A. Parenteral introduction of polyvalent antibotulinic serum B. Parenteral disintoxication C. Parenteral introduction of antibiotics
D. Gastric lavage E. Parenteral introduction of antitetanus serum
45. A patient diagnosed with botulism has been prescribed antibotulinic serum for treatment. What immunity will be formed in the given patient?
A. Antitoxic passive immunity B. Infection immunity
C. Antitoxic active immunity
D. Antimicrobic active immunity
E. Antimicrobic passive immunity
46. A patient has food poisoning. Laboratory analysis revealed a culture of anaerobic gram-positive spore-forming bacteria. What is the most likely kind of the isolated causative agent?
A. C. perfringens B. Proteus vulgaris C. P. mirabilis
D. Vibrio parahemolyticus E. Esherichia coli
47. Gram-positive spore-forming bacilli were extracted in anoxic environment from the patient’s wound contaminated with soil. Cultivation on a blood-glucose agar resulted in growth of the colonies surrounded with hemolysis zone. What agent was extracted from the wound?
A. Clostridium perfringens B. Clostridium botulinum
C. Staphylococcus aureus
D. Pseudomonas aeruginosa
E. Esherichia coli
48. On the 5th day after a surgery for colon injury a patient complains of bursting pain in the postoperative wound, weakness, drowsiness, headache, fever up to 40oC. Objectively: the skin around the wound is swollen, there is gas crepitation. The wound discharges are scarce foul-smelling, of dark-gray color. What is the most likely diagnosis?
A. Anaerobic clostridial wound infection B. Abscess
C. Postoperative wound infection D. Erysipelas E. Phlegmon
49. 4 days after a patient received a gunshot wound of the middle third of the thigh soft tissues his condition suddenly began deteriorating. There are complaints of bursting pain in the wound; pain increases during the last 12 hours. Edema of skin and hypodermic tissue quickly grows. Body temperature is 38,2oC, heart rate is 102/min. The wound edges gape, are dull in color; the muscles, viable as of day before, now protrude into the wound, look boiled, are dull in color, have dirty-grey coating and fall apart when being held with forceps. What infection has developed in the wound?
A. Anaerobic B. Aerobic gram-negative C. Putrid
D. Aerobic gram-positive E. Diphtheria of wound
50. A laboratory received a material from a patient’s wound. Preliminary diagnosis is gaseous gangrene. What microbiological method should be applied to determine species of causative agent?
