Introduction into the Infectious Diseases. Infections with fecal-oral mechanism of transmission. Infections with droplet mechanism of transmission. Tests
Introduction into the Infectious Diseases. Infections with fecal-oral mechanism of transmission. Infections with droplet mechanism of transmission. Tests
A suspected case of typhoid fever of 1st week is admitted in the hospital. What specific examination (laboratory diagnosis) do you suggest for this patient?
A suspected case of typhoid fever of 1st week is admitted into the hospital. What examination (laboratory investigation) do you prescribe for this patient?
* Hemoculture
Reaction of agglutination of Vidall
Indirect hemaglutination test with О-, Н-, Vi-аntigens
Urinoculture
Coproculture
A suspected case of typhoid fever of 3-d week is admitted in the hospital. What examination (laboratory investigation) do you prescribe for this patient?
Coproculture
Reaction of agglutination of Vidall
Urinoculture
Hemoculture
* All enumerated
A suspected case of typhoid fever of 2-nd week is admitted in the hospital. What examination (laboratory diagnosis) do you suggest for this patient?
Coproculture
Reaction of agglutination of Vidall
Urinoculture
Hemoculture
* All enumerated
About what does the diagnostic titre of reaction of Vі-haemaglutination testify?
* About typhoid bacterial-carrier
About the period of height of the epidemic typhus
About meningococcaemia
About a malaria
About the latent period of brucellosis
After salmonellosis chronic carrier state.
Not formed
* Formed in 0,1-1 % of the cases
Formed in 8-10 % of cases
Formed in 20-30 % of cases
Formed in 50-80 % of cases
All laboratory and instrumental examinations are needed to confirm the diagnosis of food poisoning, except:
All laboratory and instrumental examinations are needed to confirm the diagnosis of food poisoning, except:
* Urinoculture
Coproculture
Investigation of washing waters
Stool test
Serum researches with the autoculture of substance
All the laboratory and instrumental examinations are needed to confirming the diagnosis of food poisoning, except:
* General blood analysis
Coproculture
Stool test
Food debris
Serum researches with the autoculture of substance
At the typical form of typhoid fever temperature of body rises to 39-40 °C. The temperature curve likes to 2 waives (during 3-4 weeks of disease). How is such temperature curve named?
At the typical form of typhoid fever temperature of body rises to 39-40 °C. The temperature curve likes to 2 waives (during 3-4 weeks of disease). How is such temperature curve named?
Febris intermittent
* The temperature curve as Botkin
Febris recurrent
Temperature curve as Kildushevsky
Normal temperature
At the typical form of typhoid fever temperature of body rises to 37-37,5 °C. How is such temperature curve named?
The temperature curve as Vunderlihs
* The subfebrile temperature curve
Temperature curve as Kildushevsky
Temperature curve as Ellers
Intermedium temperature curve
At the typical form of typhoid fever, temperature of body rises like to stairs from a day to the day to 39-40 °C.
* The temperature curve as Vunderlihs
The temperature curve as Botkin
Temperature curve as Kildushevsky
Temperature curve as Ellers
Intermedium temperature curve
At the typical form of typhoid fever, temperature of body rises like to stairs from a day to the day to 39-40 °C at the end of 1st week, and then slowly during 2-3 weeks gradually going down, comes to the norm. How is such temperature curve named?
The temperature curve as Vunderlihs
The temperature curve as Botkin
* Temperature curve as Kildushevsky
Temperature curve as Ellers
Intermedium temperature curve
Bacteria typhoid, painted by Gram, look like.
The blue-violet rods
* Red rods
Blue-violet cocci
Red cocci
Brown vibrio
Bacteria typhoid, painted by Gram, looks like:
The yellow rods
Black vibrio
Blue cocci
Red cocci
* Red rods
Bacteria typhoid, painted by Gram, looks like:
Pink protozoa
Red fungi
Violet cocci
* Red rods
Green vibrio
By which method is it possible to diagnose typhoid fever?
All enumerated
Coproculture
Bilicultura
* Hemocultura
Reaction of Vidal
By which method is it possible to find out bacterial carrier in case of typhoid fever?
Coproculture
Reaction of agglutination of Vidall
Indirect hemaglutination test with О-аntigen
Indirect hemaglutination test with a Н-antigen
* Indirect hemaglutination test with a Vi-antigen
By which method is it possible to find out bacterial carrier in case of typhoid fever?
* Indirect hemaglutination test with a Vi-antigen
Reaction of agglutination of Vidall
Stool test
Indirect hemaglutination test with a Н-antigen
Swab from oropharynx
Convalescent of typhoid fever may be discharged from clinic after:
* 21-th day of normal temperature of body and 3-multiple negative bacteriologic examination of excrements and urine
14-th day of normal temperature of body and 2-multiple negative bacteriologic examination of excrements and urine
Clinical convalescence and normalization of rectoscopic picture
Normalization of rectoscopic picture and decreasing of titre of antibodies in RNGA
Convalescent of typhoid fever may be discharged from clinic after:
* 21-th day of normal temperature of body and 3-multiple negative bacteriologic examination of excrements and urine
Normalization of rectoscopic picture and decreasing of titre of antibodies in RNGA
3-th day of normal temperature of body and 2-multiple negative bacteriologic examination of excrements and urine
Clinical convalescence and normalization of rectoscopic picture
14-th day of normal temperature of body and 2-multiple negative bacteriologic examination of excrements and urine
District doctor suspected typhoid fever in a patient M., 15 y.o. For rendering harmless of patient as the sources of infection it follows to conduct the following measures, except:
* Introduction to the patient of antityphoid monovaccine
Hospitalization in the infectious department during 3-6 hours
Introduction etiotropic antibacterial treatment
Conducting of controls bacteriological researches of excrement and urine (triply) and bile before the discharge
Clinical supervision after the discharge during 3 months
Duration of incubation period at typhoid fever?
3-7 days
* 9-21 day
From a few hours to 2-3 days
From 12 to 100 days
From a few hours to 17 days
Duration of incubation period at typhoid fever?
30-45 days
3-7 days
From a few hours to 2-3 days
* 9-21 day
From a few hours to 12 days
Entrance of causative agent at typhoid fever?
Mucous membrane of amygdales
Mucous membrane of nasopharynx
Epithelial cells of skin
Mucous membrane of colon
* Mucous membrane of digestive tract
For proven of Salmonella typhus infection use:
Test of Cuverkalov
RA with O- and Н-antigen
PCR
Bacteriologic examination and reaction of Vidal
* Bacteriologic examination and RNGA with a Vi-antigen
For identification of transmitter of Salmonella typhi utilize:
* Bacteriologic examination and RNGA with a Vi-antigen
RIHA with Н-antigen
Bacteriologic examination and reaction of Vidal
General blood analysis
Test of Paula- Bunnela
Greatest epidemiological role in the salmonellosis belongs.
* Sanitary and epidemiological control over food industry
All these measures are not undertaken
Medical workers at salmonellosis must to work in protective clothing:
* Type I
Type II
Type III
Type IV
Type V
Name of the basic factors of pathogen of typhoid rod?
* Vi-antigen and endotoxin
Exotoxin
Vi-antigen
Enzymes of pathogenicity
Endotoxin
Enumerate the basic factors of pathogen activity of typhoid bacteria?
Vi-antigen
Exotoxin
* Vi-antigen and endotoxin
Enzymes of pathogenicity
Endotoxin
The basic factors of pathogen activity of typhoid bacteria are:
Endotoxin
Exotoxin
Vi-antigen
Enzymes of pathogenicity
* Vi-antigen and endotoxin
Nowadays in Ukraine salmonellosis.
Not registered
Reported in the form of epidemics
* Reported sporadically
Reported in the form of annual outbreaks
Reported only in endemic focus
One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of hemoculture. For that in a fever period at 1-st week sowing of blood from a vein on bilious bulione or Rappoport medium
One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of hemoculture. For that in a fever period at 3-d week sowing of blood from a vein on bilious bulione or Rappoport medium
5 ml of blood
10 ml of blood
15 ml of blood
* 20 ml of blood
25 ml of blood
One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of hemoculture. For that in a fever period sowing of blood from a vein on bilious bullion or Rappoport‘s medium in correlation 1:10 is made. What volume of blood must be taken on the 2nd week of disease?
5 ml of blood
10 ml of blood
* 15 ml of blood
20 ml of blood
25 ml of blood
What volume of blood must be taken on the 1st week of typhoid fever for sowing of blood from a vein on bilious bulione or Rappaport‘s medium.
0,5 ml of blood
* 10 ml of blood
15 ml of blood
20 ml of blood
25 ml of blood
What volume of blood must be taken on the 3-d week of typhoid fever for sowing of blood from a vein on bilious bulione or Rappaport‘s medium.
5 ml of blood
10 ml of blood
15 ml of blood
* 20 ml of blood
25 ml of blood
Patient K., applied to the infectious department suspecting food poisoning (maybe staphylococce). What methods can confirm the diagnosis?
Diagnostic confirmation requires isolating staphyloccocci from the urine
Diagnostic confirmation requires isolating staphyloccocci from the stool
Diagnostic confirmation requires isolating staphyloccocci from the liquor
* Diagnostic confirmation requires isolating staphyloccocci from the suspected food
All enumerated
Convalescents of typhoid fever may go out from clinic after:
Non-permanent negative bacteriologic examination of defecating
* 21th day of normal temperature of body and 3-multiple negative bacteriologic examination of excrement and urine
14th day of normal temperature of body and 2-multiple negative bacteriologic examination of excrement and urine
Clinical convalescence and normalization of rectal manoscopic picture
Normalisations of rectal manoscopic picture and in default of title of antibodies in RNGA
Site of causative agent entrance at typhoid fever?
Mucous membrane of amygdales
Mucous membrane of pharynx
Epithelial cells of skin
Mucous membrane of colon
* Mucous membrane of small intestine
The etiologic diagnosis of acute intestinal infections can be confirmed thus, except:
Separation of pathogen from patients and from food debris
To obtain identical cultures of bacteria from a few patients from those which consumed that meal
* Separation of identical cultures from different materials (washings, vomiting mass, excrement) at one patient at the bacterial semination no less than 105/g and diminishing of this index in the process of convalescence
Presence at the selected culture of Escherichia’s and staphylococcus enterotoxin
Positive agglutination reaction or other immunological reactions with autostrains of possible pathogen, which testify to growth of title of antibodies on the blood serum of patient in the dynamics of disease
The kind of immunity after salmonellosis.
Passive
Not formed
Short term
* Type specific
Inherited
The kind of immunity after salmonellosis.
Inherited
* Type specific
Short term
Not formed
Permanent
What immunity formed after salmonellosis.
Inherited
* Type specific
Short term
Not formed
Passive
The part of reproduction of typhoid bacterium in the organism of human is:
Stomach
* Lymphatic formations of colon
Blood
Bilious ways
Mucous membrane of colon
Place of reproduction of typhoid bacterium in the organism:
Stomach
* Lymphatic formations of colon
Blood
Bilious ways
Mucous membrane of colon
The part of reproduction of typhoid bacterium in the organism of human is:
Oral cavity
* Lymphatic formations of colon
Blood
Nerve ganglions
Mucous membrane of colon
The rules of discharging from a hospital of salmonellosis patients.