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the diseases with diarrhoea syndrome

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Infectious Diseases Test 1- 5th Year- PMU

Frage 1 von 39

1

The most frequent clinical form of Salmonellosis in adults is

Wähle eine der folgenden:

  • Sepsis

  • Cholecystitis acuta

  • Gastroenteritis acuta

Erklärung

Frage 2 von 39

1

Shigella bacteria are isolated from

Wähle eine der folgenden:

  • urine

  • faeces

  • sputum

Erklärung

Frage 3 von 39

1

Salmonellosis is associated with consumption of

Wähle eine der folgenden:

  • eggs

  • homemade canned foods

  • sweets

Erklärung

Frage 4 von 39

1

The average incubation period in Shigellosis is

Wähle eine der folgenden:

  • 2 weeks

  • 3-4 days

  • 4-6 hours

Erklärung

Frage 5 von 39

1

The onset of cholera is typical with

Wähle eine der folgenden:

  • high temperature and fever

  • diarrhoea "rice water” type

  • repeated vomiting

Erklärung

Frage 6 von 39

1

Colienteritis affects most frequently

Wähle eine der folgenden:

  • young adults

  • pre-school children

  • infants

Erklärung

Frage 7 von 39

1

Specific for Shigellosis diarrhoea is

Wähle eine der folgenden:

  • large amount of watery stools + abdominal pain

  • small volume, bloody and mucous stained stools + tenesmi

  • large amount of watery ” rice water” type stools

Erklärung

Frage 8 von 39

1

The most frequent clinical form of Salmonellosis in infants is

Wähle eine der folgenden:

  • enterocolitis

  • food poisoning

  • gastritis

Erklärung

Frage 9 von 39

1

Shigellosis is likely to present with seizures and altered consciousness in

Wähle eine der folgenden:

  • the elderly

  • in early childhood (children under 3 years of age)

  • such onset is unlikely

Erklärung

Frage 10 von 39

1

Antibiotic treatment of choice in cholera is

Wähle eine der folgenden:

  • Penicillin

  • 3% generation cephalosporin

  • Tetracyclin

Erklärung

Frage 11 von 39

1

The most appropriate culture media for E. coli is

Wähle eine der folgenden:

  • Bordet-Gengou

  • Endo, Levin, Gasner

  • Loffler

Erklärung

Frage 12 von 39

1

Early dehydration, without fever and abdominal cramps are typical of

Wähle eine der folgenden:

  • shigellosis

  • salmonellosis

  • cholera

Erklärung

Frage 13 von 39

1

Vibrio cholere does not produce

Wähle eine der folgenden:

  • neurotoxin

  • endotoxin

  • enterotoxin (choleragen)

Erklärung

Frage 14 von 39

1

In patients with Salmonellosis, bacteremia

Wähle eine der folgenden:

  • never occurs

  • is frequent, but transient and insignificant in immuno-competent

  • is very rare

Erklärung

Frage 15 von 39

1

A 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

Wähle eine der folgenden:

  • Staphylococci

  • Enteroviruses

  • Salmonella

  • E coli (EPEC)

Erklärung

Frage 16 von 39

1

A 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

Wähle eine der folgenden:

  • rehydration

  • anti-emetics and anti-spasmodic

  • antibiotics

Erklärung

Frage 17 von 39

1

A 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

Wähle eine der folgenden:

  • Fecal culture

  • Colonoscopy

  • ELISA

  • PCR

Erklärung

Frage 18 von 39

1

The onset of cholera is usually with

Wähle eine der folgenden:

  • fever and chills

  • diarrhoea “ rice water" type

  • repeated vomiting

Erklärung

Frage 19 von 39

1

The most frequent clinical form of salmonellosis in adults is

Wähle eine der folgenden:

  • sepsis

  • cholecystitis

  • gastroenteritis

Erklärung

Frage 20 von 39

1

Stools, dysenteric sputum” type are

Wähle eine der folgenden:

  • green coloured, with plenty of mucus intermixture

  • watery stools, with bad odour

  • small amount of feces, stained with blood, mucus and pus

Erklärung

Frage 21 von 39

1

The most important pathogenic factor in cholera is

Wähle eine der folgenden:

  • the direct cytotoxic effect of Vibrio cholerae

  • choleragen effect

  • hematogenous spread of Vibrio cholerae

Erklärung

Frage 22 von 39

1

European cholera variant is characterised of

Wähle eine der folgenden:

  • very severe course with rapid dehydration

  • high mortality rate

  • less severe course with moderate dehydration

Erklärung

Frage 23 von 39

1

Causative agent of HUS is

Wähle eine der folgenden:

  • entero haemorrhagic E coli (EHEC)

  • entero invasive E coli (EIEC)

  • entero pathogenic E coli (EPEC)

Erklärung

Frage 24 von 39

1

Which type of toxin is released on lysis of Salmonella bacteria

Wähle eine oder mehr der folgenden:

  • endotoxin

  • neurotoxin

  • enterotoxin

Erklärung

Frage 25 von 39

1

The deficit of fluids in dehydration state is defined by

Wähle eine der folgenden:

  • difference between actual body weight and body weight before the illness

  • measurement of RR

  • measurement of pulse rate

Erklärung

Frage 26 von 39

1

Low potassium level is suspected in a patient with

Wähle eine der folgenden:

  • increased intestinal motility and spastic colon

  • intestinal paresis and distended abdomen

  • generalized seizures

Erklärung

Frage 27 von 39

1

The incubation period in colienteritis is

Wähle eine der folgenden:

  • 2 months

  • 3-7 days

  • 4-6 hours

Erklärung

Frage 28 von 39

1

The most common abnormality of acid-base balance in diarrhoea is

Wähle eine der folgenden:

  • metabolic acidosis

  • metabolic acidosis plus respiratory alkalosis

  • metabolic alkalosis

Erklärung

Frage 29 von 39

1

32- 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?

Wähle eine der folgenden:

  • Salmonella species

  • Rotaviruses

  • Shigella

  • E.coli

Erklärung

Frage 30 von 39

1

32- 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?

Wähle eine der folgenden:

  • third degree

  • no signs of dehydration

  • second degree

  • first degree

Erklärung

Frage 31 von 39

1

32- 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?

Wähle eine der folgenden:

  • antibiotic

  • antipyretic

  • anti-diarrheal agent

  • rehydration

Erklärung

Frage 32 von 39

1

Which of the following agents causes hemolytic-uremic syndrome

Wähle eine der folgenden:

  • enterohemorrhagic E. coli

  • enteroinvasive E. coli

  • pathogenic E. coli

Erklärung

Frage 33 von 39

1

The stools in cholera resemble

Wähle eine der folgenden:

  • rice water

  • sputum with mucus blood and pus

  • raspberry jelly

Erklärung

Frage 34 von 39

1

The incubation period in Shigellosis is

Wähle eine der folgenden:

  • 2 weeks

  • 1-7 days

  • 4-6 hours

Erklärung

Frage 35 von 39

1

Third degree dehydration is considered a fluid loss of

Wähle eine der folgenden:

  • < 5 % body weight loss

  • < 10 % body weight loss

  • > 10% body weight loss

Erklärung

Frage 36 von 39

1

Four 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?

Wähle eine der folgenden:

  • Salmonella species

  • Rotaviruses

  • Shigella

  • E.coli

Erklärung

Frage 37 von 39

1

Four 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?

Wähle eine der folgenden:

  • third degree

  • no signs of dehydration

  • second degree

  • first degree

Erklärung

Frage 38 von 39

1

Four 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?

Wähle eine der folgenden:

  • antibiotic

  • antipyretic

  • anti-diarrheal agent

  • rehydration

Erklärung

Frage 39 von 39

1

Four 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?

Wähle eine der folgenden:

  • salmonella sepsis

  • hemolytic-uremic syndrome

  • acute glomerulonephritis

Erklärung