Question 1 111 pons Noe 76.An 18 year ld presented with closed & open comedones and muttiple red papules & pustules on face , back and upper arms. The diagnosis of acne vulgaris based on the history ‘& PE was estabished. The attending doctor prescribed oral isotretinoin to decrease sebum Production & intammation of ner oty skin, What Is the clinica! hallmark of acne vulgants? OA. A Popue Oc. cPustues Od. o.Nodues Scanned with CamScannerQuestion 2 17 points io cs 665. The spirochetes that is Ughty coled, thin, & has a hook at one en thal looks tke 2 ‘question mark: OB. B Borrelia recurentis ©. ©.1reponema panaum Ob. d.Borreta pugdorren Scanned with CamScanner‘Question 4 117 pomnts, Previous pind £89, The cause of anigenic dnt of innuenza uses is OA. A Phenotypic masking © 8. & Mong ot aouniestrandea DNA genome O 6. .Reassoriment of genome segments during mixed infections Scanned with CamScannercvesion orn vee ‘40. Thisnese parasites isare commonly associated with immunocompromised patients, e9. AIDS patients: @A._& cryptosponiaium sp, OB. 8 Toxoplasma gona OD. DAtotine above Scanned with CamScannerveston ‘ens rons 110. Dumaum fever isa potentaly fatal parasitic disease of the visceral organs due to infection cause by the protozoan OB. 8 Leishmania tropiea Oe. c.typanosoma cruzi OD. Trypanosoma gambiense Scanned with CamScannerQuestion 6 ‘stone = 07. Ulcer of the eum over enlarge Peyer's palches are a characterise thang in QA. A Tubereuiosis of the intestine OB. B snigeta aysentery @©c. c.nphaarever OD. D Saimonetia gastroenteritis Scanned with CamScanner‘84, Whats ne most prevalent antibody eireulaing throughout the tissue nulds and blood? Os Bie Oc. cia Oo. vig Scanned with CamScannercvesten a 51.75 year old patient with an episode of acute unnary retention was cathetenze. Three days later, he developed fever and suprapubic pain. Urine culture revealed thin flim of bacterial grown over the entire agar plate, and urease test posttve. Which of the fallouing Is, the most likely organism? @A. 4 Proteus miraonis OB. Bb Serratia marcescens Oc. © csenenenia co Ob. b. Pseucomas aeruginosa Scanned with CamScannerQuestion 9 roan = 155,26 year old school teacher presented to the emergency room with the f. complains of headache, neck stitness, vomiting, high grace fever, photophobia and petechial rashes. PE reveals an i= appearing woman unable to flex her neck without eliciting pain and diftuse petechial rashes inher extremities. Kernig and Brudzinsk signs are positive. CSF anahsis reveals low glucose, increased protein and neutrophils. Which of the folowing is tne most likely causative agent? OA. A cscnenehia con OB. 6 Lsteria monocytogenes OD. 0 Haemophiisintuenza Scanned with CamScannerQuestion 14 . 1/7 points Eee 65, The folowing are consiceres hesmaphrodic or monoecious tematode kes), except OA. A Fasciola hepatica OB. B Opistorchis viverrini Oc. ©. Clonorchis sinensis Scanned with CamScannerueston 19 roe ve 447, Aside from malaria, thick and thin blood smears are also performed forthe diagnosis of tis parasitic infection OA. A Schistosomiasis japonicum Oc. ©. Hockworm disease OD. D.Stongyoidasis strcorats Scanned with CamScannerQuestion 14 114 points (65. A7 year old gin with temp of 370C had trouble swallowing and drocting. A few minutes at the pediatrcian’s omice she develops inspiratory stidor & respiratory distress. X ray of her neck snowed a thumbprint sign “presentation. Which of he folowang Is the most likely responsible for he patient's condition? OB. & Parainnvenca vires Oc. C.mycoptasma pneumonia O. 0 Respiratory syncytia virus Scanned with CamScanner‘Question 15 1 0/4 pomts = ‘The following are consiceres hermaphrodite or monoecious trematodes (Rukes), except @A. Arascioia Hepatca OB. © Cionorchis sinensis Oe. © opisiorenis vive Scanned with CamScanneriT nas 48, Frequently eating of raw ish eg,, salmon sashimi, predisposes one to acquire this parasites infection OA. A Tacniasis O®. 8 Pinas OD. D.Tiehinoss Scanned with CamScannercvesion 17 ‘ies nme ‘13. Wnlen of he foliowing diseases Is not tkely to have acquired through a mucus- membrane associated port of entry? O®. a Twereubosis Oc. gonormea Ob. 0 chara Scanned with CamScannercuesion 18 iam ~~ Ee 50. A- 9 month old baby is rushed tothe emergency room because of severe cough & fever. (On PE, rales & nigh — pitch wheezes on both lungs felds. The child also presents with acute cotris mecia and plu'sh skin oiscoioration. X-ray showed bilateral patchy consolidation in 2 predominantly pre- hilar distribution extending to the bases. diagnosis given is pneumonia, Which of the folowing viruses is the most likely cause? OA. A Rnnous OB. 8 Adenovius . C. Respiratory syncytial virus OD. d.coronavius Scanned with CamScannervrapone Pros '83, What do you call the phase of bacterial growth where cells are most sensitive to chemical agents? OA. A Lag pnase OB. & stationary pnase ©. .peatn phase Scanned with CamScannercveston 29 ‘iene = 97. Dumdum fever Is a potentially fatal parasite disease of the visceral organs due to the infection caused by the protozoan: 8. 8 trypanosome en ©. c typanosoma gambiense OD. 0 Leshmania cruzi Scanned with CamScannerQuestion 24 S14 poms * 106. How do you prevent Diphyllabotrium latum infection? @ A. A thorough cooking o a suspected rreshwate sh © 8. B Control mosquitoes by destruction or removal of water plans OC. C abstaining trom eating raw , freshly salted or madequately cooked crabs or crayfish OD. D.Perodie cenocning of infctes dogs and eats. Scanned with CamScannerQuestion 22 174 points ‘34, Whats the infective stage of E. histolytica? OA. A Uninucteated cyts OB. Bb Binuclestes cyst @C. C. Tetra nucleated cyst Od. D.-Tophozoite Scanned with CamScanner‘Question 24 1/4 points ‘84.426 year old seaman comes to the STO clinic with a 8 day histor of burning on Lnnation and a 3 day history on non-purulent urethral aischarge. He Is Sexually active with ‘many female partners and does not use condom. there is no history of prior STO. Laboratory {ndings from endaurethral exudate shows abundant intracellular diplococeic in neutrophils, ‘What organism is the most likely etlology? OA. A Treponema patioum O88 Heemopnaus averey OD. dD. chtamysia trachomatis Scanned with CamScannerQuestion 23 141 points 117. Which of the following clinical specimens should be collected to confirm the diagnosis of Varicella Zoster infection? OA. Asana OB. 8 6000 OD. 0 Cerebrospinal nua Scanned with CamScannerQuestion 26 oa 141 points — 16. A9 Year old boy had his semi-annual dental cleaning. The dentist found some tooth decay. Which bacteria are irequenty associated with dental caries? OA. A streptococcus pneumonia OB. & streptococcus pyogenes Group A Od. 0 Peptosteptoccecus Scanned with CamScanneruesion 25 177 points, eas 61. This virus cause mononucleousis syndrome in young adults, characterized by fever ang Pharyngitis. It can also cause severe infection in immunocompromised patients characterized by retinitis, pneumonia and even deat. for infected pregnant mothers, itcan result in teratogenesis of developing fetus. Question: What etiologic agent should you suspect and what antibiotic is best fr this condition? OA. A Hisvireated win Acyclovir Oe. 6 cxvwestea win Ganccone @c. cor weatea win Foseamet OD. 0 Hiv treated win Zidovudine Scanned with CamScanner‘Question 27 (01 poms aes ie 89. The beneficial in vivo effect of hyperbaric oxygen therapy in the treatment of gas gangrene is mat. OA. A 02 stops alpna toxin production by clostnaal organism at tension of 1400 mm Hg @ Bf cis bacteroeial or costa organism a tension of 250 mm Ha Oc. C.02 isbactericcital fr closticial organism at tension above 1400 mm Hg ©. 0.02 stops alpha toxn production by Clestriial organism 3 tension of 260 mm Hg Scanned with CamScannerQuestion 28 1.7 points Ea 73. A2 year ola piays in a sandbox in a nursery that also nas a tamty of cats for children to play, presents with wheezing, hepatosplenomegaly, & prominent peripheral blood eosinophilia, Which of he folowing clagnosis Is the most tkety? OA. Aascariasis @ 8.6. veceratiorva mgrans Oc. ¢.Pinwomn nrestation Ob. .Locmers synarome Scanned with CamScannerQuestion 28 114 points — 52.9 year old boy spend § days a week at daycare center while parents are at work. He ceveloped a low grade fever of 38.300. Fever persisted for the next 4 days He also drowsy and complains that his head & tummy hurt & does not want to eat By the Sth day, he developed rash on head and chest spreading ‘othe back. The lesion are 4 to.4mmin diameter. Which of the following Is the most likely diagnosis? OA. Aneasies OB. 5 Gemanmeasies Oc. c.Roseoa Scanned with CamScannerQuestion 31 0/7 points 31. Which stage of reproduction is considered capable of initiating another infection of Isospora bell? OA. A Sporazotes OB. & merozores Od. v.mature oocyst Scanned with CamScannerQuestion 32 = 141 points = (04. Find the mismatched pair among the folowing arthropods. @A. Areas Pins pubis OB. 6 Teks -Ricketsia rickets Oc. © tre Pedeus manus ©. b.tes -sarcopts seabiet Scanned with CamScannerQuestion 33 141 points 03. Penicilin is the drug of choice for infections caused by al of he folowing, except: OA. A Treponema pallidum @e. 6 acteoies tragils Oc. sweprococeus pyogenes ©. d.ciosiraium pemingens Scanned with CamScannerQuestion 34 1/4 points 29. Which statement concerning toxoplasmosis is correct? OA. A Apregrant woman io has acquired Toxopkasmosis ant tme betore pregnancy i key to deWver an ntectes infant © 8. Awoman who develops acute Toxoplasmosis during one pregnancy f more ‘kel tan ar other woman to give bith to an infected child n a subsequent pregnancy ‘C Awoman who acquires toxoplasmosis dung the last irmester of pregnancy {is more likely fo deliver an infected infant than she would be iste acquited the ‘infection during the 1st trimester. ©. © toxoplasmosis in a person with Hodgkin's cisease probably cue to a nly acquired infection. Scanned with CamScannerQuestion 35 141 points 41. This is the largest intestinal uke of humans, OA. A.Ascaristumbrioises @b. 6 Fasciolpsis bush Oc. C Diphyloootnnum iatum ©. metagonimus yokogawal Scanned with CamScannerQuestion 96 147 points Es 58. A.30 year oli man seen at ihe ER because of dysphagia and diplopia that developed ater he consumed a homemade strawberry jam. While in the ER he developed general muscle weakness and requires intubation Cue to sudden respiratory muscie paralysis. which of the following pamogens is most ikely responsible for ths patients condition? @ A. A costiaum sotuinum OB. 8 Closinaium tetant Oc. ¢.ciosiraium pemingens OD. 0.cClsinaium amelie Scanned with CamScanner67. The characters teh of scabies OA. A intermitent O8. 8 dum Oc. ¢.continous @b. D.noctunat Scanned with CamScanneris 77. Japanese encephaitis vius is biologically related to the virus causing @A. Ast use Encephalis virus 8. 8 Marburg vius © D. D western equine encephalitis virus. Scanned with CamScannerQuestion 39 = 147 points = 94. The virus that has been Implcated in the pathogenesis of nasopharyngeal carcinoma: OA. A Human T cell leukemia OB. 5 Human papitoma vius @c. c epsten— carr vrus OD. v.cromegaiovius Scanned with CamScannerinser E] 444. Wnat is ine intermeatate host ot schistosoma japonicum In the Pnaippines? @A. A oncometania quacrasi OB. 6 Pia nzonica Oc. c Bopnatana sp. Ob. 6 Pranzonica QE v.Buinus sp Scanned with CamScanner‘oe reves OA. A:Cionorehis sinensis O¢. c-kchinostoma tocanum ©. 0 sensiasoma jsponeum Scanned with CamScanneree a —- Ee 59,A 16 year old seek consult for cough and fever. His ilness started several days ago with low grade fever, headache, myalgias, and fatigue, and has slowfy worsened. He now nas a persistent cough and tried muttiple OTC cold and cough medications without relief. No significant medical o famity history, but one of his good friends missed several days of school about two weeks ago with“ walking pneumonia’. On PE, He is coughing frequently, Dut is not il appearing. Temp. 36.50C, pulse 95/min. RR. 23/min. Pharynx injected. Scattered rhonchi noted. Patchy initration on chest X-ray. No organism seen on sputum Gram stain. What is ‘the most ikely etiology of tis infection? OA. A kebsieia pneumonia OB. B streptococcus pneumonia @©c._c mjcoplasma pneumonia ©. b.Ledioneta pneumophita Scanned with CamScannerQuestion 43 141 points = 436. This is the only ciate parasiizing humans OA AT vagnats O®8. 6G tambla Op. otenz Scanned with CamScannerQuestion 44 171 points 87. Primary infections caused by Streptococcus pyogenes are due to the organisms invading wirat two body sites? @A. A son oat OB. Boyes & gastioiniestinal tract Oc. c noses vagina Od. d.moun &uretva Scanned with CamScannerQuestion 45 = 141 points = 39. Wien mosquitois the primary vector of malaria in the Philippines? OA. Andes aegypti OB. 5 cutee quinquetacatus ©. c Anopreies mnimus nawrosins Ob. b.Mansona sp. Scanned with CamScannerQuestion 46 oa 141 points — 18 All of the following are modified penicilin resistant to destruction by staphylococcal betalaciamase, except OA. Acxeciin Oc. c.coxactin OD. 0D metnicinn Scanned with CamScannerQuestion 47 171 points +14. Ayoung woman with secondary lesions gave birth to a child with congenital syphits. All of the following are stigmata of congenital syphilis, except O®. B.cutor's jonts Oc. C titeninsons tem OD. Dd Higownenak’s sin Scanned with CamScannerQuestion 48 141 points 26. A parasite” that may be a fungus isthe intial clinical manifestation in up to 60% of patients with AIDS. What is this organism? OA. A aaastceyts nominis B. Pneumocystis Oe. ¢.cryptosporcium ©. 0 merosponaium Scanned with CamScannerQuestion 48 147 points Es 70.A20 year oki man nas a non ~tender mass over the mandible. He Nad this mass 4 montn ‘ago. Thick yellow exudate started to oaze from the lesion, Yellow granules are seen on microscopic exam of the discharge. Wnich of the folowing organism is most Ikely responsible Tor this mans lesion? @A._ A Actinomyces tsraetti OB. 6 stapnyococcus aureus Oc. c.Nocaria ateroas Ob. b-Twenineta spirais Scanned with CamScannerQuestion £0 107 poms ES 7. A41 year oki man seek consut because of a 2 day history of sore throat. Current ‘medications include inhaled corticosteroids for asthma His temp. is 370C. A KOH preparation of scrapings trom tongue showed budding yeast. Which ofthe folowing is the most appropriate pharmacotnerapy fortis patient? OA. AAmpnotencin 8 OB. 6 ttarconazoie Oc. c.Fuconazoie Scanned with CamScannerQuestion 51 =a 141 points = 12, Proven to be the most sensive diagnostic test for lyphold fever. OA. A Stooleutue OB. 5 Couture of intestinal secretions Oc. ¢ Boodcunure @b. 0. s0ne marow cute Scanned with CamScannerQuestion 52 0/4 points 88. AS year old boy was bitten by wasps. Later he developed wheels inthe skin. Wien blood cel leukocyte is responsible for the wheal formation? OA. A neutropnes @B. B Lymphocytes Od. v.Basopnis Scanned with CamScannerQuestion 53 141 points 01. Staphylococcal enterotexicasis is associated with eating all ut which ofthe following foods? OA. Acastars OB. & Ham and processed meat Od. v.cheren saa Scanned with CamScannerQuestion 54 947 ports Es 21. Histoneally, mere are six classical” infectious chilanood exantnema nat nave been recognized. Four of which are viral. The numbers were provided in the year 1805. Which of the following numerical diseases and viuses are matched up Incorrectly? @A. A Fistatsease- measles O° B, Second alsease ~ Scaret fever Oe. Fourth Disease —Stapn Scaled Skin Syndrome Ob. 0.Fim Disease: Reseotainantum Scanned with CamScannerQuestion 55 = 0/7 points| = 35. The cyst of thishese parasite/sIsare found in formed and semiformed stoo's. OA. AE histontica Oc. ¢6 tame Scanned with CamScanneruestion 95 177 points: saat 74.452 year old man presents wth dlarmea and abdominal pain, whicn have been worsening over the past week. he is now having 8-9 watery stools a day and mild cramping pain. No vomiting fever. i contracts, or naving blood in the stoot Ten days ago he completed 2 course of amoxiciliniclavulanic acid for pneumonia. On examination , vital signs are normal, abdomen soft. hyperactive bowel sounds . Stoo! culture negative, Dut Toxin A and B assay postive. Which of the following organism isthe most likely cause ofthis man’s enterocaltis? OA. A-samoneta worn OB. & Hateoacter pylon Od. 0. vero cnotera Scanned with CamScanner‘Question 57 ae Ea 017 points 27. wie form is considered ciagnost Inthe lifecycle of Pneumocystis rover? OA. Asraayzoite OB. 8 Sporzoite Oc. cos © d. 0. Topnazote Scanned with CamScannerQuestion 58 1/7 poms, 08 A 19 year old sexually actve woman presents win a desquamating rash involving ner palms and soles, diariea, fever, hypotension, headache, myalgias, and red eyes. Her last menstrual period was 4 days ago. Which of the following Is the most iKely diagnosis? OA. A Rocky mountain Spotted fever @©B._& Towe shock Synarome Oc. c.scanet ver Ob. d.kawasaxis asease Scanned with CamScanner95. Which of the following diseases is not likely to have acquired through @ mucus- membrane associated port of entry? OB. 6 tueruoss Oc. c.chole Od. 0 comormea Scanned with CamScannerQuestion 60 oa 141 points — 15. The following are inclusion bodies with the disease that it causes. Which of the following isa mismatched pair? OA. A cuarien Bodies - smal pox OB. & Gave: —Emst doates-olphinena © c. c. Henderson - Paterson Bodies - Herpes simplex OD. 0 Leva Cote —Lile Bootes -Pamacosis Scanned with CamScannerQuestion 61 = 141 points = 69. Dimuse eryinematous macules thal may appear confluent is calle, OB. 5 Kostner phenomenon Oc. seanetintorm Od. v.saeimetesion Scanned with CamScannerQuestion 62 = 147 points = 3. This Is a common clinical feature in Amoebkc and Bucikary Dysentery OA. A Rapid onset ot dysentery OB. 5 Accompanying fever OD. D.-Finy-smet ar soos Scanned with CamScannerQuestion 63 141 points 62.A 19 year old woman was referred to the hospital with complaints of productive cough and massive hemoptysis. The patient was a young housewife originally trom the northem part of the Philippines. Her ilness started a month ago with fever, night sweats, weakness, and weight loss of 4kg. with productive cough and hemopttsis about 20c¢ of blood in her sputum for 3x. A chest X ray showed caviary lesions and nodules in both lungs. Sputum microscopy or AFS was postive 3x. Histopath showed epineioia granuloma. Langham’ giant cell and caseous necrosis consistent with tuberculaus granuloma Question: Which ofthe fllowing calegories of hypersensitvies is consistent with the above case? O®. vtpent Oc. c.ypem Oo. one! Scanned with CamScannerQuestion 64 107 poms ES 72. A tour year old was brought to the paediatnclan because of abdominal pain, vomiting and diarmhea containing mucas and blood . Fever of 33 40C. Stool cuture the causative organism Is non lactose fermenting and non- hydrogen sulphide producing bacterium. Wnich of the following Is the most tkely responsible for he child ness? OA. Acscnencnia con OB. 6 saimonota spp Oc. ¢.venocnotera Scanned with CamScannerQuestion 65 141 points 96. Which of the following isnot the characteristic of the agents of spongiform encephatopathies? OA. Aareenronic OBB ngny resistant © D. 0 Associated with tangied protein fers in the brain Scanned with CamScannerQuestion 66 oa 141 points — 79. Host that harbors the parasite only for a short transition period and does nat reach sexual maturity called. OA. Aanpitying post Oc. c.Resencir host OD. v.cesmive nost Scanned with CamScannerQuestion 67 Prevos 147 poants 57. A58 year oli man present s for evaluation of 2 2 month history of upper abdominal pain assoc. with nausea. it s made worse when he drink Soda, coflee, or alcohol. He has denies significant use of nonsteroidal ant intammmatory drugs. (NSAIDS). HIs general physical exam 8 vital signs are normal. Abdominal examination is notable for epigastric pain. OTC antacis medications provide temporary reliet Admits to 2 20- pack year smoking history & drinking 4 ‘0F2 alcoholic beverages a week. CBC shows a mid nypochromic mierocytie anemia. Upper Gl endoscopy shows dituse gastts and gastric ulcer . What is the most likely organism? OA. A csinenchia cot 8. 6 cacteies ragits Helicobacter pylon Od. 0. samoneta enternoss Scanned with CamScannerQuestion 68 147 points ES 53.23 year old woman complains of vaginal ching and buming. On examination, she nas frothy, foul smeting, greenish vaginal discharge A swab sample is taken, Microscopy resutt showed negative for clue cells, pseudonyphae and D-shaped egg. Which of the following gynecologic intections most ikely 1s the cause of the woman's tines? OA. A candi apicans @ Bf .Trenomonas vaginas Oc. ¢.caronerata vaginats Ob. 0 Enteroous vermiculans Scanned with CamScannerQuestion 68 147 points ES '60. On nis retum trp to Soutn America , @ 43 year old man presented with chest pain, aimcuity of swallowing and frequent regurgitation of food and liquids. A radiological exam showed tapering " bic's beaks sign’ in the inferior esophagus consistent with achalasia. \Whien of the foowing isthe most tkely protozoan agent unked to this case? OA. A Letsnmania donovani Oc. c.Lesnmaniatopica OD. 0 -Tiypanosoma gambiense Scanned with CamScanner(Question 70 " 114 points ae 38. Wnat plasmodum species is the most prevalent in the Philippines? OB awa Oc. cove Od. dimatariae Scanned with CamScannerQuestion 74 oa 141 points — 32. The stools the specimen of choice in making @ diagnosis ofthe folowing parasite: except OA. A sarcocystis Oe. ¢.cryptosporcium Od. 0 sarcocysts Scanned with CamScannerQuestion 72 = 141 points = 81. Allof the following viruses contain an envelope, except OA. A dunyavidee Oc. © coronawnus Od. 0 Tecavius Scanned with CamScannerQuestion 73 = 141 points = 42. This paraste is also known as the Gartison- Fluke. OA. A Cionorchis sinensis Os @c. © exnnestoma tocanum Ob. .sznistosoma japonicum Scanned with CamScannerQuestion 74 474 points 80. Congenital infections atten characterizes by hepatasplenomegaly. jaundice, mieracephaly and respiralory cisiress, OA. Acpstein sor vinis OB. 8. Herpes simplex vis Oc. © Vancetae Zoster vis @d. d.cyiomegaiovius Scanned with CamScannerQuestion 75 = 141 points = 46. Elephanllasis Is caused by this parasite? OA. A deacuncutus medinensis Oc. © Trehineta spiraiis: Od. D.Aterme above Scanned with CamScannerinane reves OA. A Sporogony Oc. c.Binaytssion Od. bv enimocyne cyee Scanned with CamScannerQuestion 77 oa 141 points — “14. Which of the following bacteria, the one which is LEAST likely to be the cause of abscess formation: OA. A cscnerchia cot OB. 6 Proteus vars OD. 0 stapmyococcus aureus Scanned with CamScannerQuestion 78 = 141 points = 98. Bacteria are cleared trom the cicutation mainly by OA. A Lung capillaries renal capillaries: 8. 6 Lung capitares @c. © speen ter macrophages OD. circuiting neuroonis Scanned with CamScannerquestion 72 177 points, saat 71. Five hours ater eating sushi and sashimi, a 69 year old was admities showing symptoms cf vomiting and sever epigastric pain, chest pain, and then immediately fell into state of mental stupor. CBC, blood chemisty urinaysis ana ECG were normal. Gastro endoscopic exam showed four threated — lke worms generating the gastric mucosa Gastric mucosa showed hyperemia Following removal of the worms. the state of patient improved. Which of the follawing organisms is most likely responsible for ths patient's? OA. A Phestena OB. & venovunneus ©. 0 vino paranemotacus Scanned with CamScannerQuestion 60 = 141 points = 23. Which of tne following statements regarding the etiologic agent in #22 is not correct? OA. A.This paraste has avery low infecting dose OB. 6 Diinking water even ater treatment can sill cause cisease Oc. © Ths parasite ts capable of autointection @ b. 0. Tme ergantom can be transmitted to a suscepte Nast by blood transfusion. Scanned with CamScannerQuestion 82 141 points 91. Malignant neoplasm which occur in increased incidence in patients with AIDS include all ofthe folowing, except OA. A Burts ympnoma OB. & Primary CNS Wmphoma Od. 0 Keposis sarcoma Scanned with CamScannerQuestion 81 141 points 37. What parasitic infection does the kissing bug, Tiatoma sp., ansmitin hunsans? OA. A.vesceralLeshmaniasi Oc. c.Ameansieeping sekness Od. 0 cryptosponitasis Scanned with CamScannerons E] 86. Granulomatous lesion is an infammatory reaction found In many diseases whieh are formed when the immune system attempts to wall of substances it perceives as foreign but 's unable to eliminate. it may be seen in al ofthe folowing conditions, except: OA. A teprosy OB. 8 cryptococcosis Oc. c.senistosomiass dermattiats Scanned with CamScannerQuestion 86 147 points ES 1100, A4 montn oid intant is brought to a paediaincian Decause he has not been feeding well Physical examination of the mouth reveals curd lke plaques on the tongue & buccal mucosa that do not scrape off easily. Another associated physical finding might be seen in which of the rollowing? OB. 6 scap Oc. c.nose Op. Deas Scanned with CamScannerQuestion 63 oa 141 points — 19. Malignant neoplasm which occur in increased incidence in patients with AIDS include all ofthe folowing, except OA. A burats ympnoma @ 8. 5 Haiy cottevkem Oc. C.Kaposis sarcoma ©. 0. Pamary CNS Lympnoma Scanned with CamScannerQuestion 87 1.7 points Ea 22. AN AIDS patient seen by a primary care physician wih a two-week history of watery non- bloody diarrhea. Stool sample stained with modified acid fast technique revealed a double walled oocyst-ke structufe, The most ikely diagnosis is which ofthe folowing? OA. A Enamoetanistoytes Oc. ¢.ciarda tambia Od. d.cxciospoa Scanned with CamScannerQuestion 88 = 141 points = 25. Asexual reproduction of Sarcecysts only occur in which of the folowing? OB. fb Accidental host Oc. © Demave hast OD. D.insect vector Scanned with CamScannersons E] 156. A 56 year oki male nad a nistary ot 4 weeks cough wih blood -tnged expectorate spuium exam done revealed ihe presence of operculaied ova. name the intermediate host of this paraste, QA. A cyrauius convexuseutus OB. E.oncometania quacrasi @c. c sundaineipusa pniippina ©. 0 cienooharryngodon idetus Scanned with CamScannerQuestion £0 = 141 points = 90. The Tselse fy isa transmission factor for which of ine protozoan diseases? OA. A.Loatoa chagas Oc. © Leishmaniasis Od. d.Loatea Scanned with CamScannerQuestion #1 = 141 points = (09.Bactetta are cleared fiom the circulatlon mainly by OA. A tung copitaries @.. 6 spleen and iver macroonages Oc. © Cireuiating neutrophiis: Ob. Renal captaies Scanned with CamScannereasel a oo Ee 92. What isthe mevhanism of action of paralytic shelfsh poisoning? OA. A The verotoxn acts on the ining of the biood vessels, that vascular cendothetium. The breakdown ofthe ining can lead to haemorhage Beventual aanmea B The saxtoxin acts as a selective Sodium channel biceker preventing impulse {generation in peripheral netves & skeleial muscle leading io paralysis ofthe affected region. Oc. c.1me spasmogenie toxin binds tothe presynaptic memorane of he NM Junction & is ntematzed 8 transported reuoaxonaly othe spinal cor © ©. 0. The tevodotoxn inhibits te tring o action potentas in neuron by binding 10 the votagegatea sodium channe'sn he nerve cel memoranes and blocking he passages ofsocum jon into te neurons Scanned with CamScannerQuestion 92 Prevos 147 posnts 78. Avian Intuenza strains are divided into two types based on their pathogenicity, namely low pathogenic avian influenza (LPAI) and high pathogenic avian influenza (HPA). LPAI viruses cause only mid aisease in poumty while HPAI virus can Kill up to 90 ~ 100% of the flock and cause epidemics that may spread rapidly, devastate the poultry industry & result in severe trade restrictions. Q: What emerging HPAI subtype that is causing global concem as a pandemic threat and is often retereito simply as“ bird Mu" or avian influenza? OA Aronzvms O®. eB HiNovn Od. oHiNtvius Scanned with CamScannerQuestion 94 = 141 points = 20. The Tselse fy isa transmission factor for which ofthe folowing protozoan diseases? OA. Aleaba OB. 6 Leishmaniasis Od. v.chagas Scanned with CamScannerQuestion #5 = 141 points = 64. Find the mismatched pair among the folowing arthropods, @A. A eas. Panis pubis OB. fb tice: Pesicus humanus Oc. © Teks—Rackensia noketisa OD. D.nites- sarcootes scabet Scanned with CamScannerQuestion 96 = 141 points = 82. Feveris an efect of OB. fb oftaisin Oc. ¢ exioen Od. v.capsute Scanned with CamScannerQuestion 97 = 141 points = 28. Sexual reproduction of Babesia species takes place in the, OA. A Rea biood cots Oc. © Human gut OD. 0. Paenctymal ces of ne ver Scanned with CamScannerQuestion 98 1.7 poms Es 99. A 19 year old sexually actve woman presents wn a desquamating rash involving ner palms & soles, cianea, fever, hypotension, headacite, myalgias & red eyes. Her last menstrual period was 4 days ago. Which ofthe following is the most ike diagnsis? OA. A kawasatis disease OB. &. Rocky mourian spotted ever @c. cox shock syndrome Ob. scant ever Scanned with CamScannerQuestion 39 171 points zs 24 Toxoplasmosis in the fetus can be best cantirmed by detecting which ofthe following tesis? OA. A tu antnosies against toxoplasma in te maner @ 8. 6 lot anibocies agaist cxoptasma nthe fetus Oe. C196 antnosies aganst toxoplasma in the mother ©. 0.106 antoodies agatst oxoplasma nthe fetus Scanned with CamScannerQuestion 100 147 points 48. Human cysticercosis Is caused by this specie of Taenia: OB. 6 saginata Oc. can Od. d.Netner Scanned with CamScannerQuestion 12 aa 141 points = 15. The virus that has been implicated in the pathogenesis of nasopharyngeal carcinoma: OA. A Human Papilloma virus Oc. © Cromegaio vrus ©. 0. Human T cet Leukemia rus Scanned with CamScannerQuestion 10 Previous Next 141 points 49. This endemic parasite is also known as the Oriental Lung Fluke OA. A Echinostoma ilocanum OB. 6 sthistosoma japonicum @ ©. Faragonrus westrmani Ob. b.Fascioopsts bust Scanned with CamScannerQuestion 30 141 points ‘Salmonella infections are characterized by all of the following except OA. A Typhoiatever Oc. ccastoentems Ob. d.emeric tver Scanned with CamScannerQuestion 85 17/7 points, 70.A20 year oki man nas a non ~tender mass over the mandible. He Nad this mass 4 montn ‘ago. Thick yellow exudate started to oaze from the lesion, Yellow granules are seen on microscopic exam of the discharge. Wnich of the folowing organism is most Ikely responsible Tor this mans lesion? @A._ A Actinomyces tsraetti OB. 6 stapnyococcus aureus Oc. c.Nocaria ateroas Ob. b-Twenineta spirais Scanned with CamScanner