PHM 461 Final Exam with All Correct & 100% Verified
Answers |Latest Version |Already Graded A+
Which one of the following conditions is recognized globally as a major cause of gastric and
duodenal inflammation and/or ulceration. ✔Correct Answer-Helicobacter pylori
Which one of the following regions or countries remains most severely affected with HIV/AIDS,
with nearly 1 in every 25 adults (4.4%) living with HIV and accounting for nearly 70% of the
people living with HIV worldwide? ✔Correct Answer-Sub-Saharan Africa
Malabsorption is an important clinical problem in tropical countries, typically presenting with
chronic diarrhea, glossitis, weight loss and multiple nutritional deficiencies. Which of the
following conditions causes severe malabsorption? ✔Correct Answer-Giardia lamblia
Which one of the following symptoms indicates inflammatory diarrhea? ✔Correct Answer-
abdominal pain
Which one of the following pathogens causes inflammatory diarrhea? ✔Correct Answer-
Schistosoma spp.
Which one of the following conditions IS NOT the cause of chronic neurological presentations in
the tropics? ✔Correct Answer-rotavirus
Which one of the following DOES NOT occur during the blood stage of malaria infection?
✔Correct Answer-ataxia
A 2-year-old child presents with three weeks of cyclic fever and chills, poor oral intake, and
seizures. The child and her family are emigrants from Indonesian Papua. Blood specimens were
collected for routine work-up.
CBC (complete blood count) showed low platelet count, and smears were made and stained
with Wright-Giemsa. During microscopic examination of thin blood smears, a laboratory
technologist identified parasites - see attached image.
What is the most likely diagnosis? ✔Correct Answer-malaria? (or african tryp.)
For the case above (a 2-yr-old child immigrant from Indonesia Papua), which one of the
following pharmacologic combinations is most appropriate? ✔Correct Answer-Artemether-
lumefantrine(?)
For which one of the following tropical diseases, the parasite produces schizogony? ✔Correct
Answer-malaria
, A 7-year-old child from southern India presents with impaired consciousness, seizures,
respiratory distress. Blood tests confirm hypoglycemia and low hemoglobin. What is the most
likely diagnosis? ✔Correct Answer-malaria
Pharmacologic treatment of which of the following tropical diseases requires directly-observed
therapy (DOT)? ✔Correct Answer-tuberculosis
Kala-azar (Hindi for "black sickness") is caused by: ✔Correct Answer-Visceral Leishmaniasis
Which one of the following tropical parasites produces miracidium? ✔Correct Answer-
Schistosoma
An individual Mozambique, presents with anesthetic skin lesions and thickened peripheral
nerves. The most likely diagnosis is: ✔Correct Answer-leprosy
A 28-year-old Sudanese man is evaluated for irritation and watering of his left eye. On physical
exam, there is evidence of acute popular dermatitis and is characterized by solid, scattered,
pruritic papular rashes. Ophthalmologic examinations revealed a subjunctival nodule in the
medial aspect of the left eye. The patient underwent surgical exploration of the nodule under
local anesthesia, which revealed dead and living worm fragments. What is the mist like
diagnosis? ✔Correct Answer-Onchocerciasis
For the case above (question #16), administration of which one of the following pharmacologic
agents is recommended? ✔Correct Answer-ivermectin
A 38-year-old woman developed a temperature of 38.9°C (102°F), sweats, shaking chills,
headache two days after returning from rural Indonesia. She had not taken malaria prophylaxis
during her 10-week stay in that country. Her other symptoms included diarrhea and passing
bloody mucus during defecation. The patient was found to have an elevated WBC with a left
shift (increased polymorphonuclear and band forms), but no eosinophilia. Serum electrolyte
and transaminase levels were unremarkable. A chest radiograph showed minimal blunting of
the right costophrenic angle. On the night the patient was admitted to the hospital, her
temperature became elevated to 39.4°C (103°F), and she reported increasing tenderness in the
right upper quadrant. Ultrasound examination of the right upper quadrant and computed
tomographic (CT) scanning of the abdomen revealed three large abscesses in the right lobe of
the patient's liver. Examina ✔Correct Answer-amoebiasis
For the above case (question #18), which one of the following pharmacologic agents is the drug
of choice? ✔Correct Answer-tetracycline
Which one of the following pharmacologic agents is the drug of choice for eradication of amebic
cysts? ✔Correct Answer-Iodoquinol
Which one of the following tropical diseases has Inaba serotype? ✔Correct Answer-cholera
Answers |Latest Version |Already Graded A+
Which one of the following conditions is recognized globally as a major cause of gastric and
duodenal inflammation and/or ulceration. ✔Correct Answer-Helicobacter pylori
Which one of the following regions or countries remains most severely affected with HIV/AIDS,
with nearly 1 in every 25 adults (4.4%) living with HIV and accounting for nearly 70% of the
people living with HIV worldwide? ✔Correct Answer-Sub-Saharan Africa
Malabsorption is an important clinical problem in tropical countries, typically presenting with
chronic diarrhea, glossitis, weight loss and multiple nutritional deficiencies. Which of the
following conditions causes severe malabsorption? ✔Correct Answer-Giardia lamblia
Which one of the following symptoms indicates inflammatory diarrhea? ✔Correct Answer-
abdominal pain
Which one of the following pathogens causes inflammatory diarrhea? ✔Correct Answer-
Schistosoma spp.
Which one of the following conditions IS NOT the cause of chronic neurological presentations in
the tropics? ✔Correct Answer-rotavirus
Which one of the following DOES NOT occur during the blood stage of malaria infection?
✔Correct Answer-ataxia
A 2-year-old child presents with three weeks of cyclic fever and chills, poor oral intake, and
seizures. The child and her family are emigrants from Indonesian Papua. Blood specimens were
collected for routine work-up.
CBC (complete blood count) showed low platelet count, and smears were made and stained
with Wright-Giemsa. During microscopic examination of thin blood smears, a laboratory
technologist identified parasites - see attached image.
What is the most likely diagnosis? ✔Correct Answer-malaria? (or african tryp.)
For the case above (a 2-yr-old child immigrant from Indonesia Papua), which one of the
following pharmacologic combinations is most appropriate? ✔Correct Answer-Artemether-
lumefantrine(?)
For which one of the following tropical diseases, the parasite produces schizogony? ✔Correct
Answer-malaria
, A 7-year-old child from southern India presents with impaired consciousness, seizures,
respiratory distress. Blood tests confirm hypoglycemia and low hemoglobin. What is the most
likely diagnosis? ✔Correct Answer-malaria
Pharmacologic treatment of which of the following tropical diseases requires directly-observed
therapy (DOT)? ✔Correct Answer-tuberculosis
Kala-azar (Hindi for "black sickness") is caused by: ✔Correct Answer-Visceral Leishmaniasis
Which one of the following tropical parasites produces miracidium? ✔Correct Answer-
Schistosoma
An individual Mozambique, presents with anesthetic skin lesions and thickened peripheral
nerves. The most likely diagnosis is: ✔Correct Answer-leprosy
A 28-year-old Sudanese man is evaluated for irritation and watering of his left eye. On physical
exam, there is evidence of acute popular dermatitis and is characterized by solid, scattered,
pruritic papular rashes. Ophthalmologic examinations revealed a subjunctival nodule in the
medial aspect of the left eye. The patient underwent surgical exploration of the nodule under
local anesthesia, which revealed dead and living worm fragments. What is the mist like
diagnosis? ✔Correct Answer-Onchocerciasis
For the case above (question #16), administration of which one of the following pharmacologic
agents is recommended? ✔Correct Answer-ivermectin
A 38-year-old woman developed a temperature of 38.9°C (102°F), sweats, shaking chills,
headache two days after returning from rural Indonesia. She had not taken malaria prophylaxis
during her 10-week stay in that country. Her other symptoms included diarrhea and passing
bloody mucus during defecation. The patient was found to have an elevated WBC with a left
shift (increased polymorphonuclear and band forms), but no eosinophilia. Serum electrolyte
and transaminase levels were unremarkable. A chest radiograph showed minimal blunting of
the right costophrenic angle. On the night the patient was admitted to the hospital, her
temperature became elevated to 39.4°C (103°F), and she reported increasing tenderness in the
right upper quadrant. Ultrasound examination of the right upper quadrant and computed
tomographic (CT) scanning of the abdomen revealed three large abscesses in the right lobe of
the patient's liver. Examina ✔Correct Answer-amoebiasis
For the above case (question #18), which one of the following pharmacologic agents is the drug
of choice? ✔Correct Answer-tetracycline
Which one of the following pharmacologic agents is the drug of choice for eradication of amebic
cysts? ✔Correct Answer-Iodoquinol
Which one of the following tropical diseases has Inaba serotype? ✔Correct Answer-cholera
