General microbiology

A. Epidemic typhus B. Delirium alcoholicum
C. Leptospirosis D. Measles E. Typhoid fever
5. A 28-year-old patient was hospitalized with preliminary diagnosis "influenza". Roseolous-petechial rash appeared on the 5th day of disease on the trunk. The temperature is 41^oC. Hyperemia of face, reddening of scleras, tremor of tongue, tachycardia, splenomegaly are present. What is the most likely diagnosis?
A. Epidemic typhus B. Measles C. Alcohol delirium
D. Leptospirosis E. Typhoid fever
6. A 55-year-old patient with a characteristic rash, fever, dizziness has been admitted to a hospital. He has been provisionally diagnosed with typhus. No similar cases have been reported. In his youth (15 years old) the patient suffered typhus in a boarding school. What disease is it?
A. Brill’s disease B. Typhoid fever C. Measles D. Rubella E. Cholera
7. 5 days before, a 26-year-old female patient developed an acute condition. Objectively: marked headache, vomiting, weakness, poor appetite, temperature up to 39^oC. Objectively: the patient is in a moderately grave condition, excited. The face is hyperemic, sclerae are injected. The tongue is coated with brown fur. The trunk and limbs are covered with plentiful roseolous and petechial rash. Hepatosplenomegaly is present. Complement binding reaction with Rickettsia prowazekii is positive with the titer of 1:640. What drug should be administered?
A. Doxycycline B. Chloramphenicol C. Penicillin
D. Streptomycin E. Metronidazole


Chlamydia
1. A 35-year-old patient has been admitted to a hospital for pain in the left sternoclavicular and knee joints, lumbar area. The disease has an acute character and is accompanied by fever up to 38^oC. Objectively: the left sternoclavicular and knee joints are swollen and painful. In blood: WBCs - 9, 5x10⁹/l, ESR - 40 mm/h, CRP - 1,5 millimole/l, fibrinogen - 4,8 g/l, uric acid - 0,28 millimole/l. Examination of the urethra scrapings reveals chlamydia. What is the most likely diagnosis?