Bank of Krok testing to module N1


A Microaerophilic ability B


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Bog'liq
20150829-211235

A Microaerophilic ability
B Presence of urease
C Colonisation of gastral cells
D Absence of spores and capsules
E Presence of six polar flagella
Chlamidia
* Chlamidia trachomatis has been isolated from genital tract of 35years old man, suffering from chronic urethritis. What organs may this causative agent damage else?
Kidney
Joints
*Eyes
Central nervous system
Gastro-intestinal tract

* Which method of investigation is the most informable to control recovery after chlamydial infection?


*Direct immunofluorescence
Antibody titer detection with ELISA
Polymerase chain reaction
Western-blot
Smear microscopy

Rickettsia


* A patient, 55 years old, with typical rash, fever, and giddiness was admitted to hospital. A previous diagnosis “epidemic typhus” was made. No more same cases were registered. In youth (15 years) he had typhus in board school. Which disease may be told about?
Enteric fever
Measles
Rubella
Cholera
*Brill’s disease
Pathogenic fungi : Candida

*07* 147.b-12 On the mucous membrane of cheeks and tongue of a child some whitish spots looking like coagulated milk were revealed. In the prepared smears Gram-positive oval yeast-like cells are found. What causative agent is this?


A. Corinebacterium diphtheriae.
B. Staphylococci.
C. *Fungi of Candida genus,
D. Actinomycetes.
E. Fusobacteria.

*08* b-12 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?


Diphtheria
*Candidosis
Staphylococcal infection
Actinomycosis
Streptococcal infection

124. The scraping of albescent fur from oral cavity mucous membranes was sent to a laboratory. The material was inoculated onto Sabouraud's medium. Sour cream-like colonies' growth was revealed. Bacterioscopic method has shown short budding strings. What group of infections can we refer this disease to?


A. *Mycosis.
B.Spirochetosis.
C.Rickettsiosis.
D. Mycoplasmosis.
E.Chlamidiosis.

*113. A pediatrician examining a 3-month-old child has noticed that the mucous membrane of the oral cavity and the tongue are covered with dense whitish fur. In the material taken from the site of affection a bacteriologist has revealed yeast. What mycosis will he suspect in this case?


A. Actinomycosis.
B. Favus.
C. Epidermophytia.
D. *Candidiasis.
E.Trichophytosis

A child was hospitalized to a clinic. On the mucous membrane of cheeks, palate, and tongue there was revealed white and yellowish fur typical of candidiasis. What material should be taken for examination?


A. *White exudates (plaques) from different sites of oral cavity.
B. Hair and nails.
C. Blood.
D. Mucus from nasopharynx.
E.Urine.
35. Candidosis of the oral cavity of a child is diagnosed. What preparation should be used for treatment?
A. Cifran.
B. Gentamycin.
C.Penicillin sodium salt.
D.Tetracycline hydrochloride.
E. *Nystatin.

78. Microscopy of the smear of vaginal discharges of a woman with chronic colpovaginitis revealed round and oval budding cells 3-6 micrometers in size. Name the fungal disease, which can be caused by these microorganisms.


A. Epidermophytium.
B.Coccidiosis.
C.*Candidosis.
D. Microsporia.
E.Cryptococcosis.

26. A pregnant woman complained of itching and genital tracts discharges. Bacterioscopy of vaginal discharges smear showed big Gram-positive oval oblong cells which form pseudomycelium. What is the most plausible causative agent of the disease?


A. Staphylococci.
B.*Fungi of Candida genus.
C. Streptococci.
D.Diplococci.
E. Sarcina.

*05*Gram-positive big oval cells with budding chaotically located and elongated cells arranged in chains have been isolated from mucous membrane of a patient, which has been treated with immunosuppressive drugs for a long time. Which causative agent was isolated?


Streptobacteria
Streptococci
Actynomyces
Yersinia
*Candida

* After long-lasting treatment with antibiotics signs of stomatitis have developed in a patient. There were oval pleomorphic Gram-positive cells that arranged in clusters in smears prepared from mucous membrane of oral cavity. Which from listed later microorganisms might be reason of such appearance?


*C.albicans
C.perfringens
S.aureus
S.pyogenes
C.pylori

*03* b-12 At microscopy of patient’s hair taken from damaged places there were mycelium fragments, spores, air bubbles and lipid droplets. What fungal disease is such microscopy appearance is typical for?


*Favus (crusted ringworm)
Trichophytosis
Epidermophytosis
Microsporia
Sporotrychosis

Protozoa

136. A woman with complaints characteristic of inflammatory process in vagina has referred to a gynecologist. Which protozoa can it be caused by?
A. *Trichomonas vaginalis.
B.Toxoplasma gondii.
C.Plasmodium malariae.
D. Entamoeba coli.
E.Lamblia intestinalis.
*06*07* a patient has symptoms of inflammatory process of genito-urinary tract. There are large unicellular pear-shaped organisms with pointed spike on the back side of body, large nucleus and undulate membrane. Which protozoan has been found in a smear?
*Trichomonas vaginalis
Lamblia intestinalis
Trichomonas buccalis
Trichomonas hominis
Trypanosoma gambiense

*08* A gynecologist was examining a patient and revealed symptoms of genital tract infection. A smear from vagina contains pyriform protozoa with spine, flagella at their front; there is also an undulating membrane. What disease can be suspected?


*Urogenital trichomoniasis
Balantidiasis
Toxoplasmosis
Intestinal trichomoniasis
Lambliasis (giardiasis)

*2012* a patient consulted with dentist about itching and burning in the oral cavity; high temperature. The patient was diagnosed with trichiomonal gingivostomatitis. What drug should be chosen for his treatment?



  1. Doxycycline hydrochloride

  2. Ampicillin

  3. Gentamycin sulfate

  4. Nystatin

  5. metronidazole

*02* a woman, 32 year old, with asymptomatic infection has delivered dead child with apparent microcephaly at second time. What disease should doctor think about at first turn?


Histoplasmosis
Brucellosis
Listeriosis
Syphilis
*Toxoplasmosis

*07* A patient is suspected ill with one from protozoan infections. His lymph node punctate has been investigated. There were half-moon shaped (semilunar) bodies with pointed end, blue cytoplasm and red nuclei in the smear stained with Romanowsky-Giemsa. Which protozoan was revealed in smears?


*Toxoplasma
Trypanosome
Malarial plasmodia
Viscera-tropic leishmania
Dermatotropic leishmania

*02*,*03*,*04* *2012* Doctor was visited with patients suffering from the similar complains: weakness, intestinal pain and disorders of GIT. After feecs investigation it has been revealed that current hospitalization was necessary for one of patients, at which cysts with four nuclei have been revealed. What protozoan is such cyst typical for?


Trichomonas
Balantidium
*Dysentery amoeba
Lamblia (Giardia)
Intestinal amoeba

*05,06* A patient with biliary tract inflammation was admitted to gastro-intestinal department. There were motile pear-shaped protozoa, double-nucleated with bearing stem – axostyle. Which protozoan infection is diagnosed at this patient?


*Giardiasis
Enteric amoebiasis
Enteric balantidiasis
Trichomoniasis
Amoebial dysentery

*2013* b-12 examination of the duodenal contents revealed some pear-shaped protozoa with two nuclei and four pairs of flagella. The organisms has also two axostyles between the nuclei and a ventral adhesive disc. What protozoan representive was found in the patient?



  1. Toxoplasma

  2. Lamblia

  3. Trypanosome

  4. Leishmania

  5. Intestinal trichomonas

*03* Parents, that have been worked in Asian country, visited a doctor with ill child. A child has sallow complexion, lack of appetite, sluggishness, enlarged liver, spleen, and regional lymph nodes. Which protozoan infection may be suspected?


Toxoplasmosis
Amoebiasis
Balantidiasis
Lambliosis (giardiasis)
*Visceral leishmaniosis

*04* two weeks after blood transfusion recipient has fever. What protozoan disease may be thought about?


Trypanosomiasis
Amoebiasis
Toxoplasmosis
*Malaria
Leishmaniasis

*2013* a patient who has recently come from an epidemic area presents with elevated body temperature, headache, chills, malaise, that is with are typical for a common cold. What laboratory test are nessesary either to confirm orto refuse the diagnosis of malaria?



  1. Microscopy of the bone marrow punctuate

  2. Study of the lymph node punctuate

  3. *Microscopy of the blood smears

  4. Study of cerebrospinal fluid

  5. Urine assay

*06* a person, which lived in endemic region, has had tertian malaria. 1.5 years after leaving for another region he fell ill with malaria again. What is the most probable form of this disease?


Reinfection
Superinfection
*residivation (recurrence)
Secondary infection
Persistent infection

Sanitary microbiology


3. During a sanitary-bacteriological tap water investigation the following results were obtained: the total amount of bacteria in 1.0 ml is 80, coli index is 3. How should the results of the investigation be evaluated?


Quality of water is doubtful.
*Water is eligible for drinking
Quality of water is very doubtful
Water is polluted.
E. Water is considerably polluted.

b-12 Sanitary-bacteriological investigation of water by the method of membranous filters detects two red colonies on a membranous filter (Endo medium), through which 500 ml of the explored water has been passed. What are the coli index and coli titer of the explored water?


A. *4 and 250.
B. 2 and 500.
C. 250 and 4.
D. 500 and 2.
E. 250 and 2.
Coli-index is an amount of E.coli per 1000 ml of investigated water
Coli-titer is a volume of water (ml) including 1 cell of E.coli
36. Sanitary-bacteriological water research is carried out to assess drinking water eligibility. What numerical symbol characterizes the amount of E.coli per one liter?
Perfringens titer.
B. Coli titer.
Coli phage titer.
*Coli index
Total microbial amount.
60. Sanitary-microbiologic drinking water research is being carried out in a bacteriological laboratory. Total microbial amount appeared to be nearly 100. What microorganisms were taken into account?
A.Enteropathogenic bacteria and viruses.
B. Coliform bacteria.
C. Pathogenic for people and animals bacteria.
D.Opportunistic microorganisms.
E. *All bacteria, which have grown on nutrient medium.
61. Microbial amount of air in a hospital room appeared to be 1500 cells/m3. What groups of microorganisms were taken into consideration?
A. Bacteria and viruses — causative agents of respiratory infections.
B. * All bacteria, which have grown in nutrient medium.
C. Staphylococci and streptococci.
D. Hospital infection causative agents.
E. All pathogenic and opportunistic bacteria.
*b-12 At usual control of the sanitary- bacteriological state of the chemist department (pharmacia) bacteriological investigation of air has been made. There were bacilli, yeast-like fungi, hemolytic streptococci, and micrococci in it. Which kind of revealed microorganisms indicates the direct epidemic hazard?
Micrococci
*Streptococci
bacilli
Yeast-like fungi

*For sanitary state assessment of maternity hospital the investigation of air into delivery room, new born department, and other rooms has been made with Krotov’s apparatus (aspiration technique). Which microorganism indicates hazard epidemic situation in maternity hospital?


Micrococci
Escherichia coli
*Pathogenic staphylococci
Lactic acid bacteria
Bifidumbacteria

During air control of operative theatre before surgery next results have been obtained: 356 colonies have grown onto the MPA, and 6 golden colonies with clear zone of hemolysis onto the blood agar. Are these normal data for air or not?


Corresponds to normal data
Corresponds to temperate contamination
*Contaminated with golden Staphylococcus (S.aureus)
It is difficult to estimate result
Contaminated with fungi

*At sanitary-bacteriological investigation of the meat products (boiled sausage, after customer request) a seeding onto special nutrient media has been made (Endo agar, MPA, Wilson-Bluer agar). After 2 days more then 250 colonies were revealed onto MPA, 45 ones – onto Endo, and 3 ones onto WB agar. How can you estimate freshness and quality of this product ?


*High contaminated, ineligible for usage
Pure, normal
Temperate contaminated, normal
Contaminated with E.coli, normal
Contaminated with clostridia, ineligible for usage

Normal microbiota


31. Vaginal dysbacteriosis of a pregnant woman is diagnosed. What preparation should be prescribed in this case?
A.Bacteriophage.
B. Antibiotic.
Interferon.
*Eubiotic
Polyvitamin

A patient, who has been taking antibiotics for a long time, has developed intestinal dysbacteriosis. What drugs should be prescribed for restoration of normal microflora?


A.Sulfonamide.


B. *Eubiotics.
C. Interferon.
D.Antimycotic.
E. Nitrofurans.

*2012* b-12 As a result of durative antibiotic therapy a 37-year old patient developed intestinal dysbacteriosis. What type of drugs should be used in order to normalize intestinal microflora?



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