MCQ TROPMED 2018

Front

What is the transmission route of the pathogen in a 19 year-old male with fever for 12 days, constipation for 4 days, hyperemic throat, coated tongue, and liver enlargement?

Back

Fecal – oral transmission

Front

What is the transmission route of the pathogen in a 19 year-old male with fever for 12 days, constipation for 4 days, hyperemic throat, coated tongue, and liver enlargement?

Back

Fecal – oral transmission

Front

A 28-year-old woman presents to a hospital in Papua with persistent fever after receiving a five days course of antimalarial treatment with artemether for falciparum malaria. Her blood smear is negative, but her rapid diagnostic test is positive for Plasmodium falciparum. The doctor considers retreatment with a second line antimalarial drugs. Which of the following is the most possible drug for this condition? Options: Quinine, doxycycline & primaquine, Chloroquine & primaquine, Atersunate, amodiaquine & primaquine, Mefloquine & primaquine, Sulfadoxine- pyrimethamine & primaquine.

Back

Quinine, doxycycline & primaquine

Front

A 5-year-old boy was brought to the pediatrician because of poor appetite. On physical exam, the child was small for his age and had a slightly enlarged liver. Laboratory examination found marked eosinophilia. When questioned about pets, her mother reported that she spent a great deal of time with her puppy. Of the following, which manifestation of the infection is known to occur in the above case? (toxo) Options: Pruritus ani, Visceral larva migrans, Creeping eruption, Biliary cirrhosis, Cholecystitis

Back

Visceral larva migrans

Front

A 25-year-old female was brought by her husband to emergency unit after she tried to commit suicide by ingesting insectiside. She had nausea, vomiting, abdominal cramps, diarrhea, excessive salivation, headache, pin-point pupils, mental confusion, and muscle twitching. Which of the following is the antidote for her condition? Options: Adrenaline, Atropine sulfate, Noradrenaline, Lidocain, Diazepam

Back

Atropine sulfate

Front

A 32-year-old man was seen in dermatology clinic because of sore and redness on his previous skin lesion. He was on MDT treatment since 1.5 year ago. On skin examination they found some painful erythematous nodule spread over his body especially on arm and legs also fever. What is the most likely diagnosis?

Back

Erythema nodosum

Front

A 8-year-old-boy was taken to the emergency department by his mother with vomit and dyspnea. According to his mother, he played in the backyard when he experienced the symptoms. Physical examination found high fever of 39.9 oC and multiple stings on the back. The most likely species of insect bites is:

Back

Hymenoptera sp

Front

A 36-year-old man presents experienced extreme swelling of his legs and scrotum. The skin associated with the swollen areas is thick and scaly. The patient admits to an episode of fever associated with enlarged inguinal lymph nodes some time ago, but did not think much of it. Of the following, which is the most appropriate treatment for this condition in the above case? Options: Mebendazole, Metronidazole, Surgical excision, Diethylcarbamazine, Thiabendazole

Back

Diethylcarbamazine

Front

A 30-year-old female came to out-patient clinic to be evaluated for his HIV status. She was diagnosed HIV positive a week ago and had CD4 levels of 320 cells/microliter. She asked whether she could have the antiretroviral treatment. What is the most appropriate next step for this patient HIV management?

Back

Evaluate for tuberculosis infection

Front

A 32-year-old male living in Bali is brought to the emergency department of hospital because of generalized seizure. A computerized tomography (CT) scan of his brain revealed several calcified regions. Brain tissue biopsy reveals scolex with hooklets. Of the following, which parasite can cause this disease?

Back

Taenia solium