73.

Determine type of bacteria and staining method

A.M. tuberculosis, Ziehl Neelsen staining method

B.C. diphtheria, Alberts staining method
C.B. pertusis, Gram staining method
D.N.gonorrhoeae, simple staining method
E.N.meningitidis, Gram staining method

74.4 years old boy was admitted to hospital because unconsciousness, high fever,
stiff neck, pulse 120b/min, unresponsive. Because unconsciousness, high fever and
stiff neck, lumbar puncture was done promptly to examine cerebrospinal fluid
(CSF). The CSF was very cloudy. Gram stain of the CSF showed numerous
leucocytes and very large number of s of gram negative cocci in pairs. Which one
of the following is the most likely diagnosis?
A.encephalopathy
B.measles
C.bacterial meningitis
D.aseptic meningitis
E.chicken pox

75.To the hospital was admitted patients with complains to coughing with sputum,
weakness, night sweating, moderate temperature. A chest X-ray showed dark
focuses upper part of right lung. Ziehl Neelsen stain of the sputum showed
numerous leucocytes and thin slender red rods. Which organism is most likely
causing this infection?
A.M. tuberculosis
B.St. aureus
C.B. pertusis
D.N.gonorrhoeae
E.N.meningitidis

76. To the hospital was admitted 26 years old man because complains to
coughing, weakness, temperature, chest pain, short breathing. A chest X-ray
showed dark focuses upper part of right lung. Gram and negative stain of the
sputum showed numerous leucocytes and gram positive lancet like cocci in
pairs with capsule. Which organism is most likely causing this infection?
A.Enterobacteriaceae
B.Streptococcaceae
C.Micrococcaceae
D.Neisseriaceae
E.Clostridiaceae

77.8 years old boy was admitted to hospital because vomiting, petechial spots, high
fever, stiff neck. The cerebrospinal fluid CSF was very turbid. Gram stain of the
CSF showed numerous leucocytes and very large number of s of gram negative
cocci in pairs. Which one of the following media is the most likely used for
diagnosis?
A .Durham test tubes, because fermentation of glucose
B .Mc Conkey agar, because fermentation of lactose within 24 h
C .Blood agar because cause haemolysis
D .Yolk salt agar, produce lecitinase
E.Serum agar because selective to media

78.2 years old boy Alesha suffering from respiratory infection with coughing,
temperature, runny nose. The cough mostly at night, dry cough, paroxysmal, 15
times a day. During cough face of patient became a red.Gram stain of the sputum
showed gram negative short rods, non motile. On the Borde Jangu media forms
small smooth, clear colony resembles mercury drops. Which one of the following
is the most likely diagnosis.
A.Whooping cough, catarrhal stage
B.Whoopingcough,paroxysmalstage
C.Pneumonia moderate stage
D.Pulmonary tuberculosis
E.Acute laryngotracheobronchitis

79.A man was seen in trauma department because he had been injury of leg which
was contaminated by soil. Which organism can infected wound?
A.Clostridim tetani
B.Bacillus anthracis
C.Yersinia pestis
D.Rabies virus
E.staphylococci
80.Determine type of serologic test and using

A.Agglutination test in test-tube for brucellosis

B.Elek test (Precipitation in gel) for diphtheria
C.ELISA for syphilis
D. Immunofluorescence for
influenza E.Neutralization test for
botulism
81.Determine type of bacteria and staining method

A.S. Pyogenes, gram positive a chain

B.St. Aureus gram positive a bunch of grapes
C.B. Pertusis, gram negative short rodes
D.N.gonorrhoeae, gram negative cocci a pairs
E.S.pneumonia, gram positive cocci a pairs

82.32 year old man was admitted because suddenly onset of fever and chills, fever
and headache, of painless auxiliary lymph nodes, accompanied by a buboes. 5
days ado he returned from desert area.
A.Wayson stain, bipolar staining
B.Gram stain, gram positive
C.Ziehl Neelsen stain, acid fast
D.Ziehl Neelsen stain, non acid fast
E.Alberts staining club shaped

83.A women with spasmoffacial muscles, 15 days week ago she had been cutting
toes of right leg by iron. From wound discharge was seen gram positive bacteria
like a drum stick.Pathogenic properties of pathogen.
A.tetanospasmin
B.botulotoxin
C.endotoxin
D.histotoxin
E.cholerogen

84.A 31 years man was admitted to hospital because was very aggressive and
crazy. Physical examination reveal hypersalivation, hydrophobia.
Source and transmission of this infection.
A.Transmitted from human to human air borne
B.Transmitted from rodents to human transmissive
C.Transmitted from birds to human air borne
D.Transmitted from wild animals to human contact
E.Transmitted from animals to human food borne
85.А women 31 years old complains to weakness, headache, vomiting,
anorexia, dark urine, these symptoms appear 4 days ago. She is works in green
vegetables shop. Which is most likely diagnosis?
A.Hepatitis В
B.Hepatitis С
C.HepatitisD
D.Hepatitis А
E.Hepatitis Е

86.In village 5 years old boy admitted to hospital because suddenly fever,
headache, vomiting, muscle pain of extremities. Physical examination reveal
unresponsive, stiff neck, disorientation. Which method and specimen have to used
for diagnosis?
A.culture method, vomits masses
B.serologic test, blood
C.culture method , pus
D.culture method , urine
E.culture method cerebrospinal fluid

87.Determine type of bacteria and staining method

A.Candida albicans, Gram stain

B.Aspergillus parasiticus, Gram stain
C.Penicillium crustosum, Gram stain
D.Chlamydia trachomatis, Romanovsky Himza stain
E.Ureaplasma urealyticum, Gram stain
88.Determine serologic test and
interpretation

A.Neutralization test positive

B.ELISA positive
C.ELISA negative
D.CSF positive
E.CSF negative

89.Determine method and equipment which is most likely used at sterilization

of artificial medium.
A.Mechanical method and filters
B.Moist heat, boiling
C.Dry heat,
incineration
D.moist heat,
autoclave
E.mechanical,
cleaning

90.In village school childrens was suffering to vomiting and diarrhea after
eaten vegetables. From stool was isolated gr negative rods, stain bypolar.
Which microscopy and staining method is used?
A.fluorescence microscopy,
metilorange
B.immersion microscopy, simple
method
C.immersion microscopy, Gram
method
D.phase contrast, handing drop
E.electron microscopy