Bank of Krok testing to module N1

A *Absence of cell immunity to the tuberculosis
B Presence of cell immunity to the tuberculosis
C Absence of antibodies for tubercle bacillus
D Absence of antitoxic immunity to the tuberculosis
E Presence of antibodies for tubercle bacillus

*08* Planned mass vaccination of all newborn 5-7 day old children against tuberculosis plays an important role in tuberculosis prevention. In this case the following vaccine is applied:

Adsorbed diphtheria vaccine
Diphtheria and tetanus toxoids and pertussis vaccine (DPT)
*BCG
Diphtheria and tetanus toxoids (DTT)

Mycobacterium leprae

97. After complex examination of a patient leprosy was diagnosed. Name the skin allergic test, which should be used to confirm the diagnosis.

A. Dick's.
B. Mantoux.
C. *Mitsuda's.
D. Coombs'.
E. Schick’s.

*03*a child had been examined with Mantoux test to decide about necessity of revaccination. Test appeared as negative. What does such result indicate?

Absence of antitoxic immunity to tubercle bacilli
Presence of antibody to tubercle bacilli
*absence of cellular immunity to tuberculosis
Presence of cellular immunity to tuberculosis
Absence of antibody to tubercle bacilli

Treponema pallidum

141. A patient with syphilis suspected has arrived to a hospital. What method should be used for detecting the causative agent in hard chancre?
A. Microscopy of material stained by Gram's method.
Isolation of pure culture.
*Using dark-field microscopy.
Wassermann test.
E. Agglutination test.

*06* A patient, 18 years old, has enlarged inguinal lymph nodes, painless, indurated at palpation. On genital mucous membrane there is small ulcer with indurated edges and “varnished” grayish bottom. What diagnosis is the most probable?

Gonorrhea
Tuberculosis
Leprosy
Trophic ulcer
*Syphilis

*04* 80.b-12 Microscopy of the specimen of a regional lymph node punctate stained by Romanowsky-Giemsa showed thin microorganisms with 12-14 regular curls and pointed ends of light rose color 10-13 micrometers long. What disease could this agent cause?

A. Relapsing fever.
B.Toxoplasmosis.
C.Leptospirosis.
D. *Syphilis.
E.Leishmaniasis.

162. A laboratory assistant has taken blood serum from a patient with preliminary diagnosed syphilis for the immune reaction based on detecting antibodies, which inhibit the motility of treponemes and lead to their death. What test has been used for diagnostics?

A. Complement fixation.
B. *Immobilization.
C. Agglutination.
D. Precipitation.
E.Neutralization.

*Treponema immobilization test is used for confirmation of diagnosis “secondary syphilis”. Which reagents are necessary for this test?

*Patient serum, complement, alive treponema suspension
Inactivated patient serum, complement, alive treponema suspension
Patient blood, complement, alive treponema suspension
Patient serum, complement, cardiolipin antigen, alive treponema suspension
Patient blood, complement, cardiolipin antigen, alive treponema suspension

*06* 71. To conduct syphilis serum diagnostics using the Wassermann test a laboratory doctor has prepared the following reagents: cardiolipidic antigen (ethanolic extract of lipids from a bull's cardiac muscle with cholesterol), hemolytic system, test serums, isotonic sodium chloride solution, and antigen of treponema destroyed by ultrasound. What another ingredient should be used for this test?

A. *Complement.
B.Live treponema.
C.Sheep erythrocytes.
D.Diagnostic precipitating serum.
E. Diagnostic antiglobulin serum

155. A 30-year-old patient's Wassermann test is positive (++++). What infectious disease diagnostics is this test used for?

A. Brucellosis.
B.* Syphilis.
C. Tuberculosis.
D. Poliomyelitis.
E. Influenza.

*00* During patient with pulmonary tumor examination Wassermann test has been made and it was positive (+++). Which next doctor tactics will be?

To assign Wassermann test secondary with microprecipitation test
*To make a diagnosis: syphilis
To assign Wassermann test secondary
To assign microprecipitation tests
To assign biopsy formpulmonary tumor

*A month after discharge of young man from the dermatovenereological hospital, where he had been treated from syphilis, he visited a doctor again with complaints of indurated painless ulcer. A doctor made diagnosis “primary syphilis”. What results of previous treatment? What is the name of form of infectious disease revealed by doctor?

*Total recovery, reinfection
Total recovery, superinfection