For serological diagnostics of the whooping cough it was made large-scale reaction with



Parapertussis and pertussis diagnosticums. At the bottom of the test-tubes with diagnosticum of

Bordetella parapertussis grain-like sediment formed. What antibodies have this reaction

Revealed?

A Agglutinins

B Precipitins

C Opsonins

D Bacteriolysins

E Antitoxins

      29

A man died from an acute infectious disease accompanied by fever, jaundice, haemorrhagic

Rash on the skin and mucous membranes as well as by acute renal insufficiency. Histological

Examination of renal tissue (stained by Romanovsky-Giemsa method) revealed some

Convoluted bacteria looking like C und S letters. What bacteria were revealed?  

A Leptospira

B Treponema

C Spirilla

D Borrelia

E Campilobacteria

      30

A 16 y.o. boy from a countryside entered an educational establishment. Scheduled Manteux test

Revealed that the boy had negative reaction. What are the most reasonable actions in this case?

A To perform BCG vaccination

B To repeat the reaction in a month

C To perform serodiagnostics of tuberculosis

D To isolate the boy temporarily from his mates

E To perform rapid Price diagnostics

      31

Examination of a patient with pustular skin lesions allowed to isolate a causative agent that

Forms in the blood agar roundish yellow middle-sized colonies surrounded by haemolysis zone.

Smears from the colonies contain irregular-shaped clusters of gram-positive cocci. The culture

Is oxidase- and catalase-positive, ferments mannitol and synthesizes plasmocoagulase. What

Causative agent was isolated?

A Staphylococcus aureus

B Streptococcus agalactiae

C Streptococcus pyogenes

D Staphylococcus epidermidis

E Staphylococcus saprophyticus

      32

Microscopic examination of a Gram-stained scrape from patient's tongue revealed oval, round,

Elongated chains of dark-violet gemmating cells. What disease can be caused by this causative agent?

A Candidosis

B Actinomycosis

C Streptococcic infection

D Staphylococcic infection

E Diphtheria

      33

From pharynx of a child with suspected diphtheria a pure culture of microorganisms was

Isolated. Their morphological, tinctorial, cultural and biochemical properties appeared to be

Typical for diphtheria causative agents. What study should be conducted in order to drow a

Conclusion that this is a pathogenic diphtheria bacillus?

A Estimation of toxigenic properties

B Estimation of proteolytic properties

C Estimation of urease activity

D Estimation of cystinous activity

E Estimation of ability to decompose starch

      34

Examination of a child revealed some whitish spots looking like coagulated milk on the mucous

Membrane of his cheeks and tongue. Analysis of smears revealed gram-positive oval yeast-like

Cells. What causative agents are they?

A Candida

B Staphylococci

C Diphtheria bacillus

D Actinomycetes

E Fusobacteria

      35

A duodenal content smear of a patient with indigestion contains protosoa 10-18 mcm large.

They have piriform bodies, 4 pairs of filaments, two symmetrically located nuclei in the

Broadened part of body. What kind of the lowest organisms is it?

A Lamblia

B Dysentery ameba

C Trichomonas

D Intestinal ameba

E Balantidium

      36

Blood of a patient with presumable sepsis was inoculated into sugar broth. There appeared

Bottom sediment. Repeated inoculation into blood agar caused growth of small transparent

Round colonies surrounded by hemolysis zone. Examination of a smear from the sediment

Revealed gram-positive cocci in form of long chains. What microorganisms are present in blood

Of this patient?

A Streptococci

B Micrococci

C Staphylococci

D Tetracocci

E Sarcina

      37

Bacterioscopy of nasopharyngeal mucus taken from a 2,5 year old child with nasopharyngitis

Revealed gram-positive diplococci looking like coffee grains. What organs of the child are most

Likely to be affected if these microorganisms penetrate the blood?

A Brain tunics

B Cardiac valves

C Renal glomeruli

D Urogenital tracts

E Lymph nodes

      38

Analysis of sputum taken from a patient with suspected pneumonia revealed rather elongated


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