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