Doe THE nEST ASWER FROM THE GIVEN ALTERNATE THE LETTER OF YOUR CHOICE i; SEPARATE ANSWER SHEET Ord with fever, cough and chest pain. Further te and laboratory findings of the most tly healthy person rrance of hilar adenopathy, pulmonary infiltral gus, Based on these information what will Be dermatitidis Ly Ment with CD4+ count below 20Qsells/ul presented with bilateral pnewnet= ydular infiltrates. Further laboratory examination reviled presence ‘of yeast cells in jiratory specimen. Considering clinical and lab results, which one of the following can be ossible agent of the disease A. Aspergillus fumigates __B. Pneumocystis jiroveci . Candida albicans D. Cnptococeus neoformans 3, Antibody response to one of the Wiiteliavirus ASAD POS poi PS cane i Pee Girne Tet eM, - oe oem C. Respiratory syncytial virus =7ptann a8 peayiCa D. Erythrovirus— B19 parvo ~—~\Mo sts occurred in Camp X. 4, Sudden outbreak of acute respiratory disease in military recru Physical properties of the isolate virus showed high resistanceltocharsh snvironment, drying and lipid solveats. Which one of the following viruses can be a potential cause of this envelope =rweak following viruses contribute for pathogenesis except, (outbreak? i r co Sus. 40 do oe ‘A, Rhinovirus ™ noe ery. Cine cee B, Coronavirys > ene! eee en C. Adenovirus - no" evel4 D, Parainfluenza virus ~ eno ient department with presentation of acute 1D 5. A3 years boy presented in your outpati d signs of labored breathing and barking spasmodic inflammation of the Jarynx and trachea an cough, Based on these observations, which one of the following is the least responsible agent _sopshrert Jaren cbs oli s5 for the disease. ‘A. Respiratory syncytial virus ~ oe Poa B. Influenza A 40 C. parainfluinza type 1 - Jesu D. Rhinovirus reed eA Cardiopulmonary MPPH I!2. Thrombosis; ~ mark the vessel with the highest risk to be thrombosed im a bed ridden patient A. Popliteal vein B. Pulmonary artery © Bronchial artery D. Pulmonary vein ©. Portal vein © 13. Edema: a patient has_a distended abdomen (massive ascites) and you have examined the fluid ts gb. Mark the most probable cause ‘A. Thrombosis of the superior mesenteric artery B. Cardiogenie shock due to large myocardial infarction C. Hepatic failure (liver cirthosis with portal hypertension) D. Cardiac failure (end-stage rheumatic heart disease with coronary insufficiency) F. Tuberculous peritonitis |. Cardiomyopathy; - mark the subtype with the poorest systolic function (lowest ejection fraction) ‘A. Hypertrophy cardiomyopathy CM. B. Dilative CM >sistoie- C. Restrictive CM Compe D. Arrhythmogenic right ventricular CM E. Endomyocardial fibrosis (African Heart) B 15. One of the following statements is nat true about pncumonia A. The pathogenesis of primary pnzumonia is largely a function of microosgamism + ba rather than the decreased host resistance —2™ Pro-e=-~ =) a0 32=* oe B. The physical and radiologic signs of consolidation are absent in atypical primary oe pneumonia | C. Pnemocystits carinni pneumonia is an example of an opportunistic. infection im patients with AIDS ~ D. None of the above 123 PD 16. One of the following statements isnot tre about pulmonary tuberculosis A. Primary pulmonary tuberculosis is always exogenous ( inhalation of M. tuberculosis bacilli from an open case of active tuberculous patient) in origin B, Secondary pulmonary tuberculosis is characterized by lung apical caseous mecrasis and cavitation ~ CC. Lymphadenitis is the most frequent manifestation of an extra pulomoffaary tuberculosis D. None of the above eerie = 4 eaeto the thie tp mucosal mucus glands 19 cartilage) is almost 117 ae eeeeretes (ie cetn ofthe tickoess OF DERE ofthe bronchial wall fro the surface epithelium to the ‘A. Emphysema B. Bronchiectasis ©. Bronchial asthma eee ees widing an i eg sen vin ome ee epidemiological evidence of : cant asbestos wure on cht ‘A. Malignant mesothelioma B. Plaque like thickening of the parietal pleura ©. Pleural effusion D. Bronchial carcinoma A 19. A primary lung carcinoma believed to arise from neuroendocrine cell th ‘mucosa is: A. Small cell undifferentiated carcinoma B. Bronchioloalveolar carcinoma D, Bemckialseeeaet ma d to asbestos exposure Is est x18) .¢ bronchialB. Thrombus é : ts el of the abdominal aorta B Thrombus atrium (auricle) Thrombus in the left ventricle E. Thrombus in the right internal B 24. Rheumatic endocarditis; - mark th ao A. Polypous eiocardte iabalaes B. Verrucous endocarditis C. Staphylococcal endocardi D. Ulcerous endocarditis E. Thrombotic endocarditis Coronary artery disease: mark the mai A. Collagen fibers * B. Cholesterol crystals C. Foamy macrophages D. Calcific deposits E. Inflammatory cells (lymphocytes) J. 26. Atherosclerosis: risk factors; - mark the Icast. typical A Age — abynee! B. Hypercholesterolemia C. Smoking D. Alcoholism E. Diabetes - £ 27. A 22-year-old man is brought to the emergen from an overdose of a drug he has been taking; ‘and sometimes had insomnia after taking it. Which of that is most often used in asthma by the oral route and is capable of seizures? . Epinephrine B. Ipratropium C. Prednisone D, Salmeterol E. Theophylline aie 3 B 28. Cinchonism is a syndrome associated with which of the following antiarrhythmic drug? A, Flecainide B, Quinidine C. Lidocaine D. Procainamide ‘component of @ soft_plaque (instable plaque) 0 g cy department after suffering seizares resulting His friends state that he took the drug orally the following is a direct bronchodilator causing, insomnia and Cardiopulmonary MPPH Itoa of eatin ad A 2 : . aicr & Following is not nitrates 18 ‘A ia Tas Ievnaigls ob one of the climeal prot A True B. Fale E31 The antiarthythmic drug of choice to treat dgtalis-md A. Quinidine B. Lidocaine : C. Procainamide . = D. Verapamil All of the following statements about clinical manifestatic correct except oe ‘A. Aces Waste guile sn mild Giese ta chien. B Severe central nervous system deficits occur in one-third of recovered meningitis c Patients. C. Pus production is typical. « '< D. During viral influenza outbreaks, incidence of H. influenzae increases. — E. Pneumonia is 2 complication usually seen in children or the aged -~ B 33. Bacteria like Streptococcus pneumoniae, Klebsiella pneumoniae, Haemophilus influenzae that cause lung infections are prevented from immune response of alveolar macrophages. This mechanism is by: g A. Producing enzymes B. Producing capsule ; C Production of exotoxins D Release of IgA proteases E. Alll of the above & 34. Which of the following statements about Streptococcus pneumoniae is ‘rue? = A. It secretes an enterotoxin. bap sehcnea ct acoso B. It contains an endotoxin. ee C. It possesses both an enterotoxin and endotoxin. sed arrhythmia is of Haemophilus influenzae axe > It possesses neither an enterotoxin nor an endotoxin c 35, Wrong statement about infections of the Upper Respiratory Tract ‘A.S. aureus is a potential pathogen in the URT Bel noe evepey B. Most infections have viral etiologies — A j A, c influenza are most common causes of bacterial rhinosinusitis bre D. Normal flora bacteria perform important microbial antagonism in the URT — Cardiopulmonary MPPH Itweclynin the "hes Cultivate ire E rnp spec OA: fa apart tf eyo ale shane Cacititate Seateien Rheem M . sasty! gharsansn E an Of the Patient's tenses at PO pemersting growth schewsere so Sake ey panes NNN ween cae oP CS ce ae © Neaphyteceveas a . 8 All of the: fl onl NOG SERINE sheet the M.pronein of Group A Srepiowee ae AM proteins | @ Amal on Wo rete phage yo CM pounce type apt eo so :DM Prva i the major cote of theegoueo¥ Cray As valuromdase 1s a bacterial eneyme that - pia A. Induces blood clot fon . 1 Encourages movement in the ot pane C. Enhances penetration @hrough the how W D. Conver 40. AN A. The Morphology of the bacteria B They C. The de D. The strain of the bacteria 41. Which one of the following i true sbout the bio" it corvnebacteriam diphtheria A. Gravis: with small, dull gray to black colonies on tellurite containing media B. They produce an immunologically distinct toxins o C. They ferment starch with acid production D. Most diseases are caused by the biotype mitis 42. Sepsis is 4. Systemic inflammatory syndrome and pe oorganisms in the blood I ; — ~~ ne 0 tonouds + methods the report should include all except noes and number of pus calls ity of the bac fing hypotension B. Presence of viable transient mic of endotoxin by gram positive bacteria C. caused by the release and suspected or confirmed infeetion D. Systemic inflammatory syndrome is a common cause of neonatal sepsis A. Viridans streptococel B. Enterococcus faecalis C. Streptococeus agalactiae Cardiopulmonary MPPH It= 38 SES Se Glliowne sememens shout the M-grotcin of Group A Streptococci ere comet XM omemens allow seemnsnoci tp resist nhagacytosis. — BS Anminadies a Mi grmnm confer type-specific munity — CM pee ee mer wieelence factor of Geomp A suepiococci, — DM gewem os the mane constimem of thecapsule of Group A streptococci. 2 Seeimomiiee sebeoec eee thet _ 3 Invitees Sand ci Gocmmion in the host 3S Sqummees mmecemen m the organism C Ezimos pensrmion through the host tissucs D Camen weits © wanids fer esammmetion of ‘smenr stained bry Gram’s methods the report should inchade all except Mixgihsiiney of the inecterie & The presences and mumiber of pus caills & Poceemce of winiie naman micomongamiams in dhe blood low tae sefieuse off endiotoxin bby erm positive bacteria S Sec tema seme and suspend or consist infeion is v commons cumse of neonatal sepsis A Virus srepmnono B Deereceras faecasias C Srrepmecncras agaiacnaeite ondooardit auxe aoute infective endocarditis Ws aurcta Cause chronic infective endocarditie nfcctive endocarditis A. Most often associated with virul infections Is Rare infection following bacteres ia in older people © Can be caused by trejtocdccus pneumonia, Neisseria yp. und some viruses ated with non-infectious causes A 48 Caiciumn antagonists D. Caleium influx into All of the following are - Hypotension —