General microbiology



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microb krok-1 dent 2

Measles virus
1. A 4-year-old girl died suddenly with symptoms of asphyxia. Autopsy revealed white spots on the buccal mucosa; large blotches of rash on the skin of face, trunk and extremities; conjunctivitis, edema with foci of necrosis on the laryngeal mucosa; giant-cell pneumonia on microscopy. What is the most likely diagnosis?
A. Measles B. Scarlet fever C. Influenza
D. Meningococcal infection E. Typhus
2. A child is 4 years old, has been ill for 5 days. There are complaints of cough, skin rash, to- 38,2oC, face puffiness, photophobia, conjunctivitis. Objectively: there is bright, maculo-papulous, in some areas confluent rash on the face, neck, upper chest. The pharynx is hyperemic. There are seropurulent discharges from the nose. Auscultation revealed dry rales in lungs. What is the most likely diagnosis?
A. Measles B. Rubella C. Scarlet fever
D. Adenoviral infection E. Enterovirus exanthema
3. A child, aged 4, has being ill for 5 days, suffers from cough, skin rash, t0- 38,2 °C, facial hydropy, photosensitivity, conjunctivitis. On the face, neck, upper part of the chest there is bright maculopapular rash with areas of merging. Hyperemic throat. Seropurulent nasal discharge. In lungs there are dry crackles. What is the most probable preliminary diagnosis?
A. Measles B. Rubella C. Scarlet fever
D. Adenovirus infection E. Enterovirus exanthema
4. Such presentations as catarrhal conjunctivitis, pharyngitis, laryngotracheo-bronchitis, white spots on the buccal mucosa in the region of lower premolar teeth, maculopapular rash on face, body and extremities are typical for the following disease:
A. Measles B. Spotted fever C. Scarlet fever
D. Meningococcal infection E. Influenza
5. A 7 year old child had an acute onset of disease. Pediatrician stated that mucous membrane of face is hyperemic and covered with a lot of mucus. Mucous membrane of cheeks has whitish stains. Next day the child’s skin of face, neck, body was covered with coarsely-papular rash.What disease may be presumed?
A. Measles B. Scarlet fever C. Diphteria
D. Meningococcemia E. Allergic dermatitis
6. There is a 7-year-old child with complains of cough, lacrimation, rhinitis, skin rash, photophobia and three-day-long fever as high as 38oC. Physical examination has revealed the following: conjunctivitis; bright red maculopapular rash covering the skin of face, neck and torso; hyperemic pharynx; serous purulent secretions from the nose; dry rales in the lungs. What is the most probable diagnosis?
A. Measles B. Scarlet fever C. Rubella
D. Adenovirus infection E. Chicken pox
7. A 5-year-old child developed an acute disease starting from body temperature rise up to 38,5oC, running nose, cough and conjunctivitis. On the 4th day the child presented with maculo-papular rash on face. Body temparature rose again up to 39,2oC. Over the next few days the rash spread over the whole body and extremities. Mucous membrane of palate was hyperemic, there was whitish deposition on cheek mucous membrane next to molars. What is your provisional diagnosis?
A. Measles B. Acute viral respiratory infection
C. Yersinia D. Rubella E. Enterovirus diseases
8. A 3 year old child has been suffering from fever, cough, coryza, conjunctivitis for 4 days. He has been taking sulfadimethoxine. Today it has fever up to 39oC and maculopapular rash on its face. Except of rash the child’s skin has no changes. What is your diagnosis?
A. Measles B. Allergic rash C. Rubella
D. Scarlet fever E. Pseudotuberculosis
9. Blood serum of a newborn contains antibodies to measles virus. What kind of immunity is this indicative of?

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