1.

A 49-year-old man comes with sore reddish ulcerated bumps arising on

the face that spreads to the back accompanied by fever. Physical
examination revealed anesthesia of inferior extremities, and thickening of
the auricular magnus nerve, both ulnar nerves, and peroneus communis
nerve. He is residing in a rented dense tenement with his wife (43-year-
old) and two children (13 and 7 years old). What is the primary
prevention measures at the level of specific protection?
a. Provision of MDT-MB
b. Treatment of patients is done in a certain environment until no
longer infectious
c. Corticosteroids is given to prevent permanent disability
d. Provision of prosthetic limbs
e. Improvement of the family economic condition

2. Provision of corticosteroids and immobilization in these patients to

prevent permanent nerve damage is a precautionary measure at the level
…
a. Health promotion
b. Special protection
c. Early diagnosis and immediate treatment
d. Disability restrictions
e. Rehabiitations

3. Your patient is a 25-yar-old woman with high intermittent fever and

chills. If you work in a small clinic in a malaria endemic area, which of the
following steps that should be done first:
a. Giving the patient chloroquine
b. Take venous blood sample
c. Make a thick blood smear
d. Make a thin blood smear
e. Refer the patient to a closest hospital

4. A 25-year-old woman presents to her physician in community health

center with high intermittent fever and chills. She stays in a malaria
endemic area. From the microscopic malaria, we found some headphone-
shaped parasite and tiny delicate rings in normal-sized erythrocyte in the
thin blood smear. What is the most likely etiology in this case?
a. Plasmodium falciparum
b. Plasmodium malariae
c. Plasmodium vivax
d. Plasmodium knowlessi
e. Plasmodium malariae

5. Your patient is a 25-year-old woman with high intermittent fever and

chills. If you work in a small clinic in a malaria endemic area where there
is no electricity supply, which of the following laboratory examination
should be done to reveal a result in less than 1 hour:
a. Thick blood smear
b. Thin blood smear
 c. RDT
d. Serologic test
e. PCR

6. A 40-year-old man complains of watery, foul-smelling diarrhea and

flatulence for the past 2 weeks. He drank untreated water on a camping
trip about a month ago. You suspected that he has been infected by
intestinal protozoa. Which of the following statements concerning
intestinal protozoa is correct?
a. The infective stage is trophozoite
b. They live only in colon
c. Excystation occurs in the stomach
d. The trophozoite may have more than 2 nuclei
e. Ectoplasm may function as locomotive apparatus

7. A 5-year-old boy visited his physician with mild diarrhea for the past 3
days without fever. In microscopic examination of the stool sample, you
found a parasite with cilia, 2 nuclei that has different size, and a
peristome at the anterior part of the parasite. What is the MOST likely
etiology for the case?
a. Entamoeba histolytica trophozoite
b. Balantidium coli trophozoite
c. Giardia lamblia trophozoite
d. Entamoeba histolytica cyst
e. Balantidium coli cyst

8. Your patient is a 5-year-old boy with bloody diarrhea for the past 3 days
accompanied with fever. You suspected him to be infected by Entamoeba
histolytica. Which of the following statement concerning the pathogen is
correct:
a. Pig may serve as the reservoir host of the pathogen
b. The infective stage is mature cyst with 8 nuclei
c. The karyosome of the nuclei is centrally located
d. The main habitat is the small intestine
e. The pathogen cannot infect liver

9. Your patient is a 25-year-old woman with high intermittent fever and

chills. You work in a district which is endemic for both malaria and
filarial. If you are going to do a laboratory test of the blood sample, which
of the following statements regarding parasite examination of the blood
sample is correct?
a. For malaria examination, venous blood sample is preferable
b. For malaria examination, blood sample should be taken in the
evening
c. If venous blood is taken, blood smear should be made soon
d. If capillary blood is taken, anticoagulant should be provided
e. For filarial examination, blood sample should be taken every 8-12
hours for 2-3 days
10. Your patient is a 5-year-old boy with bloody diarrhea for the past 3 days
accompanied with fever. You would like to take his stool sample to do a
laboratory examination. Which of the following statement is correct with
regard to stool sample?
a. The more liquid the sample is, the more cyst it contains
b. Preserving the sample with one kind preservative only is better
than preserving with more than one preservative
c. Preservation might be done by mixing the stool sample in one
container with 2 kinds of preservative
d. Solid stool might be kept for up to 24 hours before processing
e. The stool container does not need to be sealed

11. Which of the following are characteristics of A. fumigatus?

a. A. fumigatus can only grow at low temperatures
b. Its natural habitat is water
c. A. fumigatus produces large spores
d. Aspergillus is a filamentous fungus with branching hyphae
e. Wounds are the main port of entry of A. fumigatus

12. What are the normal immune responses to A. fumigatus infection?

a. Innate immunity plays a leading role in the disposal of this fungus
b. Neutrophils are more efficient in killing of conidial forms while
resident macrophages dispose of the hyphal stage of A. fumigatus
c. Killing of the fungal cells by CD8+ cytotoxic T cells is essential
d. Specific antibodies play an important protective role against A.
fumigatus
e. Type II pro-inflammatory cytokines help to kill this pathogen

13. Which of the following are true of Allergic Bronchopulmonary

Aspergillosis (ABPA)?
a. ABPA patients have specific symptoms and the condition is easy to
diagnose
b. Secondary ABPA is particularly frequent in patients with type I
diabetes and SLE
c. ABPA’s pathogenesis is based on type II hypersensitivity reactions
d. It is associated with blood eosinophilia
e. It’s not presented as bronchial asthma

14. A 23-year-old woman presents to her doctor on a Monday morning after

having spent the weekend camping. She asks to have a tick removed that
became affixed to her lower leg during a long hike the day before. Which
one of the following is the most appropriate treatment after removing the
tick?
a. Cefuroxime axetil
b. Doxycycline
c. Amoxicilin
d. Any of the above antibiotics would be effective
e. Antibiotics are not indicated
15. A 5-year-old girl travels with her family to Maryland in June for vacation.
A week later, her father finds a 2 mm black spot behind her ear that he
thought was a scab. Four days later, a red enlarging circular lesion
appears around the same ear and fades within a week. They return to
Minnesota and visit their pediatrician who notes that the child’s smile is
not quite symmetrical. Which one of the following is the most likely
diagnosis?
a. Tinea capitis
b. Hypersensitivity to a mosquito bite
c. Lyme disease
d. Erythema infectiosum
e. Enteroviral exanthema