Bank of Krok testing to module N1

Partial recovery, reccurence
Partial recovery, carrier state
Total recovery., secondary infection

Borrelia spp.

*00* 79. Microscopy of the blood smear stained by Romanovsky-Giemsa showed thin, bluish-violet filaments with 5-7 large curls 10-30 micrometers and more long. What disease can be characterized by such microscopic picture?
A. Leishmaniasis.
B. Syphilis.
C. Leptospirosis.
D. Toxoplasmosis.
E. *Relapsing fever.

120. To an infectious clinic a patient with preliminary diagnosed epidemic relapsing fever is hospitalized. What material, taken from the patient, is it necessary to examine first of all?

A. *Blood.
B. Urine.
C. Spinal fluid.
D. Feces.
E. Nasopharynx swab.

*01* 139. A patient with a periodically repeating fever is hospitalized to an infectious department. In blood specimen (a thick drop), stained by Romanovsky-Giemsa method, spiral microorganisms with sharp ends of blue-violet color are revealed. Which disease is caused by this agent?

A. *Relapsing fever.
B.Typhoid fever.
C.Malaria.
D. Epidemic typhus.
E.Leptospirosis.

*From patient with suspicious relapsing fever blood was taken during fever. A smear “thick drop” was prepared for bacterioscopy. Which method of staining should be used for causative agent revealing?

By Ziehl-Neelsen
*By Romanowsky-Giemsa
By Burri-Hins
By Neisser
By Aujesky

*What sanitary-epidemiological measure allows to decrease suddenly morbidity rate for epidemic relapsing fever?

*Fight with pediculosis (lice)
Extermination of wild rodents
Disinfestations (extermination of animals)
Insecticide usage
Acaricide usage (fight with ticks)

*02* After patient examination a diagnosis – tick-born relapsing fever (borreliosis). Which way might patient be infected?

Through bite of malarial mosquito
*through bite of country tick
Through bite of dog tick
Through bite of taiga tick
Through bite of mosquito

* Lyme borreliosis (Lyme disease) was revealed in endemic regions of the USA first, but now it is registered in Europe, Asia and Australia. Which way is Lyme borreliosis transmitted?

Via hemotransfusion
*Via tick bite
After contact with rodent’s urine
At eating of waterfowl meat
Via louse bite
Leptospira interrogans

*06, 07* 165. B-12 A patient was hospitalized on the 5^th day of illness with jaundice signs, pain in muscles, rigor, nose bleeding. A bacteriologist used dark-field microscopy. In the patient's blood there have been revealed motile spiral microorganisms. Name the causative agent.

A. Bartonella bacilloformis.
B. Borrelia duttoni.
C. Calymmatobacterium granulomatis.
D.*Leptospira interrogans
E. Rickettsia mooseri.

173. In the endemic region of leptospirosis the population is ill with this dangerous illness. What source of the infection is the most dangerous?

A. *Rodents.
B.Dairy products.
C.Cattle.
D.Meat products.
E. Ticks.

* There have been motile microorganisms with many small coils stained pink by Romanowsky-Giemsa in urine of patient with signs of intoxication and renal failure. History revealed that patient swam in water reservoir some days ago. Which disease may be suspected?

*Leptospirosis
Syphilis
Influenza
Brucellosis
Pseudotuberculosis
b-12
A man died from an acute infectious disease accompanied by fever, jaundice, haemorrhagic rash on the skin and mucous membranes as well as by acute renal insufficiency. Histological examination of renal tissue (stained by Romanovsky-Giemsa method) revealed some convoluted bacteria looking like C und S letters. What bacteria were revealed?