1.

A 16-year old male patient presenting with hepatitis syndrome has the following serologic exam
findings: (+) HBsAg, (+) anti-HAV IgM (+) HBeAg (-) anti HBe and (-) anti HBc IgG
a. Acute hepatitis A and acute hepatitis B simultaneous infection in replicative phase
b. Acute hepatitis A superimposed on chronic hepatitis B in the non-replicative phase
c. Acute hepatitis A superimposed on chronic hepatitis B in the replicative process
d. Acute hepatitis A and a previous immunization to Hepatitis B
2. What is the most common organism isolated from the ascetic fluid of patients with spontaneous
bacterial peritonitis?
a. S. pneumonia
b. S. aureus
c. E. coli
d. B. fragilis
3. In cases of sepsis or septic shock, platelet transfusion is recommended if platelet count falls below
____________ regardless of bleeding.
a. 5,000
b. 10,000
c. 15,000
d. 20,000
4. A patient who returns to treatment with positive bacteriology (smear or culture) or clinically
diagnosed, following interruption of treatment for two months or more is classified as:
a. Relapse
b. Treatment after failure
c. Treatment after lost to follow-up
d. None of the above
5. Which anti-TB drug is associated with cases of psychosis and convulsion?
a. Isoniazid
b. Rifamipicin
c. Pyrazinamide
d. Ethambutol
6. All of the following are true about the diagnostic examinations used to diagnose typhoid fever,
except:
a. Stool culture may be positive during the 3rd week of illness in untreated patients
b. Blood culture is the gold standard for diagnosis and should be taken from at least 2
different sites
c. Bone marrow culture yield is high (70%), but is reduced by up to 5 days of prior
antibiotic therapy
d. The blood picture is usually normochromic, hypochromic anemia
7. Duration for treatment for atypical infections is:
a. 5-7 days
b. 10-14 days
c. 14-21 days
d. 7-10 days
8. All of the following are criteria for discharge for patients treated for pneumonia, except:
a. SBP >100 mmHg
b. Pulse rate <100 bpm
c. O2 saturation >90%
d. Functioning GI tract
9. What is the treatment protocol for category Ia patients treated for tuberculosis?
a. 2 HRZE 4 HR
b. 2 HRZEs 9 HRE
c. 2 HRZE 10 HR
 d. 2 HRZE 6 HR
10. The following are correct, except:
a. Relapsing fever- Borrelia species
b. Typhoid fever- Salmonella typhi
c. Scrub typhus- Ricketssia typhi
d. Epidemic typhus- Ricketsia prowazekii
11. These are nontender, slightly raised hemorrhages on the palms and soles seen in endocarditis:
a. Osler’s nodes
b. Janeway lesions
c. Splinter hemorrhages
d. None of the above
12. What is the gold standard in the diagnosis of leptospirosis?
a. PCR
b. Microagglutination test
c. Specific IgM rapid diagnostics
d. Culture and isolation
13. What is the medium used for M. tuberculosis culture?
a. Cetrimide
b. Tellurite
c. Lowenstein-Jensen
d. Thayer-Martin
14. All of the following are bacteriostatic antibiotics, except:
a. Vancomycin
b. Erythromycin
c. Trimethoprim
d. Tetracycline
15. These are coarse granulations present in RBCs invaded by P. falciparum:
a. Ziemman dots
b. Schuffner dots
c. Maurer dots
d. James dots