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MOCK BOARD EXAM in MICROBIOLOGY/

VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

1. Which structure is present in a eukaryote? 6. Mycoplasma is poorly seen on Gram stain


A. Mitochondria because of which characteristic?
B. Nucleoid A. It does not have a cell wall.
C. 50S ribosomal RNA B. It cannot be cultured.
D. Circular DNA C. It must be stained with acid fast
KEY: A stains.
D. It lyses the stains used.
2. Bacteria that best thrives at temperatures KEY: A
20-40°C is referred to as _____?
A. Psychrophilic 7. Which of the following is an endotoxin?
B. Mesophilic A. Toxic shock syndrome toxin
C. Thermophilic B. Theta toxin
D. Capnophilic C. Diphtheria toxin
KEY: B D. Lipopolysaccharide
KEY: D
3. Autoclave is achieved by using which of
the following settings? 8. Which of the following is an obligate
A. 121°C x 30 minutes x 15psi anaerobe?
B. 121°C x 15 minutes x 15psi A. Bacteroides fragilis
C. 100°C x 30 minutes x 10psi B. Campylobacter jejuni
D. 100°C x 15 minutes x 20psi C. Helicobacter pylori
KEY: B D. Escherichia coli
KEY: A
4. Antibiotic sensitivity testing is usually done
using which media? 9. Which mechanism involves the direct
A. Blood agar transfer of free DNA from one microbe to
B. Chocolate agar another?
C. Mueller Hinton agar A. Transformation
D. Mac Conkey agar B. Transduction
KEY: C C. Transfiguration
D. Conjugation
5. Acid fast bacteria are colored red due to KEY: A
this stain:
A. Crystal violet 10. Bordetella pertussis is best grown using
B. Iodine this culture media?
C. Safranin A. Lowenstein-Jensen agar
D. Carbolfuschin B. Mac Conkey agar
KEY: D C. Regan-Lowe agar
D. Modified Thayer Martin agar
KEY: C

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 1 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

11. Which of the following diseases is NOT 15. Neonatal meningitis acquired during
toxin mediated? vaginal birth is most likely due to which
A. Diphtheria organism?
B. Tetanus A. Streptococcus agalactiae
C. Syphilis B. Streptococcus pyogenes
D. Pertussis C. Viridans streptococci
KEY: C D. Streptococcus pneumoniae
KEY: A
12. Methicillin-resistant Staphylococcus
aureus is due to presence of this gene in the 16. A patient presents with pneumonia. His
organism: sputum was sent for culture. The bacterium
A. Mec A obtained was Gram-positive diplococci in
B. Van A chains, alpha hemolytic colonies on blood
C. Erm A agar. Which of the following can help in the
D. Ery A identification of the isolate?
KEY: A A. Novobiocin
B. Bacitracin
13. Urine culture from a patient with UTI C. Optochin
grew Gram positive cocci in clusters, non- D. Oxacillin
hemolytic on sheep blood agar, coagulase KEY: C
negative and novobiocin resistant. The
organism is most likely isolated is? 17. A 6 year child is complaining of ear pain.
A. Staphylococcus epidermidis If this was acute otitis media, the most
B. Staphylococcus saprophyticus common organism causing this infection is:
C. Streptococcus pyogenes A. Streptococcus agalactiae
D. Streptococcus agalactiae B. Streptococcus pyogenes
KEY: B C. Viridans streptococci
D. Streptococcus pneumoniae
14. A child presents with infected skin lesions KEY: D
on the arm. Culture showed beta hemolytic
colonies which were Gram-positive cocci in 18. Waterhouse-Friedichsen syndrome is a
chains. Which test is most helpful to use to complication seen in patients infected with
identify the organism? which of the following organisms?
A. Bile solubility A. Neisseria gonorrhea
B. Bacitracin sensitivity B. Neisseria meningitidis
C. Optochin sensitivity C. Escherichia coli
D. Catalase activity D. Mycobacterium tuberculosis
KEY: B KEY: B

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 2 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

19. A 16 year old male patient presents with 23. A male patient presented abscess over
headache, fever, stiff neck for the past 24 his left mid thigh crushed injury site. Culture
hours. Gram stain of the CSF showed Gram- grew Gram-positive, spore-forming
negative diplococci. Which of the following is anaerobic organism. Which of the following
the most likely infecting organism? is the likely organism isolated?
A. Neisseria meningitidis A. Bacillus anthracis
B. Escherichia coli B. Clostridium perfringens
C. Mycobacterium tuberculosis C. Corynebacterium diphtheriae
D. Haemophilus influenzae D. Actinomyces israelii
KEY: A KEY: B

20. A 19 year old male comes to the ER with 24. Traveler’s diarrhea is caused by which of
complaints of urethral discharge. Gram the following?
staining showed numerous neutrophils, A. ETEC
some Gram-negative intracellular diplococci. B. EPEC
Which of the following is the most likely C. EHEC
infecting organism? D. EIEC
A. Neisseria gonorrhea KEY: A
B. Escherichia coli
C. Treponema pallidum 25. A 25 year old male experienced bloody
D. Haemophilus ducreyi diarrhea a day after eating hamburger
KEY: A bought from a delivery service. He also
complains of abdominal pain, malaise and
21. A 34 year old farmer, noticed a swollen, felt feverish. From the history, which strain
raised lesion with black center over his right of E. coli is the most likely pathogen?
arm. The eschar is formed by which of the A. ETEC
following agents? B. EPEC
A. Bartonella henselae C. EHEC
B. Bacillus anthracis D. EIEC
C. Staphylococcus aureus KEY: C
D. Streptococcus pyogens
KEY: B 26. A patient with pneumonia presented with
“currant jelly-like” sputum. Culture showed
22. A patient experienced nausea and pink mucoid colonies on Mac Conkey agar.
vomiting after eating fried rice with vanilla What is the virulence factor of this organism?
sauce. Which of the following is the most A. Flagella
likely causative organism of the food B. Cell wall
poisoning? C. Teichoic acid
A. Clostridium perfringens D. Capsule
B. Staphylococcus aureus KEY: D
C. Bacillus cereus
D. Clostridium botulinum
KEY: C

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 3 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

27. A burn patient developed sepsis a week 31. Which of the following is the mechanism
after his confinement. Blood culture grew of cholera toxin resulting to diarrhea?
Gram-negative bacilli, oxidase-positive, beta A. Increases the levels of intracellular
hemolytic colonies on blood agar with grape- cGMP
like odor. Which of the following organisms B. Acts through the opiate receptors
is the most likely pathogen? C. Causes continued activation of
A. Pseudomonas aeruginosa adenylate cyclase
B. Acinetobacter baumanii D. Inhibits the enzyme
C. Stenotrophomonas maltophilia phosphodiesterase
D. Burkholderia cepacia KEY: C
KEY: A
32. True about primary syphilitic chancre:
28. Bordetella pertussis is best prevented by A. Red, maculopapular rashes on hands
which method of prevention? and feet
A. Vaccination B. Gummas on the skin, bones, liver
B. Properly cooking food C. Painful, ulcerated lymph nodes
C. Filtration of drinking water D. Painless, clean, ulcerated lesion
D. Use of face mask KEY: D
KEY: A
33. A patient presented with flu-like
29. A patient presented to a STD clinic with symptoms, jaundice, hepatitis and renal
painful genital ulcer and painful, soft failure, two weeks after wading in flood
nonindurated enlarged inguinal lymph node. waters. Which of the following would be
Which is the most likely pathogen? considered as a diagnosis?
A. Treponema pallidum A. Cholera
B. Haemophilus ducreyi B. Shigellosis
C. Gardnerella vaginalis C. Psittacosis
D. Streptococcus agalactiae D. Leptospirosis
KEY: B KEY: D

30. Which of these organisms requires X and 34. Which of the following is transmitted by
V factors for growth? louse?
A. Haemophilus influenzae A. Rocky Mountain Spotted fever
B. Haemophilus parainfluenzae B. Scrub typhus
C. Haemophilus parahaemolyticus C. Epidemic typhus
D. Haemophilus ducreyi D. Q fever
KEY: A KEY: C

35. The principal reservoir for the antigenic


shift variants of influenza virus:
A. Rodents
B. Pigs, Fowl
C. Chronic human carriers of the virus
D. Mosquitoes
KEY: B

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 4 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

36. This virus is the most common cause of 40. Rubella virus infection is characterized
bronchiolitis in infants by which of the following statements?
A. Measles virus Choose the best answer.
B. Influenza virus A. Systemic infection with rubella virus
C. Respiratory syncytial virus often causes severe liver damage
D. Adenovirus resulting in cirrhosis.
KEY: C B. If a pregnant woman is infected
during the first trimester, significant
37. MERSCOV is caused by which of the fetal abnormalities typically result.
following virus? C. The main transmission of the virus is
A. Influenza virus from adults who have recovered
B. Adenovirus from the disease and have become
C. Coronavirus chronic carriers.
D. Parainfluenza virus D. Immunization of male and female
KEY: C healthcare workers with the
formalin- inactivated vaccine is
38. Which of the following causes sporadic, recommended.
neurodegenerative diseases by conversion KEY: B
of a protein material into a disease causing
conformational change in the infectious 41. Important viral proteins for the
proteinaceous material? identification of SARS-COV2 in clinical
A. Viroid specimen include which of the following?
B. Virion A. Rdrp protein
C. Prion B. S protein
D. Protists C. M protein
KEY: C D. All of the above
KEY: D
39. This virus is responsible for Kaposi
sarcoma and vascular tumors of mixed 42. This refers to the specificity of viruses to
cellular composition host cell receptors where they exert their
A. Human Herpesvirus 6 clinical manifestations in the host.
B. Human Herpesvirus 8 A. Symbiosis
C. Human Herpesvirus 10 B. Parasitism
D. Human Herpesvirus 9 C. Tropism
KEY: B D. Commensalism
KEY: C

43.This DNA virus is hepatotrophic and has


the capacity for oncongenic transformation
of infected cells?
A. Poliovirus
B. Calicivirus
C. Retrovirus
D. Hepadnavirus
KEY: D

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 5 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

44. Which of the following statement/s is 49. Which of the following statements is
TRUE for viruses? correct:
A. A virion consists of a genomic A. Epstein-Barr virus causes Kaposi
material of RNA or DNA only sarcoma
B. All RNA viruses are readily infectious B. Epstein-Barr virus causes
to the host cell Nasopharyngeal carcinoma
C. All viruses are enveloped C. HPV causes hepatocellular cancer
D. DNA viruses replicate in the nucleus D. Merkel cell virus causes Adult T-Cell
KEY: D leukemia
KEY: B
45. In which of the following conditions can
Parvovirus cause transient aplastic crisis? 50. The basic pathophysiology in Covid 19
A. Malignancy infection is due to the effect of:
B. AIDS A. Antibodies
C. Thalassemia B. Cytokines
D. Post organ transplant C. Interferon
KEY: C D. Hormones
KEY: B
46. The characteristic repetitive cough with
whoops is seen in which phase of B. 51. This sequelae of measles is due to the
pertussis disease? development of defective mutant:
A. Incubation A. Post infectious encephalitis
B. Catarrhal B. Subacute Sclerosing Panencephalitis
C. Paroxysmal C. Measles rash
D. Convalescent D. Measles conjunctivitis
KEY: C KEY: B

47. Which assay results indicate previous 52. A 36 year old nurse is positive for both
HBV infection and immunity to Hepatitis B HBsAg and HBeAg. The nurse most likely
A. HBsAg (+), Anti-HBs(-), Anti-HBc(-) A. Has acute hepatitis and is infectious
B. HBsAg (-), Anti-HBs(+), Anti-HBc(+) B. Has both HBV and HEV infections
C. HBsAg (-), Anti-HBs(-), Anti-HBc(-) C. Has a chronic HBV infection
D. HBsAg (+), Anti-HBs(+), Anti- D. Has cleared a past HBV infection
HBc(+) KEY: A
KEY: B
53. Which is confirmatory of dengue
48. A 40 years old woman was diagnosed to infection?
have cervical cancer. The most common A. IgM (+) in a single serum sample
viral causative agent is: B. IgG (+) in a single serum sample
A. Herpes virus C. NS1 (+)
B. Human Papilloma virus D. PCR (+)
C. Epstein Barr virus KEY: D
D. Polyoma cell virus
KEY: B

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 6 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

54. A 23-year-old, who works from home, 58. A 23 year old medical student came to
developed high fever and joint pain on both the OPD due to abdominal pain, poor
hands with morning stiffness. He denied appetite and vomiting of previously ingested
bleeding. Physical exam essentially normal food. Pertinent physical examination
except for temp 39°C, and swelling of showed icteric sclera, jaundice and
metacarpo-phalangeal, proximal hepatomegaly. History of eating at a
interphalangeal and distal interphalangeal Carinderia in Dapitan 14 days prior was
joints. CBC Hgb 125 Hct 40 WBC 4,000 (seg extracted. What laboratory test can confirm
30%, lym 70%) plt 155,000. The most likely the diagnosis?
pathogen is A. Anti-HBs
A. Chikungunya B. Anti-HAV IgM
B. COVID-19 C. Anti-HAV IgG
C. Dengue D. HBs
D. Yellow Fever KEY: B
KEY: A
59. JM, 42 years old was diagnosed to have
55. The most common cause of bronchiolitis Hepatitis D. Which is correct regarding
and pneumonia in infants less than 1 year HDV?
old is? A. Double stranded circular DNA
A. Parainfluenza virus 1 B. Acid resistant
B. Human metapneumovirus C. A mutant virus
C. Respiratory syncytial virus D. Requires HBs Ag coat for
D. Rubella virus transmission
KEY: C KEY: D

56.TRUE statement regarding Acute HIV 60. The primary route of transmission of
Syndrome human coronavirus is:
A. Low level of plasma viremia and A. Fecal-oral
increase in CD4+ T cell count B. Respiratory
B. Low level of plasma viremia and C. Blood
decrease in CD4+ T cell count D. Perinatal mother to infant
C. High level of plasma viremia and KEY: B
increase in CD4+ T cell count
D. High level of plasma viremia and 61. Which of the following statement/s
decrease in CD4+ T cell count is/are TRUE for subcutaneous mycosis?
KEY: D A. Infection is acquired primary
through inhalation of spores
57. Atypical measles is characterized by B. Infection is disseminated into the
this/these types/s of lesion/s lymphatics and blood circulation
A. Vesicles invasion is present
B. Petechiae C. Acquired usually by traumatic
C. Urticaria inoculation
D. All of the above D. Immunocompromised hosts are the
KEY: D usual target for these type of
mycoses
KEY: C

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 7 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

66. An 8-year-old developed circular patched


62. This subcutaneous mycosis is of alopecia with scaling and itching. Greenish
characterized by development of disfiguring to silvery fluorescence was not observed on
subcutaneous nodules in the nasal mucosal Wood’s lamp. What is the causative agent?
area with KOH findings of (+) numerous A. Epidermophyton spp.
branching hyphae. B. Microsporum spp.
A. Lobomycosis C. Trichosporon spp.
B. Rhinosporidiosis D. Trichophyton spp.
C. Mycetoma KEY: D
D. Sporotrichosis
KEY: B 67. A 12-year-old developed slightly pruritic,
discrete hypopigmented macules with
63. This subcutaneous fungi/mycosis minimal scaling on the chest. Direct
commonly refered to as “Gardener’s microscopic examination of her skin
disease” because of its association with scrapings using calcofluor revealed
traumatic implantation from thorny plants. “spaghetti and meatballs”. What is the
A. Fonsecae pedrosoi causative agent?
B. Madurella mycetomatis A. Malassezia furfur
C. Sporothrix schenkii B. Microsporum spp.
D. Loboa loboi C. Trichosporon spp.
KEY: C D. Trichophyton spp.
KEY: A
64. Actinomycotic mycetoma is due to
which of these fungi? 68. You are examining the malarial smear of
A. Allescheria a patient infected with Plasmodium
B. Madurella falciparum. Which of the following stages
C. Phialophora of the parasite would you least expect to
D. Nocardia see on the patient’s smear?
KEY: D A. Sporozoite
B. Schizont
65. Coccidioidomycosis is a fungal disease C. Trophozoite
caused by soil saphrophytes entering the D. Ring forms
body through: KEY: B
A. Skin
B. Respiratory tract 69. It is best to take a blood sample from the
C. Punctured wound patient for malarial smears during which
D. Hair stage of the infection?
KEY: B A. At the height of fever
B. Right after the bite of the
mosquito
C. During the sweating stage
D. During convalescence
KEY: A

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 8 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

70. The dormant stage of the Plasmodium


spp is found in which of the following 75. The L1 larvae of Wuchereria and Brugia
tissues? develop to L3 larvae in the:
A. Blood (red blood cells) A. Human blood
B. Muscles B. Midgut of the mosquito vector
C. Eyes C. Thoracic muscles of the mosquito
D. Liver vector
KEY: D D. Human lymphatics
KEY: C
71. Which of the following is correctly paired
with its vector? 76. Which of the following is the etiologic
A. Old World Leishmaniasis – cause of eosinophilic meningitis?
Phlebotomus spp A. Angiostrongylus cantonensis
B. New World Leishmaniasis – B. Wuchureria bancrofti
Anopheles spp C. Ancylostoma brazilienze
C. Chaga’s Disease – Glossina spp D. Strongyloides stercoralis
D. African Sleeping Sickness – Aedes KEY: A
spp
KEY: A 77. A 48-year-old man consults due to
enlargement of both his lower legs and
72. Unilocular hydatid disease that has scrotum. There were also noted multiple
expanded into a large occupying mass in palpable inguinal lymph nodes.
solid organs is due to infection with which Peripheral smear shows microfilariae with
of the following? sheath and no nuclei at the tip. What is
A. Diphyllobothrium latum the infective stage to the insect vector?
B. Taenia solium A. L1 larvae
C. Echinococcus granulosus B. L3 larvae
D. Hymenolepis diminuta C. Filariform larvae
KEY: C D. Microfilaria
KEY: D
73. In the double-pored cestode, Dypilidium
caninum, which of the following serves as 78. This parasite is characterized by larval
its intermediate host? migration to other organs prior to
A. Dog maturation:
B. Cat A. Enterobius vermicularis
C. Flea B. Capillaria philippinensis
D. Man C. Trichuris trichiuria
KEY: C D. Ascaris lumbricoides
KEY: D
74. Entamoeba histolytica is morphologically
similar to which of the following?
A. Iodamoeba butchlii
B. Acanthamoeba
C. E. dispar
D. Entamoeba coli
KEY: C

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 9 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

79. A 30-year-old farmer complains of severe 82. Which of the following is NOT related to
itching, blisters, and a red growing, the pathophysiology of anemia in malaria
winding rash on his right leg. He has A. Rupture of the red cells during the
experienced these a few times for the release of the parasites
past 5 years, and claims that the lesions B. Phagocytosis of infected and non-
will disappear after a few weeks. If you infected red cells by
are suspecting hookworm infection, what reticuloendothelial cells
would be the appropriate diagnostic test? C. Effects of cytokines, inflammatory
A. Skin biopsy of the lesions mediators, hepcidin that affects
B. Kato Katz technique iron availability
C. Enterotest D. Deranged erythropoietin
D. Harada Mori Culture production
KEY: D KEY: D

80. A 30-year-old farmer complains of severe 83. A 56-year-old male, previous diagnosed
itching, blisters, and a red growing, with malaria began to experience fever,
winding rash on his right leg. He has chills and malaise. He claims he was
experienced these a few times for the compliant to his medications and was
past 5 years, and claims that the lesions “cured” of the infection about 6 years
will disappear after a few weeks. What ago. If his current condition is due to his
other laboratory finding is expected if the previous malarial infection, which stage
patient has long term heavy infection of of the parasite could cause the relapse?
this organism? A. Trophozoite
A. Microcytic, hypochromic anemia B. Gametocyte
B. Macrocytic anemia C. Sporozoite
C. Normocytic, normochromic D. Hypnozoite
anemia KEY: D
D. Microcytic, normochromic anemia
KEY: A 84. Which of the following developmental
stages of Toxoplama gondii is its dormant
81. On examination of a malarial smear from form and is seen in the tissues of an
a febrile patient, the following were seen: infected host?
Normal-sized red blood cells, 1-2 A. Tachyzoite
trophozoites per RBCs, trophozoites with B. Bradyzoite
1-2 nuclei, Few crescent-shaped C. Sporozoite
gametocytes. Which of the following is D. Trophozoite
the most likely infecting organism? KEY: B
A. Plasmodium falciparum
B. Plasmodium ovale 85. Chlorination of water supply is ineffective
C. Plasmodium malariae usually for this parasite:
D. Plasmodium vivax A. Trichomonas tenax
KEY: A B. Trichomonas hominis
C. Enteromonas hominis
D. Giardia lamblia
KEY: D

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 10 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

86. Man ingests which of the following to 90. Humans serve as an intermediate host in
acquire cysticercosis. which nematodes?
A. Segment of Taenia solium A. Acaris lumbrocoides
B. Scolex of Taenia saginata B. Ancylostoma duodenale
C. Ova of Taenia solium C. Necator americanus
D. Ova of Taenia saginata D. Toxocara cati
KEY: C KEY: D

87. In serious human cestode infections such 91. A 22 y/o woman was admitted due to
as Hydatid Disease and Cysticercosis, fever. She noted to experience sudden
man becomes which type of host? onset of feeling cold, chills then feeling
A. Definitive host hot and febrile and sweaty as the fever
B. Final Host lyses. If he is infected by Plasmodium
C. Intermediate Host falciparum, how often are the paroxysms
D. Paratenic Host expected to recur?
KEY: C A. Every 72 hours
B. Every 48 hours
88. This free-living amoeba is the causative C. Every 36 hours
agent of keratitis seen in homemade D. Every 24 hours
contaminated contact lens fluid. KEY: B
A. Entamoeba dispar
B. Acanthamoeba 92. Encystation of larva in the skeletal
C. Naegleria fowleri muscle is part of the life cycle of this
D. Entamoeba histolytica parasite:
KEY: B A. Trichinella spiralis
B. Trichiuris trichiura
89. Annual deworming was done in all grade C. Capillaria philippinensis
1 students. Majority of the parents D. Enterobius vermicularis
reported that their children had passage KEY: A
of tan, long, round worms. Two days
after deworming, one of the students 93. Among the following round worms, which
complained of severe abdominal pain. can cause retroinfection in humans?
This was followed by abdominal A. Trichiuris
distention, tenderness and vomiting. B. Capillaria
What would explain the signs and C. Enterobius
symptoms of the patient? D. Ascaris
A. Migration of the adult worm in the KEY: C
biliary tract
B. Larval migration into the lungs 94. Which of the following trematodes has an
C. Intestinal obstruction caused by ovum with a lateral spine?
the adult worms A. Schistosoma hematobium
D. Intestinal perforation and B. Schistosoma mansoni
peritonitis C. Fasciola hepatica
KEY: C D. Schistosoma japonicum
KEY: B

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 11 | Laboratory Medicine


MOCK BOARD EXAM in MICROBIOLOGY/
VIROLOGY/MYCOLOGY/PARASITOLOGY
Department of Laboratory Medicine

95. Characteristic temporary inflammatory 98. The species of Schistosoma endemic to


reactions called calabar swelling is the Philippines:
associated with: A. intercalatum
A. Loa-loa B. mansoni
B. Brugia malayi C. japonicum
C. Onchocerca volvulus D. Haematobium
D. Wuchereria bancrofti KEY: C
KEY: A
99. Which of the following statements is
96. A 6-year-old male was brought to the TRUE for liver and intestinal trematodes
emergency room due to 3-day history of A. Their ova is endowed with a
watery diarrhea accompanied by low characteristic terminal spine
grade fever and decreased appetite. B. Embryonated ova is their infective
Fecalysis and stool culture were stage
requested. Fecalysis showed C. Diagnostic stage is the finding of
trophozoites with sluggish motility and metacercaria in the stool
has ingested bacteria and yeasts. Which D. Their infective stage is
of the following is TRUE regarding this metacercaria seen in 2 nd

organism? intermediate hosts


A. This organism is pathogenic only KEY: D
in children
B. This organism is invasive and has 100. Fasciola hepatica most commonly
extra-intestinal site involvement matures in what organ in its final host?
C. This organism is nonpathogenic A. Large Intestine
and reside in the lumen of the B. Lung
large intestine C. Mesenteric Artery
D. This organism causes mild D. Liver/Biliary Tract
diarrhea in children KEY: D
KEY: C

97. A 30-year-old butcher sought consult


because of blurring of vision. CT-scan
revealed multiple space occupying
lesions in the optic chiasm. Biopsy of the
lesion revealed cysticercus cellulosae.
What is the mode of infection of the
pathogen?
A. Ingestion of embryonated egg
B. Skin penetration of larvae
C. Bite of infected mosquito
D. Ingestion of crayfish with cercaria
KEY: A

UST FMS ONLINE MEDICAL BOARD REVIEW 2021 12 | Laboratory Medicine

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