General microbiology

A. Allergic
B. Inflammatory
C. Cardiac
D. Alimentary
E. Hepatic
63. 1 minute after the patient had been administered penicillin the patient’s arterial pressure sharply dropped, pulse became thread, cold sweating and clonic convulsions began. Name this condition.
A. Anaphylactic shock B. Traumatic shock
C. Burn shock D. Septic shock E. Cardiogenic shock
64. A 35 year old woman consulted a doctor about affection of arm skin and lower third of forearm in form of a large edema, hyperemia, vesiculation and maceration. The disease developed after using a laundry detergent "Lotos". The patient has been using it for a month. She hasn’t suffered from dermatological diseases before. What is the most probable diagnosis?
A. Allergic dermatitis B. Dermatitis simplex C. Toxicoallergic dermatitis
D. Microbial eczema E. Localized neurodermatitis
65. A 22-year-old girl has been complaining of having itching rash on her face for 2 days. She associates this disease with application of cosmetic face cream. Objectively: apparent reddening and edema of skin in the region of cheeks, chin and forehead; fine papulovesicular rash. What is the most likely diagnosis?
A. Allergic dermatitis B. Dermatitis simplex
C. Eczema D. Erysipelas E. Neurodermatitis
66. Hemotransfusion stimulated development of intravascular erythrocyte hemolysis. The patient has the following type of hypersensitivity:
A. II type hypersensitivity (antibodydependent)
B. I type hypersensitivity (anaphylactic)
C. III type hypersensitivity (immune complex)
D. IV type hypersensitivity (cellular cytotoxicity)
E. V type hypersensitivity (granulomatosis)
67. The patient’s condition after blood transfusion has been aggravated by posttransfusion shock. Name the type of allergic reaction causing this pathology.
A. Cytotoxic B. Anaphylactic C. Immune complex
D. Delayed-type hypersensitivity E. Receptor-mediated
68. During blood transfusion a patient has developed intravascular erythrocyte hemolysis. What kind of hypersensitivity does the patient have?
A. II type (antibody-dependent) B. I type (anaphylactic)
C. III type (immune complex) D. IV type (cellular cytotoxicity)
E. IV type (granulomatosis)
69. On the 8th day since the patient was inoculated with antitetanic serum because of dirty wound of his foot he has developed rising temperature up to 38⁰С, pains in the joints, rash and itch. The blood tests revealed leukopenia and thrombocytopenia. Allergic reaction of what type has developed in this case?
A. Anaphylactic B. Cytotoxic
C. Delayed type of hypersensitivity
D. Stimulating E. Immunocomplex
70. A 16-year-old adolescent was vaccinated with DTP. In eight days there was stiffness and pain in the joints, subfebrile temperature, urticarial skin eruption, enlargement of inguinal, cervical lymph nodes and spleen. What kind of allergic reaction is observed?
A. Immunocomplex B. Hypersensitivity of immediate type
C. Cytoxic D. Hypersensitivity of delayed type E. –
71. A patient has been diagnosed with acute glomerulonephritis that developed after he had had streptococcal infection. It is most likely that the affection of basal glomerular membrane is caused by an allergic reaction of the following type:
A. Immune complex B. Anaphylactic
C. Cytotoxic D. Delayed E. Stimulating
72. 10 days after having quinsy caused by beta-hemolytic streptococcus a 6-year-old child exhibited symptoms of glomerulonephritis. What mechanism of glomerular lesion is most likely in this case?
A. Immunocomplex B. Cellular cytotoxicity
C. Anaphylaxis D. Atopy
E. Antibody-dependent cell-mediated cytolysis
73. A male patient has been diagnosed with acute post-streptococcal glomerulonephritis. It is most likely that the lesion of the basement membrane of renal corpuscles was caused by the following allergic reaction:
A. Immune complex B. Anaphylactic
C. Cytotoxic D. Delayed E. Stimulating
74. A 12-year-old child has developed nephritic syndrome (proteinuria, hematuria, cylindruria) 2 weeks after the case of tonsillitis, which is a sign of affected glomerular basement membrane in the kidneys. What mechanism is the most likely to cause the basement membrane damage?
A. Immune complex B. Granulomatous C. Antibody-mediated
D. Reaginic E. Cytotoxic
75. A 30 year old woman has applied a lipstick with a fluorescent substance for a long time. Then she got a limited erythema and slight peeling on her lip border, later there appeared transversal striae and cracks. Special methods of microscopic examination of the affected area helped to reveal sensibilized lymphocytes and macrophages in the connective tissue; cytolysis. What type of immunological hypersensitivity was developed?
A. IV type (cellular cytotoxicity) B. I type (reaginic)
C. II type (antibody cytotoxicity)
D. III type (immune complex cytotoxicity) E. Granulomatosis
76. A 30 year old woman has been continuously using lipstick with a fluorescent substance that led to development of a limited erythema on the prolabium, slight peeling, and later small transversal sulci and fissures. Microscopic examination of the affected zone revealed in the connective tissue sensibilized lymphocytes and macrophages, effects of cytolysis. What type of immunological hypersensitivity has developed on the lip?
A. IV type (cellular cytotoxicity) B. I type (reagin type)
C. II type (antibody cytotoxicity)
D. III type (immune complex cytotoxicity) E. Granulomatosis
77. A patient visited a dentist with complaints of redness and edema of his mouth mucous membrane in a month after dental prosthesis. The patient was diagnosed with allergic stomatitis. What type of allergic reaction by Gell and Cumbs underlies this disease?
A. Delayed type hypersensitivity B. Cytotoxic
C. Immunocomplex D. Anaphylactic E. Stimulating
78. A woman has been applying a new cosmetic preparation for a week that resulted in eye-lid inflammation accompanied by hyperemia, infiltration and painfulness. What type of allergic reaction was developed?
A. IV B. I C. II D. III E. V
79. Tuberculine was injected intracutaneously to the child for tuberculin test. Marked hyperemia, tissue infiltration developed on the place of injection in 24 hours. What mechanism caused these modifications?
A. Cells cytotoxity B. Reagin type cytotoxity C. Granuloma formation
D. Immunocomplex cytotoxity E. Antibody cytotoxity
80. 48 hours after performing tuberculin test (Mantoux test) to a child a 10 mm papule appeared on the spot of tuberculin introduction. What hypersensitivity mechanism underlies these changes?
A. Cellular cytotoxicity B. Anaphylaxis
C. Antibody-dependent cytotoxicity
D. Immune complex cytotoxicity E. Granulomatosis
81. A 10-year-old child had the mantoux tuberculin test administered. 48 hours later a papule up to 8 mm in diameter appeared on the site of the injection. What type of hypersensitivity reaction developed after the tuberculin injection?
A. Type IV hypersensitivity B. Arthus phenomenon C. Seroreaction
D. Atopic reaction E. Type II hypersensitivity reaction
82. A 10 year old child was subjected to Mantoux test (with tuberculin). 48 hours later a papule up to 8 mm in diameter appeared on the site of tuberculin injection. What type of hyperesponsiveness reaction has developed after tuberculin injection?
A. Hyperresponsiveness type IV
B. Reaction of Arthus phenomenon type
C. Reaction of serum sickness type
D. Atopic reaction E. Hyperresponsiveness type II
83. A 10 year old child underwent Mantoux test (with tuberculin). 48 hours later there apperaed a papule up to 8 mm in diameter on the site of tuberculin injection. Tuberculin injection caused the following hypersensitivity reaction:
A. IV type hypersensitivity reaction
B. Arthus reaction C. Seroreaction
D. Atopic reaction E. II type hypersensitivity reaction
84. A 4 year old child had Mantoux test. 60 hours after tuberculin introduction a focal skin hardening and redness 15 mm in diameter appeared. It was regarded as positive test. What type of hypersensitivity reaction is this test based upon?
A. Delayed-type hypersensitivity
B. Immune complex-mediated hypersensitivity
C. Complement-mediated cytotoxic hypersensitivity
D. Immediate hypersensitivity E. –
85. A 45-year-old male died from disseminated tuberculosis. On autopsy the symptoms of tuberculosis were confirmed by both microscopic and histological analyses. What kind of hypersensitivity reaction underlies the process of granuloma development?
A. Delayed B. Antibody-dependent cytotoxicity
C. Complement-dependent cytotoxicity
D. Anaphylactic E. Immune complex
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