Infectious Diseases Test 1- 5th Year- PMU

Shigella bacteria are isolated from

Salmonellosis is associated with consumption of

The average incubation period in Shigellosis is

The onset of cholera is typical with

Colienteritis affects most frequently

Specific for Shigellosis diarrhoea is

The most frequent clinical form of Salmonellosis in infants is

Shigellosis is likely to present with seizures and altered consciousness in

Antibiotic treatment of choice in cholera is

The most appropriate culture media for E. coli is

Early dehydration, without fever and abdominal cramps are typical of

Vibrio cholere does not produce

In patients with Salmonellosis, bacteremia

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

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

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

The onset of cholera is usually with

The most frequent clinical form of salmonellosis in adults is

Stools, dysenteric sputum” type are

The most important pathogenic factor in cholera is

European cholera variant is characterised of

Causative agent of HUS is

The deficit of fluids in dehydration state is defined by

Low potassium level is suspected in a patient with

The incubation period in colienteritis is

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

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?

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?

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?

Which of the following agents causes hemolytic-uremic syndrome

The stools in cholera resemble

The incubation period in Shigellosis is

Third degree dehydration is considered a fluid loss of

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?

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?

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?

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?