Quiz: Another Exam

Which one of the following is a Gram positive coccus?

A Enterococcus faecalis B Moraxella catarrhalis C Haemophilus influenzae D Neisseria meningitidis

The most characteristc symptom of cholera is:

A Severe abdominal pain B Fever with cough C Watery diarrhea D Acute dysentery

A 45-year-old female presents to the Emergency Department three days after returning from Thailand complaining of severe muscle ache, fever and headache. On examination she has widespread maculopapular rash. Results show: Malaria film: negative • Hb 16.2 *109 g/dl • Plt 96 *109/l • WBC 2.4 *109/l • ALT 146 iu/l What is the most likely diagnosis?

A Hepatitis A B Dengue fever C Malaria D Rheumatic fever

A 24-year-old man presents with a three day history of painful ulcers on the shaft of his penis and dysuria. He has had n similar previous episodes. A clinical diagnosis of primary genital herpes is made. What is the most appropriate management?

A Topical famciclovir B No treatment is indicated C Topical podophyllotoxin D Oral aciclovir

Diagnosis of bacterial meningitis depends on except:

A Via lumbar puncture (spinal tap) B X-ray brain C Check for bacterial growth in the spinal fluid D cd

S.typhi is carried by ----------------- to the liver, gall bladder and spleen

A RBC B WBC C Lymphatic D None of the above

A patient with HIV is reviewed. Which one of the following is an example of a nucleoside analogue reverse transcriptase inhibitors?

A Zidovudine B Indinavir C Ritonavir D Ribavirin

A 19-year-old man presents asking for advice. His girlfriend has recently been diagnosed with meningococcal meningitis. He is worried he may have 'caught it'. What is the recommended antibiotic prophylaxis for close contacts such as this man?

A Oral co-amoxiclav B Oral phenoxymethylpenicillin C Oral rifampicin D Oral erythromycin

Typhoid patients may developed pink color spots in the body after ------------- days of typhoid fever

A 5 B 12 C 7 D 111

Which is the optimally used diagnosis tool for detection of typhoid

A Blood culture B Stool culture C Wildal D Bone marrow culture

Treatment of Encephalitis includes one of the followings:

A Corticosteroids B Antibiotics C IV fluids D d

The stool of a cholera patient resemble

A Anchovy juice B Rice water C Apple jelly D none of the above

12-year-old boy who had a splenectomy following a road traffic accident is reviewed in clinic. He had his full immunisation course as a child and was given a repeat pneumococcal vaccination 5 days following surgery What is the most appropriate ongoing management?

A Booster dose of Hib and MenC vaccine + lifelong penicillin V B Booster dose of Hib and MenC vaccine + penicillin V for 2 years C Booster dose of Hib and MenC vaccine + annual influenza vaccination + penicillin V for 2 years D Booster dose of Hib and MenC vaccine + annual influenza vaccination + lifelong penicillin V

A 34-year-old postman attends the Emergency Department following a dog bite to his right hand What is the most appropriate antibiotic therapy.

A Metronidazole + amoxicillin B Co-amoxiclav C Metronidazole D Flucloxacillin + penicillin

Widal can be false positive, if the patient is having ------------------

A Previous history of typhoid at least once B Vaccinated with typhoid vaccine C Been treated with chloramphenicol D Family history of typhoid

Which one of the following is least likely to cause a pyrexia of unknown origin?

A Hypernephroma B Colorectal cancer C Lymphoma D Tuberculosis

A 33-year-old man who is HIV positive is admitted to the Emergency Department with confusion and drowsiness. A CT head shows multiple ring enhancing lesions. What is the most likely diagnosis?

A Progressive multifocal leukoencephalopathy B Cryptococcal infection C cerebral toxoplasmosis D Tuberculosis

Which one of the following is the most common cause of visceral larva migrans?

A Cryptococcus neoformans B Strongyloides stercoralis C Visceral leishmaniasis D Toxocara canis

Encephalitis manifested by the followings except:

A Dysuria and pyuria B Rash C Seizures D Epistaxis

Complications of Leptospirosis includes the followings except:

A Renal failure B Acute hepatic failure C Acute cardio vascular failure D Peritonitis

Which one of the following is least likely to cause a pyrexia of unknown origin?

A Colorectal cancer B Lymphoma C Atrial myxoma D Tuberculosis

Meningitis presented clinically by the following except:

A Headache B Stiff neck C Seizures D Diarrhea

The following antimalarial is given in rheumatoid arthritis:

A Primaquine B Chloroquine C Proguanil D Proguanil

YELLOW FEVER VIRUS AS A ONE OF ZOONOTIC DISEASES CAN BE TRANSMITTED TO HUMAN BY:

A Donkeys and bugs B Monkeys and mosquitos C Pigs and flies D Deers and lices

The bacterium Yersinia pestis causes

A Bubonic Plague B Rubella C Roseola D measles

Against which type of hepatitis there is a vaccine, but no medication

A viral hepatitis A B viral hepatitis B C viral hepatitis c D a+b

Which one of the following statements regarding toxoplasmosis is true?

A It is a type of flagellate B Congenital toxoplasmosis results in optic nerve atrophy C The cat is the only known animal reservoir D infection is usually self-limiting

A nurse undergoes primary immunization against hepatitis B. Levels of which one of the following should be checked four months later to ensure an adequate response to immunization?

A Anti-HBs B Anti-HBc C Hepatitis B viral load D HbeAg

A 37-year-old sewer worker presents to the Emergency Department with flu-like symptoms and pyrexia for the past 3 days. Since this morning he has started to develop a headache and signs of meningism are found on examination. Blood tests show: • Sodium 145 mmol/l • Potassium 4.7 mmol/l • Urea elevated • Creatinine elevated What is the possible diagnosis?

A Brucellosis B Leptospirosis C Meningitis D Yellow fever

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