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VARIANT 6

TESTS FOR EXAMINATION

EPIDEMIOLOGY2008-2009Sign 1 right answer

1. "True" sapronosisa. Clostridiosis

b. Legionellesis

c. Leptospirosis

d. Listeriosis

e. Pseudotuberculosis

Answer: b 2. The total immunization of all healthy children in accordance with the calendar (schedule) of

prophylactic injections provides defense against the following infections a. tuberculosis, poliomyelitis, measles, pertussis, tetanus, diphtheria, mumps,

Typhoid fever, hepatitis B

b. tuberculosis, poliomyelitis, measles, pertussis, tetanus, diphtheria, mumps,

Tularemia, hepatitis B

c. tuberculosis, poliomyelitis, measles, pertussis, tetanus, diphtheria, mumps,

leptospirosis, hepatitis B

d. tuberculosis, poliomyelitis, measles, pertussis, tetanus, diphtheria, mumps,

Rubella, hepatitis B

Answer: d

3. The way to inject the BCG vaccine is a. supracutaneously

b. subcutaneously

c. intradermally

d. intramuscularly

e. perorally Answer: c 4. The first re-vaccination of BCG is carried out a. for children who are 7 years old

b. for 12 years-old children

c. for 14 years-old children

d. for 17 years-old teenagers

Answer: a 5. The goal of immunoprophilaxis against diphtheria is a. the reduction in morbidity to only a few cases

b. the reduction of lethality

c. the creation of the immune layer

d. the reduction of the complicated toxic forms of the disease

e. the liquidation of the agent as a species Answer: a 6. The vaccination of healthy children against diphtheria before the first year of age is carried out by a. DPT-vaccine

b. DT-antitoxin

c. DT-m-antitoxin

Answer: a 7. At what time can re-vaccination against pertussis be carried out by DPT-vaccine a. in six months

b. in twelve months

c. beginning from 18-20 months

d. in four year

Answer: c 8. The goal of carrying out immunoprophilaxis against poliomyelitis is a. the individual protection of children

b. the reduction of morbidity among adults

c. the exclusion of the wild virus of poliomyelitis from circulation

d. the global eradication of poliomyelitis

Answer: d 9. The way to inject the poliomyelitis vaccine is a. supracutaneously

b. subcutaneously

c. intradermally

d. intramuscularly

e. perorally Answer: e 10. The sanitary disinfection towards the persons in the epidemic foci should be organized in the case Of which of the following

a. anthrax

b. scarlet fever

c. typhus exantematicus

d. malaria

e. typhoid fever

Answer: c 11. Which of the following measure against the susceptible organism? a. treatment

b. isolation

c. immunoprophylaxis

d. deratization

Answer: c 12. Which of the following is the infection controlled mainly by sanitary-hygienic Measures

a. anthroponosis with air-droplet mechanism of transmission

b. anthroponosis with fecal-oral mechanism of transmission

c. anthroponosis with vector born mechanism of transmission

d. anthroponosis with contact mechanism of transmission

Answer: b 13. Which of the following patients should be hospitalized due to clinical indications a. all

b. with the severe form of the disease

c. living in unfavorable conditions or overly inhabited

d. deprived groups of the population

Answer: b 14. During anthroponos infections, the following measures are always undertaken for persons who have had contact with the patients a. bacteriological examination

b. temporary separation

c. urgent specific prevention

d. medical observation

e. none of the above Answer: d 15. Sanitary treatment is undertaken for persons from the epidemic focus in the case of

a. poliomyelitis

b. typhus exantematicus

c. tick-borne encephalitis

d. leptospyrosys Answer: b 16. .Deratization is

a. a series of measures against arthropods

b. a series of measures against rodents

c. sanitary-veterinary measures

d. annihilation of rodents mainly in their natural environment Answer: b 17. Deratization has an important meaning in the struggle against infectious disease from groups which of the following

a. anthroponoses

b. sapronoses

c. zoonoses

Answer: c 18. Deratization is a part of a. parasitology

b. biology

c. desinfectology

d. epidemiology

Answer: c 19. The obstacles to stopping the spread of nosocomial infections can be as follows, except

a. reduction of the number of medical invasive interventions

b. use of single-use instruments

c. reduction of the time of stay in hospital

d. adherence to antiepidemic regime in medical institutions

e. general preventive vaccinations in medical institutions

Answer: e 20. The causative agents of the respiratory system cannot be transmitted by

a. waterways

b. air dust

c. contact-household

d. air droplets

Answer: a 21. The criteria for the quality of a biologic preparation doesnt include a. sterility

b. immunogenicity

c. harmlessness

d. freeze-drying

Answer: d 22. The signs that are not characteristic of hospital strains are

a. high virulence

b. polyresistance to antibiotics

c. resistance to disinfections

d. high sensitivity to antibiotics Answer: d

23. The following are used as signs in epidemiological classification of the infectious diseases, except

a. reservoir of infection

b. clinical forms of clinical course

c. philogenetic affinity of the causative agent

d. mechanism of infection transmission Answer: b 24. To determine the active form of exposure to the source of the infection, do not

a. turn to medical help at the polyclinic

b. inspection healthy people who had contact with the infectious disease

c. periodically inspect medically inspections of the workers of preschool institutions

d. conduct door-to door inspections

Answer: a 25. Sanitary-hygienic measures with of antiepidemic direction are not

a. supply of qualified drinking water

b. epidemiologically safe foodstuffs

c. removing glass and plastic items from the environment

d. guarding against pollution from sewage

Answer: c Sign all right answers

26. Postvaccinal complications can be

1. the violation of the rules for the injection choice

2. the violation of the immunization technique

3. the violation of the cold chain

4. an individual reaction on the injection a) all of above b) 1, 3 c) 2, 3, 4 d) 3, 4

Answer: a 27. The following people develop infectious diseases that are referred to as nosocomial infections

1. patients as a result of a stay in the hospital

2. patients as a result of visiting the polyclinic

3. medical staff who seek to medical help in medical institutions or who are working in medical institutions

4. patients who do not exceed the maximal incubation period from the moment of admission to the hospital a) all of above b) 2, 3 c)1, 2, 3 d) 2, 3, 4

Answer: c 28. The groups at high risk of hospital infections can form first of all in the following departments

1. burn department

2. therapeutics department

3. neurology department

4. urology department a) all of above b) 1, 3 c) 1, 4 d) 2, 3 Answer: c 29. Most often hospital infections infection happen in the

1. operation room

2. dressing room

3. procedure room

4. ward a) all of above b) 1, 2, 3 c) 1, 4 d) 2, 3, 4

Answer: b

30. Epidemic control on nosocomial infections includes1. analysis of patient sickness rate

2. analysis of medical staff sickness rate

3. identification of types of hospital strains

4. evaluation of efficiency of the procedures conducted

5. a plan of preventive measures to control nosocomial infections a) all of above b) 1, 2 c) 1, 2, 3, 4 d) 2, 3, 4, 5

Answer: c

31. The obstacles to stopping the spread of intrahospital infections can be as follows

1. reduction of the number of medical invasive interventions

2. use of single-use instruments

3. reduction of the time of stay in hospital

4. adherence to antiepidemic regime in medical institutions

5. general preventive vaccinations in medical institutions a) all of above b) 1, 2 c) 1, 2, 3, 4 d) 2, 3, 4, 5

Answer: c

32. Bed clothes (linens) and crockery (plates and dishes) are disinfected by 1. boiling

2. submersion into disinfecting solution

3. autoclaving

4. disinfecting chamber a) all of above b) 1, 2 c) 1, 2, 3 d) 3,4 Answer: d 33. When choosing an effective measure of disinfection, one should take into account information about 1. the indication of the preparation

2. method of application

3. the regime of the usage

4. the construction of the disinfected object

5. the possibilities of usage for different types of disinfection a) all of above b) 1, 2, 5 c) 1, 2, 3 d) 2, 3, 4

Answer: a 34. The steam-formalin chamber is used for the disinfection of 1. bed linen

2. leather goods

3. other clothing a) all of above b) 1, 2 c) 2, 3 d) 1, 3

Answer: a 35. When patient dies, final disinfection is carried out in the case of 1. influenza

2. plaque

3. neoplastic diseases

4. diphtheria a) all of above b) 1, 2 c) 2, 4 d) 1, 3

Answer: c 36. Measures toward the source of infection

1. clinic-diagnostic

2. regime limit

3. deratization

4. imunoprophylaxis a) all of above b) 1, 2, 3 c) 2, 4 d) 1, 3

Answer: b 37. The measures directed towards susceptible organism are

1. extra prophylaxis

2. vaccination

3. immunocorrection

4. isolation a) all of above b) 1, 2, 3 c) 2, 4 d) 1, 3

Answer: b 38. Antiepidemic measures conducted by the nonmedical forces

1. isolation of infectious diseased

2. vaccination of animals

3. disinfection of drinking water

4. extra prophylaxis

5. sanitary cleaning of inhabited places a) all of above b) 2, 3, 5 c) 1, 4 d) 1, 3, 5

Answer: b 39. In the classic epidemiology antiepidemic measures are those which provide

1. prevention of the infection invasion into epidemic territories

2. containment the infection from escapina the epidemic focus 3. limitation of the spread of the infectious diseases in the epidemic focus

4. elimination of the epidemic focus a) all of above b) 1, 2, 3 c) 2, 4 d) 1, 3

Answer: a 40. The following measures are directed toward the mechanisms of transmission

during anthroponose infections

1. revelation and isolation of the diseased person

2. disinfection of the room and personal things of the diseased person

3. urgent prevention for persons who had contact with the diseased person

4. trial for the transmitters amount reduce a) all of above b) 1, 2, 3 c) 2, 4 d) 1, 3

Answer: c

41. The prescription for separation of persons who have had contact with the infectious patients depends on

1. the place of work

2. nozological form 3. making final disinfection

4. the date of receiving results of bacteriological analysis a) all of above b) 1, 2, 3 c) 2, 4 d) 1, 2

Answer: d 42. Quarantine in preschool institutions includes 1. separation of groups

2. stopping of admission of new children into the group

3. prohibition of making planned vaccination 4. changing to the twenty-four-hour regime of work a) all of above b) 1, 2 c) 2, 4 d) 1, 3

Answer: a 43. Measures against the source of infection are

1. clinical diagnostic

2. regime-limitation

3. sanitary-veterinary

4. disinfection a) all of above b) 1, 2, 3 c) 2, 4 d) 1, 2

Answer: b 44. Anti-epidemic measures conducted by the medical staff are

1. isolation of the infected patient

2. vaccination of animals

3. treatment of sick persons with infectious diseases 4. revealing of carriers 5. is completed by the sanitary cleaning of inhabited places

a) all of above b) 1, 3, 4 c) 2, 3 d) 1, 2, 4 Answer: b 45. In the classical epidemiology antiepidemic measures are a combination of scientifically proven recommendations ensuring which of the following

1. the prevention of rise of single and multi noninfectious diseases

2. the prevention of rise of single and multi infectious diseases

3. reduction of infectious diseases morbidity in the population

4. eradication of some infections

a) all of above b) 2, 3 c) 2, 4 d) 2, 3, 4 Answer: d

46. To determine the active form of exposure to the source of the infection 1. turn to medical help at the polyclinic

2. inspection healthy people who had contact with the infectious disease

3. periodically inspect medically inspections of the workers of preschool institutions

4. conduct door-to door inspections a) all of above b) 2, 3, 4 c) 2, 4 d) 1, 2, 4

Answer: b 47. The natural ways of transmission are 1. alimentary2. contact-houshold3. air-droplet4. parenteral5. transmissive a) all of above b) 1, 4 c) 2, 3, 5 d) 1, 5 Answer: c 48. The following arthropods take part in the transmission of zoonosis 1. ticks 2. bugs

3. fleas 4. cockroaches 5. mosquitoes a) all of above b) 1, 3, 5 c) 2, 3, 4 d) 3, 4, 5 Answer: b 49. Antiepidemic measures are 1. disinfection methods

2. diagnostic serums

3. disinsection methods

4. erythrocytar diagnostic tests

5. microbiological tests

a) all of above b) 2, 3, 4 c) 2, 4 d) 1, 3 Answer: d 50. Among causative agents of nosocomial infections newborns in obstetric institutions most often have 1. Klebsiella

2. Proteus

3. Serratia

4. Escherichia

5. Staphylococcus aureus a) all of above b) 2, 3 c) 3, 4 d) 1, 4, 5

Answer: dPAGE