Pregunta 1
Pregunta
The specific CNS complication of Chickenpox is
Pregunta 2
Pregunta
Treatment of cerebral oedema includes
Respuesta
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Diuretics – spironolactone
-
Diuretics – mannitol, furanthril
-
Non-steroidal anti-inflammatory drugs
Pregunta 3
Pregunta
Common presentations of AIDS are
Respuesta
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prolong morning low grade fever, weight loss, diarrhea
-
hyperpyrexia with profuse sweating, dehydration with metabolic changes
-
bulimia, hyperactivity, psychomotor agitation
Pregunta 4
Pregunta
Which meningitis is characterized by the following CSF findings – lymphocytic pleocytosis, normal or slightly elevated protein and normal glucose level?
Respuesta
-
Viral
-
Purulent
-
Tuberculous
Pregunta 5
Pregunta
The rash in Scarlet fever is
Respuesta
-
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
Pregunta 6
Pregunta
Typical for Diptheria are
Respuesta
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dense, dirty gray, hard deposits on the tonsils
-
whitish deposits on the tonsils and buccal mucosa, easily removable
-
the disease is widespread in Bulgaria
Pregunta 7
Pregunta
The most common clinical manifestation of Salmonellosis is
Respuesta
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sepsis
-
cholecystitis
-
gastroenteritis
Pregunta 8
Pregunta
Which is the antibiotic of choice of for Mediterranean spotted fever
Respuesta
-
Gentamycin
-
Doxycycline
-
Ceftriaxone
Pregunta 9
Pregunta
Poliomyelitis is characterised by
Respuesta
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flaccid asymmetric, proximal paralysis
-
flaccid symmetric, proximal paralysis
-
full recovery of the affected limb
Pregunta 10
Pregunta
Typical for clinical presentation of Cholera is
Pregunta 11
Pregunta
The agent of which disease has teratogenic effect?
Respuesta
-
Rubella
-
Scarlet fever
-
Measles
Pregunta 12
Pregunta
The main factor for chronicity in HBV infection is
Respuesta
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age
-
innate immunity
-
gender
Pregunta 13
Pregunta
The diarrheal syndrome in shigellosis is characterised with
Respuesta
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large amount of watery stools + abdominal pain
-
sparse, bloody mucoid stools + tenesmi
-
voluminous liquid, ” rice water” type stools
Pregunta 14
Pregunta
Hepatitis with the most severe course with possibility of acute liver failure is
Pregunta 15
Pregunta
Which infection is vaccine preventable
Respuesta
-
Salmonella
-
Measles
-
Scarlet fever
Pregunta 16
Pregunta
Hypopotassemia may be suspected in a patient with
Pregunta 17
Pregunta
Empirical therapy for bacterial meningitis includes
Respuesta
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3rd generation Cephalosporins + Vancomycin
-
Penicillin + Metronidazole
-
3rd generation Cephalosporins + Clindamycin
Pregunta 18
Pregunta
Measles rash appears
Respuesta
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24 h after onset of the disease
-
the disease begins with it
-
on 3-5-the day of disease onset
Pregunta 19
Pregunta
The stools in cholera resemble
Pregunta 20
Pregunta
The most common causative agents of purulent meningitis are
Respuesta
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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
Pregunta 21
Pregunta
The rash of Chicken pox is
Respuesta
-
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
Pregunta 22
Pregunta
Who is NOT at risk for severe Chickenpox
Pregunta 23
Pregunta
The earliest laboratory test for confirmation of acute hepatitis C is
Respuesta
-
Anti-HCV by ELISA
-
HCV RNA by PCR
-
HCV Ag by ELISA
Pregunta 24
Pregunta
Pregnant in the 1st trimester has discrete macular rash and negative serological test (ELISA) for Rubella. What is the next step?
Pregunta 25
Pregunta
Shigellosis is likely to present with seizures in
Pregunta 26
Pregunta
Which test is best to confirm EBV as causative agent of infectious mononucleosis
Respuesta
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detection of heterophile antibodies
-
detection of specific antibodies to EBV
-
detection of nucleic acid of EBV in the blood
Pregunta 27
Pregunta
Raspberry tongue is typical for
Respuesta
-
Scarlet fever
-
Measles
-
Chickenpox
Pregunta 28
Pregunta
The most common neoplasm in HIV infection is
Respuesta
-
Kaposki‘s sarcoma
-
Pulmonary carcinoma
-
Melanoma
Pregunta 29
Pregunta
The aminotransferases (ALT and AST) in acute viral hepatitis are
Respuesta
-
Normal
-
100 E/L
-
> 1000 E/l
Pregunta 30
Pregunta
Etiological treatment of choice in cholera is
Pregunta 31
Pregunta
Antibiotic of choice for the treatment of Scarlet fever is
Respuesta
-
tetracycline
-
penicillin / beta-lactam
-
gentamicin
Pregunta 32
Pregunta
Meningeal irritation includes
Pregunta 33
Pregunta
Route of transmission in Lyme disease is
Pregunta 34
Pregunta
The most common causative agent of pneumonia in AIDS patients is
Pregunta 35
Pregunta
Typical clinical manifestation of tetanus is
Pregunta 36
Pregunta
Antibiotic of choice for treatment of Erythema migrans is
Respuesta
-
Cefrtiaxone
-
Doxycycline
-
Gentamycine
Pregunta 37
Respuesta
-
appears after 24 h after the disease onset
-
the disease starts with it
-
appears on 3-5th day of disease onset
Pregunta 38
Pregunta
At risk of acute viral hepatitis C are
Pregunta 39
Pregunta
The rash of meningococcemia is
Respuesta
-
hemorrhagic necrotic, localized predominantly on the lower limbs and buttocks
-
vesicular, diffuse
-
vesicular, highly pruritic
Pregunta 40
Pregunta
Initial treatment of infectious diarrhea includes
Respuesta
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rehydration
-
antibiotic
-
correction of ↓K
Pregunta 41
Pregunta
On suspicion of acute viral hepatitis the minimum laboratory TESTS are
Respuesta
-
alkaline phosphate, gamma glutamyl transferase
-
urine (bile pigments), serum (ALT and AST, bilirubin)
-
complete blood count, electrolytes, acid-base metabolism
Pregunta 42
Pregunta
The evolution of Chickenpox rash is
Respuesta
-
macula – papule - vesicle - crust
-
macula- papule - brown pigmentation
-
petechiae- ecchymosis- suffusion
Pregunta 43
Pregunta
The main factor for chronicity in HBV infection is
Respuesta
-
age
-
innate immunity
-
gender
Pregunta 44
Pregunta
The mainstay of diphtheria treatment is
Respuesta
-
antibiotics
-
antitoxin serum
-
corticosteroids
Pregunta 45
Pregunta
Which infection is vaccine-preventable
Respuesta
-
Measles
-
Scarlet fever
-
Lyme borreliosis
Pregunta 46
Pregunta
Koplik spots are pathognomonic sign for
Respuesta
-
Scarlet fever
-
Measles
-
Rubella
Pregunta 47
Pregunta
Jaundice as a clinical manifestation of acute viral hepatitis C is seen
Pregunta 48
Pregunta
Laboratory minimum for suspected viral hepatitis is
Respuesta
-
urine (bile pigments), serum (ALT and AST, bilirubin)
-
CBC, electrolytes, acid-base balance
-
abdominal ultrasound
Pregunta 49
Pregunta
Meningeal irritation, prolonged clouding consciousness and focal neurological findings are common in
Respuesta
-
meningoencephalitis
-
encephalitis
-
meningitis
Pregunta 50
Pregunta
The incubation period in Shigellosis is
Respuesta
-
2 weeks
-
1-7 days
-
4-6 hours
Pregunta 51
Pregunta
What type of toxin is released by Salmonella bacteria on cell lysis
Respuesta
-
endotoxin
-
neurotoxin
-
enterotoxin
Pregunta 52
Pregunta
Which of the following agents causes hemolytic-uremic syndrome
Respuesta
-
enterohemorrhagic E.coli
-
enteroinvasive E.coli
-
pathogenic E.coli
Pregunta 53
Pregunta
The agent of which disease has teratogenic effect?
Respuesta
-
Rubella
-
Scarlet fever
-
Measles
Pregunta 54
Pregunta
Which of the following statements regarding enteroviruses as causative agents of aseptic meningitis are NOT TRUE?
Respuesta
-
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
Pregunta 55
Pregunta
Which type of immunity is impaired in HIV infection?
Respuesta
-
humoral
-
cell mediated
-
innate
Pregunta 56
Pregunta
Viral hepatitis A is transmitted via
Respuesta
-
fecal-oral mechanism
-
parenteral mechanism
-
sexual mechanism
Pregunta 57
Pregunta
The most common causative agent of of Infectious mononucleosis is
Respuesta
-
Epstein-Barr virus
-
Cytomegalovirus
-
HIV
Pregunta 58
Pregunta
The main route of transmission of hepatitis C virus is
Respuesta
-
fecal-oral
-
intravenous usage
-
sexual
Pregunta 59
Pregunta
The rash in Scarlet fever is ???
Respuesta
-
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
Pregunta 60
Pregunta
The mental status in tetanus is
Pregunta 61
Pregunta
Typical Measles rash is
Respuesta
-
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
Pregunta 62
Pregunta
Which type of meningitis is characterized by the following CSF findings – lymphocytic pleocytosis, elevated protein and decreased glucose level
Respuesta
-
viral
-
purulent
-
tuberculous
Pregunta 63
Pregunta
Which of the following conditions are NOT AIDS-defining illness?
Respuesta
-
Herpes zoster
-
Kaposki’s sarcoma
-
Esophageal candidiasis
Pregunta 64
Pregunta
Cholera initially presents with
Pregunta 65
Pregunta
Which of the following microorganisms is associated with diarrhoea after antibiotic therapy or severe operations
Respuesta
-
Cl. difficile
-
Salmonella
-
E.coli
Pregunta 66
Pregunta
Diarrheal syndrome in shigellosis is characterised by
Respuesta
-
large amount of watery stools + abdominal pain
-
sparse, bloody mucoid stools + tenesmi
-
voluminous liquid, ” rice water” type stools
Pregunta 67
Pregunta
A pregnant woman in first trimester had contact with a sick child, suspected to have rubella. How could you manage her
Respuesta
-
to clarify if the child has Rubella
-
to recommend abortion on medical grounds
-
to determine her immunity by serology
Pregunta 68
Pregunta
The most common presentation of Lyme borreliosis is
Respuesta
-
erythema migrans
-
arthritis
-
neuritis
Pregunta 69
Pregunta
The most common initial complaints in acute viral hepatitis are
Respuesta
-
fatigue, anorexia, nausea, loss of appetite
-
severe abdominal pain radiating to the shoulders and vomiting
-
fever and diarrhoea
Pregunta 70
Pregunta
First choice antibiotic for treatment of pertussis is
Respuesta
-
ceftriaxone
-
macrolides
-
amikacin
Pregunta 71
Pregunta
Empirical treatment on suspicion of bacterial meningitis includes
Respuesta
-
3rd generation Cephalosporins + Vancomycin
-
Penicillin + Metronidazole
-
3rd generation Cephalosporins + Clindamycin
Pregunta 72
Pregunta
Thick pseudomembrans, spreading across the pharyngeal mucosa and bleeding while dislodging, are characteristic for
Respuesta
-
mononucleosis
-
diphtheria
-
strepto pharyngitis
Pregunta 73
Pregunta
Pustula maligna is typical for
Pregunta 74
Pregunta
Anthrax infection results from
Pregunta 75
Pregunta
Acute hepatitis C becomes chronic in
Pregunta 76
Pregunta
The stages in the course of HIV/AIDS infection are
Respuesta
-
early HIV infection, latency period, AIDS
-
catarrhal period , rash period , convalescent period
-
initial intoxication period, period of generalized lymphnodulomegaly, period of hepatosplenomegaly
Pregunta 77
Pregunta
Serological markers of acute viral hepatitis B are
Respuesta
-
HBsAg (+) and anti HBc IgM (+)
-
HBsAg (+) and anti HBc total (+)
-
anti HBsAg (+) and anti HAV IgM (+)
Pregunta 78
Pregunta
Arthralgia in acute viral hepatitis presents with
Respuesta
-
joint pain without swelling and redness
-
swelling, redness and forced position
-
swelling without pain and redness
Pregunta 79
Pregunta
Tache noire (black spot) at the site of the tick bite represents
Respuesta
-
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
Pregunta 80
Pregunta
Which of the following findings IS NOT characteristic of infant meningitis?
Pregunta 81
Pregunta
The screening test for HIV infection is
Respuesta
-
anti HIV (ELISA)
-
viral RNA (PCR)
-
anti HIV (immunoblot)
Pregunta 82
Pregunta
The rash in Mediterranean spotted fever is
Respuesta
-
maculopapular
-
vesicular
-
erythematous
Pregunta 83
Pregunta
Which diseases in not vaccine preventable
Respuesta
-
Lyme borreliosis
-
Poliomyelitis
-
Measles
Pregunta 84
Pregunta
The most common electrolyte abnormalities in patients with diarrhea are
Respuesta
-
hyponatremia and hypokaliemia
-
hypercalcemia and hyperkaliemia
-
hypernatriemia and hyperchloremia
Pregunta 85
Pregunta
Acyclovir is recommended to which of following cases
Pregunta 86
Pregunta
Which of the following statements regarding leptospirosis IS NOT true”
Respuesta
-
Leptospirosis is a biphasic illness with multiorgan involvement
-
Gentamycin is the antibiotic of choice
-
Infection is acquired during walking or bathing in rivers
Pregunta 87
Pregunta
At risk for development of Herpes Zoster are
Pregunta 88
Pregunta
Characteristic clinical manifestation of enteroviral infections is
Respuesta
-
Herpagina
-
Gingivostomatitis
-
Exudative pharyngitis
Pregunta 89
Pregunta
The rash in Scarlet fever is
Respuesta
-
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
Pregunta 90
Pregunta
Inflammatory diarrhea is commonly caused by
Respuesta
-
Shigella sp., Campylobacter jejuni, Cl. difficile
-
Viruses, enterotoxigenic E. coli
-
S. aureus, B. cereus, most Salmonella sp.
Pregunta 91
Pregunta
When is ART warranted
Pregunta 92
Pregunta
In the case of infectious mononucleosis-like symptoms, it is important to consider
Respuesta
-
primary HIV infection
-
neoplasms
-
syphilis