UNIVERSITY OF SANTO TOMAS-FACULTY OF MEDICINE AND SURGERY 08

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MEDICAL BOARD REVIEW 2017 7’
MOCK BOARD EXAMINATION-MICROBIOLOGY
August 09, 2017, Wednesday

NAME: P Quill! ill/l“) 5m

SIGNATURE:

GENERAL INSTRUCTIONS: This questionnaire is composed of 100 items. On the box provided in the front
page of the EXAMINATION ANSWER SHEET, kindly write name and code. All final answers should be made
on the back page of the EXAMINATION ANSWER SHEET provided for. SHADE SET B. Only Mongol 1 or 2 may
be used. Do not leave any blanks as this will be considered incorrect. Submit your answer sheet. Please be
guided accordingly
A
L
__ 1.This structure is seen in the gram positive wall only:
A A. inner membrane C. techoic acid
(~ B. cell wall D. Lipopolysaccharide
___"‘ 2. The gram negative reaction is :
A. Purple C. Red
B. Blue D. Yellow
LE) 3.This microbe stains poorly with gram stain because it has no cell wall:
A. Mycobacterium tuberculosis C. Rickettsia rickettsia
B. Mycoplasma pneumoniae D. Legionella pneumophila
4.This genetic transfer involves mobilization of genes through a bacteriophage:
A. Transformation C. Conjugation
, B. Transduction D. Translation
5.This Streptococcus is part of the normal flora of the Female genital tract and GIT and may
cause sepsis or meningitis in the newborn:
A. Streptococcus pyogenes C. Streptococcus pneumoniae
[5 B. Streptococcus agalact,.iae D. Viridans
6.This microbe is an aerobic bacillus implicated in fried rice diarrhea:
A. Bacillus anthracis C. Clostridium perfringens
, B. Bacillus cereus D. Clostridium botulinum
7.Tertiary syphilis presents with:
A. hard chancre C. Aortitis and CNS involvement

i%8. These are toxins are associated with virulent strains of E.coli and Shigella spp which
B. Dissemination of lesions in almost all tissues D. Positive VDRL

causes
hemolytic-uremic syndrome in severe cases of bacterial gastroenteritis
A. Enterotoxin C. Exotoxin
D) B. Verocytotoxin/ Shiga toxin D. Staphylotoxin
9.Subacute sclerosingpanencephalitis is a slowly progressive, degenerative,neurologic disease
associated with:
A. Varicella-Zoster infection C. Herpes simplex infection , ,
B. Mumps virus infection D.Measles virus infection it‘ll-“d5 T J;-
_D_10.Negri bodies are associated with:
A Cytomegalovirus infections C. Rubella virus infections
C B. Herpes simplex infections D. Rabies virus infections
11.0rchitis is a possible manifestation of which of the following?
A. Cytomegalovirus C. Mumps
é B. Rabies D. Rhinovirus
__12. A 65 year-old consulted at the ER with labored breathing, low grade fever and stabbing pain at the
chest with ECG changes'of ST-segment elevation, which among the following is the most likely
infectious cause? i 41.1. ’l'wo Luv a?“ .i
A. BK virus J C. Moraxella catarrhalis " l1 l7 7 - ‘
B. Coxsackie B virus D. Rotavirus - ‘ I ,3 '> J"'

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 9
xudate. Which i"
"
_____l13.A burn patient with an infected wound with weeping, odoriferous, ber'Elreen 9
most likely causative agent?
A. ASpergillus fumigatus C. Strep pyogenes '
B. Staphylococcus aureus D. Pseudomonas aerugmosa
14.Dengue virus is classified under this viral family:
A. Orthomyxoviridae C.
Flavivin’dae
D B. Picornaviridae D. Togaviridae
__15.The presence of Koplik’s spots is pathognomonic for what type of viral infection?
A. Mumps C. Adenovirus
C B. Influenza D. Measles
__ 16.This hepatitis virus cannot replicate independently without the Hepatitis B virus. Identify
this virus:
A. Hepatitis A C. Hepatitis D
I A B. Hepatitis C D. Hepatitis E
J,
_17. This organism can be seen a stool examination and its presence is not an infection.
A. Gardia lamblia C. Trichuris egg
Q B. Hookworm ova D, Entameoba con as;
"i

_v)18. Rheumatic heart disease is a result of

A. infection by the heart with Staphylococcal organisms
B. antibody formation against the M protein of Group A Streptococci
C. antigen-antibody complexes inducing an inflammatory response
A D. deposition of the Ag—Ab complexes in the valves of the heart
_k_419. Excessive cytokine release is brought about by which Staphylococcal product
A. Hyaluronidase C. Alpha toxin
\fi B. Superantigens D. Delta toxin
___20. Which cytopathic effect is pathognomonic of Measles virus infection?
A. Cowdry Type A inclusions C. Warthin-Finkeldey cells
. B. Cowdry Type B inclusions D. “Owl’s eye” inclusions
_,,_m21. The classic “Fever, rash and three (3) C’s (conjunctivitis, coryza, cough)" are caused by
which virus?
A. Rubella virus C. HPV
(' B. VZV D. Measles virus
_“22. Which group of viruses depend on an insect host for survival and transmission?
A. Enteroviruses C. Arboviruses
B. Paramyxoviruses D. Herpes viruses
23. EBV is particularly linked to causation of which distinctive form of lymphoma?
A. Non-Hodgkin lymphoma C. B-cell lymphoma
’N
B. Hodgkin lymphoma ll: ‘x. 1 .' i \ . . D. Burkitt lymphoma " , .iv ‘3 ~-’~- )’ '7'
k/
.

24. Beta lactamases are enzymes associated wrt'h which mechanism of resistance? " ‘
A. Movement of antibiotics in or out of microorganisms
B. Modification of antibiotic binding site/s '-
C. Modification of antibiotic functional site/s
A D. Not associated with any mechanism of antimicrobial resistance
_25. A hospital acquired infection is one that :
A. Develops during hospitalization or erupts within 14 days of hospital discharge.
B. Develops while the patient is hospitalized.-- 5% . [w i -' .7; I 7. ml. ‘ '
O C. Is acquired in the community 'k V
-

'

L) D. The patient has at the time of hospital admission

_26. Which of the following Gram negative bacteria is leastlikely to be the cause of a hospital
acquired infection?
A. Klebsiella species C. Escherichia coli
B. Salmonella speciesc' iii“ 0.32.3.“ ,5, H . Pseudomonas aeruginosa

L33 t’; on: m" ‘

27. Which of the following is true of catheter-associated urinary tract infections?
A. The most common source of infection is exogenous
B. The pathogenetic mechanism is biofilm transformation
C. Infections are asymptomatic and a significant urine culture would show at least
_>105 CFU/ml of Escherichia coli
D. Urinary bags may be laid on the floor while on urinary catheterization

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-..._....._._....
’r 912 ' ’5’
‘ 28. This virus is the causative agent of a severe, acute, atypical pneumonia in 2002 in China
with a high mortality rate in debilitated/immunocompromised patients. EM.of the virus
revealed a classical outer membrane spikes resembling a crown
A.Rhinovirus C.Respiratory Syncytial virus
B.Parainfluenza virus D.Coronavirus
$729.True for Respiratory Syncytial virus
A. Can tolerate freezing and thawing cycles and low amount of humidity in the environment
B. Major cause of pneumonia, bronchiolitis and tracheobronchitis in infants & small children
C. Isolation of the virus within 10 days of illness is beneficial for diagnosis
F D. Replication is preferably in the GI tract and respiratory tract is only incidental
L,
_30.You are asked to identify the organism cultured from a throat swab of a patient experiencing
severe throat pain with fever and hyperemic posterior pharyngeal wall. Edema of the uvula is
pronounced with patchy exudates in the tonsillar pits.There is growth in, blood agar plate of smooth white
colonies showing complete hemolysis. Organism is most likely MN“? 1 ~’~
1 T
A.Staphylococcus aureus C.Streptococcus pyogenes il'.)-J / '

B.Streptococcusagalactiae D.Escherichia coli » I

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if}-
'I I .

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l ‘31.A 8 month old patient admitted at the ER because of severe respiratory distress, aphonia and
moderate grade fever of 2—3 days. Examination of the oropharyngeal area shows an erythematous and
edematous epiglottis. Pediatric history revealed non-compliance with prescribed vaccination program. Most
likely etiology for patient’s condition is
A.Hemophilus influenza C. Enterococci
B. Peptostreptococcus D. Parainfluenzae virus

__@2. A 20 year old Olympic swimmer came to your clinic because of 4 days history of tragal tenderness,
erythema of the external auditory canal with minimal clear serous effusion. Gram stain of the ear effusion
shows Gram-negative rods with growth on MacConkey Agar having a characteristic odor and greenish
fluorescent pigment of the colony. Most likely offending organism is
A. E. coli C. S. aureus
B. P. aeruginosa D. S. pyogenes

D 2 33. A 34-year old male patient came in for consult for crusting, itching and burning sensation of the
eyelids. Upon closer view, crops of vesicles were seen near the lid margin. Tzanck smear of the vesicle was
.
done and revealed multinucleated giant cells. Most likely offending organism is "- l' Cc ‘- ' ’
A. Phithirus pubis C.S. epidermidis I
‘ .
C 8.5. aureus D. Herpes simplex virus \".. '
__34. A 2-day old female delivered via NSD showing purulent eye discharge. Gram stain of the discharge
revealed Gram negative intracellular diplococci. Culture revealed growth on Chocolate Agar Plate containing
hemin and NAD showing convex, glistening, mucoid colonies that are non-hemolytic. What is the causative
organism? c:
A.Staphylococcus aureus C. Neiserria gonorrhoea

A B. Streptococcus pneumonia D. Haemophilus influenza

35.A 43 year old farmer, sought consult at OPD with symptoms of blurring of vision of the right eye
with foreign body sensation. He recalls a week old history of trauma to the eye being hit by a blade of
grass. Examination revealed opacity of the cornea with focal ulceration. Corneal scrappings revealed Gram
positive yeast-like cells, KOH : positive, Germ tube test: Positive. What is the most likely causative
organism?
A. Candida albicans C. Haemophilus influenza

C B. Aspergillus spp D. Acanthamoeba spp

__36. A 29 year old IT consultant came in with two week history of left eye blurring of vision, pain,
burning and foreign body sensation. History revealed use of extended-wear, disposable contact
lenses that he forgot to remove while swimming recently in a lake. What organism would most likely cause
the following condition?
A. Staphylococcus aureus C. Acanthamoeba spp
8. Streptococcus pyogenes D. Entamoeba coli

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 A 37. Diagnosis for specific viral illnesses of the head and neck can be achieved by the followin‘g
method/s :
A. Determination of specific serological titers
B. Culture in general solid media
C. Growth in anaerobic media
A D. Observation of organism in fluorescent microscopy
_38. A 30 year old male consults you due to dyuria associated with purulent urethral discharge which
he observed a week after an unprotected encounter with a commercial sex worker. You suspect a sexually
transmitted disease. The most likely causative agent is a/an:
A. Gram-negative diplococci C. Gram-positive cocci
B. Gram-negative bacilli D. Intracellular organism

fl. Differential diagnosis/esof a painless ulcerative lesions on the genitalia include the follogwing : 1);. ‘5’}
.
A.Herpesgenitalis glut." ,r' 1 C.Chancroid , "'15)" I I
l
B.Syphilis D. B and C ' If.) SM my:-
a
__f40. The following are_correct statement/s regarding the transmissibilib/ of HIV in patients with
STDs EXCEPT:
A. Presence of STD causes a decrease in CD4 count in the genital area,decreasing
HIV transmission
JJB. Ulcerative STDs cause provide a portals for HIV to enter the blood stream
C. People infected with an STD have increased concentrations of HIV in their
genital fluids
D. No exception

D / 41. A 36 year old male presents with warts on the glans penis. True statements pertaining to the
lesion include the following:
A. This most likely due to Human Papilloma Virus (HPV) type 6 or 11
B. Application of podofllox gel is a treatment option
C. This is vaccine-preventable
D. All of the above
as?
____"42.A patient presents with multiple painful lesions on the penile shaft with a suppurative bubo on
the n'ght inguinal area. Gram stain of specimen obtained from the lesions shows gram-negative bacilli in
chains, “school of fish" appearance. This organism is most likely to be
.. ..-,r)., . rka.
-

A. Escherichia coli gig .~~ ~ C. Klebsrella granuomatls « 'i -. ~ . r _,

A. B. Hemophilus ducreyi D.TreponLema pallidum ,i.‘
. 'Ixt
J . O, k _ . f” '
_"'43.A 30 year old male patient consults you due to burning sensation during sexual intercourse. He
reports note of a pruritic rash on the penile prepuce. On examination, you find whitish curd-like material
under the prepuce. Your primary impression is:
A.Candidiasis C.Herpes
B.Syphilis D.Trichomoniasis
<\.
‘____"44. Which of the following are the possible agent/s of non-specific/non-gonococcal urethritis:
A.Chlamydia trachomatis C.Trichomonas vaginalis
; B.Urea plasma urea lyticum D.Al| of the above
45. Con-ferment of antibiotic resistance of Penillinase-producing Neisseria gonorrhoea is:
A. Plasmid-mediated C. Reverse transcriptase-mediated
’T“ . B. Chromosome mediated D. None of the above
\ ’46. A 29 year old pregnant, diabetic female came in for a consult of yellowish, curd-like
Vischarge with vulvar erythema and pruritus. Which of the following are most helpful in the diagnosis of
the causative agent {1;

C, A. RPR C. Wet mount of the discharge ’

C/ B. Tzanck smear D. KOH mount of the discharge
___47. A 23 year old male came in the CPD because of multiple painful blisters and vesicles at
his upper lip and anogenital areas. Which of the following describes his condition?
A. Patient may be infected with HSV1 as well as HSVZ
B. A Tzanck smear of the base of the blister may be helpful in the diagnosis
C. A and B
D. None of the above

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rig, . Idtehntify the correct organism (genital tract infection) with its ideal
meme for iSOIatiO” and
grow .
A. Neiserriagonorrhoea : Blood Agar Plate
'

B. Mycoplasma : Thayer Martin Agar

) C. Neisseria gonorrhoea : Modified Thayer Martin Agar
1,9). D. Chlamydia trachomatis : JEMBEC medium
. 4 What is the single most important risk factor for developing DHF?
A. Type of mosquito vector
B. Previous infection with another type of dengue virus
C. Livmg Within a few meters from a stagnant river
D. First time infection with Dengue virus
LEE0.A blan ching maculopapular rash seen in classical dengue cases seen after defervescence.
A. Herman’s rash C. Koplik's rash
C5 B. Butterfly rash D. Malar rash
1.The hallmark of Chikungunya infection in comparison with Dengue fever is:
A. High grade fever
B. Appearance of erythematous rash
C. Severe joint pains that may last as long as 2 weeks after defervescence
D. Vector is primarily a daytime feeder
.1 2. True of most of non-enveloped viruses
A. They accumulate in infected cells which promote cell lysis
B. Are inactivated when they acquire a lipid envelope \‘
C. Are released by budding process in the host plasma membrane 1 r Nlem’
D D. They don’t have protein receptors
53. This statement is true for attachment of viruses to host
A. Attachment of virus to host is non-specific
B. Viruses engulf the cell membrane of the host
~ C. Viruses don’t need receptors to invade the host
.V , D. Absence or presence of receptors are vital to cell tropism
v: A54. Viruses undergo latency by
A. Formation of inclusion bodies
B. Direct cell lysis
'

9 C. Hibernating into an inactive form

i“ W D. Inducing cell immortalization/oncogenesis
_‘~/'55. Anti-viral management include the following
A. Anti viral chemotherapy directed to virus protein coat only
B. Interferon administration to control viral multiplication
C. Antimicrobials initiated at the peak of viral exanthema
Jr D. Antiviral vaccine composed of live viral particles to elicit memory cell response
6. Viruses evade the immune system by the following mechanism/s:
A. Inhibit cytokine activity
B. Mutate and change the antigenic sites on virion proteins
C. Viruses exhibit anti-interferon strategies
D. All of the above statements are correct
7157. Immunity that is mediated by antibodies that occur after exposure to antigens
‘ A. Innate immunity C. Cell mediated immunity
C B. Adaptive immunity D. Retroactive immunity
_58.Virulence factor of Gram negative organisms which is a part of the outer membrane of gram
negative bacteria which contributes to development of septic shock. This is heat stable and
released when organisms lyse after treatment with antimicrobials.
.

.r' A. Enterotoxin C. Endotoxin fr . .‘l "

)Jl B. Capsule D. Pili
_;__.9. This type of media allows characterization of a particular group of gram negative
Organism according to morphologic colony appearance based on assimilation of particular
sugars and dye incorporated in the media.
A. Routine media C. Selective Media - 'r ’13.”, (Wu: u/ NW
8. Differential media D. General Broth Media

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 . (“
‘GOA 40-year old farmer from South America consulted at the clinic because of 5 day history 0f _
moderate to high grade fever, b0dY malaise and tender, enlarged lymph nodes in the groin and aXIlla‘ry
area. Blood culture revealed : pinpoint round opaque co|onles in Blood Agar plate. Aspirates from
the enlarged lymph nodes show : rods with bipolar staining by Giemsa stain. Most likely causative
organism? 7" art-j . r
A. Klebsiellaspp " C. Yersinia spp
B. Citrobacter
O D. Brucella spp

~\2161. This method of sterilization only allows particulate matter less than 0.3um to pass through a
membrane, particularly done in isolation rooms, operating rooms and biological safety cabinets.
A. Cellulose acetate filter c_ Ethylene oxide filter
\ B. High efficiency particulate air filters D. Ionizing radiation
162. Which of the following organisms are considered an overt pathogen when isolated in a stool
culture from a previously healthy 28 year old with three days history of diarrhea, fever and body malaise?
V A. Klebsiella spp. int. ,l g 1 C. Citrobacte spp
3- PrOteUS SPP- “'3'? 4;, A D. Salmonella spp.
\‘\ O

'

__./) 63. The adult gastrointestinal tract at ' 1 - A"

A.Is mostly colonized by epithelial flora such as Staphyloccocus, Corynebacterium,
Lactobacillus
B. 80% of fluid is absorbed in the large intestine
C. Colonized primarily by anaerobes outnumbering the aerobic organisms
Y'\
D. The low pH of the stomach allows growth of mostly aerobic organisms
J4. A 34 year old patient came because of persistent loose, watery stools. Stoolculture showed a
Gram negative curved rod, revealed very sparse growth on MacConkey however moderate growth on
TCBS agar. What other characteristic/s make this organism virulent.
A. It has a heat labile polar flagella
B. It has a capability to produce enterotoxin 9779‘.» r'
p C. Its 01 and 0139 serotypes are implicated in pandemic outbreaks of diarrhea! disease‘2 4;, -("t‘»
4-.

H," D. All of the above are correct.

A
__.l65. This is the most common cause of gastroenteritis in small children and neonates,
contributing to a large number of morbidity and mortality especially in non-immunized individual.
_ A. Rotavirus C. Arbovirus
,\ B. Hepadnaviruses D. Flavivirus
71k66.True for Hepadnaviruses as cause of gastrointestinal diseases.
7 A. Routes of transmission are commonly perinatal, sexual, parenteral
B. Infection may result in acute and chronic hepatitis with self-limited or fatal outcomes
C. Is a significant cause of liver cirrhosis and hepatocellular carcinoma despite of effective
vaccine
A D. All of the above statements are true

67. Most common method of treating infectious waste, however due to emission of toxic air
particulates, this method is used less commonly in some areas of the world.
A. Incineration C. Dry heat
B. Moist heat D. Filtration
g.68. This method of sterilization is a form of saturated steam under 1 atmosphere of
pressure (15 psi) , pounds per square inch, causes irreversible denaturation of enzymes and structural
proteins
I.
A. Incineration C. Dry heat
f
B. Moist heat D. Filtration
___k69. This is the commonly employed sterilizing temperature used for laboratories for sterilizing
culture media, liquids and surgical instruments
A A. 132°C for 30-60 minutes C. 121°C for 15 minutes
B. 72°C for 15 minutes D. 100°C for 5 minutes
70. Which of the following organisms pose as the most challenge by eradication using
disinfectants?
A. Bacillus spores C. Gram negative bacilli
B. Enveloped viruses D. Hepatitis viruses

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 ’_L71. True regarding factors affecting disinfectants
A. Increased concentration of disinfectant inversely proportional to susceptibility of organism
x B. Increased contact time of disinfectant to surface/organism to be disinfected is negligible
C. Elimination of organic matter on areas to be disinfected is necessary to increase
effectivity of disinfectant
D. Use of soft water containing minerals can enhance effectivity of disinfectants

//0 __672.On special techniques for the diagnosis of infectigus"agents. On areas containing necrosis,the
/ offending agent is best visualized/recovered at:
A. Central area of necrosis as this area contains dense number of organisms
B. Adjacent normal looking area so tissue is well preserved
C. It is best to recover the o’rganism once treatment has been started
J D. At the advancing edge of the lesion
___73. A diagnostic technique helpful for guiding antiretroviral therapy for HIV and treatment response to
HBV and HCV interferon treatment
,_ A. High Performance Chromatography C. Nucleic acid amplification tests
9 { B. Turbidimetry D. Agglutination Tests
/, __74. True for Smallpox infection
r- A. Spread from oral-fecal route
B. Treatment with antivirals has been proven to heal lesions
A, C. Category B for Agents of Bioterrorism
D. Easy dissemination due to stable aerosol form
75. Respiratory pathogens gain access to the host’s body through the following EXCEPT
A.Organismtransport by ciliary action to the throat allowing it to be swallowed
B.Preventing fusion to phagolysosome
C. Toxin production to paralyze ciliary muscles
D. Damage to mucociliary defenses such as in smoking

Refer to the following case for # 76-78

Case.A 55 year old male, mountaineer was rushed to the ER. because of one week history of severe
headache, drowsiness, sleepiness with on and off low grade fever. Further history revealed history of travel
to South Africa a month prior to consult. Upon P.E. there was a reddish chancre with diSCrete fine rash marks
in his arms and legs.
«5
Q“ 4‘ )76. Which among the following is the most probable diagnosis for this case?
,3 A. African trypanosomiasis C. Donovanosis
B. American trypanosomiasis D. Chaga’s Disease
. {A 77. What will aid you in your diagnosis? What is the best clinical specimen for this
case?
A. Peripheral blood ' ‘--.-“ "‘17 .s ‘1, C. Urine
B. Sputum D. Bone marrow aspirate
\-. cf)

78.Most probable etiologic agent for this case?

A. L. donovani C. T. cruzi
B. T.b. gambiense D. T. lewisi

Refer to the following case for #79-81.

Case.A 45 year old fisherman came for consult because of chronic cough, chest pain, low grade fever, fatigue
and generalized myalgia. Chest radiograph showed bilateral pulmonary parenchymal infiltrates. Patient is
fofiof eating seafood “kilawin” .

__79. What will be your next work up for the diagnosis of this case?
A. Request for sputum microscopy C. Request for CBC

it B. Request for sputum AFB D. All of the above

___80. Sputum microscopy revealed presence of ova in concentration method. AFB smear is
BC revealed eosinophilia. What is your most likely diagnosis?
negative.

A. Cryptococcal pneumonia C. Fasciolopsis

B. Paragonimiasis D. Enterobiasis
( j

___81. What is the intermediate host for this etiologic organism?

A. Fresh water fish C. Fresh mountain crab
\‘._

8. Salt water fish D. Uncooked pork meat

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 Refer to the following case for #82-84.
‘.
Case. A 55 year old male came for consult because of sudden onset of jaundice, abdominal pain, right upp
quadrant pain with episodes of loose stools for the past week. Liver profile showed slight elevation of liver .,
enzymes. Hepatitis profile showed negative results. CBC show eosinophilia. Stool exam show presence of -
Roerculated ova.

i"n . .
‘ 82. Which of the followmg .is the most likely pathogen in this case?
we

A. C. sinensis C. O. viverrini
[9% B. O. felineus D. All“ of the above
__ .What is the most common most common route of transmission of the pathogen in this case?
\\:p

A. Ingestion of infected, undercooked fish

B. Ingestion of aquatic plants
C. Ingestion of parasite ova
D. Ingestion of unpasteurized milk
__ 4. In clonorchiasis, chronic and severe infections may provoke certain pathologic change/s
such as:
A. Gastric ulcers C. Cholangio carcinoma
B. Pulmonary infiltrates D. Hematuria
85. Laboratory diagnosis of T. gondii can be done using which of the following?
A. Latex agglutination test
B. Fourfold increase in antibody titer for Toxoplasma
C. Sabin-Feldman methylene blue dye test
\ D. All of the above
‘ ' 86. Toxoplasma gondii infection of intermediate/acddental host can be achieve
through the following mechanism?
A. Direct penetration of intact mucosa
B. Ingestion of parasite ova
C. Blood transfusion of granulocyte containing tachyzoites
D. Bite of arthropod vector

Matching Type. Match column A with column B

7,
_____")87. Visceral leishmaniasis A. T.cruzi
\l

___.\~'88. Triatomid bug B. T.b. gambiense and T.b.rhodesiense

.
F

_‘/__t/ 89. Phlebotomus flies C. L. donovani

A!90. American trypanosomiasis

91. African trypanosomiasis

92.A fungus which exhibits dichotomous hyphae:

K A. Candida albicans C. Rhizopus spp.
G B. Malazzezia furfur D. Aspergillus fumigatus
93. Which among the following patients may most likely progress to a severe disseminated
histoplasmosis?
A. A 50-year old TV executive with coronary artery disease
B. A 24-year old lupus patient on corticosteroid treatment
\ C. A 12-year old boy with mental retardation
{/ ,z D. A 33-year old on oral contraceptive pills
L‘ 94.Dematiaceous fungi are:
A. Brown C. Coenocytic
B. Colorless D. Achlorophyllous
95. Cryptococcus neoformans differs from other pathogenic fungi because it:
A. Is an intracellular organism
B. Has septate hyphae
C. Has a capsule
D. Exists as a dimorphic organism

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 ‘96. Diagnosis of infection with C. neoformans can be accomplished through which of the
following laboratory methods?
A. Serologic titers for Cryptococcal antigens " [‘3 if“;
B. Demonstration of encapsulated yeasts on India Ink method
C. Both are correct
D. Only B is correct
97. This systemic fungus exists as small yeast cells and is intracellularly located in tissues:
A. Cryptococcus neoformans
B. Blastomycesdermatitidis
C. ParacoccidioidesbraziIiensis

Q D. Histoplasma capsulatum
98. To classify fungi as dimorphic or monomorphic, colonies are subjected to change in:
A. Medium (5- PH
B. Manner of inoculation D. Temperature
99. Which of the following is the most common initial site of infection for systemic mycoses?
A. Skin and mucous membranes C. Lungs
1-3;)" B. Subcutaneous tissues D. Lymph nodes
i 00.A fruit-farm picker presents with subcutaneous nodular lesions along the lymphatics from
the initial site of trauma 3 weeks ago caused by a plum thorn puncture. What is the
nature of the most likely causative agent?
A. Acid fast organism C. Filamentous fungi
B. Dimorphic fungus D. Gram positive cocci
g L -

----THE END---

***Good luck on your board exam/n'atlo'n ***

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