General microbiology

A. Microscopy of blood smears
B. Study of lymph node punctate
C. Urinalysis D. Study of cerebrospinal fluid
E. Microscopy of bone marrow punctuate
42. According to the data of WHO, for about 250 mln of Earth population fall ill with malaria. This disease is mostly spread in tropical and subtropical regions. Range of its spread falls into the area of the following mosquitoes:
A. Anopheles B. Culex C. Aedes D. Mansonia E. Culiseta
43. A patient has been brought to the hospital with the complaints of headache, pain in left hypochondrium. He has been ill for 1,5 weeks. The sudden illness began with the increase of body temperature up to 39, 90C. In 3 hours the temperature decreased and hydropoiesis began. The attacks repeat rhythmically in 48 hours. The patient had visited one an African country. The doctors have suspected malaria. What method of laboratory diagnostics is necessary to use?
A. Blood examination B. Immunological tests
C. Stool examination D. Urine examination E. -
44. A journalist’s body temperature has sharply increased in the morning three weeks after his mission in India, it was accompanied with shivering and bad headache. A few hours later the temperature decreased. The attacks began to repeat in a day. He was diagnosed with tropical malaria. What stage of development of Plasmodium is infective for anopheles-female?
A. Gametocytes B.Shizontes C.Merozoites
D.Microgamete E.Sporozoites
45. A 47-year-old patient came to see a doctor on the 7th day of disease. The disease developed very fast: after the chill body temperature rose to 40^oC and lasted up to 7 hours, then dropped abruptly, which caused profuse sweat. There were three such attacks occur in once in two days. Two days ago the patient arrived from Africa. Objectively: pale skin, subicteric sclera, significantly enlarged liver and spleen. What is the cause of fever attacks in this disease?
A. Erythrocytic schizogony
B. Tissue schizogony C. Exotoxin of a causative agent
D. Gametocytes E. Endotoxin of a causative agent
46. A 34-year-old male visited Tajikistan. After return, he complains of fever up to 40^oC which occurs every second day and is accompanied by chills, sweating. Hepatosplenomegaly is present. Blood test results: RBC- 3x10¹²/l, Нb- 80 g/l, WBC- 4x10⁹/l, eosinophils - 1%, stab neutrophils - 5%, segmented neutrophils - 60%, lymphocytes - 24%, monocytes - 10%, ESR - 25 mm/h. What is the provisional diagnosis?