Pays satu “MICROBIOLOGY AND_ PARASITOLOGY Inst) Faas Licensure Examination pao ree REGULATION COMMISSION PROFESSIONAL / wanile - BOARD OF MEDICINE day, October 30, 2021 Select the correct answer for each of the follow: UCTIOI one answer for each item by shading thi quesEions. Mark onli SorEpapending tacehy teeter oF your choice on the answer sheet provided. srrq| wuuthpLE cworcs 2 1 TLY NO ERASURES ALLOWED. carditis is a consequence of rheumatoid arthritis Ribrous peric A, autoimmune disease: SLE, B. coxsackie_A-infactian prolonged inflammation due to TB or fungal infection ©: malignant progression” Select the MOST pathogenic of the following species of PLasmodium, blood protozoan that can cause malaria. A. P. ovale a P. malariae & P. falciparum B. P. vivax 10-year-old girl developed involuntary movements of hex extrem-ties, uncoordinated facial tics strongly suggestive of rheumatic fever. She has family has no carditis, subcutaneous nodules, skin rash, but history of her sister, brother and mother with history o2 sore throat few months ago. WhichCéesP can be recuested which if (+) will indicate "@eTanes ben pyogenes infection? — ‘Anti-DNAse antibody titer Polymerase chain reaction ©. ASO antibody titer D. Antihyaluronidase acid antibody titer. oe Bed Which statement about Leptospirosis is (Ruz B. Bepatorenal syndrome may occur in up "€@_9Q percent) of patien U ts. at ant nme B. Person to -person transmission C. Fluoréguinolones are: the~drug-o%-choice. ((DiyPats ave prime reservoir. Osteomyelitis in a.Hzn characteristics , @XCHEP" periosteal naw-one Formation > & necrosis absent _ often bilateral . common cause is S. aureus” =" common. positive patient has the following D. most Which agent is\ a recognizec cause of diarrhea ? A. \pecnerieme oor" “Gy Enterocovotis“fecatis aaa B. Vitbeke-chotera ¢ Do-Plostridium perfringens with_smoker:_s.cqugh, complained_of. kody, malaise, on and pzoductive’ cough He continues to A G4zyear-oldman, kercise. Which is ow grade fever of 2 days durat smoke despite exper tang shortness of of breath < the MOST appropriate igi itial) envests igatioh for him? oa ayer A. Sputum culture B. C-reactive protein hest x-ray 2 oe on Continued on PageSHYSICIANS Licensure Examination sone 2 Saturday, October 30, 2021-02 - 04:00 p.m. MICROBIOLOGY AND PARASITOLOGY sara ld female, complained of vaginal discharge and, vulvar PrUpitus and banning, “focther snvestigation revealed thet cher sex Partner has watery, whitish urethral discarge. The consequent clinical Course did not seem to progtesé beyond the initial sites of infection. Which is the MosT probable causative agent of the patient's complaint? A. Streptococcus pyogenes (C.)Ne:sseria gonorrhea B. Staphylococcus aureus \oY trichononas vaginalis 9./Which is the SMALLEST tape worm jmfecting man? A. Taenia saginata ynenolopsis nana B. Taenia solium - Diphyllobothrium Lacum 8. 25-vear~, Which disease listed is Nor an STD? Risgheneroia C.stirettha 4B )Hand-foot-mouth D. Ectoparasitic infection 9 Vreee 11. Which would be the MosT helpful diagnostic laberatpry test to confirm the diagnosis of gtmecoécal aréhriti: As Serologic detection of the antibody ¥ GD Culture of the aspirate Nucleic acid amplification test wan ~ |B. Smeax of the aspirate 22 Whigh of the following statements regarding mumps. virus save?) | (A) The virus infects human and other animal hosts. ‘BY Involvement of the parotid gland is an_obligatonystep in the infectious process. ed | €. Immunity to the virus is permanent after a single infection}, D. Infection is always followed by clinical, manifestation ease Gas. gangrene is MOST likely associated with infection of 13. | taphylococcus auréus €. Pseudomonas aeruginosa B.“Olostridium perfringens D. Neisseria gonorrhea ~ 14.) A’ previously apparently healthy young man was brought to the emergency rical ' room because of progregeiva general weakening with symm involvement of both upper and lower extremities. This was -pFeceded by stidden ohset ‘of doubling "of viston;-“aTFELCUlty, of swallowing, and slurring of speech. We was afebrile. In the emergency room, he suddenly went into respiratory dizficilty and went into irreversible cardiac arrest. Upon interview with a relative, it was revealed that he had leftover of canned sardines for lunch several hours ago. What )Staphylecoccus aureus from Staphylococcus epidermidis | nic! fishermen went drinking with GV RAGKTS!"SoakSd]in walted vinegar ap their "pulutan". After 3 hours of drinking; both almost smultanssusly experienced _severe—pain.on both legs. In the ER, a tending doctors noted bulloi ruptions on their lags which progressed , SMEESINGLAG-Skin. The clinical impression was acute and patients. were treated for septic shock as showed normal WBC, buz glevatéa’ scor, ssp, and € the inte necrosis of, ngcrotizing fasciits well. Laboratory da’ ckeatinine phosphokinase. Which is the jigs? probable vause"< Pi tients’ condition? CO ——_ A. Salmonella typhi \c.) Vibrio vulnificus B, Streptococcus pyogenes D. Clostridium perfringens | Ss) : Children born witn and infection, on altreatment, and had reached adolescent stage are @€ high risk for psychiatric disorders Which of the following disorders is the MOST. common? : K. Suicidal tendency C. Obsessive compilsive B. Paranoia (Pmanxiety disorders Continved-on Page 4 mannSaturday, october 30, 2021 -. 02:00 p.m. ~ Page 4 MICROBIPLOGY AND PARASTTOLOGY SETA 26. 20. 29. 30. a1. 32. 34. A |S8 low ES HSads¥AEs “gra audible frictioi PiBy most likely, he hed 0 Select the YOST commoy neurologic diso aga late manifeéstu&€ion of the disease joRtant role in the pathogenesis of rheumatic fever? M protein ~ ¢. Hemolysin + Pyogenic exotoxin D. Streptokinase iny C 25. ca Of the antigenic structure in Streptococcus Pyogenes has an which genetic mategial is found in pathogenie Gor ynebecte aiphtheriae)but not in non-pathogenit normal tlora..dipt) 4h. Highly repetitive bacterial DNA 7 7 Anvepisome ? |, Integrated temperate phage Diphthamide whten of the following is the MOST common cause of urinary tract infection? ‘Be; Escherichia coli C. Citrobacter ” Proteus mirabilis D..Providencia rettgeri Whigh parasite can produce stools described as ‘steatorrheic or grue iP? Balantiaium coli C. Giardia lamsrta + Entamoeba histolytica D. Chilonastix mesnili long in weeks does the clinical illness of primary HSV1 infection ifesting with fever, sore throat Vesictilar’ and“Ulderative lesions ‘elving buccal and gingival itis pharyngitis; "" ~~ Ljitis, “aia “localized = Pepe ge yn B) 2-3 D. 4-5 7 In} a 12-year-old chi}d with fever and joint pains, select the clinical features hich" are. suggestive of acute rheumatic fever “~~ (Avsan early diastolic murmur at the left sternal border with dy 4 ‘spnea : v di , ORF - The presence of an enlarged spleen with referred chest pain)< + Migratory arthritis wherein leg joints sypically being involved’ first eee Pain and swelling of the small joints of the hands rheumatic fever, CEXCEP’ 5 A. lack of access to health care ¥ ; poor dental hygiene * lower standards of living The following settee factors increase the risk of acute B. overcrowding ear old male, known chain smoker suffered from sharp chest pain, rade, fever’ of almost 2 weaks,~ "aya noted tO" have (As "puberculous pericarditis “pr restrictive cardiomyopathy : viral myocarditis D. constrictive pericarditis AIDS ‘patient ease ; , Behavioral changes C. Dementia complex }: ai ;B) Inability to concentrate D. Psychomotor retardation x which ig the causative agent of relapsing fever? . Spirillum © Leptospira B. Treponema « (Dy Borrelia Continued on Page 5 TODS Ver 2.1.Saxurday, October 30, 2021 - HECROBTOLOGY AND PARASTTOLO: 1 qT, vaginalis because of its 35. Gelen che PREFERREDtest for det igh sensitivity | A. Gram staining do c. Pap smear’ y Be {waar D. Wet mourts ans —— | : . . 36. WhEah statement is\TRUE regarding Trichomonas vaginalis? = " A.\. vaginalis as flagellate protezoa causing inflammation Jet vulva, vagina, and cervix in females while the prostate —"and urethra in males. . B. Up to 50% of nongonococcal or postgonococeal urethritis or the urethral syndrome is attributed to trichomonas and produces dysuria with nonpurulent discharge. a C. Infection,with T. vaginalis may confer apparent immunity.\4 D. About; 20% jof infected males have « thin, white urethral discharge’ Teve is an appropriate statement about Herpes Zoster? t is a reactivation of latent chickenpox virus in sensory ganglia B. It is clinically and pathologically distinct from chickenpex {++ C. It is a second episode of infection with chickenpox virus D. It is a mutated form of chickenpox I | a7. | | A. 24-28 15-21 I 2 38. fhe incubation period in days Suey infection is ; | B. 10-14 > 5-7 39. Which of the following s¥mpton§ offUrt(is the Most? common in a child nde 2 years of age 7 CP F “urinary frequency ~~~ Proves B. Headeche Abdominal pain @ ongoing dengue infection? | 40. How will you determine if there is an get [ A, Patient develops recurrence of fever |(B) Significant rise in antibody titer® | C: Platelet count decreasing \ |b. Second bout of skin raghes ‘nenifests , 41. Which statement may Wor te true of neoratal, herpes? A, There is no difference inthe severity of disease whethey~ | xacquired during delivery or post-partum, ' B. here is no difference in the native end severity of disease |, Whether acquired by ‘a premature infant or a full term por ‘.. ‘infant. C. Other sources of infection include family members and “Spospital personnel. \P: infection caused by the HSV type 1 carries a worse prognosis than that caused by HSV type 2 i | 42. Which statement about rheumatic fever ie non Rue? | A, Rheumatic fever has tendency to be reactivated. by recurrent | _ ‘streptococeal Infections. \~ | B. Rheumatic fever may be associated with cutaneous streptococcal infections. \~ C. Rheumatic fever is the most important cause of heart disease -vy, in young people in developing country. ° | D.\The more severe streptococcal sore throat is, the greater chance of developing rheumatic fever, nved on Page 6 ’46. 4B. 49. 51. for humans. Eastern equine encephalitis Westexn equine encephalitis {. West Nile encephalitis Sy Japanese B encephalitis EPLOGY AND PARASITOLOGY SERA Dekermine which of these CNS diseases can be prevented with a vaccine Which of the following tapeworms is acquired by eating raw or undercooked pork? My, Taenia saginata C. Hymenolepsis'nana (PB) Paenia solium D. Diphyllobothrium latum Which of the following statements regarding carrier state of Neisseria Meningitidis. is (true? SS a Penicillin Ye“effective-in eradicating the carrier states ’\B. More often than not, they progress to Meningitis ku C. Carriers exhibit symptoms of Upper Respiratory Tract Infeetion * 1D. Nasophatyngeal swab cultures are'suitable -for surveys, due.to_an.ascomycete and was found out to have lung abscdesg °MOST~ likely he hai . — ce la. blastomycosis— 2 nocardiosis (IB. coccidiomycosis . ¢ histcplasmosis = CCQ myc Meee eachectic.male,chain smoke, who developed flu like disease A 45-year-old man consulted because of acute swelling and pain of his ldft knee. On examination’, the lef: Sé“Was swollen but the overlying skin was not hot or warm to touch eri poaitive for ition (which relieved the bgllotnent, :ndicating presence of fiuic. Rep ehent “of pain) Was done and 36 of clear” yellowish non=purule! pectin fc" examination do“to identify “the organism a |A. Gram staining 'B. Tuberculin test jee Polymerase chain reaction FYCulture and sensitivity obtained. Which is the MosP useful ,aragnost. Y Co rolved? wifich statement regarding Staphylococcus aureus i TRUE?) A. It does not contain antigenic polyssc@haride Myenue=" iB. It can be intracellular in nasal epithelial cells. x ic. It is a motile organism. Y (Dy Methiciilin is the commonly used artibiotic against it. ova that do not float in the saturated salt solution is J vertilizednyLumbricoides eggs oH. nana Ic. f. solium ID. Ancylostoma I — wilich is theCoeas} Likely feature of the following epidemioiogic fdatures of néasles? la. Highly contagious ” iq, Multiple serotype No animal reservoir B. Lifelong immunity conferred _, ni i Whigh of the following diseases is BEST diagnosed by serologic means? {a2 Pulmonary tuberculosis C. Gonorrhea emma eines Ain AN S ? jB. Actinomycosis Db. Q fever Continued on Page 7 : aPRYSICIANS Lic are 1 ensure Examinat: oon page 7 Satugday, October 30, 2021 - 0; MECROBTOLOGY AND PARASITOLOGY sera condition can cause acaiculaus.cholesyatitis? 52.) whic. A. Nocardiosis G. Malaris B! Staphylococcus (ep uestospizosie : 53.| which group of streptococcus, is MOST Likely invalved ass causztive | agent_in eeutévand subacite endocarditis? G. dtreptocoaaus agalactiae \CA: TBtreptococeus pyogenes | “Bl streptococcus pneumonia D. Streptococcus viridans 54. Which of the following tests ig(M9Sm gommonl} used and may be requosted men 7 a to, detect viral, RNA sin, clinical specimen | CAA Reverse transcription ~polymerasé Chain reaction % Enzyme iinked~immunoassay ey 0 + Barticle agglutination. test | Di MMizal-cwrture y ¢ ‘ 7 Shatemagts about infection-relate: glomerulonephritis is CORRECT? > | A, Viral infections ate-mést commonly implicated * A B. Post-streptococcal glomeruloneparitis should be treated with (, "corticosteroids. ? LE efres infection with E. coli 0157. YY D. ACE-inhibitors are contraindicated il i renal failure. 7 | | "c- Rewsagtic’ vend’ cyndrone occurs 56). The ability of the immune system to recognize self-antigens versus non self antigen is an axenplaoF - = | A. Cell-mediated immunity ,B.Ydumoral immunity |. Select the virus that.can be vertically transmitted and yosf cbmmonly; > Cxctoleranee Dewantigenicity 57. associated witH mental retardation, microcephaly, seizures, “and... - | deafness o a scoo) oe oe a | A. Herpes simplex virus c. Cytomegalovirus | pByRubella "-D, Varicella-zoster virus 58. If Staphylococcus aureus disseminates and bacteremia, ensues, which of the following will "LEAST likely to ocdur? ea A, Endocarditis’ """ C. Osteomyelitis ¥ | @. Pyelonephritis ~ D. Meningitis 5 59. Whjeh one of the following parasites is 2 nematode? i C. Bchinostoma ilocanum ie Enterobius vermicularis Taenia..solium D. Metagonimus yokogawa 69. Streptokinase is produced by . A. Streptococeus—pyogenes./* C, Streztococcus faecalis B. Streptocoeceus—piisuionia~ D. Staphylococcus aureus’ ‘The ova that do not float in the saturazed salt solution is 61. ' “"h, Hymenolepsis nana (Bo Fertilized A. lumbricoides “@! Taenia solium j D. Ancylostoma duodenale ep. @G finding which may be indicative of pericarditis would be ‘prolonged PR interval “Cr igif-depreseten D,...P.elexvation B. ST segment elevation Continued on Page 8 aPage 8 PaYSI¢rANS Saturday, oLecs: 2 Exal o ai oo 2021 - 02 . = 04300 pea MECROBIOLOGY AND PaRASrTOLOGY (powers percent infective dose (1D50)? 63. (Whic’ sacteria has the i A. Campylobacter jejuhis ~~ C. “Salrone-la typhi Blvshigelie sonnel D. Vibsio-ciolerae 4. Genital herpes is MOST commonly caused by [AL Cytomegalovirus Herpes Simplex virus 1 |B: Varicellaczonter virus ((8) Herpes simplex virus 2 65. At a school nurse's request, a clinic in Fural south Cobebate pees a p-year-old girl who appears listless and inattentive, although hearing pnd visual testing has been.within normal limits, ‘the physician finds fhe child thin, with thei"pothelly’ of.mainutritio#, and orders fecalysis and cnc. CBC reveals microgytic., hypochromic ‘Siiéimia, "and the fecal exan detects brown, oval hehatede egjs approximately 63 microns in : “count, what was thé “0ST likely means by which the imeFOus té cout hild was ingected? A. Ingestion of larvae B. Skin penetration by larvae > oN j C Mosquito tranemiesion\of sporozoites * 66. A 40-year-old man is suffering fron multiple episodes af.cissaminated ~gonecoceal infection for tlie.last_few years. Cultures of his urethra and yield Neipseria ees Pnalyze the MOST likely cause for this. infection™ a am — ‘Ay Absence of lymphocyte: adenosine deaminase activity B, Polymorphonuclear cell chemotactic factor activity eficiency of the late-acting component C5,Cé, C7 or C8 | ‘Ds Selective IgA deficiency | 67. |The gross pathologic change caused by the herpes simplex virus is 2 [Ey Gytokine mediatea (B% a host immune response to viral antigens. nectosis from cytolytic infection Sct the resultant release of exotoxins D. through local 68. (Which organism can cause endocarditis infecting normal heart valves? | A. Streptococcus viridans C;fnterococcus fecalis B. Candida albicans B-"Syephylococous aureus * i @ but, feiled to tiles afd pustiiles on her ipted her to séek'Wedical Which is the “Ts 69. |A femalb,sex worker-daveloped purull jseek medical treatment. Later she ast jarms, forearm, and,legs..What finally proi consult was when she.had painful swelling, of, her wrists. k {MOST probable..diagi of the joknt swelling? C. Gorococcal arthritis FAs EB SYNOVI EAS se aemer-n B.-Hemor¥hagic arthritis Ei—Gorty-erthritis | | 70. Which one is NOT aN important, characteristic of streptococeus pyogenes? A. beta hemolysin (C) polysaccharide B. protein A Dot protein 9 mov vee Continued on PageSITUATIONAL Sitwation 1 - A 2-year oldqunimnunized girl developed ‘high to moderate fever wlth chilis/2 days prigt-to-consult. She had sore throat, hoarseness. anda thick oxey membrane, “hér'throat and tonsil was noted. ‘there were enlarged ‘Tymphnédes Dilaguovis was diphtheria. pee 71. whi / statement is ‘Nov! correct regarding C. diphtheria? A, ut is Gram-positive club-shaped roes with metachromatic + granules with aniline dyes. 'B. One type of colony, var gravis, of Cc. diphtheria is ~adescribed as nonhemolytic end large GVsgorynebacterium diphtheria are spore-fcrming Gram-positive at least 24 months after the last ¢_ primary course. {By If it hasbeen given as part of a nation following a / tetanus prone wound, the routine booster is always necessary. There should be 3 years between the first and second booster doses. . ce Tt is only available in combination with other vaccines. 5 situation 2 - B 40-year-old female horticulturist consulted because of multiple suboutaneotis nédales and abscesses occurring algng thé. lymphatjcs ‘of hex left upper extremity Past KiStoty” revealed trauma while tending her planté severe! months ago. Sees 74. which of the following would be your wdrking impression? ] iF _Chromoblastomycosis Cc. Exytheqa, nodosun (8: SBporotrichosis D. Tubereitlpsis 75. To establish the diagnosis, which is the \iosr reliable, Hiaanaatig ‘toot to-be,done on the biopsy material or exudates fromthe ulcerated lesion? ‘)A, ‘Fungal culture ~~ ee a B! Fluorescent antibody staining |C. Fungal cell wall stain 'D. Potassium hydroxide smear 76. How would you treat this case of subcutaneous inycosis? la. Oral itraconazole (Bs Amphotericin B iC. Potassium iodide saturated solution |B. Infection is self-limited situation 3 - James, 16 year.old student, wes jogging around their su \euarhen he accidentally stepped his sioit’ foot on a mueted nail otvseion along a construction site. A few days afterwards, he developed spasticity of his imscles initially starting on his right foot leg -> jaw muscles developing into a “locked jaw’. Continued on Pege 10 more sy77. Wi i nei is your diagnosis? GC) retams ®. Myonecrosis strychnine poisoning ‘ Bl. Botulism 7 the orcanism #8. The following are the effects of the neurotoxin produced by th ¢ ofthis case. However, one of the Btatetiénts below-in or~triié) which toxin causes the reiease of inhibitory glycine x “HY toxin causes blocking of alpha aminobutyric acid — toxin causes blocking of the motor neurcns toxin digests prote:n required by neurotransmitters 79. Begides the clinical picture and history of injury, what lagnostic beat can be done? ny wont + Toxin production and neutralization test , Blood culture _ sjAnaerobic culture of contaminated tissue + Serology Situatidn 4 - A 33-year-old woman consulted because of lower abdominal pain, abnormal vaginal discharge, dysuria, and painful intercourse. Her Goctor diagnosed. her as having pelvic inflammatory diseasé(PID). ~ eto 80. whilch organism is Mos? conmoti|y involved in PID? 7 + T pallidum ‘ . 2 C. G6. vaginitis B. Candida BAN. gonorrhes. 7 81. How is the ‘clinical diagnosis |confitmed?) Dir { 4.) LaparoscOpie Visualization ~~ Pp Pit \.Be Culture of discharge Bat » Gram stain of discharge - Sf Regular pelvic examination. oF 82. Which would be a major complication if this patient was not treated adequately 2 w.-ncmmene re Malignant degeneration _C, Miscar-iage 8) chronic pelvic pain (Oo yintertility Gan Situatior yp 5 - In the Philippines, the rainy sedson heralds the increase Dengue fever in the, country. because of the increage’in the aedes aegppet virus which is the primary vector mosquito 83. Whak is the key pathological. feature.offdengus.henarrhagic fever é oreasec Vascular permeability -> Plasma leakage intg <= XG Anterstitial spaces -> Increased vasoactive cytokines Shock. BL A saddle-back form of fever sub: : ° siding on 3rd day and risin again before 5-8 days. $ ¥ 2 Enlarged lymph day myalgia and deep bone pain, back, joints and eyeball ,, * ftodes and appearance of rashes on 3rd - 4th 84. why|does second dengue, fever ingectio, the) first? al Patient has weaker imm nity during the second attack as compared to the first. yn have higher fatality rate than B} Patient refuses to consult the hospital and does | . y-,| self-medication experienced from the first attack’. { Ch Preexisting dengue antibody formed complex with the virus promoting infection to more mononuclear cells. p| More meditations are bein J given during the second attac! thus more complication J on a Continued on Page 11 Mee ver 2.1.9PRYSICIANS Licensure Bxamination Saturday, October 30, 2021 - 02 MICROBIC OGY AND PARASITOLOGY SETA 85. cw“is dengue treated and controlled? | QS riuda”replacement therepy Vaccines C. Antiviral drug treatment | D. Eliminate breeding places pem. - 04:00 p.m, Page 11 Situdtion 6 - a (24 year-old male homosexuel, who has frequent sex activities with other. maids, develdped WYV7AIDS. He_had cl igh and confirmed to have patmonary tuberculosis. 86. What.is the CARDINAL pathogenic feature of; HIV infection? | A, Mnactivation of macrophage AA '" B. ‘Depletion’ of T-lymphocytes” - C.. Cytolysis of monocytes D. Loss of production of néutrophile | 87. Which of the following is the iBEST predictor of the long term clinical Joutgome of HIV infection? = ~~ ‘ - (Atiming of antiviral therapy ~~ | ‘BY Plasma viral load C. C4 lymphocyte count D. Level of antibody 88. \Which is the PREDOMINANT cause, of ith late-stage-HIv infection? : ,, | A, Nevrologic disedves C. AIDS- essociatdd cancér | ‘Ppportunistic infections D. Pulmonary complication =A 20 -year old. female tour guide came home after a 2-week stay lat(Sagada, Méutain Province and she needed to consult her family physician because of abdominal ‘cramps and watery-based but with mucus and blood streaked stools dccurring for'5-6'x a day ffor_2 days . recalysis revealed trophozoites and cysts of Entamoeba histolytica. ‘yaong patients 89. Differentiation between pathogenic an¢_n [Entamoeba can be done by~théfollawingCEXcEPI: ‘A. 2ymodeme analysis phagocytic activity | BL complement activation DY use of genetic markers pathogenic strains of v 90. Amebiasis is transmitted by : [OA, mosquito bite B. skin penetration by larvae | Sq contamination by flies (e) fecal contamination of drinking water and food CG 91. |The infective stage of Entamoeba histclytica to man has A ‘A, cigar-shaped chromatoidal body B. pseudopodia ©} ingested RBC DB. bull's eye karyosome Situation 8 This disease invol fection of the_lymph.nodes, liver, spleen, kidney, bone. marrow, and the myocardium where necrotié™"- fiesions end degenérative changes may resiilt. ‘the acuté clinical picture consists of fever, chills, headache,,.dizziness, myalgia, and backache followed {by naysea, itiag: and Renayrasaee Matt Patients recover at this poine, but absve is percent progresces to more ‘severe form, with fever, jaundice, renal failure, and hemorrhagic manifestations many léddiny fo hepatorenal failure and death. ‘the outcome of this may be either full recovery without secuelae or deathZANS Licensure Examination a Se eee Poe .00 pam. - 04:00 pm. egge 12 ser y_AND PARASITOLOGY 92.\Which one of the following infectious diseases is being destribec? Relaps-ng fever A. Yellow fever c D. Blackwater fever Inhalation Penetration of skin exposed to contaminated water Ingestion of contaminated food Mosquite bite ative agent of this diseese? Leptospira interrogans 94. Which of the following is the es “ Borrelia recurrentis A. Plavivirus |B. Plasmodium faleiparum Sityation 9 ~ a 9 # Ebaoinal” pais Accompaiied by frequent“urination” and There was tendernes: palpaticn of the, suprapubic accomBanying fever vital \sicns were fhermal. ely diagnosis? 4 | Which of the following is the Most | A, Appendicitis a Drinary tract infection cr Cystitis D. Pelvic inflammatory disease |. common pathogen which causes about 89-90 percent of lower urinary tract Which of the ‘following is this organism? ¢. Protezs mirabilis D. Klebsiella \ 96 Urine culture and sensitivity was done and the organism isolated is a | infegtion. | “{ay?E coli "gy Enterococci | 97). Fer young woman. who denied histoy stand faring Guleiie™ was Nedative fox Bacteria put sifters-rrom recurrent dysu¥ia,"étforts should be exerted ‘towards isolating a certain organism through culture study. Which of the following is this organism? Klebsiella c. E.coli ae trichomonas ; D. Galarydia siquetion 10 ~ A 12- year old boy #zom.Bagace,. Tondo was brought to the emergency room with a prolapsed réctum, 2xamination of the rectum reveals small worms tHat” resemble Whips attached to the mucosa. A stool sample reveals eggs that are barrel-shaped, with bipolar plugs. nae oe Given the scenario above, which parasite is the MOST lixely cause? Ri enterobius vermicularis C, Ascemig lunbricoides (Fifoeichoris "extonuria D. Echinococcus granulosus 99. The classic finding of “coconut cake rectum" in a patient with |" trichwrtests is" deen tye" A, plain-abdominaleneray C. barium enema B. Gf scan of the-abdongn (“Dé polonoscopy ). Discover the eggs of Trichuris trichuria in feces by all of the | foljowing EXCEPT z i UA Graham Scotch tape technique B- direct fecal smear “ Cc. saturated brine flotation method D. Kato Katz technique i garzald college female student consulted the clinic because