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Phthisiology – Exam test questions _ Correct Answers Highlighted in Yellow

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Phthisiology – Exam test questions 1) When and by whom was the TB causative agent discovered? a) in 1884 by F. Leffler b) in 1926 by E. Marey c) in 1882 by R. Koch d) in 1896byE. Van Ermengem 2) Who discovered tuberculin? a) Vaxman b) Calmete c) Geren d) R. Koch 3) Which of the following answers is included in the TB epidemiological indicators? a) Treatment failure b) Cure c) Prevalence d) Treatment interruption 4) Which of the following indicators characterise the TB infection reservoir? a) Prevalence b) Incidence c) Contamination d) Mortality 5) To obtain what epidemiological indicator is tuberculin diagnostics used? a) Prevalence b) Incidence c) Infection d) Mortality 6) TB incidence-is: a) Number of new TB patients per 100 000 population within one year b) Number of active TB patients per 100 000 population within one year c) Number of new patients, patients with exacerbations and relapses per 100 000 population within one year d) Number of all persons registered in TB dispensary (clinic) by the end of the year 7) TB mortality- is: a) Number of all death cases because of TB per 100 000 population within one year b) Number of death cases with respect to the number of patients that are registered in TB dispensary c) Number of death cases that are registered in TB dispensary, in relation to the whole contingent of TB dispensary d) Number of TB patients’ death from all the causes per 1000 population 8) Which of the following diseases can have a significant impact on the TB epidemic? a) HIV-infection b) Malaria c) Viral hepatitis C d) Ebola virus 9) Which of the following cases is epidemiologically more dangerous to others? a) Smear++, Cultureb) Smear-, Culturec) Smear+, Cultured) Smear+, Culture+ 10)Which of the following factors is a major risk factor for TB? a) Age b) Malaria c) Heart failure d) Untreated/previously not well treated TB 11)Which of the following TB forms are the most epidemiologically dangerous? a) Pulmonary fibrous-cavernous tuberculosis b) TB of intra-thoracic lymph nodes c) TB meningitis d) TB spondylitis 12)What is the optimal temperature regime for active reproduction of M. tuberculosis? a) 42-45°C b) 20-25°C c) 36-37°C d) 50-55°C 13)Which type of radiant energy can kill M. Tuberculosis in one hour? a) ultraviolet solar radiation b) infrared solar radiation c) constant and variable magnetic field d) radioactive radiation 14)How long can M. tuberculosis remain alive in dry sputum? a) 2 years b) 2 hours c) 2 days d) 2 months 15)Which type of mycobacteria frequently causes TB disease in human body? a) M. Bovis b) M. tuberculosis c) M. africanum d) M. Kansasi 16)Which substances give M. Tuberculosis acid-fast capacity? a) Mitochondria b) Ribonucleic acid c) Proteins d) Peptidoglycans, arabinogalactan, and mycolic acid 17)Which of the following infection is a typical mycobacterium? a) M. africans b) M. bovis c) M. kansassii d) M. xenopi 18)M. Tuberculosis is: a) aerobic infection b) anaerobic infection c) gram-negative infection d) viral infection 19)Which of the following types of TB disease is caused by the organism M. tuberculosis? (choose one best answer) a) Drug-susceptible TB b) MDR TB c) XDR TB d) All the above are correct 20)The probability that M. tuberculosis will be transmitted depends on… (choose one best answer) a) Susceptibility (immune status) of the exposed individual b) Infectiousness of the person with TB c) Proximity, frequency, and duration of exposure d) All the above are correct 21)Which of the following environmental factors do not increase the probability that M. tuberculosis will be transmitted? (choose one best answer) a) Exposure in small enclosed spaces b) Inadequate local or general ventilation that results in insufficient dilution or removal of infectious droplet nuclei c) Improper specimen handling procedures that generate infectious droplet nuclei d) Negative pressure in an infectious TB patient’s room 22)What is endogenous reinfection? a) Activation of latent TB infection in the organism b) Activation of latent TB infection because of new infection in the organism c) Appearance of TB infection foci in internal organs because of new infection transmission from outside d) Transmission of infection to non-infected organism 23)What is exogenous reinfection? a) Activation of latent TB infection in the organism b) Appearance of TB infection locus in internal organs because of infection transmission to the organism from outside c) Activation of latent TB infection locus because of new infection in the organism d) Appearance of TB infection lesions in the organism because of lymphogenous dissemination 24)TB disease most commonly affects which part of the body? (choose one best answer) a) Bone b) Lungs c) Kidneys d) Brain 25)Frequent way of TB transmission into the organism is: a) Alimentary b) Aerogenous c) Parenteral d) Sexual contact 26)What do laboratory personnel look for in a sputum smear? (choose one best answer) a) White-blood cells b) Fast-moving bacilli c) Drug-resistant bacilli d) Acid-fast bacilli 27)Which of the following pulmonary TB forms is considered as timely detected? a) Focal TB in infiltrative phase b) Disseminated TB c) Tuberculoma in collapse phase d) Milliary TB 28)X-Ray picture of infiltrative TB? a) Shadow in the lung b) Increased pulmonary picture c) Increased airiness of lung tissue d) Rounded shadow in the lung 29)Optimal time of growth of M. tuberculosis culture on solid medium LJ? a) 2.5- 3 months b) 2-3 days c) 2-3 weeks d) 1 month 30)Accessible and rapid laboratory diagnostic method of TB, which is available in any health facility: a) Direct bacterioscopy b) Flotation method c) Culture d) Luminescent bacterioscopy 31)The most used nutrient solution for M. Tuberculosis in culture investigation is: a) Lowenstein-Jensen b) Gelberg c) Leffler d) Kitta-Taroci 32)At what minimum amount, M. tuberculosis can be found in the sputum with microscopy method according to WHO? a) in 1 ml b) 500

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c) Infection
Phthisiology – Exam test questions
d) Mortality
1) When and by whom was the TB
causative agent discovered? 6) TB incidence-is:
a) in 1884 by F. Leffler a) Number of new TB
b) in 1926 by E. Marey patients per 100 000 population
c) in 1882 by R. Koch within one year
d) in 1896byE. Van Ermengem b) Number of active TB
patients per 100 000 population
2) Who discovered tuberculin? within one year
a) Vaxman
c) Number of new patients,
b) Calmete
patients with exacerbations and
c) Geren
relapses per 100 000 population
d) R. Koch
within one year
d) Number of all persons
3) Which of the following answers
registered in TB dispensary
is included in the TB
epidemiological indicators? (clinic) by the end of the year
a) Treatment failure
b) Cure 7) TB mortality- is:
c) Prevalence a) Number of all death cases
d) Treatment interruption because of TB per 100 000
population within one year
4) Which of the following indicators b) Number of death cases with
characterise the TB infection respect to the number of
reservoir?
patients that are registered in
a) Prevalence
TB dispensary
b) Incidence
c) Number of death cases that
c) Contamination
are registered in TB dispensary,
d) Mortality
in relation to the whole
contingent of TB dispensary
5) To obtain what epidemiological
indicator is tuberculin d) Number of TB patients’ death
diagnostics used? from all the causes per 1000
a) Prevalence population
b) Incidence

,8) Which of the following diseases a) 42-45°C
can have a significant impact on b) 20-25°C
the TB epidemic?
c) 36-37°C
a) HIV-infection
d) 50-55°C
b) Malaria
c) Viral hepatitis C
13) Which type of radiant energy can
d) Ebola virus
kill M. Tuberculosis in one hour?
a) ultraviolet solar radiation
9) Which of the following cases is b) infrared solar radiation
epidemiologically more
c) constant and variable
dangerous to others?
a) Smear++, Culture- magnetic field
b) Smear-, Culture- d) radioactive radiation
c) Smear+, Culture-
d) Smear+, Culture+ 14) How long can M. tuberculosis
remain alive in dry sputum?
a) 2 years
10) Which of the following factors is
b) 2 hours
a major risk factor for TB?
a) Age c) 2 days
b) Malaria d) 2 months
c) Heart failure
d) Untreated/previously not well 15) Which type of mycobacteria
frequently causes TB disease in
treated TB
human body?
a) M. Bovis
11) Which of the following TB forms b) M. tuberculosis
are the most epidemiologically
c) M. africanum
dangerous?
a) Pulmonary fibrous-cavernous d) M. Kansasi
tuberculosis
b) TB of intra-thoracic lymph 16) Which substances give M.
Tuberculosis acid-fast capacity?
nodes
a) Mitochondria
c) TB meningitis
b) Ribonucleic acid
d) TB spondylitis
c) Proteins
d) Peptidoglycans,
12) What is the optimal temperature
arabinogalactan, and mycolic
regime for active reproduction of
M. tuberculosis? acid

, tuberculosis will be transmitted?
17) Which of the following infection (choose one best answer)
is a typical mycobacterium? a) Exposure in small enclosed
a) M. africans spaces
b) Inadequate local or general
b) M. bovis
ventilation that results in
c) M. kansassii insufficient dilution or
d) M. xenopi removal of infectious droplet
nuclei
c) Improper specimen handling
18) M. Tuberculosis is: procedures that generate
a) aerobic infection infectious droplet nuclei
b) anaerobic infection d) Negative pressure in an
infectious TB patient’s room
c) gram-negative infection
d) viral infection
22) What is endogenous reinfection?
a) Activation of latent TB
19) Which of the following types of infection in the organism
TB disease is caused by the
b) Activation of latent TB
organism M. tuberculosis?
(choose one best answer) infection because of new
a) Drug-susceptible TB infection in the organism
b) MDR TB
c) Appearance of TB infection
c) XDR TB
d) All the above are correct foci in internal organs because
of new infection transmission
20) The probability that M. from outside
tuberculosis will be transmitted
d) Transmission of infection to
depends on…
(choose one best answer) non-infected organism

a) Susceptibility (immune
status) of the exposed 23) What is exogenous reinfection?
individual a) Activation of latent TB
b) Infectiousness of the person infection in the organism
with TB
b) Appearance of TB infection
c) Proximity, frequency, and
duration of exposure locus in internal organs because
d) All the above are correct of infection transmission to the
organism from outside
21) Which of the following
environmental factors do not
increase the probability that M.

, c) Activation of latent TB
infection locus because of new 28) X-Ray picture of infiltrative TB?
infection in the organism a) Shadow in the lung

d) Appearance of TB infection b) Increased pulmonary picture

lesions in the organism because c) Increased airiness of lung

of lymphogenous dissemination tissue
d) Rounded shadow in the lung

24) TB disease most commonly
affects which part of the body?
(choose one best answer) 29) Optimal time of growth of M.
a) Bone tuberculosis culture on solid
b) Lungs medium LJ?
c) Kidneys a) 2.5- 3 months
d) Brain b) 2-3 days
c) 2-3 weeks
25) Frequent way of TB transmission d) 1 month
into the organism is:
a) Alimentary
30) Accessible and rapid laboratory
b) Aerogenous diagnostic method of TB, which
c) Parenteral is available in any health facility:
a) Direct bacterioscopy
d) Sexual contact
b) Flotation method
c) Culture
26) What do laboratory personnel d) Luminescent bacterioscopy
look for in a sputum smear?
(choose one best answer)
31) The most used nutrient solution
a) White-blood cells
for M. Tuberculosis in culture
b) Fast-moving bacilli
investigation is:
c) Drug-resistant bacilli
a) Lowenstein-Jensen
d) Acid-fast bacilli
b) Gelberg
c) Leffler
27) Which of the following d) Kitta-Taroci
pulmonary TB forms is
considered as timely detected?
a) Focal TB in infiltrative phase 32) At what minimum amount, M.
tuberculosis can be found in the
b) Disseminated TB
sputum with microscopy method
c) Tuberculoma in collapse according to WHO?
phase a) 500000 in 1 ml
d) Milliary TB b) 50000 in 1 ml
c) 100000 in 1 ml

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