1.

People who were not been bitten by mosquitoes can acquire malaria through which of the
following?

A. Blood transfusion
B. Kissing
C. Hugging
D. Unprotected sex

Ans : A

2. What is the way of transmission for Borreliosis (Lyme disease)?

A. By insect bite
B. By blood transfusion
C. Parental way of transmission (medical manipulation)
D. Fecal oral way

Ans : A

3. Which is the special clinical sign of Lyme disease?

A. Such a sign doesn’t exist

B. Erythema migrans
C. Shaking chills
D. Proteinuria

Ans : B

4. What is the potential complication for Lyme disease?

A. Arthritis
B. Meningitis
C. Atrioventricular block
D. All mentioned

Ans : D

5. What kind of cardiac complication may take place in Lyme disease?

A. AV block
B. Myocardial infarction
C. Valve damage
D. Cardiac damage never happens

Ans : A

6. Measles way of transmission?

A. Via sexual secretions

B. Direct skin contact
C. Fecal oral
D. Via air droplets

Ans : D

7. Measles clinical symptoms are (choose the most specific description)

A. Low grade fever, abdominal lymphadenopathy, headache
B. High fever, conjunctivitis, macular rash
C. Only vomiting, arthralgia, abdominal pain
D. Bloody vomiting, blurry vision, afebrile

Ans : B

8. Measles more specific complication can be

A. Encephalitis
B. Appendicitis
C. Urinary tract bacterial infection
D. Constipation

Ans : A

9. Measles prevention

A. Vaccine
B. Post exposure prophylaxis
C. All mentioned are correct
D. Only B is correct

Ans : C

10. What can be the clinically important distinguishing sign to differentiate between Measles and
Rubella?

A. Only rash
B. Koplik spots
C. Headache
D. None of them

Ans : B

11. Choose incorrect sentence about Rubella

A. Humans are the only natural host

B. Can’t be transmitted from mother to child
C. The virus has a positive stranded RNA genome
D. Prevention exists vaccination

Ans : B

12. One of the main ways of transmission for Ebstein Barr virus?

A. Fecal oral way

B. Via saliva
C. Skin to skin contact
D. Neither above mentioned

Ans : B

13. Clinically significant manifestation for EBV infection are:

A. Fever, splenomegaly, pharyngitis

B. Fever, diarrhea, cough
C. Constipation and diarrhea changing each other
D. Only pharyngitis but with psudo membranes is significant for EBV

Ans : A

14. Do we have specific prevention for Ebstein Barr virus

A. Yes, vaccine
B. Yes, post exposure prophylaxis
C. Yes, A and B answers combination
D. No

Ans : D

15. What is the agent , that causes disease, called Tetanus ?

A. Virus
B. Toxin produced by specific bacteria
C. Toxin produced by specific virus
D. None above mentioned

Ans : B

16. What is the potential complications of Tetanus ?

A. Cerebral palsy
B. Laryngospasm
C. Poliuria
D. All above mentioned

Ans : B

17. Which is not correct about describing Clostridium Tetani life cycle

A. Can survive into many years being into spore form

B. Is aerobic disease and always need air for its activation
C. Antibiotics are not enough for the treatment of Tetanus
D. Causes muscles spasm

Ans : B

18. Brucellosis is an infection caused by several species of Brucella bacteria. Which of the following is
one of the main ways brucellosis is contracted?

A. From bites of infected ticks

B. From contact with infected person
C. From contact with an infected farm animals
D. From insufficiently sterilized medical equipment

Ans : C

19. The first symptoms of Brucellosis typically include each of the below mentioned. EXCEPT

A. Chills
B. Low back pain
C. Severe constipation
D. Severe headache
Ans : C

20. Case of 40 year-old reasearch assistant in a veterinary microbiology laboratory. She complained of
intermittent fever, anorexia, profuse sweating, malaise,headache, normotensive (110/60 mm/Hg),
muscle pain and arthralgia for 3 days. Blood tests against dengue and malaria were negative thus she
was prescribed vitamin C, paracetamol and cough syrup for common flu. The complaints, however
persisted on and off for the next one month. She eventually developed anemia and hypotension
(90/50 mm/Hg) and started to show reduced body weight. Abdominal palpations revelaed
hepatomegaly and splenomegaly with pain. Thus brucellosis was suspected. Which below mentioned
test you will provide to confirm the diagnosis :

A. Complete blood count

B. Biochemical blood test
C. PCR
D. Nasal swab

Ans : C

21. Which type of Anthrax, if treated is less fetal:

A. All types are equally, likely to be fetal

B. Skin anthrax
C. Inhalation anthrax
D. Gastrointestinal anthrax

Ans : B

22. If a person has been exposed to anthrax, what can prevent the disease

A. it is not preventable
B. Doxycycline can be prescribed longitudinally
C. Cefiderocol is a drug of choice
D. All the above mentioned

Ans : B

23. Which is not anthrax, diagnostic confirmatory methods

A. Serology
B. Culture method
C. PCR
D. C reactive protein

Ans : D

24. Choose incorrect sentence about Rubella:

A. Low grade fever occurs in up to 50% of infections

B. Arthralgias and arthritis are common in adults
C. Rash of rubella is maculopapular
D. Fetus is always safe during maternal Rubella

Ans : D

25. Congenital Rubella infection

A. Can lead to fetal death in utero
B. Preterm delivery
C. Congenital defects
D. All are correct

Ans : D

26. Which isn’t correct about Maternal Rubella infection affects on a fetus?

A. Fetal growth restriction

B. Sensorineural hearing loss
C. Congenital heart disease
D. Organ abnormalities don’t develop

Ans : D

27. Laboratory confirmation for Congenital Rubella

A. Isolation of rubella in viral culture from a nasopharyngeal swab

B. Order Liver function tests
C. CBC
D. Check for IgG antibodies

Ans : A

28. Which of the below mentioned can’t be as a complication of Hep C?

A. Variceal bleeding
B. Partial hypertension
C. Palmer erythema
D. Cellulosic cholecystitis

Ans : D

29. Diagnostic methods for Hep C can’t be?

A. Blood culture
B. Selology testing
C. Antigen detection
D. PCR

Ans : A

30. Hepatitis Delta ( choose one correct answer )

A. Can exist alone into the human body

B. Can be prevented by Hep D vaccine
C. Can be transmitted by blood transfusion
D. All above mentioned is correct

Ans : C

31. 12 year old girl was taken to the doctor with a complaints about mild fever, sore throat, general
weakness, difficulty swallowing. With a visual examination of oropharynx, doctor find out greyish
pseudo membrane, which was difficult to remove and while removing it was bleeding. Neck palpation
showed enlarged lymph nodes, soft with a palpation, but neck was very much edematous.

According above described, which below mentioned will be the most appropriate clinical diagnosis
A. Inf. Mononucleosis
B. Diptheria
C. Tularemia, nasopharyngeal form
D. None of them

Ans : B

32. Yersinia pestis can cause

A. Plague
B. Tularemia
C. Inf.Mononucleosis
D. Cat scratch disease

Ans : A

33. Choose the most deadly type of plague between below mentioned

A. Pneumonia
B. Bubonic
C. Skin form
D. None of them

Ans : A

34. Which of the following microbes is not associated with Hepatitis ?

A. Cholera
B. HAV
C. Epstein barr virus
D. Leptospirosis

Ans : A

35. A patient returning from Uganda presents with abrupt onset of fever, weakness, diarrhea, nausea
and vomiting and a maculopapular rash. CBC shows you changes like viral infection. What other
specific diagnostic lab test you will choose for confirmative diagnosis?

A. Liver function test

B. Chest x-ray
C. PCR
D. Neither above mentioned

Ans : C

36. A blind 78 year old man was admitted with respiratory infection , fever, dyspnea, loss of appetite
and myalgia. The patient was treated with outpatient antibiotics some days ago. After admission, the
patient was again treated for pneumonia. But there was no improvement despite treatment and the
patient was suffering from septicemia symptoms. Radiographic images shows wide mediastinum.

Which below mentioned is highly suspected for such cases?

A. Influenza pneumonia
B. Anthrax
C. Brucellosis
D. None of the above mentioned
Ans : B

37. 60 year - old women was admitted with respiratory infection, fever, dyspnea, hemoptysis and
myalgia. The patient was treated with outpatient antibiotics some days ago. After admission, the
patient got very severe pneumonia, there was no improvement despite treatment and the patient
was suffering from septicemia symptoms. Radiographic images showed wide mediastinum. Bacillus
anthracis was isolated from blood and sputum culture and the results were confirmed by colony
morphology, biochemical reactions and PCR. Which of the below mentioned can be further
complication.

A. This is the mild form of Anthrax infection with no complications

B. Simply vomiting
C. Rapid onset of respiratory distress
D. General weakness

Ans : C

38. A 55 year old woman presented with a 2 day history of stomach ache, nausea and vomiting then
diplopia appeared. Upon neurological examination diplopia was found when looking from side to side,
with no signs of other cranial nerves involvement or central nervous system damage. Biochemical and
haematological investigations were normal. Abdominal ultrasound and CT head scan were normal too
and then head MRI was provided with no significant changes. The next day (3rd day since the first
symptoms) the patient’s conditions suddenly deteriorated. Total bilateral ptosis occurred with
ophthalmoparesis to all directions, dilated fixed pupils, hoarseness, dysphagia and mouth dryness.
What can be highly suspected diagnosis

A. Acute Hemorrhagic stroke

B. Tetanus
C. Botulism
D. Neither above mentioned is correct

Ans : C

39. Looking at the patients lab Analysis, you can suspect hepatitis. Which below mentioned changes
are significant for hepatitis?

A. White blood cells increased number, especially lymphocytes

B. Calcium decrease
C. Liver enzymes increased
D. Blood sugar increased

Ans : C

40. 65 year old nursing home resident presents to you with a two day history of nausea and diarrhea.
She also complains of abdominal pain. She denies any blood in the stool. Her carer informs you that
she had a takeaway meal a few days ago with some of the other residents. Some of them are also
unwell, albeit with less severe symptoms. On examination she is tachycardic with a blood pressure of
92/49 mmHg. She has dry mucous membranes, sunken eyes, prolonged capillary refill time, and weak
peripheral pulses.

Which one of the following investigations should you perform first to attempt to confirm the
diagnosis?

A. Liver function tests

B. Complete blood count
C. Stool culture
D. None of them
Ans : C

41. Among below mentioned diseases, which one has another name “Weil’s disease”

A. Salmonellosis
B. Brucellosis
C. Leptospirosis
D. Yersiniosis

Ans : C

42. Viral hepatitis A can be treated

A. Intravenous Dess intoxication therapy

B. Antiviral drugs
C. Antibiotics
D. All above in a combination

Ans : A

43. Hepatitis Delta

A. Always combine mix infection with Hep A

B. Always has fecal oral way of transmission
C. There exists direct vaccine against it
D. Always exists with Hep B

Ans : D

Which below mentioned viruses can’t cause jaundice

A. Epstein Barr Virus

B. Cytomegalo Virus
C. Measles
D. Hep B

Ans : C

44. For EBV inf.Mononucleosis are characteristic of all, exect

A. Rash
B. Lymphocytosis in CBC
C. Splenomegaly
D. Positive Brudzinski sign

Ans : D

45. Which pathogens can cause the same disease?

A. Measles and Rubella virus

B. Epstein Barr infection and Cytomegalo infection
C. Clost. Botulinum and Clost. Tetani
D. None of them

Ans : B
46. Which one of the following pathogens is most likely to produce Shiga toxin?

A. Bacillicus Anthracis
B. Shigella flexneri
C. Clostridium Botulinum
D. Vibrio Cholerae

Ans : B

47. Which one of the following food is the most likely to cause Cholera :

A. Home canned food

B. Honey
C. Raw fish products from the lake
D. All above mentioned

Ans : C

48. Your patient is living in a village, near a lake at farm house. He presented with alternating fever
and chills, myalgia, nausea with vomiting and a marked petechial rash on a wrist. This is the third case
you have seen recently from patients from the same area. There is no apparent reason for these
outbreaks, except that the weather has been even dryer than usual in this region and many mice and
other rodents have been seen near human habitation looking for food. Patient also complained about
decreased urination, waist pain and on examination he seems to be mildly icteric as well

Which of the following disease might you suspect is causing your patient’s condition?

A. Leptospirosis
B. Salmonellosis
C. Measle virus
D. Chickenpox virus

Ans : A

49. What are not the symptoms of hepatitis?

A. Bloody stool
B. Nausea
C. Fatigue
D. Jaundice

Ans : A

50. Which form of hepatitis can be passed on through contaminated food and water

A. A
B. B
C. C
D. D

Ans : A

51. Vaccines have been developed to protect against which hepatitis virus

A. HBV
B. HCV
C. HEV
D. All above mentioned

Ans : A

52. Hepatitis B virus normally spreads through

A. Inhalation
B. Eating contaminated food
C. Sexual contact
D. Neither of them

Ans : C

53. Cutaneous anthrax causes (find false answer)

A. Painful skin lesions

B. Painless skin lesions
C. Black crust formation
D. Lymphadenopathy

Ans : A

54. Eating contaminated or undercooked meat causes

A. Respiratory anthrax
B. Gastrointestinal anthrax
C. Cutaneous anthrax
D. Meningeal anthrax

Ans : B

55. Symptoms of intestinal anthrax :

A. Nausea and vomiting

B. Bloody diarrhea
C. Fever and severe abdominal pain
D. All above mentioned

Ans : D

56. Stool of cholera resembles

A. Rice water
B. Anchovy sauce
C. Mucosal water
D. Stool doesn’t exist- constipation

Ans : A

57. Which of the following is NOT a symptom of cholera?

A. High blood pressure

B. Fast heart rate
C. Dehydration
D. Severe diarrhea

Ans : A
58. Cholera is spread through

A. Bite a mosquito
B. Through contaminated air droplets
C. Through contaminated water
D. Neither of them

Ans : C

59. Which of the following has fecal oral transmission

A. Hepatitis C
B. Hepatitis B
C. Hepatitis D
D. Hepatitis A

Ans : D

60. What is the way of transmission for shigellosis?

A. Via blood products

B. Sexual contracts
C. Fecal oral transmission
D. Air droplets

Ans : C

61. What is the main clinically differentiative symptom to suspect about shigellosis?

A. Fever
B. Chills
C. Bloody diarrhea
D. Vomiting

Ans : C

62. What materials are checked for diagnosis of shigellosis?

A. Stool sample
B. Cerebral spinal fluid
C. Smear from oral cavity
D. Thick blood sample

Ans : A

63. Which is most common complication for Hep. B:

A. Liver cirrhosis
B. Meningitis
C. Peritonitis
D. Neither of this variants

Ans : A

64. Vaccines for cholera provides

A. Life long immunity
B. Vaccine doesn’t exist
C. Provides only short period immunity
D. Neither of this answers is right

Ans : C

65. Hepatitis viruses which have parenteral way of transmission

A. Only Hep A
B. Only Hep B
C. Hep B and C only
D. Hepatitis B, C, D

Ans : D

66. The way of transmission for typhoid fever

A. Air droplets
B. Contaminated blood
C. Contaminated water
D. Infected syringes

Ans : C

67. Causing agent of food born salmonella

A. Salmonella enteritidis
B. Salmonella typhy
C. Salmonella paratyphy
D. Other types of salmonella

Ans : A

68. Diagnostic option for typhoid salmonella can not be

A. Chest x-ray
B.
C. Epidemiological anamnesis
D. Widal test

Ans : A

69. Way of transmission for plague - find false answer

A. Inhalation
B. Insects bites
C. Sexual fluids
D. Contact way

Ans : C

70. First line drugs for Brucellosis treatment

A. Antiviral drugs
B. Antifungals
C. Dexamethasone
D. Doxycycline

Ans : D

71. All below mentioned are correct for botulism, execpt

A. Blurry vision
B. Dysarthria
C. Urinary retention
D. Polyuria

Ans : D

72. Treatment strategy for Botulism

A. Antimicrobial agents
B. Only symptom therapy
C. Antitoxin
D. Dialysis

Ans : C

73. Five healthy college roommates develop a rapid onset of abdominal pain. Cramping fever to
38.5C. vomiting and copious nonblood diarrhea while camping. They immediately returned for
hydration and diagnosis. A stool culture grows Salmonella enteriditis. All following are true except

A. Causing agent is gram neg. Bacteria

B. The most likely source was undercooked eggs
C. Way of transmission is fecal oral
D. They have typhoid fever

Ans : D

74. All of the following can cause cancer in humans except :

A. Hepatitis B
B. Ebstein Barr virus
C. UV insollation
D. Ebola virus

Ans : D

75. Leptospirosis can cause all, except :

A. Renal tubular necrosis

B. Jaundice
C. Lung alveolar damage
D. Chronic liver damage

Ans : D

76. What is the main pathogenesis of leptospirosis

A. Doesn’t exists fever

B. Damages capillaries
C. Always causes anemia
D. All answers are correct

Ans : B

77. Choose incorrect answer about leptospirosis

A. Damage kidneys
B. Can damage liver
C. Can be developed chronic form
D. Dialysis sometimes is useful for treatment strategies

Ans : C

78. Confirmatory diagnosis of leptospirosis

A. Detect specific IgM

B. Check C react protein level
C. Make CT scan of body
D. Check liver function tests

Ans : A

79. Treatment strategy for leptospirosis

A. Mainly supportive therapy

B. Antibiotics
C. Antitoxin administration
D. Antiviral drugs

Ans : B

80. 50 years old women comes to the outpatient clinic with complains about profuse night sweating,
periodically big joints aches, general weakness. In epidemiological anamnesis she says that always
buys milk from village man and sometimes prefers to drink raw milk. What can be your suspected
diagnosis from the very beginning

A. Haemorrhagic fever
B. Leptospirosis
C. Brucellosis
D. Plague

Ans : C

81. 28 years old girl comes to you with the complains about abdominal discomfort , general
weakness. After 2 days to her developed gastrointestinal bleeding, bloody vomiting and shock. Into
anamnesis, her husband told that 3 days before feeling ill, she was preparing beef soup and tried non
boiled meat, what can be your suspected diagnosis :

A. Salmonellosis
B. Anthrax infection
C. Leptospirosis
D. Shigellosis

Ans : B

82. 65 year old man comes to you with jaundice

You will check for diagnosis, all diseases and condition except:

A. Viral hepatitis
B. Leptospirosis
C. Tularemia
D. Gall bladder stones

Ans : C

83. How does diptheria spread?

A. Fecal oral
B. Air droplets
C. Contaminated food
D. Via animals

Ans : B

84. Diptheria prevention methods can be:

A. Immunomodulatory drugs
B. Vaccine
C. Prevention doesn’t exists, exists only treatment
D. Wash hands frequently

Ans : B

85. Diagnostic methods for diphtheria

A. Cultural method of oral swab

B. Stool culture
C. Sputum culture
D. Neither of them

Ans : A

86. Which below mentioned does not describes Measles

A. Cough
B. Rash skin vesicules
C. Lymphadenopathy
D. Conjunctivitis

Ans : B

87. Measle : ( choose incorrect answer)

A. Measles virus is trasmitted via droplets

B. Infects epithelial cells of the nose and conjunctivae
C. Sometimes rash doesn’t exists
D. Vaccine is preventive measurement

Ans : C

88. Which below mentioned can be diagnostic for measles

A. Jaundice on the skin

B. Koplik’s spots
C. Polyuria
D. Constipation

Ans : B

89. Measles complication can be

A. Encephalitis
B. Dysphagia
C. Urinary tract infection
D. All above mentioned

Ans : A

90. What is correct for measles

A. Is caused by gram + bacteria

B. Postexposure prophylaxis exists
C. Vaccine doesn’t exists
D. Antibiotics are only treatment

Ans : B

91. What is not correct about clostridium tetani

A. Is aerobic bacteria
B. Can have spore form
C. Can be prevented by post exposure prophylaxis
D. Trismus is one of the specific clinical manifestation

Ans : A

92. Tetanus complications can’t be

A. Aspiration pnemonia
B. Muscle paresis
C. Trismius
D. Opisthotonus

Ans : B

93. Treatment measurement for tetanus

A. Only antibiotics
B. Firstly immunization and plus antibiotics
C. Only wound debridement
D. Only symptom based treatment

Ans : B

94. Choose correct answer for Lyme’s disease

A. Vector born disease

B. Viral disease
C. Transmits from human to human - air droplet way
D. Treatment doesn’t exists
Ans : A

95. The important clinical sign for Lyme disease is

A. Fatigue
B. Chills
C. Specific Erythema
D. Diarrhea

Ans : C

96. Which below mentioned you will order to confirm diagnose of Lyme’s disease

A. Order serology
B. CBC
C. Clinical sign is quite enough
D. Liver function tests

Ans : A

97. Which organ system is supposed to be damaged by Lyme’s disease

A. Biliary tract
B. CNS
C. Kidney
D. None of them

Ans : B

98. which is not correct about Lyme’s disease

A. Musculoskeletal manifestations include arthralgia and arthritis

B. Cardiovascular complications include carditis with atrioventricular block
C. Neurological manifestations may include cranial nerve palsies
D. Is transmissible from human to human

Ans : D

99. Which is not complication for Lyme disease

A. Myocarditis
B. Cranial nerve palsy
C. Constipation
D. Arthralgia

Ans : C

100. Leptospirosis way of transmission all except

A. Sneezing
B. Swimming
C. Inhale dust
D. Contact way

Ans : A

101. Measle rash charecteristics

A. Vesiculus
B. Needs 4 day to cover the body
C. Vesicules is seen in the mouth too
D. Maculopapular rash only

Ans : D

102. Which below mentioned is characteristic for Inf. Mononucleosis

A. lymph….
B. ….…
C. Headache is a specific clinical symptom
D. Temperature never exists

Ans : A

103. Which below mentioned can be diagnostic tool for EBV mononucleosis

A. detect specific viral capsid antibodies

B. Detect anti BCV
C. Detect only leukocytosis
D. Detect anti HAV IgM

Ans : A

104. Which can be complication of Inf. Mononucleosis

A. Splenic rupture
B. Muscle rupture
C. Urinary tract infection
D. All above mentioned

Ans : A

105. Some people have a high risk of complications and death from influenza. These people include
children < 5 yr, adults > 65 yr and which of the following

A. Vaccinated individuals
B. Pregnant women
C. People who are having gastric ulcers
D. None of them

Ans : B

106. It is well known that Influenza frequently is associated with pulmonary complications. Which
below mention complication may happen, when infected with influenza A virus?

A. Primary influenza viral pneumonia

B. Secondary bacterial pneumonia
C. Mixed viral and bacterial pneumonia
D. All mentioned are correct

Ans : D

107. The standard treatment for influenza is to rest adequately, drink plenty of fluids and avoid
exertion. Antibiotics should not be used, EXCEPT in which of the following circumstances?
A. When antiviral drugs are not available
B. When bacterial infection develops
C. When the temperature raises above above 39.0C
D. In all mention cases antibiotic can be added

Ans : B

108. What can be Influenza extrapulmonary complications?

A. Rey’s syndrome
B. Myositis
C. Myocarditis and pericarditis
D. All above mentioned

Ans :

109. In a hospital has admitted patients with a complains about fever 39.0C, arthralgia, myalgia, sore
throat and headache. What can be your actions to check for influenza?

A. Order chest x-ray

B. Order throat swab for PCR
C. Order C- reactive protein
D. Order urine lab checking

Ans : B

110. Patient with confirmed H1N1, on the 2nd day of disease onset, which below mentioned drugs
means to prescribe?

A. Oseltamivir
B. Te…..
C. Azithromycin
D. None above mentioned

Ans : A

111. Antenatal ultrasound features suggestive of congenital CMV infection is :

A. Enlargement of the cerebral ventricles

B. None of the changes are detectable by US checking
C. Fetus hyper movement
D. All above mentioned

Ans : A

112. In patients with AIDS clinical manifestation of CMV disease is all mentioned, except

A. Retinitis
B. Constipation
C. Fever
D. Pneumonia

Ans : B

113. Which one is confirmatory test for CMV ?

A. Culture of specimens blood
B. CBC
C. C react Protein
D. Biochemists blood test

Ans : A

114. Treatment for Cytomegalo virus infection

A. Only symptom based treatment

B. Antiviral, antibacterial drugs
C. Erythromycin
D. Ganciclovin

Ans : D

115. What can be the signs of congenital CMV ?

A. May be asymptomatic
B. May present with petechia or purpura
C. Sensorineural hearing loss
D. All mentioned

Ans : D

116. What is not correct about CMV eye infection ?

A. Causes glaucoma
B. May cause blindness
C. Visual floaters are the most common complaints
D. Fundoscopy will reveal areas of infarction on retina

Ans : A

117. Which below mentioned can be symptoms of CMV infection?

A. Lymphadenopathy
B. A maculopapular rash after antibiotics
C. Fever, sore throat
D. All mentioned are correct

Ans : D

118. What lab findings can be found when infected with CMV ?

A. Atypical lymphocytosis
B. Critical anemia
C. Neutrophils increased number
D. High creatinine level

Ans : A

119. Which is not caused by Varicella zoster virus?

A. Chronic hepatitis
B. Encephalitis
C. Chicken pox
D. Dermatomal vesicular rash
Ans : A

120. Prevention for CMV infection

A. Specific vaccination
B. Blood transfusion
C. Organ transplantation
D. Good personal hygiene

Ans : D

121. Which is not a complication of chicken pox ?

A. Myocarditis
B. Severe constipation
C. Encephalitis
D. Pneumonia

Ans : B

122. What causes disease called Tetanus?

A. Anaerobic spore forming bacteria

B. Anaerobic Fungi
C. It is viral disease
D. Neither above mentioned are correct

Ans : A

123. How does tetanus spread?

A. From person to person

B. By soil through the skin injury
C. By kissing
D. By organ transplantation

Ans : B

124. What are the symptoms of tetanus?

A. Stiffness of the neck

B. Difficulty in swallowing
C. Stiffness of the abdominal muscle
D. All mentioned

Ans : D

125. What are possible complications from tetanus?

A. Laryngospasm
B. Encephalopathy
C. Weakened contraction of the muscles
D. Complications doesn’t exists

Ans : A
126. How is tetanus diagnosed?
A. Mostly by clinical signs
B. Serology
C. Throat swab
D. Blood culture

Ans : A

127. For toxoplasmosis which of the following is the most common mode of infection in …………

A. .……….
B. ….…….
C. Air droplet way
D. None of above mentioned

Ans. A

128. Which is the main organ, which is damaged by Toxoplasma Gondi?

A. Central Nervous system
B. Urinary tract
C. Skin
D. All mentioned

Ans : A

129. Which groups of parasites belongs to Toxoplasmosis to ?

A. virus
B. Spirochete
C. Fungi
D. Parasite

Ans : D

130. Which is the best strategy in diagnose Taxoplasmosis ?

A. CBC
B. PCR
C. Eoesinophil’s count
D. Chest radiography

Ans : B

131. To which groups belongs to Malaria as a disease?

A. Parasitic
B. Viral
C. Fungal
D. Bacterial

Ans : A

132. Which plamodium isn’t causing agent for malaria in humans?

A. ….………
B. P. Falciparum
C. P.vivax
D. P.ovale

Ans : A
133. Choose correct answer about malaria

A. From human to human transmission happens via vector

B. Specific treatment for Malaria doesn’t exists
C. Specific prevention - Vaccine doesn’t exists
D. All mentioned are correct

Ans : A

134. Choose incorrect theory about malaria

A. The malaria parasite life cycle involves two hosts
B. 2 life cycle : sexual and asexual
C. Sexual life cycle - in mosquito, asexual reproduction - in human body
D. Malaria always involve surgical involvement to be fully treated

Ans : D

135. Which can be malaria complication?

A. Seizures
B. Hypotension
C. Malarial coma
D. All mentioned

Ans : D

136. What is the best treatment for Rubella infected patient?

A. Specific treatment doesn’t exists- just symptom based treatment
B. Antiviral drugs
C. Antibiotics
D. Anti diarrheal drugs

Ans : A

137. Rabies is a
A. Viral disease
B. Congenital disease
C. Bacterial disease
D. Neither of them

Ans : A

138. Rabies transmission happens

A. From infected animals biting
B. By blood transfusion
C. By sexual intercourse
D. Fecal oral way

Ans : A

139. Which is correct theory about Rabies?

A. Outcome is sometimes positive
B. Outcome is always death
C. Can be cured by Brain transplantation
D. Neither of them is correct

Ans: B
140. Rabies has several phases, which one is not among them
A. Furious Rabies
B. Neurology stroke phase
C. Paralytic phase
D. Coma

Ans : B

141. If you have been bitten or scratched by a wild animal, what should you do?
A. Clean the wound with soap and water to remove any saliva
B. Call your health care provider as soon as possible
C. Get postexposure prophylaxis
D. All of the above

Ans : D

142. Looking at the patients lab analysis you can suspect hepatitis. Which below mentioned changes
are significant for hepatitis?
A. White blood cells increased in number
B. Creatinine increased
C. Bilirubinuria in the urine
D. C reactive protein elevation

Ans : C

143. Choose the correct sentence:

A. Measle always has poor outcome
B. CMV doesn’t have specific treatment
C. Diptheria is vaccine preventable disease
D. All sentences are correct

Ans : C

144. Congenital rubella may cause, all except:

A. Cataract
B. Thrombocytopeina
C. Blueberry muffin lesions
D. nothing , baby will be born healthy

Ans: D

145. Herpes- zoster rash looks like:

A. a small vesicules and papules on a dermatome

B. Erythema only
C. Ulcer which is covered by crust
D. Rash doesn’t exists

Ans : A

146. Leptospirosis : Treatment : a. Gancyclovir b. Doxacycline c. Antitoxin d. Symptomatic therapy

Ans : D

147. Choose incorrect for paralytic rabies

A. The ……….system is usually………..
B. Calm clarity gradually progesses to delirium
C. Paralysis is symmetrical and may be eithe generalized or ascending
D. Paralytic rabies doesn’t exists

Ans : D

148. Treatment strategy for Diptheria

A. Antitoxin +antibiotics
B. Antitoxin + vaccine
C. Antitoxin + immunoglobulin
D. All mentioned

Ans : A

149. Diptheria toxin damages

A. Myocardium
B. Kidney
C. Peripheral nerves
D. All mentioned

Ans : D

150. Cutaneous diptheria ( choose incorrect answer)

A. Is caused by non-toxigenic strains
B. Is associated with prolonged bacterial shedding
C. Is caused by toxigenic strains
D. Transmission by contact of skin of patient

Ans: C