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Krok 2008

The document contains multiple questions and answers about identifying various microorganisms and diseases based on laboratory tests and examinations. It discusses identifying lysozyme based on its properties, identifying diphtheria bacilli under a microscope, and identifying Staphylococcus aureus grown on blood agar plates based on its colony morphology and biochemical tests. It also addresses identifying various bacteria, viruses, fungi and diseases from clinical symptoms, laboratory tests and microscopic examinations.

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Abhishek pandey
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0% found this document useful (0 votes)
44 views

Krok 2008

The document contains multiple questions and answers about identifying various microorganisms and diseases based on laboratory tests and examinations. It discusses identifying lysozyme based on its properties, identifying diphtheria bacilli under a microscope, and identifying Staphylococcus aureus grown on blood agar plates based on its colony morphology and biochemical tests. It also addresses identifying various bacteria, viruses, fungi and diseases from clinical symptoms, laboratory tests and microscopic examinations.

Uploaded by

Abhishek pandey
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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In order to speed up healing of a wound of oral mucosa a patient was prescribed

a drug that is a thermostable protein occuring in tears, saliva, mother’s milk


as well as in a new-laid hen’s egg. It is known that this protein is a factor of
natural resistance of an organism. What is it called? A. Lysozyme B. Com-
plement C. Interferon D. Interleukin E. Imanine ANSWER: A Bacterioscopic
examination of a smear from the pharynx of a diphtheria suspect revealed bacilli
with volutine granules. What etiotropic drug should be chosen in this case? A.
Antidiphtheritic antitoxic serum A. Bacteriophage B. Diphtheritic anatoxin C.
Eubiotic D. Interferon ANSWER: A Examination of a patient with pustular
skin lesions allowed to isolate a causati-ve agent that forms in the blood agar
roundish yellow middle-sized colonies surrounded by haemolysis zone. Smears
from the colonies contain irregular-shaped clusters of gram-positive cocci. The
culture is oxidase- and catalase-positive, ferments mannitol and synthesi-zes
plasmocoagulase. What causative agent was isolated? A. Staphylococcus aureus
B. Streptococcus agalactiae C. Streptococcus pyogenes D. Staphylococcus epider-
midis E. Staphylococcus saprophyticus ANSWER: A Microscopic examination
of a Gram-stained scrape from patient’s tongue revealed oval, round, elongated
chains of dark-violet gemmating cells. What disease can be caused by this
causative agent? A. Candidosis B. Actinomycosis C. Streptococcic infection D.
Staphylococcic infection E. Diphtheria ANSWER: A Blood of a patient with
presumable sepsis was inoculated into sugar broth. There appeared bottom sedi-
ment. Repeated inoculation into blood agar caused growth of small transparent
round colonies surrounded by hemolysis zone. Examination of a smear from the
sediment revealed gram-positive cocci in form of long chains. What microor-
ganisms are present in blood of this patient? A. Streptococci B. Micrococci C.
Staphylococci D. Tetracocci E. Sarcina ANSWER: A The territory of an old
burial ground for animal refuse that hasn’t been used for over 50 years is meant
for house building. But soil investigation showed the presense of viable spores of
a causative agent causing a very dangerous disease. What microorganism might
have been preserved in soil for such a long period of time? A. Bacillus anthracis
B. Francisella tularensis C. Brucella abortus D. Yersinia pestis E. Mycobacterium
bovis ANSWER: A Microscopy of stained (Ziehl-Neelsen staining) smears taken
from the sputum of a patient with chronic pulmonary di-sease revealed red bacilli.
What property of tuberculous bacillus was shown up? A. Acid resistance B.
Alkali resistance C. Alcohol resistance D. Capsule formation E. Sporification
ANSWER: A It was revealed that T-lymphocytes were affected by HIV. Virus
enzyme - reverse transcriptase (RN A-dependent DN A polymerase) - catalyzes
the synthesis of: A. DN A on the matrix of virus mRN A B. Virus informational
RN A on the matrix of DN A C. DN A on virus ribosomal RN A D. D. Viral
DN A on DN A matrix E. mRN A on the matrix of virus protein ANSWER:
A In order to estimate toxigenity of di-phtheria agents obtained from patients
the cultures were inoculated on Petri dish with nutrient agar on either side of a
filter paper strip that was put into the centre and moistened with antidiphtheric
anti-toxic serum. After incubation of inoculati-ons in agar the strip-like areas
of medium turbidity were found between separate cultures and the strip of
filter paper. What immunological reaction was conducted? A. Precipitation

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gel reaction B. Coomb’s test C. Agglutination reaction D. Rings precipitation
reaction E. Opsonization reaction ANSWER: A 48 hours after tuberculine test
(Mantoux test) a child had a papule 10 mm in diameter on the spot of tuber-
culine injection. What hypersensitivity mechani-sm underlies these changes?
A. Cellular cytotoxicity B. Anaphylaxy C. Antibody-dependent cytotoxicity D.
Immunocomplex cytotoxicity E. Granulomatosis ANSWER: A A 40 year old
man noticed a reddening and an edema of skin in the area of his neck that
later developed into a small abscess. The incised focus is dense, yellowish-green.
The pus contains white granules. Histological examination revealed drusen of a
fungus, plasmatic and xanthome cells, macrophages. What type of mycosis is
the most probable? A. Actinomycosis B. Aspergillosis C. Candidosis D. Sporotri-
chosis E. Coccidioidomycosis ANSWER: A A patient recovered from Sonne
dysentery and was once more infected with the same causative agent. What is
such infection form called? A. Reinfection B. Recidivation C. Superinfection D.
Persisting infection E. Chronic infection ANSWER: A A culture of monkey cells
(Vero) and a group of mouse sucklings were infected with an inoculum taken
from a child with provisional diagnosis “enterovirus infecti-on”. There was no
cytopathic effect on the cell culture but mouse sucklings died. What enteric
viruses might have caused disease of this child? A. Coxsackie A B. Coxsackie B
C. ECHO virus D. Polioviruses E. Unclassified enteric viruses 68-71 ANSWER:
A A patient of surgical department complains about pain in the small of her
back and in the lower part of her belly; painful and frequent urination. Bacteri-
ological examination of urine revealed gram-negative oxidase-positive rod-like
bacteria forming greenish mucoid coloni-es with specific smell. What causative
agent can it be? A. Pseudomonas aeruginosa B. Proteus mirabilis C. coli D.
Str.pyogenes E. Mycoplasma pneumonie ANSWER: A A patient was diagnosed
with autoimmune hemolitic cytotoxic anemia. What substances are antigens in
II type allergic reactions? A. Modified receptors of cell membranes B. Antibiotics
C. Hormones D. Serum proteins E. Inflammation modulators ANSWER: A A
specimen stained by Ozheshko method contains rod-like microorgani-sms stained
blue with round terminal components stained red. What are these components
called? A. Spores B. Cilia C. Flagella D. Capsules E. Mesosomas ANSWER: A A
patient of surgical department complains about pain in the small of her back and
in the lower part of her belly; painful and frequent urination. Bacteri-ological
examination of urine revealed gram-negative oxidase-positive rod-like bacteria
forming greenish mucoid colonies with specific smell. What causative agent can
it be? A. Pseudomonas aeruginosa B. Proteus mirabilis C. coli D. Str.pyogenes E.
Mycoplasma pneumonie ANSWER: A 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 ANSWER: A Inoculum from
pharynx of a patient ill with angina was inoculated into blood-tellurite agar. It

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resulted in growth of grey, radially striated (in form of rosettes) colonies 4-5
mm in diameter. Gram-positive bacilli with clublike thickenings on their ends
placed in form of spread wide apart fingers are visible by microscope. What
microorganisms are these? A. Diphtheria corynebacteria B. Botulism clostridia
C. Diphtheroids D. Streptococci E. Streptobacilli ANSWER: A Planned mass
vaccination of all newborn 5-7 day old children against tuberulosis plays an
important role in tuberculosis prevention. In this case the following vaccine
is applied: A. BCG B. Diphteria and tetanus toxoids and pertussis vaccine C.
Diphtheria and tetanus anatoxin vaccine D. Adsorbed diphtheria vaccine E. ST
ANSWER: A

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