Planned mass vaccination of all newborn 5-7 day old children against tuberulosis plays an



Important role in tuberculosis prevention. In this case the following vaccine is applied:

A BCG

B Diphteria and tetanus toxoids and pertussis vaccine

C Diphtheria and tetanus anatoxin vaccine

D Adsorbed diphtheria vaccine

E -

      85

A 4-year-old child presents with general weakness, sore throat and deglutitive problem. After his

Examination a doctor suspected diphtheria and sent the material to the bacteriological

Laboratory. In order to determine the diphtheria causative agent the material should be

Inoculated into the following differential diagnostic medium:

A Blood tellurite agar

B Endo's agar

C Ploskyrev's agar

D Sabouraud's agar

E Levenshtein-Yessen agar

86

A child with suspected tuberculosis was given Mantoux test. After 24 hours the site of the

Allergen injection got swollen, hyperemic and painful. What are the main components that

Determine such response of the body?

A Mononuclear cells, T-lymphocytes and lymphokines

B Granulocytes, T-lymphocytes and IgG

C Plasma cells, T-lymphocytes and lymphokines

D B-lymphocytes, IgM

E Macrophages, B-lymphocytes and monocytes

87

A 12-year-old boy has been hospitalized for suspected food poisoning. The fecal samples were

Inoculated on the Endo agar, which resulted in growth of a large number of colorless colonies.

What microorganism is most likely to be EXCLUDED from the list of possible causative

Agents of the disease?

A Escherichia coli

B Salmonella enteritidis

C Proteus vulgaris

D Pseudomonas aeruginosa

E Yersinia enterocolitica

88

A patient with suspected dysentery has been admitted to the infectious diseases hospital. Which

Basic method of laboratory diagnosis must be applied in the first place?

A Bacteriological

B Serological

C Allergic

D Biological

E Microscopic

89

Bacteriological examination of purulent discharges from the urethra revealed some

Gram-negative bean-shaped bacteria located in the leukocytes. They can be identified as the

Causative agent of the following disease:

A Gonorrhea

B Syphilis

C Venereal lymphogranulomatosis

D Chancroid

E Trichomoniasis

90

A 50-year-old patient has been administered laevomycetin for the treatment of typhoid fever, but

 on the next day the patient's condition worsened, the temperature rose to 39,6 о C. The

Deterioration of the patient's condition can be explained by:

A Effects of endotoxins of the causative agent

B Allergic reaction

C Insensitivity of the pathogen to laevomycetin

D Secondary infection

E Re-infection

91

A hospitalized patient bitten by a rabid animal has an avulsive wound of shin. What kind of

Vaccine must be given to prevent rabies?

A Anti-rabies vaccine

B DTaP

C Td

D BCG

E TABte

92

A child entering the school for the first time was given Mantoux test in order to determine if there

Was a need for revaccination. The reaction was negative. What is the meaning of this test

Result?

A No cell-mediated immunity to tuberculosis

B Availability of cell-mediated immunity to tuberculosis

C No antibodies to the tuberculosis bacteria

D No anti-toxic immunity to tuberculosis

E Presence of antibodies to the tuberculosis bacteria

93

A smear of sputum from the patient with suspected lobar pneumonia was stained with the use of

the following stains and reagents: solution of gentian violet, Lugol's solution, 96o alcohol,

Water magenta. What staining method was applied in this case?

A Gram

B Ziehl-Nielsen

C Romanovsky

D Neisser

E Leffler

                                                 7.0 Патологічна анатомія

1

Multiple oval ulcers along the intestine were revealed on autopsy of the person, who died from

Diffuse of peritonitis in the distant part of the small intestine. Bottom parts of the ulcers are

Clear, smooth, formed with muscular or serous covering, edges of ulcers are flat, rounded.

There are perforations up to 0,5 cm in diameter in two ulcers. What diseasis can be diagnosed?

A Typhoid fever

B Dysentery

C Cholera

D Tuberculosis

E Typhus

      2

Patient suffering from trombophlebitis of the deep veins suddenly died. Autopsy has shown


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