - 39 C), fatigue, repeated vomiting, diarrhea with watery yellow-brawn stools with mucus, no urine production in the last 10-12 hours. The child has been treated with loperamide. On the day of the hospital admission, she is in poor general condition, intoxicated, with reduced skin turgor, cold extremities, and tachycardia.
Laboratory tests show mild anemia, leukocytosis with presence of immature cells, thrombocytopenia, slightly elevated bilirubin, elevated blood urea nitrogen and creatinine decompensated metabolic acidosis.
Which is re degree of dehydration in the child?- Athird degree
- Bno signs of dehydration
- Csecond degree
- Dfirst degree
38Four year old child has been unwell for 4 days. The symptoms include fever (37.5 - 39 C), fatigue, repeated vomiting, diarrhea with watery yellow-brawn stools with mucus, no urine production in the last 10-12 hours. The child has been treated with loperamide. On the day of the hospital admission, she is in poor general condition, intoxicated, with reduced skin turgor, cold extremities, and tachycardia.
Laboratory tests show mild anemia, leukocytosis with presence of immature cells, thrombocytopenia, slightly elevated bilirubin, elevated blood urea nitrogen and creatinine decompensated metabolic acidosis.
What is the treatment of first choice?- Aantibiotic
- Bantipyretic
- Canti-diarrheal agent
- Drehydration
39Four year old child has been unwell for 4 days. The symptoms include fever (37.5 - 39 C), fatigue, repeated vomiting, diarrhea with watery yellow-brawn stools with mucus, no urine production in the last 10-12 hours. The child has been treated with loperamide. On the day of the hospital admission, she is in poor general condition, intoxicated, with reduced skin turgor, cold extremities, and tachycardia.
Laboratory tests show mild anemia, leukocytosis with presence of immature cells, thrombocytopenia, slightly elevated bilirubin, elevated blood urea nitrogen and creatinine decompensated metabolic acidosis.
Which is the most likely diagnosis?- Asalmonella sepsis
- Bhemolytic-uremic syndrome
- Cacute glomerulonephritis
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- the diseases with diarrhoea syndrome
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- Criado em 29 out 2019 · atualizado em 9 jun 2020
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