Monday, 2 November 2015

Infectious Diseases Multiple Choice Questions And Answers

21- A 41-year-old African man has a history of multiple episodes of sudden onset of severe abdominal pain and back pain lasting for hours.
Each time this happens, his peripheral blood smear demonstrates numerous sickled erythrocytes.
A haemoglobin electrophoresis shows 94% Hgb S, 5% Hgb F, and 1% Hgb A2. He now has increasing pain in his right groin radiating to the anterior aspect of the thigh and to the knee. His temperature was 38°C and examination of his hip revealed pain on internal rotation. A radiograph reveals irregular bony destruction of the femoral head.
The most likely organism to be responsible for these findings is?
1) Candida albicans
2) Clostridium perfringens
3) Group B streptococcus
4) Salmonella species
5) Yersinia pestis
Answers-4

22- A 35 year old woman with alcoholic cirrhosis is admitted with deteriorating encephalopathy and abdominal discomfort. An ascitic tap revealed a polymorphonuclear cell count of 350 cells per mm3. 
Which of the following is the most appropriate therapy?
1) Intravenous amoxicillin
2) Intravenous cefotaxime
3) Intravenous metronidazole
4) Oral neomycin
5) Oral norfloxacin
Answers-2

23- A 36 year old woman presents with dyspnoea, cough and fever.
Crackles are heard on auscultation of the lungs. Circulating precipitans to Micropolyspora faeni are positive. Which of the following is the most likely diagnosis?
1) Malt workers' lung
2) Pigeon fanciers' lung
3) Allergic Bronchopulmonary Aspergillosis
4) Brucellosis
5) Farmers' lung
Answers-5

24- Which of the following would be indicated in the treatment of a 30 year old HIV positive male with pneumocystis carinii pneumonia? Blood gases reveal a P02 of 55mmHg whilst breathing 28% oxygen.
1) Atovaquone
2) Clindamycin
3) Leucovirin
4) Pentamidine
5) Trimethoprim-sulphamethoxazole
Answers-5

25- Two strains of Escherichia coli are isolated and both are resistant to ampicillin. Strain A retains its resistance to amplicillin when grown form multiple generations in the absence of ampicillin. However strain B loses its resistance when grown in the absence of ampicillin. Which of the following best explains the loss of antibiotic resistance in strain B?
1) Changes in the bacterial DNA gyrase
2) Downregulation of the resistance gene
3) Loss of a plasmid containing the resistance gene
4) Mutations in the resistance gene
5) Transposition of another sequence into the resistance gene
Answers-3

26- A 63 year old patient with known alcohol related cirrhosis presented with ascites, abdominal tenderness and peripheral oedema. A diagnostic tap revealed a neutrophil count of 400/mm3 (normal <250mm3).
Which of the following would be of most immediate benefit?
1) fluid restriction and a no added salt diet
2) intravenous antibiotics
3) oral spironolactone
4) therapeutic paracentesis
5) trans-jugular intrahepatic porto-systemic shunt
Answers-2

27- Which of the following is correct regarding infection with Salmonella typhi
1) children are particularly likely to become carriers
2) most carriers are female
3) faecal culture is almost always positive during the first week of illness
4) relapse does not occur if antibiotics are taken for 2 weeks
5) vaccinated individuals who develop the disease will have a mild illness
Answers-2

28- Which of the following is a true of cutaneous anthrax?
1) causes a black eschar which overlies pus
2) lesions are usually painful and tender
3) lesions are associated with marked oedema
4) Mortality is approximately 20% despite antibiotic therapy
5) Is very likely to occur in subjects exposed to anthrax spores
Answers-3

29- Toxoplasmosis
1) can cause fits in AIDS
2) infection in the first trimester of pregnancy is seldom harmful to fetus
3) undercooked meat is an important cause of infection
4) infection usually by respiration
5) prophylactic immunoglobulins should be given to pregnant women if their IgM anti-toxoplasma antibodies detected.
Answers-1

30- A 26-year-old man with a history of alcohol and drug abuse was admitted with a 14 day history of fever, cough and fatigue. He was emaciated. His temperature was 39.4°C. Cervical and axillary lymphadenopathy were present. Chest X-ray revealed bilateral areas of pulmonary shadowing. Which of the following is the most likely
diagnosis?
1) alcoholic cardiomyopathy
2) pneumococcal pneumonia
3) pneumocystis pneumonia
4) pulmonary tuberculosis
5) tricuspid endocarditis
Answers-3

More Questions & Answers:-

7 comments:

  1. Unfortunately there are a lot of AIDS/Herpes denials on Herbal cures still out there. I did research on them after I was tested HIV/Herpes positive I was so worried am I going to die soon. I continue my search again on herbal remedy for Std, then I found lots of testimony on how Dr Itua Herbal Medicine Cured HIV/Aids, Herpes Virus,Copd, Hepatitis, Diabetes, On websites sharing their testimonies, which made much more sense to me. All the authors pronounce Dr Itua As a man with Good Heart, I pick interest in their testimonies and I contact him about my situation then he gave me procedure how it works, I proceed after one week he courier his Herbal Medicine to me and instruct me on how to drink it for two weeks to cure. I receive His Herbal Medicine so I drank it for two weeks as I was told then after 2 days I go for a test I found out I was cured from HIV/Aids & Herpes Virus, I pay homage to him 2 months ago to his country to celebrate with him on his African festival which he told me it usually happens every year. I know there are lots of (HIV)/Aids&Herpes Virus denials of Herbal Remedy movement the same few doctors and they represent a very small faction of the community. I could have died because I refused Natural Herbs Cures for so long, but luckily, by the grace of God I am alive to tell my story. Contact Info...Whatsapp Number...+2348149277967,Email...drituaherbalcenter@gmail.com/My Instagram Username...avat5634 Just in case you need someone to talk with.

    ReplyDelete
  2. Hiv disease for the last 3 years and had pain hard to eat and cough are nightmares,especially the first year At this stage, the immune system is severely weakened, and the risk of contracting opportunistic infections is much greater. However, not everyone with HIV will go on to develop AIDS. The earlier you receive treatment, the better your outcome will be.I started taking ARV to avoid early death but I had faith in God that i would be healed someday.As a Hiv patent we are advise to be taking antiretroviral treatments to reduce our chance of transmitting the virus to others , few weeks ago i came on search on the internet if i could get any information on Hiv treatment with herbal medicine, on my search i saw a testimony of someone who has been healed from Hiv her name was Achima Abelard and other Herpes Virus patent Tasha Moore also giving testimony about this same man,Called Dr Itua Herbal Center.I was moved by the testimony and i contacted him by his Email.drituaherbalcenter@gmail.com We chatted and he send me a bottle of herbal medicine I drank it as he instructed me to.After drinking it he ask me to go for a test that how i ended my suffering life of Hiv patent,I'm cured and free of Arv Pills.I'm forever grateful to him Drituaherbalcenter.Here his contact Number +2348149277967...He assure me he can cure the following disease..Hiv,Cancer,Herpes Virus,Epilepsy, fibromyalgia ,ALS,Hepatitis,Copd,Parkinson disease.Genetic disease,Fibrodysplasia Ossificans Progressiva,Factor V Leiden Mutation ,Fatal Familial Insomnia ,Dupuytren's disease,Fibrodysplasia Ossificans Progressiva,Fluoroquinolone Toxicity Syndrome,Inflammatory bowel disease ,Huntington's disease ,Diabetes,Fibroid...

    ReplyDelete
  3. Dr Itua cure my HIV, I have been a ARV Consumption for 10 years. i have been in pains until i came across Dr Itua on blogs site.I emailed him about my details of my HIV and my location i explained every thing to him and he told me that there is nothing to be scared of that he will cured me, he gave me guarantee,He ask me to pay for items fees so when i'm cured I will show gratitude I did and giving testimony of his healing herbs is what I'm going to do for the rest of you out there having HIV and other disease can see the good work of Dr Itua.I received his herbal medicine through EMS Courier service who delivered to my post office within 5 working days.Dr Itua is an honest man and I appreciate him for his good work.My GrandMa called him to appreciate him and rest of my friends did too,Is a joy to me that I'm free of taking Pills and having that fat belle is a nightmare.you will understand what i'm talking about if you have same problem I was having then not now though.I'm free and healthy Big Thanks To Dr Itua Herbal Center.I have his calendar too that he recently sent me,He Cure all kind disease Like,Cancer,Herpes,Fibromyalgia,Hiv,Hepatitis B,Liver/Kidney Inflamatory,Epilepsy,Infertility,Fibroid,Diabetes,Dercum,Copd ,and also Bring back Ex Lover Back..Here his Contact .drituaherbalcenter@gmail.com Or Whats_app Number +2348149277967

    ReplyDelete
  4. I was born epileptic, but I am now free and cured with Dr Itua Herbal Made Medicine. I was seventeen and sitting at my computer when I fell out of my chair. Only thing I remember is waking up with the worse headache I had ever had in my life. I had never taken medication and I hated swallowing pills but I had to start. I switched between all kinds of medication because I didn't take them like I was supposed to. One day I had just finished running errands and was at my sisters house when I fell to the floor again. I woke up with a bad headache and my 2 year old Niece leaning over my leg asking me if I was OK. By then I had just started college and was one the verge of losing my license. My school is an hour away from where I live so I really got set back because I wasn't allowed to drive until I got my seizures under control. I would love to know how others have handles their epilepsy! So My sister friends Emma Told my sister about a herbal Doctor who reside in west Africa(Nigeria) Because Emma is from Africa as well, My sister told me about it then we decided to give a try. My sister contacted him also tell him about my autism too.he assures my sister that his herbal medicine will cure my epilepsy and my autism, I paid for the herbal medicine then he delivered to Charleston Post office I was called to pick it up which i quickly did, I drank it for two weeks as prescribed happily I went for diagnose and find out my Epilepsy and Autism is gone and today making it 9 Months and I'm now free from Autism, Seizure and Epilepsy, I will continue to share Dr Itua Natural Herbal Medicine works. I will recommend Dr Itua to anyone who suffering from,,,AUTISM, EPILEPSY, SEIZURE, COLD SORE, HERPES, HIV/AIDS.Shingles,Genitals Herpes,Dr Itua Contact Information..... Email...drituaherbalcenter@gmail.com.... WhatsApp Number....+2348149277967. Live Happily Again With Dr Itua Herbal Made Medicine....

    ReplyDelete
  5. This is my testimony on how i was cured by Dr Idahosa, i am Juliet Pius i had Hiv Disease for 2years and i tried all means to treat my self but no doctor could help me cure the Hiv permanently i even took some drugs that was prescribe to me by many doctors but none could work i felt it was going to stay permanently since i could not cure my self until one day i was browsing through the internet i saw different testimony with different people on how they were cured from the disease by Dr Idahosa i never wanted to try because i knew anything done with internet were always scam but because of the pain i have i gave it a try and email him and he replied back i told him my problem he prepared a portion and send it to me which he instructed i should take morning and night i did it constantly and suddenly i started having change in me, so my brothers and sisters am glad to say Dr Idahosa has cured me from my Hiv disease he can cure any disease or sickness if you give him a try, you can email him today at; (dridahosasolutioncenter@gmail.com) or whatssap him +2348134261542 he is a nice man.

    ReplyDelete
  6. Hello to those reading this wonderful testimony i got this email from a school friend who i lost her contact (oyimeanelisiramen@gmail.com), we met in a shop-rite few months ago so we exchange number and reunite our friendship again and i open up to her that i was diagnosed with herpes virus as a best friend in school years back, so luckily her mum was also diagnosed and were able to put an end by flushing it out with the help of DR Isiramen herbal native medicine within 14 days and she sent me the email address of the DR Isiramen who help her mum, immediately without been ashamed i contacted him and explain how the herpes started and how it spread on my body each an everyday, DR Isiramen wrote back and told me not to worried that he is going to cure me if only i can follow his instructions wish i did for my virus to leave me. Thanks to my dear friend (Kate) i never new she we be the one God will use to deliver me from all this pain and temptation i was going through. my fellow Americans let love and cherish each other because you don't know who will be your helper tomorrow. my good saved me and today i am totally free from herpes virus i will advice you to reach DR Isiramen now so that you can get cure before this Christmas (oyimeanelisiramen@gmail.com) or WhatsApp +2{34}8117963221 thanks once again DR Isiramen God bless you and your family.

    ReplyDelete
  7. Hello to those reading this wonderful testimony i got this email from a school friend who i lost her contact (oyimeanelisiramen@gmail.com), we met in a shop-rite few months ago so we exchange number and reunite our friendship again and i open up to her that i was diagnosed with herpes virus as a best friend in school years back, so luckily her mum was also diagnosed and were able to put an end by flushing it out with the help of DR Isiramen herbal native medicine within 14 days and she sent me the email address of the DR Isiramen who help her mum, immediately without been ashamed i contacted him and explain how the herpes started and how it spread on my body each an everyday, DR Isiramen wrote back and told me not to worried that he is going to cure me if only i can follow his instructions wish i did for my virus to leave me. Thanks to my dear friend (Kate) i never new she we be the one God will use to deliver me from all this pain and temptation i was going through. my fellow Americans let love and cherish each other because you don't know who will be your helper tomorrow. my good saved me and today i am totally free from herpes virus i will advice you to reach DR Isiramen now so that you can get cure before this Christmas (oyimeanelisiramen@gmail.com) or WhatsApp +2{34}8117963221 thanks once again DR Isiramen God bless you and your family.

    ReplyDelete