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Epidemic process
Informatii colectie:
1. Intrebarea nr. 1: I1 Capitol: Characteristics of the epidemic process Mod de punctare:
A1 Grad de dificultate: scazut Punctajul: 10 Timp pe intrebare: 0 sec Autor: V.
Prisacaru
CS The study object of epidemiology of infectious diseases is:

a) [ ] infectious process
b) [x] epidemic process
c) [ ] epidemic outbreak
d) [ ] epidemic foci
e) [ ] infectious disease
--------------------------------------------------------------------2. Intrebarea nr. 2: I2 Capitol: Characteristics of the epidemic process Mod de punctare:
Prisacaru
CS The subject of epidemiology as a general medical science is:

a) [x] morbidity
b) [ ] epidemic outbreak
c) [ ] infectious process
d) [ ] infectious disease
e) [ ] mortality
Prisacaru
CS The intensity of the epidemic process can be determined as "sporadic", "epidemic" and
"pandemic" according to:
a) [ ] severity of disease manifestation
b) [ ] speed of spread of a disease
c) [x] number of patients
d) [ ] number of foci in a certain region
e) [ ] number of contacts in the focus
Prisacaru
CS The sporadic morbidity is:

a) [ ] population infected with an infectious disease not specific for a certain region
b) [ ] infection of a group of people with infectious diseases
c) [x] single cases of a disease
d) [ ] multiple cases of a disease
e) [ ] specific diseases for a region, country
Prisacaru
CS The duration of the epidemic outbreak corresponds to the period:

a) [ ] until hospitalization
b) [x] maximum duration of the incubation period since terminal disinfection
c) [ ] till patient's recovery, if he was treated in outpatient conditions
d) [ ] minimum duration of the incubation period
e) [ ] medium duration of the incubation period
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6. Intrebarea nr. 6: I6 Capitol: Characteristics of the epidemic process Mod de punctare:

Prisacaru
CS Focality index is:

a) [ ] number of foci in a given period of time
b) [ ] number of foci in a certain region
c) [x] number of cases in one focus
d) [ ] number of foci in a given period of time and region
e) [ ] multiple cases in different regions
Prisacaru
CS Natural focality is specific for:

a) [ ] rabies, brucellosis
b) [ ] leptospirosis, tetanus
c) [x] tularemia, plague
d) [ ] dysentery, chickenpox
e) [ ] typhoid fever, botulism
Prisacaru

a) [x] rabies, plague
b) [ ] brucellosis, ornitosis
c) [ ] tetanus, listeriosis
d) [ ] measles, rubella
e) [ ] mumps, influenza
Prisacaru

a) [ ] anthrax, brucellosis
b) [x] rabies, leptospirosis
c) [ ] brucellosis, salmonellosis
d) [ ] mononucleosis, tularemia
e) [ ] polio, dysentery
--------------------------------------------------------------------10. Intrebarea nr. 10: I10 Capitol: Characteristics of the epidemic process Mod de
punctare: A1 Grad de dificultate: scazut Punctajul: 10 Timp pe intrebare: 0 sec
Autor: V. Prisacaru

a) [ ] sapronosis
b) [ ] antroponosis
c) [x] zooanthroponosis
d) [ ] noncommunicable infectious
e) [ ] nosocomial infectious
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11. Intrebarea nr. 11: I11 Capitol: Characteristics of the epidemic process Mod de
Autor: V. Prisacaru
CS Exotic infections are:

a) [x] infectious disease not specific to a certain region
b) [ ] rare infectious diseases, but characteristic of the given region
c) [ ] viral disease transmitted through hematophagous vectors
d) [ ] bacterial disease transmitted through water
e) [ ] common infectious disease specific to a certain region
Autor: V. Prisacaru
CS Enzootic is:
a) [x] animal morbidity, specific to a particular region
b) [ ] spread of diseases among animals
c) [ ] human population morbidity, specific to a particular region
d) [ ] animal morbidity not specific to a particular region
e) [ ] human population morbidity, not specific to a particular region
Autor: V. Prisacaru
CS Chain of the epidemic process is:

a) [ ] causative agent of infectious diseases
b) [x] mechanism of transmission of microorganism
c) [ ] water, air, soil
d) [ ] human, animals
e) [ ] fruits, vegetables
Autor: V. Prisacaru
CS The epidemiological classification of anthroponosis is based on:

a) [ ] clinical disease characteristics
b) [x] transmission mechanism
c) [ ] properties of a pathogen agent
d) [ ] factors of transmission
e) [ ] way of transmission
Autor: V. Prisacaru
CS The factor that determine the patient's contagiousness in anthroponosis is:

a) [ ] clinical manifestation of the disease
b) [ ] hygienic conditions
c) [x] clinical manifestation of the disease and hygienic conditions
d) [ ] ways of transmission of disease
e) [ ] receptivity of population
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Autor: V. Prisacaru
CS Anthroponosis are:
a) [x] typhoid fever, rubella
b) [ ] diphtheria, listeriosis
c) [ ] VHD, legionellosis
d) [ ] anthrax, rubella
e) [ ] tularemia, diphtheria
Autor: V. Prisacaru
CS Anthroponosis are:
a) [ ] measles, leptospirosis
b) [x] scarlet fever, exantymatic typhus
c) [ ] diphtheria, listeriosis
d) [ ] rabies, anthrax
e) [ ] brucellosis, echinococcosis
Autor: V. Prisacaru
CS A longer period of pathogen agents carriage is specific for:

a) [ ] diphtheria
b) [ ] dysentery
c) [x] HBV
d) [ ] measles
e) [ ] mumps
Autor: V. Prisacaru
CS Mechanisms of transmission are:

a) [ ] airborne, waterborne
b) [x] fecal-oral, transmisive
c) [ ] alimentary, contact
d) [ ] dishes, towels
e) [ ] fleas, lice

Autor: V. Prisacaru
CS Mechanisms of transmission are:

a) [x] fecal-oral, contact
b) [ ] airborne, alimentary
c) [ ] transmisive, hydric
d) [ ] air, aerosol
e) [ ] mosquitoes, ticks
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Autor: V. Prisacaru
CS Mechanisms of transmission in anthroponosis are determined by:

a) [ ] clinical forms
b) [ ] pathogen resistance
c) [x] localisation of the pathogen agent in the body
d) [ ] virulence of the microorganism
e) [ ] species of the microorganism
Autor: V. Prisacaru
CS Mosquitoes can be vectors of transmission in:

a) [ ] malaria, plague
b) [ ] tick encephalitis, exantymatic typhus
c) [x] yellow fever, Dengue fever
d) [ ] dysentery, anthrax
e) [ ] tularemia, smallpox
Autor: V. Prisacaru
CS Vectors are epidemiologically important in:

a) [ ] dysentery, measles
b) [x] exantymatic typhus, tularemia
c) [ ] rabies, VHA
d) [ ] yellow fever, measles
e) [ ] tetanus, poliomyelitis
Autor: V. Prisacaru
CS Seasonality is specific for:

a) [x] dysentery
b) [ ] VHB
c) [ ] tuberculosis
d) [ ] syphilis
e) [ ] VHA
Autor: V. Prisacaru
CS Sources of pathogen agents in sapronosis are:

a) [x] soil
b) [ ] cockroaches
c) [ ] lice
d) [ ] humans
e) [ ] animals
Autor: V. Prisacaru
CS A higher epidemiological risk as a source of infection have:

a) [ ] acute carriers
b) [x] chronic carriers
c) [ ] transitive carriers
d) [ ] sick person
e) [ ] patient in incubation period of infection
Autor: V. Prisacaru
CS Sources of pathogens in zooanthroponosis are:

a) [ ] a man
b) [x] animals
c) [ ] soil and water
d) [ ] air, lice
e) [ ] ticks, solid aerosol
Autor: V. Prisacaru
CS Zooanthroponosis transmitted from xenantrope animals are:

a) [x] tularemia, rabies
b) [ ] ornithosis, brucellosis
c) [ ] tricofitia, histoplasmosis
d) [ ] leptospirosis, brucellosis
e) [ ] plague, tuberculosis
Autor: V. Prisacaru
CS Animals are sources of pathogens in:

a) [x] salmonellosis, ornitosis
b) [ ] tetanus, amebiasis
c) [ ] rabies, enterobiasis
d) [ ] brucellosis, diphtheria
e) [ ] typhoid fever, tularemia
Autor: V. Prisacaru
CS Sources of pathogen agent in sapronosis are:

a) [ ] animals
b) [x] soil and water
c) [ ] man
d) [ ] mosquitoes, lice
e) [ ] fruits, water
Autor: V. Prisacaru
CS Infectious diseases are divided according to the sources of infection into:

a) [ ] two groups
b) [x] 4 groups
c) [ ] 5 groups
d) [ ] 7 groups
e) [ ] 9 groups
Autor: V. Prisacaru
CS The most common infections in early childhood are:

a) [x] anthroponosis
b) [ ] zooanthroponosis
c) [ ] sapronosis
d) [ ] zoonosis
e) [ ] skin-borne infectious
Autor: V. Prisacaru
CS At the basis of epidemiological classification of the anthroponosis are:

a) [ ] clinical manifestations of the disease
b) [x] specific human ecological relationships with animals
c) [ ] mechanism of human infection
d) [ ] receptivity of human population
e) [ ] localisation of pathogenic agent in human organism
Autor: V. Prisacaru
CS Rodents are sources of pathogens in:

a) [x] listeriosis, tularemia
b) [ ] brucellosis, leptospirosis
c) [ ] plague, anthrax
d) [ ] tick encephalitis, cholera
e) [ ] rabies, flu

Autor: V. Prisacaru
CS Sources of infection are:

a) [ ] cattle, flies
b) [x] man, soil
c) [ ] geese, lice
d) [ ] water, mosquitoes
e) [ ] fleas, fruits
Autor: V. Prisacaru
CS Sapronosis are:
a) [ ] leptospirosis, tick encephalitis
b) [ ] coccidioidomycosis, yellow fever
c) [x] tetanus, cholera
d) [ ] diphtheria, rabies
e) [ ] rubella, influenza
Autor: V. Prisacaru
CS A wider spread infections in the Republic of Moldova are:

c) [ ] sapronosis
d) [ ] zoonosis
e) [ ] respiratory diseases
Autor: V. Prisacaru
CS Sources of pathogen agents in zooanthroponosis are:

a) [x] rats, geese
b) [ ] cattle, a sick man
c) [ ] pigs, carrier of pathogen agents
d) [ ] dogs, ticks
e) [ ] mosquitoes, birds
Autor: V. Prisacaru
CS A person can be source of infection in the following zooanthroponosis:

a) [x] fever, salmonellosis
b) [ ] anthrax, leptospirosis
c) [ ] rabies, brucellosis
d) [ ] pseudotuberculosis, botulism
e) [ ] ornithosis, tularemia
Autor: V. Prisacaru
CS Variations of the morbidity in multiannual dynamic are mentioned in the theory of:
a) [ ] natural focality
b) [ ] mechanism of transmission
c) [x] parasitic self-regulation system
d) [ ] receptivity of population
e) [ ] structure of epidemic process
Autor: V. Prisacaru
CS Emergency sheet (about disease) is transmitted to the Center of Public Health:

a) [x] immediately, on suspection of contagious disease
b) [ ] after a definitive diagnosis
c) [ ] within 36 hours after detection of contagious disease
d) [ ] after terminal disinfection in foci
e) [ ] after isolation of sick people
Autor: V. Prisacaru
CS Hospitalization of patients with anthrax, leptospirosis and brucellosis:

a) [x] is compulsory according to clinical indications
b) [ ] is not required
c) [ ] is performed according to epidemiological indications
d) [ ] according to clinical and epidemiological indications
e) [ ] patient is from a risk group of population
Autor: V. Prisacaru
CS When the focus is considered liquidated?

a) [ ] after patient hospitalization
b) [x] after terminal disinfection
c) [ ] after maximum incubation period at the last contact person
d) [ ] after disinsection in foci
e) [ ] after detection of contact persons
Autor: V. Prisacaru
CS The main cause of non-uniform distribution of the morbidity during the year (seasonality) is:
a) [ ] different resistance of pathogen agents in the environment
b) [x] activation of mechanism of transmission in a particular period of time
c) [ ] different clinical manifestations of the disease
d) [ ] incubation period of the disease
e) [ ] migration of human population
Autor: V. Prisacaru
CS Index of epidemiological effectiveness is the ratio of:

a) [ ] population morbidity with performed antiepidemic measures to total morbidity in population
population morbidity with not performed antiepidemic measures to total morbidity in

population
c) [x] population morbidity with not performed antiepidemic measures to population morbidity with
performed antiepidemic measures
d) [ ] population morbidity with performed antiepidemic measures to specific morbidity in
population
e) [ ] population specific morbidity with performed antiepidemic measures to total morbidity in
population
b) [ ]
Autor: V. Prisacaru
CS The main measure of combating the intestinal infections are directed to:
a) [ ] source of pathogens
b) [x] mechanism of transmission
c) [ ] to form the non-receptive population
d) [ ] early detection and isolation of source of infections
e) [ ] performing laboratory investigations
Autor: V. Prisacaru
CS The main role in combating and control the airborne infections belongs to:
a) [ ] disinfection
b) [x] immunoprophylaxis
c) [ ] early detection and isolation of sources of pathogen agents
d) [ ] follow-up of convalescents
e) [ ] disinsection
Autor: V. Prisacaru
CS Compulsory isolation in the hospital is performed in case of:

a) [x] healthy carrier of toxigenic strains of C.diphteriae
b) [ ] dysentery
c) [ ] salmonellosis
d) [ ] measles
e) [ ] mumps
Autor: V. Prisacaru
CS Calculation of the duration of focus surveillance starts from the moment of:
a) [ ] patient's detection
b) [x] isolation of patient and performing the terminal disinfection
c) [ ] patient's visit to the doctor
d) [ ] detection of contact people
e) [ ] immunization of health people in the foci
Autor: V. Prisacaru
CS Man can be contagious as a source of infection in following zooanthroponosis:

a) [ ] brucellosis
b) [ ] tick encephalitis
c) [x] plague
d) [ ] tetanus
e) [ ] tularaemia
Autor: V. Prisacaru
CS Periodical increasing of morbidity is specific for:

a) [x] all infectious diseases
b) [ ] most infectious diseases
c) [ ] all non-communicable diseases
d) [ ] only for zooanthroponosis
e) [ ] only for sapronosis
Autor: V. Prisacaru
CS Factors for realization of the fecal-oral transmission mechanism are:

a) [x] food, water
b) [ ] water, air, insects
c) [ ] food, blood, medical instruments
d) [ ] liquid aerosol, solid aerosol
e) [ ] soil, phlebotomy
Autor: V. Prisacaru
CS What chain of the epidemic process can be influenced by natural factors:

a) [ ] source of pathogen agents
c) [x] population receptivity
d) [ ] nathality
e) [ ] morthality
Autor: V. Prisacaru
CS Periodicity of epidemic process manifestations specific to certain infectious disease is

determined by:
a) [ ] changes of the natural and climatic conditions
b) [x] formation of immune population
c) [ ] changing of socio-hygienic conditions (housing)
d) [ ] appearing of new microorganisms
e) [ ] migration of human population
Autor: V. Prisacaru
CS Classification of infectious diseases according to mechanism of transmission is based on:
a) [x] affinity of causative agent to specific macroorganism tissues

b) [ ] transmission factors of infectious diseases
c) [ ] transmission ways of infectious diseases
d) [ ] receptivity of population to a specific infection
e) [ ] factors of transmission
Autor: V. Prisacaru
CS Transmission way of infectious diseases is:

a) [x] all elements (objects) of the environment, which transmit the causative agent from the source
of infection to the receptive population
b) [ ] the dissemination process of the infection
c) [ ] pathogen agent passing from one organism to another by transmission factors
d) [ ] entering of pathogenic agent into organism
e) [ ] elimination of pathogenic agent from organism
Autor: V. Prisacaru
CS Transmission mechanism is a process carried out in:

a) [ ] two stages
b) [x] three stages
c) [ ] four stages
d) [ ] five stages
e) [ ] seven stages
Autor: V. Prisacaru
CS The vertical mechanism of transmission of diseases includes:

a) [ ] intrauterine fetal infection with infectious disease
b) [x] contamination during intrauterine growing and /or birth of fetus
c) [ ] contamination of child from sick or carrier of infectious disease mother
d) [ ] contamination of child in the kindergarten
e) [ ] transmission of pathogens by direct contact
Autor: V. Prisacaru
CS Premunition is a result of:

a) [ ] specific immunity by heredity
b) [ ] administration of biological preparation according to the epidemiological indications
c) [x] frequent contact with the causative agent of infectious diseases in small doses
d) [ ] immunity obtained from natural infectious process development
e) [ ] immunity obtained after artificial introduction of microorganisms
Autor: V. Prisacaru
CS Epidemiological surveillance is:

a) [x] ongoing assessment of the public health state
b) [ ] measures oriented to the contacts performed by the epidemiologist in the epidemic focus
c) [ ] elaboration of anti-epidemic measures in the epidemic focus
d) [ ] detection of sick persons
e) [ ] treatment of sick persons
Autor: V. Prisacaru
CS Epidemiological surveillance is based on:

a) [ ] retrospective epidemiological analysis of infectious morbidity
b) [ ] operative epidemiological analysis
c) [x] both of the mentioned above
d) [ ] isolation of sick persons
e) [ ] anti-epidemic measures in the epidemic focus
punctare: A3 Grad de dificultate: mediu Punctajul: 10 Timp pe intrebare: 0 sec
Autor: V. Prisacaru
CM Basic concepts explaining the mechanism of epidemic process development are:

a) [x] theory of mechanism of transmission
b) [x] theory of natural focus
c) [ ] theory of outbreaks formation
d) [x] self-regulation theory of parasitic systems
e) [ ] theory of pathogens evolution
Autor: V. Prisacaru
CM Chains of the epidemic process are:

a) [ ] pathogenic agents
b) [x] source of pathogenic agents
c) [x] mechanism of transmission of pathogenic agents
d) [ ] water, air, soil, household objects, vectors of transmission
e) [x] receptive population
Autor: V. Prisacaru
CM Natural focus is characteristic of:

a) [ ] brucellosis
b) [x] leptospirosis
c) [x] tularemia
d) [x] rabies
e) [ ] anthrax
Autor: V. Prisacaru
CM Infections with natural focus are:

a) [x] plague
b) [ ] cholera
c) [x] yellow fever
d) [x] tularemia
e) [ ] leptospirosis
Autor: V. Prisacaru
CM Natural focus is characteristic of:

a) [x] plague
b) [x] tularemia
c) [x] rabies
d) [ ] salmonellosis
e) [ ] anthrax
Autor: V. Prisacaru
CM Sapronoses are:
a) [x] tetanus
b) [x] cholera
c) [x] legionellosis
d) [ ] brucellosis
e) [ ] polio
Autor: V. Prisacaru
CM Choose from the list proposed possible sources of pathogenic agents:

a) [x] healthy carriers
b) [x] birds
c) [ ] mosquitoes
d) [x] rodents
e) [ ] milk and milk products
Autor: V. Prisacaru
CM Sources of pathogenic agents are:

a) [x] domestic animals
b) [x] xenantrope animals
c) [ ] arthropods
d) [x] rodents
e) [ ] molluscs
Autor: V. Prisacaru
CM Mechanisms of transmission of pathogenic agents are:

a) [x] aerogenic
b) [ ] alimentary
c) [x] fecal oral
d) [x] transmisive
e) [ ] hydric
Autor: V. Prisacaru
CM Fecal- oral transmission is characteristic of:

a) [ ] recurrent typhus
b) [x] polio
c) [ ] malaria
d) [x] HEV
e) [x] Koksaki, ECHO enteroviruses
Autor: V. Prisacaru
CM The transmisive mechanism of transmission is characteristic of:

a) [ ] leptospirosis
b) [x] plague
c) [x] tularemia
d) [ ] brucellosis
e) [x] endemic typhus
Autor: V. Prisacaru
CM International medical-hygiene rules oblige to inform immediately (24 hours) the WHO in case
of:
a) [x] registration of a high contagious disease at a person
b) [x] detection of infected mosquitoes and mammals with yellow fever
c) [x] detection of synanthropic or xenantropic rodents infected with Y. pestis
d) [ ] considerable social and economic losses following the implementation of quarantine
e) [ ] the treatment of imported malaria
Autor: V. Prisacaru
CM Emergency sheet needs to be transmited to the CPH:

a) [ ] only if the diagnosis is confirmed by laboratory methods
b) [ ] only after infectionist consultation
c) [x] immediately, in case of suspected infectious diseases
d) [x] not later than 12 hours after detection of the patient
e) [x] till the performing of terminal disinfection in focus
Autor: V. Prisacaru
CM Anti-epidemic measures directed to the source of pathogenic agents:

a) [x] deratization
b) [ ] disinfection
c) [ ] sterilization
d) [x] isolation
e) [ ] disinsection
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Autor: V. Prisacaru
CM Criteria of liquidation of the epidemic focus are:

a) [x] detection and isolation of the source
b) [x] performing of terminal disinfection
c) [ ] detection of the pathogenic agents
d) [ ] performing of current disinfection
e) [x] supervision of contacts during a maximum incubation period since the performing of terminal
disinfection
Autor: V. Prisacaru
CM Anti-epidemic measures directed to the mechanism of transmission of pathogenic agents:

a) [ ] deratization
b) [x] disinfection
c) [x] disinsection
d) [x] sterilization
e) [ ] immunocorrection
Autor: V. Prisacaru
CM In the focus participate in organization and performaning the anti-epidemic measures:

a) [x] family doctor
b) [x] district nurse
c) [x] infectionist
d) [ ] hygienist
e) [ ] bacteriologist
Autor: V. Prisacaru
CM Epidemiological history is collected by:

a) [x] family doctor
b) [x] doctor who suspected the disease at the patient
c) [x] epidemiologist
d) [ ] bacteriologist doctor who made bacteriological and serological investigations
e) [x] infectionist who consulted the patient
Autor: V. Prisacaru
CM Doctor who suspected a case of communicable disease should:

a) [x] collect epidemiological history
b) [x] transmit emergency information to CPH
c) [x] perform the current disinfection in focus
d) [ ] organize vaccination in focus
e) [x] determine the option of patient's isolation

Autor: V. Prisacaru
CM Dispensarisation has epidemiological importance in case of:

a) [ ] HAV
b) [x] HBV
c) [ ] pertussis
d) [x] typhoid fever
e) [ ] rotavirus infection
Autor: V. Prisacaru
CM Epidemiological surveillance include:

a) [x] recording of disease cases
b) [ ] studying the biological properties of cultures of pathogenic agents
c) [x] epidemiological analysis of morbidity
d) [x] analysis of effectiveness of the anti-epidemic measures
e) [x] assessment of epidemiological situation
Autor: V. Prisacaru
CM Hospitalization is required in case of:

a) [ ] dysentery
b) [x] typhoid fever
c) [x] endemic typhus
d) [ ] salmonellosis
e) [x] tetanus
Autor: V. Prisacaru
CM Basic prevention measures in intestinal infections are:

a) [x] detection of infection sources
b) [x] detection and treatment of carriers
c) [x] sanitary-hygienic measures
d) [ ] vaccination of susceptible persons
e) [x] prophylactic and terminal disinfection
Autor: V. Prisacaru
CM Epidemiological classification of infectiuos diseases is based on:

a) [x] source of infection
b) [ ] clinical evolution of disease
c) [x] mechanism of transmission of infection
d) [ ] routes of transmission of infection
e) [x] ecological relationship with animals
Autor: V. Prisacaru
CM In case of habitual contact, for epidemic process are characteristic:

a) [x] appearance of diseases in chain
b) [ ] minimum period of incubation
c) [x] uniform contamination of all age groups
d) [ ] joining to the hydric factor
e) [x] HAV transmission, E.coli infection, etc.
Autor: V. Prisacaru
CM Foodborne eruption is characterized by:

a) [ ] appearance of diseases in chain
b) [x] evident seasonality
c) [x] minimum period of incubation
d) [ ] joining to the hydric factor
e) [ ] variable morbidity according to the level of severity
Autor: V. Prisacaru
CM Social factors that can start epidemic process can be:

a) [ ] density of the population in the country
b) [x] social-economic situation of the population
c) [x] religious affiliation
d) [ ] possibility of performing a wide range of alternative investigations
e) [ ] cost of treatment
Autor: V. Prisacaru
CM Natural factors that contribute the onset of the epidemiological process among the population,
are:
a) [ ] high density of population
b) [ ] gender of the receptive population
c) [x] landscape of the territory
d) [x] temperature and humidity
e) [x] atmospheric pressure
Autor: V. Prisacaru
CM Biological factors that contribute to the development of epidemic process among the
population, are:
a) [ ] high density of population
b) [x] receptivity of the population
c) [ ] environmental conditions
d) [x] pathogen resistance in the environment
e) [ ] sensitivity of causative agent to disinfectants
Autor: V. Prisacaru
CM Stages of the mechanism of transmission are:

a) [ ] movement of the pathogenic agents to the host
b) [x] elimination of the causative agent of infectious disease from the source of infection into the
environment
c) [x] maintaining of the pathogenic agents in the environment
d) [ ] changes of causative agent under the action of environmental factors
e) [x] entrance of causative agent in the susceptible population
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Disinfection, sterilization, disinfection, disinfestation

92. Intrebarea nr. 92: I62 Capitol: Disinfection, sterilization, disinfection, disinfestation
Mod de punctare: A1 Grad de dificultate: scazut Punctajul: 10 Timp pe intrebare: 0
sec Autor: V. Prisacaru
CS Current disinfection is performed:

a) [ ] 2 times / day
b) [ ] 4 times / day
c) [x] multiple, during the period of infectiousness during the eliminatation of pathogenis in the
environment
d) [ ] once a week
e) [ ] once in 2 weeks
--------------------------------------------------------------------93. Intrebarea nr. 93: I63 Capitol: Disinfection, sterilization, disinfection, disinfestation
CS The most efective method to control the quality of disinfection is:

a) [ ] chemical
b) [x] bacteriological
c) [ ] visually
d) [ ] physical
e) [ ] technical
CS For disinfection are used the following substances:

a) [ ] chloride of lime, metaphos
b) [x] bases, lizol
c) [ ] ratindan, zinc phosphide
d) [ ] hospisept, fortum
e) [ ] lysoformin, clorophos
CS Chemical method of disinfection is necessary in focus with:

a) [ ] measles
b) [ ] rabies
c) [x] HEV
d) [ ] pediculosis
e) [ ] trichinnellosis
CS Time for disinfection can be reduced by using:

a) [ ] chloramines
b) [x] activated solution of lime chloride
c) [ ] phenol
d) [ ] hydrogen peroxide
e) [ ] alchohol
CS Chloramine is used in:

a) [ ] powder
b) [x] solution
c) [ ] emulsion
d) [ ] aerosol
e) [ ] soap
CS Chloride of lime (powder) can be used for disinfection, with active chlorine not less than:
a) [ ] 0.1%
b) [x] 16.0%
c) [ ] 25.0%
d) [ ] 1%
e) [ ] 9%
CS Disinfection is carried out in outbreaks of tuberculosis with chloride of lime in concentration of:
a) [ ] 1.0%
b) [ ] 3.0%
c) [x] 5.0%
d) [ ] 9.0%
e) [ ] 25%
CS Hydrogen peroxide is used in clinical practice in concentrations of:

a) [ ] 0.1 to 3.0%
b) [x] 0.1 to 6.0%
c) [ ] 0.1 to 33.0%
d) [ ] only 3.0%
e) [ ] only 33.0%
CS Wool materials or synthetic fibers can be disinfected in the chambers:

a) [x] with vapors and formalin
b) [ ] with hot vapors
c) [ ] hot air
d) [ ] moist heat
e) [ ] dry heat
CS Disinfection is carried out at lower temperatures in the chambers:

a) [ ] with hot vapors
b) [x] with vapors and formalin
c) [ ] with hot air
d) [ ] glutaraldehyde
e) [ ] iodophorm and its compounds
CS Sterilization is oriented to:

a) [ ] remove pathogenic microflora
b) [ ] destruction of pathogenic agents
c) [x] destruction of microflora
d) [ ] destruction of viruses only
e) [ ] increase the presence of pathogens
CS Chloride of lime is rational to be used as:

a) [ ] emulsion
b) [x] solution
c) [ ] powder
d) [ ] gas
e) [ ] soap

CS Active solution of chloride of lime is prepared by:

a) [ ] increasing of the concentration
b) [ ] increasing of the volume
c) [x] addition of ammonium salts
d) [ ] increasing the temperature
e) [ ] changing the pH
CS Minimum concentration of active chlorine in chloride of lime (dust) has to be not less then:
a) [ ] 0.1%
b) [ ] 1.0%
c) [x] 16.0%
d) [ ] 23.0%
e) [ ] 6.0%
CS Chloride of lime (standard) contains active chlorine:

a) [ ] 16.0%
b) [x] 25.0%
c) [ ] 33.0%
d) [ ] 20.0%
e) [ ] 5.0%
CS Hydrogen peroxide is used in clinical practice in concentrations up to:

a) [ ] 3.0%
b) [x] 6.0%
c) [ ] 33.0%
d) [ ] 66.0%
e) [ ] 1.6%
CS Performing the final disinfection is compulsory in the focus of:

a) [ ] measles
b) [x] diphtheria
c) [ ] mumps
d) [ ] legionellosis
e) [ ] diabetes
CS Terminal disinfection is performed from the moment of isolation the source, in first:
a) [x] 6-12 hours
b) [ ] 24-36 hours
c) [ ] 36-72 hours
d) [ ] 2 days
e) [ ] week
CS Time required for final disinfection can be reduced by higher:

a) [ ] concentrations
b) [ ] larger quantities
c) [x] activators
d) [ ] temperature of the working solution
e) [ ] temperature of the environment
CS Disinfection has greater importance in infections with mechanism of transmission:

a) [ ] aerogenic
b) [x] fecal oral
c) [ ] transmissive
d) [ ] vertical
e) [ ] chemical
CS Chloride of lime is based on the bactericidal mechanism of action:

a) [x] oxidation
b) [ ] denaturing of the proteins
c) [ ] clotting of the proteins
d) [ ] destruction of the proteins
e) [ ] enzymatic and structural damage of cellular proteins
CS Disinfection goal is:

a) [ ] total destruction of microflora
b) [x] destruction or removal of pathogenic microflora
c) [ ] destruction of vegetative forms of pathogenic agents
d) [ ] destruction or removal of all species of microorganisms
e) [ ] only viruses
CS Current disinfection is organized by:

a) [ ] specialists from CPHs
b) [x] family doctor
c) [ ] specialists of disinfection center
d) [ ] family members
e) [ ] medical personnel from infectious diseases hospital
CS Chemical disinfectants are:

a) [x] phenol, iodine
b) [ ] chloride of lime, dimetiltoluolamida
c) [ ] chloramines, zoocumarina
d) [ ] ratindan, clorofos
e) [ ] monofluorin, vancomycin
CS Disinfection is performed according to:

a) [ ] mechanism of transmission of pathogens
b) [x] pathogen resistance in the environment
c) [ ] localisation and mechanism of transmission of pathogens
d) [ ] presence of the source of infection
e) [ ] season
CS Bacteriological control of the quality of terminal disinfection is performed (since the completion
of disinfection):
a) [x] between 45 minutes and 2 hours
b) [ ] immediately
c) [ ] over 20-45 minutes
d) [ ] anytime
e) [ ] in first 24 hours
CS Time necessary to prepare working solutions (from dust) is shorter in:

a) [ ] chloride of lime
b) [x] chloramine
c) [ ] solution of activated chloride of lime
d) [ ] both chloramine and chloride of lime
e) [ ] potassium permanganate
CS Necessity of terminal disinfection is determined by:

a) [ ] presence of the source of pathogenic agents
b) [x] resistance of pathogenic agents in the environment
c) [ ] presence of the receptive people in the focus
d) [ ] presence of family doctors
e) [ ] specialists from CSD (Central Sterilization Department)
CS In dysentery current disinfection is performed:

a) [ ] 3 times / day
b) [ ] 6-10 times / day
c) [x] during the elimination of the pathogenic agents
d) [ ] immediately
e) [ ] it is not necessary
CS Disinfection in chambers is compulsory for:

a) [ ] Endemic typhus
c) [ ] HAV
d) [ ] cancer
e) [ ] chicken pox
CS Sterilization has great importance in preventing:

a) [ ] HBV, diphtheria
b) [ ] HAV, polio
c) [x] HCV, botulism
d) [ ] HBV, varicella
e) [ ] HIV, cancer
CS Disinfection is one of the basic measures in:

a) [ ] dysentery, typhoid fever
b) [ ] anthrax, leptospirosis
c) [x] typhus, malaria
d) [ ] tuberculosis, flu
e) [ ] diabetes, plague
CS Repellents are:
a) [ ] ratindan, zoocumarin
b) [x] dietiltoluolamid, dimetilftalat
c) [ ] lizol, phenol
d) [ ] ratindan, zinc phosphide
e) [ ] carboxid, clorophos
CS To process hair hygiene of patients with pediculosis the following substances can be used:
a) [ ] carbophos, dimetilftalatul
b) [ ] nitifor, clorofos
c) [x] anti-pediculosis shampoo (anti-P), carbophos
d) [ ] permethrin, muratsid
e) [ ] sumitrin, methoprene
CS Disinsection is important in:

a) [ ] dysentery
b) [ ] typhoid fever
c) [x] typhus
d) [ ] varicella
e) [ ] flu
CS To combat the pediculossis the following substances can be used:

a) [x] nitiforul, metilacetofos
b) [ ] clorofos, diclofos
c) [ ] dietiltoluolamid, monofluorin
d) [ ] permethrin, ratindan
e) [ ] chloramine, sumetrin
CS Insecticides are:
a) [x] flicid, acetofos
b) [ ] dietiltoluolamid, monofluorin
c) [ ] albihtol, tiosemicarbazid
d) [ ] clorofos, ratindan
e) [ ] piretrum, chloramine
CS Repellents are:
a) [ ] ratindan, zinc phosphide
b) [ ] metilacetophos, benzimin
c) [x] albihtol, dietiltoluolamid
d) [ ] dimethilftalat, sumetrin
e) [ ] muratsid, permethrin
CS Select the anti-epidemic measures directed to the source of pathogenic agents:

a) [x] deratization
b) [ ] disinfection
c) [ ] disinsection
d) [ ] sterilization
e) [ ] vaccination
CS Rodenticides are:
a) [ ] carboxid, heptachlor
b) [ ] tiosemicarbazid, ratindan
c) [ ] albihtol, flicid
d) [x] zoocumarin, pyrethrum
e) [ ] carboxid, phenol
CS Rodenticides are:
a) [x] ratindan, zinc phosphide
b) [ ] zoocumarin, pyrethrum
c) [ ] monophtorine, carbophos
d) [ ] monofluorina, clorofos
e) [ ] ciprofloxacin, vancomycin
CS Deratization is necessary in focus of:

a) [ ] anchilostoma infection
b) [ ] infection caused by tenia
c) [x] trichinnellosis
d) [ ] malaria
e) [ ] HVB
CS Select the measures carried out by non-medical services:

a) [ ] emergency prevention
b) [x] hygiene measures in rural regions
c) [ ] chemoprophylaxis
e) [ ] disinfection
CS Hospitalization is performed according to epidemiological indication in the following patients:

a) [ ] all patients diagnosed with infectious disease
b) [ ] all patients suspected with infectious disease
c) [x] specific groups of patients with infectious diseases
d) [ ] all patients either with infectious and noninfectious diseases
e) [ ] all patients under age of 50 years old
CS The anti-epidemic measures, oriented to the second chain of epidemic process is:
a) [ ] isolation of patient
b) [ ] deratization
c) [x] disinsection
d) [ ] immunoprophylaxis
e) [ ] screening of population
CS Transmission of waterborne infections can be prevented by:

a) [ ] compliance with food preparation technology
b) [x] decontamination of drinking water
c) [ ] compliance with food realization period
d) [ ] choosing another water producing company
e) [ ] drinking less water
CS Current disinfection is compulsory in:

a) [x] tuberculosis dispensary
b) [ ] somatic pediatrics department
c) [ ] department of surgery
d) [ ] geriatric department
e) [ ] physiotherapy
CS Test used for determination of residues detergent is:

a) [ ] with amidopirine
b) [ ] with Sudan III
c) [x] with phenolphthalein
d) [ ] with peroxide
e) [ ] with chloride of lime
Mod de punctare: A3 Grad de dificultate: mediu Punctajul: 10 Timp pe intrebare: 0
CM Terminal disinfection is required to be performed:

a) [ ] after patient detection
b) [x] after inpatient hospitalization
c) [ ] after patient recovery
d) [ ] after 5 days of illness of the patient with measles
e) [x] after reshaping the communicable diseases stationary in the therapeutic profile
CM Select preparations with bactericidal, virulicid, sporacid and fungicide action:

a) [x] chloride of lime
b) [ ] sulphohlorantin
c) [x] lizol
d) [ ] hydrogen peroxide
e) [ ] chloramine
CM The following preparations groups are used for disinfection:

a) [x] oxidants
b) [x] activities
c) [x] coagulated protein preparations
d) [x] distorts protein preparations
e) [ ] phosphorus derivatives
CM Terminal disinfection is carried out in outbreaks of:

a) [ ] measles
b) [x] dysentery
c) [x] HAV
e) [ ] mumps
CM Types of chambers used in disinfection are:

a) [ ] with detergents
b) [x] formalin
c) [x] vapors
d) [x] hot dry air
e) [ ] with acids
CM Chemical disinfection is required to perform in outbreaks of:

a) [x] anthrax
b) [ ] measles
c) [x] diphtheria
e) [ ] malaria
CM Requirements to keep disinfectants are:

a) [x] dry place
b) [ ] well-heated room
c) [ ] to light
d) [x] in the dark
e) [ ] in an open vessel
CM Chloride of lime-dust is used for disinfection of:

a) [x] liquid fecale
b) [ ] toilets in the apartment
c) [x] toilets in rural areas without sewer system
d) [x] vomites
e) [ ] stables
CM Disinfection in oven is required in focus with:

c) [x] diphtheria
d) [ ] dysentery
e) [ ] tularemia
CM Solution of hydrogen peroxide with detergent can be used:

a) [x] once, immediately after preparation
b) [x] in different concentrations (0.1 to 6.0%)
c) [ ] during 2-3 days of preparation
d) [ ] at room temperature
e) [x] after heating
CM What desinfectant can be used for desinfection:

a) [x] substances with active chlorine
b) [ ] substances with phosphorus
c) [x] phenol
d) [x] lizol
e) [x] hydrogen peroxide
CM The effectiveness of disinfection can be influenced by:

a) [x] concentration of the solution
b) [ ] humidity in the room
c) [x] exhibition
d) [x] volume of the solution per m 2
e) [ ] all those listed above
CM Action effectiveness of of disinfectant solutions depends on:

a) [x] temperature of the disinfecting solutions
b) [x] concentration
c) [x] exhibition
d) [ ] pressure
e) [x] presence of activators
CM Terminal disinfection is performed in the following situation:

a) [ ] patient with influenza is transferred from the terapeutic units to isolator
b) [x] according to epidemiological situation dysentery department is reshaping to influenza one
c) [x] HAV department is reshaping into dysentery one
d) [ ] patient with tularemia is transferred from the infectious box into the room
e) [x] patient with typhoid fever is hospitalized
CM The following agents are used for disinfecting:

a) [x] vapor
b) [x] hot air
c) [ ] and rays
d) [x] mechanics
e) [x] chemical
CM Stages of sterilizated of the medical instruments with multiple use are:

a) [ ] disinfection
b) [x] cleaning
c) [x] packaging of material
d) [x] sterilization
e) [ ] selection of materials
CM Lizol solutions are used for:

a) [ ] rat
b) [ ] insect
c) [x] disinfection
e) [x] tuberculosis outbreaks
CM The following items are processed in the oven with vapors:

a) [ ] pillows, mattresses
b) [ ] clothing of leather
c) [ ] books
d) [x] cotton clothes
e) [x] cotton bed linen
CS The following items are disinfected in the chamber with vapors:

a) [ ] clothing of leather
b) [x] mattresses, pillows
c) [ ] rubber footwear
d) [ ] clothes of synthetic fibers
e) [ ] none of those listed above
CM Chambers with vapors and formaline are used:

a) [ ] only for disinfection
b) [ ] only for disinsection
c) [x] in different disinfection and disinsection regime
e) [x] for disinfection of synthetic fibers clothes
CM Disinfection of clothes in chambers is required in focus with:

a) [x] typhoid fever
b) [ ] dysentery caused by Sh.sonnei
c) [x] diphtheria
d) [ ] meningococcal infection
e) [x] typhus
CM The following medical instruments are sterilized:

a) [x] that contact with the wound surface
b) [x] that contact with blood
c) [x] that contact with preparations administrated parenterally
d) [ ] equipment of office procedures
e) [ ] tonometer, fonendoscop
CM To combait lice can be used:

a) [ ] dihlophos
b) [ ] chlorophos
c) [x] benzilbenzoat
d) [x] metaphos
e) [ ] pyrethrum
CM To avoid transmission of vectors are used:

a) [x] acaricides
b) [ ] fungicides
c) [ ] herbicides
d) [ ] repellents
e) [x] ovicidal
CM Examination to lice need to be done:

a) [x] to patients on admission into the hospital
b) [x] to elderly people admited to retirement home
c) [ ] planned to the population of the administrative territory
d) [x] to children from boarding schools
e) [x] to pregnant women in the maternity hospital
CM Disinfection is required in focus with:

a) [x] scabies
b) [ ] anthrax
c) [ ] yersiniosis
d) [x] plague
e) [ ] brucellosis
CM Choose three most ecologically methods for disinfection:

a) [ ] chemical
b) [x] mechanical
c) [x] physical
d) [x] biological
e) [ ] with gas
CM Patients with pediculosis are processed with compulsory participation of medical personnel in
case of:
a) [x] kindergarten
b) [x] boarding school
c) [ ] campus
d) [x] hospitals
e) [ ] all enterprises and institutions from the field
CM Repellents are used for:

a) [x] clothes processing
b) [x] impregnation of tents
c) [x] application on the skin
d) [ ] rats
e) [ ] destruction of vectors
CM What substances listed bellow are insecticides:
a) [ ] benzyl-benzoate
b) [x] acetophos
c) [ ] benzimine
d) [x] pyrethrum
e) [x] metaphos
CM Deratization can be performed by the following methods:

a) [x] biological
b) [x] chemical
c) [ ] ultraviolet
d) [x] mechanical
e) [ ] prophylactic
---------------------------------------------------------------------
172. Intrebarea nr. 172: I62 Capitol: Disinfection, sterilization, disinfection, disinfestation
CM Measures oriented to the source of infection are:

a) [x] visit the patient at home
b) [ ] address to clinic
c) [x] investigation of patient with infectious disease on admission
d) [x] planned examination of alimentary service workers
e) [x] laboratory examination of contacts
CM Rodenticide baits are allowed in children, curative or alimetary institutions to be:

a) [ ] distributed in all rooms
b) [x] applied in the absence of children
c) [ ] placed on the floor, on the rodents route, in their feed places
d) [x] placed in special boxes
e) [x] applied on weekends
CM Prophylactic measures are:

a) [x] prevention of environmental pollution by microorganisms
b) [x] water decontamination in accordance with requirements for drinking water
c) [x] prophylaxis of contamination of objects with epidemiological significance
d) [x] sanitary protection of the territory from import and spread of infection
e) [ ] liquidation of epidemic outbreak
CM Select the anti-epidemic measures made by medical forces:

a) [ ] decontamination of drinking water
b) [x] vaccination of the population
c) [ ] killing the homeless animals
d) [ ] burial of radioactive waste
e) [x] health education activities
---------------------------------------------------------------------
Immunoprophylaxis
176. Intrebarea nr. 176: I111 Capitol: Immunoprophylaxis Mod de punctare: A1 Grad
de dificultate: scazut Punctajul: 10 Timp pe intrebare: 0 sec Autor: V. Prisacaru
CS The minimum interval between planned vaccine is:

a) [x] 1 month
b) [ ] two months
c) [ ] three months
d) [ ] four months
e) [ ] six months
--------------------------------------------------------------------177. Intrebarea nr. 177: I112 Capitol: Immunoprophylaxis Mod de punctare: A1 Grad
CS Planned vaccination is not provided in Moldova for:

a) [ ] tetanus
b) [ ] tuberculosis
c) [x] HAV
d) [ ] polio
e) [ ] measles
CS BCG vaccine is administrated:

a) [ ] intramuscularly
b) [ ] subcutaneously
c) [x] intradermal
d) [ ] by skin
e) [ ] intravenous
CS Planned vaccination is performed in the Republic of Moldova against:

a) [ ] pertussis, influenza
b) [ ] diphtheria, typhoid fever

c) [x] tetanus, mumps
d) [ ] scarlet fever, salmonellosis
e) [ ] anthrax, plague
CS Transplacental immunity lasts:

a) [ ] few days
b) [ ] few weeks
c) [x] few months
d) [ ] one year
e) [ ] two years
---------------------------------------------------------------------
CS Post- infection immunity is:

a) [x] active natural
b) [ ] passive
c) [ ] nonspecific
d) [ ] artificial
e) [ ] premonition
CS Formation of artificial active immunity is possible by:

a) [ ] post- infectious disease
b) [x] using of toxoids
c) [ ] using of interferon
d) [ ] using immunoglobulin
e) [ ] using serum
CS Natural active immunity is formed after:

a) [ ] administration of the vaccine
b) [ ] administration of immunoglobulin
c) [x] premonition
d) [ ] using immunoglobulin
e) [ ] using serum
CS Time required to form active immunity after vaccination is:

a) [ ] few hours
b) [ ] few days
c) [x] few weeks
d) [ ] few months
e) [ ] one year
CS Vaccination by fractioned method is used for:

a) [ ] inactivated corpuscular vaccines
b) [ ] homologous serum
c) [x] heterologous serum
d) [ ] live vaccine
e) [ ] chemical vaccine
CS Diphtheria serum is used:

a) [ ] in the emergency prevention
b) [ ] for planned prophylaxis
c) [x] for the treatment
d) [ ] according epidemiological indications
e) [ ] in contact persons
CS Live vaccine is used in Immunoprophylaxis of:

a) [ ] diphtheria
b) [x] polio
c) [ ] tetanus
d) [ ] typhoid fever
e) [ ] HVB
CS Live vaccines are used for:

a) [ ] measles, pertussis
b) [x] tuberculosis, polio
c) [ ] mumps, diphtheria
d) [ ] measles, typhoid fever
e) [ ] scarlet fever, typhus
CS Toxoid is used for prophylaxis of:

a) [ ] anthrax
b) [x] tetanus
c) [ ] brucellosis
d) [ ] plague
e) [ ] typhus
CS The vaccine administrated per-oral is:

a) [x] polio
b) [ ] pertussis
c) [ ] mumps
d) [ ] tuberculosis
e) [ ] HVB
CS Evaluation of tuberculin's reactions is done in period of:

a) [ ] 12 hours
b) [ ] 24 hours
c) [ ] 36 hours
d) [ ] 48 hours
e) [x] 72 hours
---------------------------------------------------------------------
CS Bacteriophages forms:
a) [ ] active immunity
b) [ ] passive immunity
c) [ ] natural immunity
d) [ ] artificial immunity
e) [x] does not form immunity
CS Vaccination is important in control of:

a) [ ] tuberculosis
b) [x] HVB
c) [ ] typhoid fever
d) [ ] epidemic typhus
e) [ ] scarlet fever
CS Duration of immunity is longer after administration of:

a) [ ] serum
b) [ ] immunoglobulin
c) [x] toxoids
d) [ ] bacteriophage
e) [ ] interferon
CS The minimum interval between planned vaccination is:

a) [x] two weeks
b) [ ] 1 month
c) [ ] 1.5 months
d) [ ] 2 months
e) [ ] 3 months
CS The planned vaccination is carried out in:

a) [ ] tuberculosis, typhoid fever
b) [ ] diphtheria, scarlet fever
c) [x] mumps, pertussis
d) [ ] polio, plague
e) [ ] salmonellosis, malaria
CS The minimum interval between administration of the vaccine and immunoglobulin is:
a) [ ] two weeks
b) [ ] one month
c) [x] two months
d) [ ] 6 months
e) [ ] one year
CS Serological reactions are used in evaluation of the effectiveness of vaccination against:

a) [x] anthrax
b) [ ] tuberculosis
c) [ ] diphtheria
d) [ ] polio
e) [ ] measles
CS The schedule of immunization against tuberculosis includes in Moldova:

a) [x] one vaccination
b) [ ] one revaccinations
c) [ ] two revaccinations
d) [ ] free revaccination
e) [ ] four revaccination
CS The immunity is longer after vaccination against:

a) [ ] diphtheria
b) [ ] tetanus
c) [x] measles
CS The vaccine with minimal reactions is:

a) [ ] live vaccine
b) [x] chemical vaccine

c) [ ] inactivated corpuscular vaccine
d) [ ] toxoids
e) [ ] fractioned serum
CS Inactivated corpuscular vaccines are used in:

a) [ ] smallpox
b) [ ] mumps
c) [x] whooping cough
d) [ ] polio
e) [ ] tuberculosis
---------------------------------------------------------------------
CS Vaccination against diphtheria is carried out with:

a) [ ] live vaccine
b) [ ] toxoid
c) [x] inactivated corpuscular vaccine
d) [ ] immunoglobulin
e) [ ] serum
CS Planned vaccination is carried in Moldova for:

a) [ ] 5 nosological forms
b) [ ] 7 nosological forms
c) [ ] 10 nosological forms
d) [ ] 12 nosological forms
e) [x] 14 nosological forms
CS Mumps vaccine is administered together with:

a) [ ] diphtheria vaccine
b) [ ] polio vaccine
c) [x] measles vaccine
d) [ ] tuberculosis
e) [ ] HVB
CS Positive results of Mantoux test means:

a) [ ] Revaccination is necessary
b) [ ] Revaccination is not necessary
c) [x] Not a criterion to solve the problem of revaccination
d) [ ] The person is infected
e) [ ] The test is necessary to repeat

CS Conditional course of vaccination against rabies is indicated to:

a) [ ] children
b) [x] persons bitten by animals and can be supervised
c) [ ] people bitten by wild animals
d) [ ] adult
e) [ ] old people
CS Polio live attenuated vaccine is administered:

a) [ ] intradermal
b) [x] per-oral
c) [ ] intramuscularly
d) [ ] intravenous
e) [ ] subcutaneously
CS Polio vaccination is carried out together with:

a) [ ] tetanus
b) [x] HBV
c) [ ] tuberculosis
d) [ ] rubella
e) [ ] measles
CS Chemoprophylaxis is used to prevent:

a) [ ] tetanus
b) [ ] botulism
c) [x] malaria
e) [ ] plague
CS Planned vaccination against typhoid fever is made according to epidemiological indications:

a) [ ] lifelong
b) [x] between 7 and 60 years
c) [ ] between 14 and 50 years
d) [ ] only for children
e) [ ] only for old people
CS Mumps vaccine is administrated at:

a) [ ] two months
b) [x] 12 months
c) [ ] 16 months
d) [ ] 18 months
e) [ ] 20 months
CS Polio vaccination and revaccination is done with:

a) [ ] two doses of vaccine
b) [ ] free doses of vaccine
c) [x] four doses of vaccine
d) [ ] 5 doses of vaccine
e) [ ] 6 doses of vaccine
---------------------------------------------------------------------
CS Vaccination is indicated after the possible infection with:

a) [ ] anthrax
b) [x] rabies
c) [ ] diphtheria
d) [ ] brucellosis
CS Whooping cough vaccine is administrated at:

a) [x] 2, 4, 6 months
b) [ ] 0, 1, 6 months
c) [ ] 3, 4, 5, 6 months
d) [ ] 12 months
e) [ ] 24 months
CS Mantoux reaction is carried out in period of:

a) [ ] 1-7 days before the revaccination
b) [x] 3-14 days before revaccination
c) [ ] 3 weeks before revaccination
d) [ ] one month before revaccination
e) [ ] 14-60 days before revaccination
CS Vaccine administrated intramuscularly is:

a) [ ] tuberculosis
b) [x] HBV
c) [ ] polio
d) [ ] rotavirus infection
e) [ ] measles
CS Influenza vaccine is rational to administer:

a) [ ] according to epidemiological indications
b) [ ] planned
c) [x] before seasonal spreading
d) [ ] during the epidemic spreading
e) [ ] during winter
CS To prevent tetanus infection is administrated:

a) [ ] live vaccine
b) [x] toxoid
c) [ ] inactivated vaccine
d) [ ] Bacteriophage
e) [ ] chemical vaccine
CS Planned vaccination is performed in:

a) [ ] HBV, typhoid fever
b) [x] rotavirus infection, mumps
c) [ ] diphtheria, scarlet fever
d) [ ] plague, anthrax
e) [ ] salmonellosis, brucellosis
CS Planed vaccination is done in the Republic of Moldova for:

a) [ ] typhoid fever
b) [x] HVB
c) [ ] HAV
e) [ ] plague
CS Allergic skin reactions are used in the diagnosis of:

a) [x] anthrax, brucellosis
b) [ ] tuberculosis, botulism
c) [ ] dysentery, typhoid fever
d) [ ] Salmonellosis, typhus
e) [ ] E.coli infection, malaria
CS The immunity formed after the administration of toxoids is:

a) [x] active
b) [ ] passive
c) [ ] active-passive
d) [ ] natural
e) [ ] not characteristic
CS Vaccine and immunoglobulin are administrated together in case of high risk of spreading of:
a) [ ] measles
b) [x] rabies
c) [ ] diphtheria
d) [ ] typhus
---------------------------------------------------------------------
CS The temperature dropped to -6 C after damage of the refrigerator. What can be used in this
situation from the list below?
a) [ ] diphtheria serum
b) [ ] hepatitis B recombinant vaccine
c) [x] BCG vaccine
d) [ ] haemophilus influenza
e) [ ] rotavirus infection
CS The box with measles vaccine is without the instruction of using. In these situation you should:
a) [x] use the instruction from another box with the same serial number
b) [ ] administrate the vaccine without the instruction
c) [ ] prohibits administration of the vaccine
d) [ ] return the box to the manufacturing company
e) [ ] inform about the problem Ministry of Health
CS What will do the nurse from a kindergarten in case of the unvaccinated child?
a) [ ] the child will be accepted to the kindergarten with the permission of the director
b) [x] the child will be accepted to the kindergarten if parents sign the document about refusal of
vaccination
c) [ ] the child will be accepted to the kindergarten in the special group of unvaccinated children
d) [ ] the child will be not accepted to kindergarten
e) [ ] the child will be forced to vaccinate
CS The Center of Public Health received information from medical unit of a school about a slight
dolor induration at the injection site of 5 vaccinated children with DT from150 after 4 days after the
vaccination. Select the correct recommendation in this situation:
a) [ ] it is a vaccine associated complications, vaccination is recommended to stop

b) [ ] it is a vaccine associated complications, is recommended to obtain information
about the time,

series and preparation from the Center of Public Health
c) [x] it is a vaccine associated reaction, vaccination is recommended to continue
d) [ ] it is a vaccine associated complications, all vaccines must be destroyed
e) [ ] it is a vaccine associated complications, all 5 children must be hospitalized and treated
CS When is administrated BCG vaccine after the Mantoux reaction?

a) [x] 3 days and 2 weeks
b) [ ] not later than the 11th day after reading the Mantoux reaction
c) [ ] after the recovery of papule developed on skin in result of Mantoux test
d) [ ] not later then one week after Mantoux test
e) [ ] BCG vaccination is not depending on the results of Mantoux reaction
CS Person vaccinated with BCG vaccine after positive Mantoux reaction are in risk to:
a) [ ] develop anaphylactic shock
b) [x] develop generalization of tuberculosis
c) [ ] form a post-vaccination "cold" abscess
d) [ ] develop lymphadenopathy
e) [ ] develop skin tuberculosis
CS Contraindication for rabies vaccination is:

a) [ ] hypertonic disease grade II
b) [ ] pregnancy
c) [x] hydrophobia
d) [ ] fever
e) [ ] diarrhea
CS BCG vaccination is contraindicated to:

a) [x] newborns with congenital immunodeficiency
b) [ ] HIV-positive people
c) [ ] children born from HIV mothers
d) [ ] people with chronic disease
e) [ ] people with hepatitis
CS BCG vaccination of AIDS patients is:

a) [ ] indicated immediately
b) [ ] applied depending on the results of Mantoux Reaction
c) [x] forbidden
d) [ ] applied depending on clinical symptoms
e) [ ] applied depending on the patient's age

CS PPD - Purified protein derivative in tuberculin skin test is used:

a) [x] standardized at the international level
b) [ ] only in endemic areas with high level of tuberculosis
c) [ ] only during epidemic spreading of the disease
d) [ ] at all new-born children
e) [ ] removed from the production
CS BCG vaccine is administrated:

a) [ ] strictly intradermal in the lower third of left forearm
b) [x] strictly intradermal in the deltoid region of the left arm
c) [ ] strictly intradermal in any anatomical area
d) [ ] strictly subcutaneously
e) [ ] strictly intramuscular
CS The injection of BCG vaccine suppose the appearance of:

a) [ ] ulceration, which disappear after a week
b) [ ] small red induration of 10 mm diameter, which persists 1-2 weeks
c) [x] "orange peel papule, which remains about 30 minutes
d) [ ] small rashes on the arm
e) [ ] white pustule that remain during lifetime
CS Effectiveness of BCG vaccine depends on:

a) [x] cellular immunity of each individual
b) [ ] mycobacteria used for the preparation of vaccine
c) [ ] method of preparation of vaccine
d) [ ] natural immunity of children
e) [ ] level of antibodies transmitted from mother
--------------------------------------------------------------------238. Intrebarea nr. 238: I66 Capitol: Immunoprophylaxis Mod de punctare: A3 Grad de
dificultate: mediu Punctajul: 10 Timp pe intrebare: 0 sec Autor: V. Prisacaru
CM Planned vaccination is performed according to epidemiological indications in:

a) [ ] diphtheria
c) [x] brucellosis
d) [ ] yersiniozis
e) [ ] psittacosis
CM Children are vaccinated in the first 6 months against:

a) [x] tuberculosis
b) [x] tetanus
c) [ ] mumps
e) [ ] measles
CM Children are vaccinated according to the vaccination schedule in the Republic of Moldova
against:
a) [x] HBV, tuberculosis, rubella
b) [x] polio, mumps, whooping cough
c) [ ] diphtheria, scarlet fever, measles
d) [x] polio, diphtheria, tetanus
e) [x] diphtheria, tuberculosis, mumps
CM The following vaccines can not be administrated in case of freezing:

a) [ ] measles
b) [ ] BCG
c) [x] DTP
d) [x] DT
e) [ ] polio
CM Protective active immunity is formed after the admnistration of immunoglobulin together with
vaccine in:
a) [x] rabies
b) [x] measles
c) [x] tetanus
d) [ ] mumps
e) [ ] HBV
CM Infections controlled by vaccination are:

a) [x] measles
b) [x] diphtheria
d) [x] rotavirale infection
e) [ ] chickenpox
CM It is not allowed to use vaccines:

a) [x] without specific physical properties
b) [x] with damage vials
c) [x] transported to an inadequate temperature regime
d) [x] with overdue period

e) [ ] polio kept in the freezer
CM You are responsible for the vaccination. What are your tasks?
a) [x] records the group that require vaccination
b) [x] health education about the importance of vaccinations
c) [x] training of medical staff, responsible for the vaccinations
d) [ ] daily report about the vaccinations
e) [x] plannification of vaccination
CM The vaccines are administered according to epidemiological indications to:

a) [ ] contact people in cholera focus
b) [ ] contacts persons in measles focus
c) [x] people going to the natural focus of tick encephalitis
d) [ ] persons bitten by animals
e) [x] soldiers against tetanus
CM Unconditional vaccination against rabies is indicated after the bite of:

a) [x] a wild animal
b) [x] an unknown animal
c) [ ] the dog infected with rabies after 20 days from the bite
d) [ ] an animal under supervision
e) [x] an animal that was immediately killed
CM Preparations not administrated by fractionated method are:

a) [ ] tetanus serum
b) [x] influenza immunoglobulin
c) [x] measles immunoglobulin
d) [x] tetanus immunoglobulin
e) [x] staphylococcal immunoglobulin
CM Vaccination is not planned in the Republic of Moldova for:

a) [x] HAV
b) [ ] rubella
c) [ ] mumps
d) [x] chickenpox
e) [x] whooping cough
CM In refrigerators- container completely melted ice 12 hours ago. Which of the preparations listed
below can not be used?

a) [ ] polio vaccine
b) [x] tetanus toxoid
c) [x] diphtheria toxoid
d) [x] DTP
e) [ ] measles
CM To obtain homologous immunoglobulins are used:

a) [x] blood donors
b) [x] placental blood
c) [ ] hiperimunizate animal blood
d) [x] blood of infected people
e) [x] blood of immunized persons
CM What vaccines provides a long lasting protective immunity:

a) [x] measles
b) [ ] leptospirosis
c) [ ] rabies
d) [x] tularemia
e) [ ] cholera
CM The preparations introduced fractionated into the body are:

a) [ ] staphylococcal immunoglobulin
b) [x] diphtheria serum
c) [x] tetanus serum
d) [x] rabies immunoglobulin
e) [ ] tetanus immunoglobulin
CM Planned vaccination is performed in the Republic of Moldova for:

a) [x] tuberculosis
b) [ ] leptospirosis
c) [ ] typhoid fever
d) [x] whooping cough
e) [x] mumps
CM Planned vaccination is performed for:

a) [x] polio
b) [x] mumps
d) [ ] scarlet fever
e) [ ] chickenpox
CM Planned vaccination is carried out for:

a) [x] tuberculosis
b) [x] whooping cough
c) [x] tetanus
d) [ ] flu
CM Infections controlled by vaccination are:

a) [ ] typhoid fever
b) [ ] brucellosis
c) [x] measles
d) [x] polio
e) [x] tetanus
CM Planned vaccination at 2 month children is perfomed for:

a) [ ] mumps
b) [x] pertussis
c) [x] polio
d) [x] tetanus
e) [ ] viral hepatitis B
CM Prevention by vaccination is possible in:

a) [x] HAV
b) [x] HBV
c) [ ] malaria
d) [ ] toxoplasmosis
e) [x] yellow fever
CM The first 2 infections that children are vaccinated in the Republic of Moldova are:
a) [x] tuberculosis
b) [ ] measles
c) [x] hepatitis B
d) [ ] polio
e) [ ] hepatitis A
dificultate: scazut Punctajul: 10 Timp pe intrebare: 0 sec Autor: V. Prisacaru
CS 4 month baby was not vaccinated with BCG. What is necessary to do?
a) [ ] to vaccinate as soon as possible
b) [ ] to vaccinate after clinical examination

c) [ ] to vaccinate after clinical examination and positive result of the Mantoux test
d) [ ] to vaccinate after the vaccination with DTP
e) [x] to vaccinate according to the results of the Mantoux Reaction
--------------------------------------------------------------------262. Intrebarea nr. 262: I90 Capitol: Immunoprophylaxis Mod de punctare: A3 Grad de dificultate: mediu
Punctajul: 10 Timp pe intrebare: 0 sec Autor: V. Prisacaru
CM Planned vaccination is carry out in Moldova for:

a) [x] HBV, mumps
b) [x] tuberculosis, diphtheria
c) [x] rubella, tetanus
d) [ ] influenza, pertussis
e) [x] polio, measles
---------------------------------------------------------------------
263. Intrebarea nr. 263: I91 Capitol: Immunoprophylaxis Mod de punctare: A3 Grad de dificultate: mediu
CM The correct statements are:

a) [ ] minimum interval between vaccination and immunoglobulin administration is 6 months
b) [x] minimum interval between immunoglobulin and the vaccine administration is 4-6 weeks
c) [ ] measles vaccination start at 3 month age
d) [x] bacteriophage does not form the passive immunity
e) [ ] diminished vaccination against polio is done with inactivated vaccine
CM To form the passive immunity is used:

a) [ ] interferon
b) [x] homologous serum
c) [x] heterologous serum
d) [ ] toxoid
e) [x] immunoglobulin
CM Passive immunity is formed by the administration of:

a) [ ] chemical vaccine
b) [x] homologious serum
c) [x] immunoglobulin
d) [x] heterologious serum
e) [ ] toxoids
CM Live vaccines are used in:

a) [x] polio
b) [x] tuberculosis
c) [ ] pertussis
d) [ ] tetanus
e) [x] mumps
CM Inactivated or chemicals vaccines are used in:

a) [x] pertussis
b) [ ] measles
c) [x] hepatitis B
e) [ ] tuberculosis
CM Inactivated corpuscular vaccines are used in prophylaxis of:

a) [ ] rabies
b) [x] meningococcal infection
c) [ ] mumps
d) [x] pertussis
e) [ ] influenza
CM Immunoglobulins are used for prophylaxis of:

a) [x] rabies
b) [x] measles
c) [ ] diphtheria
d) [ ] tuberculosis
e) [x] tetanus
CM Vaccination is carried out according to epidemiological indications in:

a) [x] leptospirosis
b) [ ] yersiniosis
c) [ ] botulism
d) [x] tularemia
e) [x] plague
CM Live vaccines are characterized by:

a) [x] loss of pathogenicity and preservation of antigenic properties of the vaccine strains
b) [x] are obtained by the action of pathogenic microorganisms to physical, chemical, and biological
factors, multiple cultivation
c) [ ] low immunogenic efficacy determines its repeated application
d) [x] vaccines are lyophilized to extend the application of vaccines
e) [ ] vaccines are produced from the bacterial cultures
CM Choose the correct placement of the vaccines in the refrigerator:

a) [x] some vaccines are not kept in the refrigerator
b) [x] the effectiveness is equal to keep the vaccines on different shelf of the refrigerator
c) [ ] separate place for"old" vaccines and recently received
d) [ ] is better to completely fill the space with boxes of vaccines on a particular shelf
e) [x] is more rational to keep the vaccinas on the top shelf
CM There are 500 doses of DTP remained in the vaccination office, with three days expired term. It
is necessary to:
a) [x] stop the vaccination
b) [ ] vaccinate because the warranty period has expired by more than a month ago
c) [x] consult CPH on further measures
d) [ ] vaccinate a limited group of population and evaluate the immunological effectiveness
e) [x] assess the situation as negligence in organization of imunoprophylaxis
---------------------------------------------------------------------
274. Intrebarea nr. 274: I102 Capitol: Immunoprophylaxis Mod de punctare: A3 Grad de dificultate: mediu
CM Administration of DTP forms:

a) [x] antitoxic immunity (for diphtheria and tetanus) and antimicrobial (for pertussis)
b) [ ] antimicrobial and antitoxic immunity (for diphtheria and tetanus)
c) [ ] antitoxic immunity (for diphtheria, tetanus and pertussis)
d) [ ] antimicrobial immunity (for diphtheria and tetanus)
e) [x] antimicrobial immunity (for whooping cough)
CM Vaccination with BCG:

a) [x] reduce the risk of latent infection to TB in children
b) [x] significantly reduces serious risk in children
c) [ ] prevent disseminated forms of TB in newborns and infants
d) [ ] prevents any form of TB, regardless of age
e) [ ] currently, it is considered ineffective
---------------------------------------------------------------------
Intestinal infections
276. Intrebarea nr. 276: I173 Capitol: Intestinal infections Mod de punctare: A1 Grad de dificultate: scazut
CS Pathogen of typhoid fever is:

a) [ ] S. typhimurium
b) [ ] S.enteritidis
c) [x] S.typhi
d) [ ] S. newport
e) [ ] S.anatum
--------------------------------------------------------------------277. Intrebarea nr. 277: I174 Capitol: Intestinal infections Mod de punctare: A1 Grad de dificultate: scazut
CS The main source of pathogen of typhoid fever is:

a) [ ] patient
b) [ ] acute carrier
c) [x] chronic carrier
d) [ ] transit carrier
e) [ ] contact people
CS The main way of transmission in typhoid fever is:

a) [x] water
b) [ ] food
c) [ ] contact
d) [ ] sexual
e) [ ] respiratory
CS Incubation period of typhoid fever is:

a) [ ] 1 to 20 days
b) [x] 6 to 25 days
c) [ ] 1 to 14 days
d) [ ] 3-14 days
e) [ ] 1-3 days
CS Early diagnosis of typhoid fever is based on investigation of:

a) [ ] urine and faeces
b) [ ] serology
c) [x] blood culture
d) [ ] alergic test
e) [ ] skin reaction
CS Vaccination of typhoid fever is done with:

a) [ ] live attenuated vaccine
b) [x] chemically inactivated vaccine
c) [ ] toxoid
d) [ ] immunoglobiline
e) [ ] serum
CS Basic antiepidemic measures in typhoid fever are directed to:

a) [ ] the source of pathogens
b) [x] the mechanism of transmission
c) [ ] the suscceptibil population
d) [ ] children
e) [ ] contact people
CS Source of pathogenic agents of typhoid fever is:

a) [ ] sick during last 2-3 days of incubation period
b) [x] sick man in recovery period
c) [ ] rodents
d) [ ] mosquitous
e) [ ] insects
CS Patient with typhoid fever is contagious:

a) [ ] in the incubation period
b) [ ] all period of clinical manifestations
c) [x] during the recovery
d) [ ] according to the severity of disaese
e) [ ] first days of incubation period
CS The main source of pathogenic agents in typhoid fever is:

a) [ ] patient with asymptomatic form
b) [x] carrier
c) [ ] patient with clinical manifestations
d) [ ] patient during incubation period
e) [ ] children
CS "Transit carier" in typhoid fever suppose detection of S.typhi in:

a) [ ] urine
b) [x] feaces
c) [ ] blood
d) [ ] lever
e) [ ] sputum
CS Medical supervision of contact pesrons in typhoid fever focus is done in period of:
a) [ ] 7 days
b) [ ] 14 days
c) [x] 21 days
d) [ ] 27 days
e) [ ] 35 days
CS High risk group in typhoid fever are people of:

a) [ ] 1 - 4 years old
b) [x] 20 - 40 years old
c) [ ] 50 - 70 years old
d) [ ] 30-39 years old
e) [ ] children
CS Hospitalizion of patients with typhoid fever is done:

a) [ ] according to epidemiological indications
b) [x] mandatory all patients
c) [ ] according to clinical indications
d) [ ] only if patient has complications
e) [ ] only sever form
CS Patients with typhoid fever are discharged from the hospital:

a) [ ] without bacteriological investigations
b) [ ] with one negative bacteriological result
c) [x] with three negative bacteriological results
d) [ ] after performing blood culter
e) [ ] after negativ serological result
CS At the actual period, the main goal of epidemiological surveillance in typhoid fever is:
a) [x] to eradicate typhoid fever
b) [ ] to decrease the morbidity
c) [ ] to form strong immune population
d) [ ] to vaccinate all children
e) [ ] to vaccinate all adult
CS At the actual period, the epidemic process in typhoid fever is manifested by:
a) [ ] increasing of the morbidity
b) [ ] epidemic manifestations of the morbidity
c) [x] missing of the sezonality
d) [ ] strong immune population
e) [ ] pandemic spreading
CS To determine the fagotype of typhoid fever is practically important:

a) [ ] for etiotropic and pathogenic therapy
b) [x] for detection of the source of infection
c) [ ] does not have essential practical importance
d) [ ] for detection of contact people
e) [ ] to determine de immune status of contacts
CS The prophylaxis of typhoid fever at the contact person is done with:

a) [ ] antibiotics
b) [x] bacteriophage
c) [ ] vaccine
d) [ ] Immunoglobuline
e) [ ] serum
CS Transit"carrier in typhoid fever is supposed if S. typhi is detected in:

a) [ ] urine
b) [ ] feaces
c) [x] gallbladder
d) [ ] lever
e) [ ] eritrocytes
CS Dispensarization period in typhoid fever is:

a) [ ] 21 days
b) [x] 3 months
c) [ ] 6 months
d) [ ] 12 months
e) [ ] 24 months
CS Period of medical surveillance of chronic carriers of S. typhi is:

a) [ ] 3 months
b) [ ] 6 months
c) [ ] 12 months
d) [ ] 24 months
e) [x] lifelong
CS Period of medical surveillance of contact persons in typhoid fever focus is:

a) [ ] 11 days
b) [x] 21 days
c) [ ] 35 days
d) [ ] 40 days
e) [ ] 50 days
CS In first days of clinical manifestations, the amount of blood required for serological
investigations in typhoid fever is:
a) [x] 1 ml
b) [ ] 2 ml
c) [ ] 5 ml
d) [ ] 10 ml
e) [ ] 15 ml
CS High morbidity of disintery is caused in Moldova by:

a) [ ] Sh. Flexneri
b) [x] Sh. Sonnei
c) [ ] Sh.Dyzenteriae
d) [ ] S.typhy
e) [ ] S.newport
CS Exotoxin is produced by Shigella:

a) [ ] Sh.Boydi
b) [x] Sh.Dysenteriae
c) [ ] Sh.Flexneri
d) [ ] S.typhy
e) [ ] S.newport
CS The main source of pathogenic agents in dysentery is:
a) [ ] patient during the prodromal period

b) [x] patient in acute period
c) [ ] chronically ill
d) [ ] patients during the recovery period
e) [ ] chronic carrier
CS Medical supervision of contacts in dysentery is:

a) [ ] 4 days
b) [x] 7 days
c) [ ] 10 days
d) [ ] 14 days
e) [ ] 21 days
---------------------------------------------------------------------
CS The correct answer for dysentery is:

a) [ ] pathogen agent is S.virhov
b) [ ] there are 2 pathogenic agents known
c) [x] only one type of pathogen produces exotoxin
d) [ ] sh. dysentery is very resistant in the environment
e) [ ] mostly registered is sh.flexnery in moldova
CS The correct answer for dysentery is:

a) [x] it is caused by several pathogen agents
b) [ ] patient is contagious at the end of first week of the disease
c) [ ] is necessary to perform serological investigations fot the laboratory confirmation of the
disease
d) [ ] pathogen agent is S.virhov
e) [ ] there are 2 pathogenic agents known
CS Transmission by food is characteristic of:

a) [x] Sh.Sonnei
b) [ ] Sh.Flexneri
c) [ ] S.typhi
d) [ ] Sh.dysentery
e) [ ] HVE
CS The shorter incubation period is characteristics of:

a) [x] dysentery
b) [ ] measles
c) [ ] mumps
d) [ ] HVB
e) [ ] HVE
CS Outbreak of dysentery transmitted by habitual way is characteristic by:

a) [ ] mainly involve people that have direct contact with the source of infection
b) [x] there are registred in children institutions
c) [ ] sever forms are registred
d) [ ] chronic charriage
e) [ ] vaccination is very important
CS Ttransmission by water is more characteristic of:

a) [ ] Sh.boydi
b) [ ] Sh.sonnei
c) [x] Sh.flexneri
d) [ ] S.typhimurium
e) [ ] S.newport
CS The main source of infection in salmonellosis is:

a) [ ] man
b) [x] animal
c) [ ] soil
d) [ ] Fly
e) [ ] water
CS What type of Salmonella frequently is causing the nosocomial infection?

a) [ ] S.newport
c) [x] S. typhimurium
d) [ ] S.virhov
e) [ ] S.autumn
CS Factors of transmission of Salmonella are:

a) [ ] flies, air
b) [x] eggs, meat
c) [ ] water, hematophagous insects
d) [ ] animals, insects
e) [ ] man, mosquitous
CS Sources of infection in salmonellosis are:

a) [ ] ticks, geese
b) [x] ducks, pigs

c) [ ] cattle, flies
d) [ ] flies, air
e) [ ] animals, insects
CS Food poisoning with bacterial origin is more specific for:

a) [ ] salmonellosis
b) [x] botulism
c) [ ] dysentery
d) [ ] S.typhi
e) [ ] S.virhov
CS Pathogen agent in E.coli infection is:

a) [x] enteric cultures of E. coli
b) [ ] Yersinia enterocolitica
c) [ ] different types of microorganisms of the genus Shigella
d) [ ] Salmonella
e) [ ] Yersinia tuberculosis
CS E.coli enteropathogen affects more:

a) [x] first year children
b) [ ] children from different age group
c) [ ] all children
d) [ ] adults
e) [ ] travelers
CS Maximum incubation period for E.coli infection is:

a) [ ] 1 - 2 days
b) [ ] 3 days
c) [x] 7 - 10 days
d) [ ] 21 days
e) [ ] 26 days
CS More frequent is registered poliovirus:

a) [x] I
b) [ ] II
c) [ ] III
d) [ ] IV
e) [ ] V
CS Poliovirus is part of the family:

a) [ ] Rabdavirus
b) [x] Picornovirus
c) [ ] Astrovirus
d) [ ] Togaviridae
e) [ ] Flavivirus
CS Antiepidemic measures in polio are directed to:

c) [x] receptivity
d) [ ] general population
e) [ ] only to adults
CS Polio vaccination start at age of:

a) [x] 2 months
b) [ ] 6 months
c) [ ] 12 months
d) [ ] 24 monts
e) [ ] 36 months
CS Polio is transmitted by:

a) [x] airborne and fecal oral
b) [ ] contact
c) [ ] parenteral
d) [ ] vertical
e) [ ] transmisive
CS Patients with polio are most contagious in period of:

a) [ ] incubation
b) [ ] prodromal
c) [x] recovery
d) [ ] clinical signs
e) [ ] all stages
CS Correct for polio is:

a) [x] virus belongs to picornoviridae family
b) [ ] there are two known serotypes
c) [ ] paralytic forms constitute about 50% of cases
d) [ ] the virus is transmitted by contact mechanism

e) [ ] vaccination is performed with toxoid
CS The main antiepidemic measures in polio is:

a) [ ] detection and isolation of source
b) [ ] disinfection and sanitary-hygiene measures
c) [x] vaccination
d) [ ] deratization
e) [ ] disinsection
CS The main goal of epidemiological surveillance in polio is:

a) [ ] eradication of infection
b) [ ] prevention of outbreaks
c) [x] prevention of import
d) [ ] prevention of the spreading
e) [ ] prevention of the epidemia
CS Maximum incubation period for polio is:

a) [ ] 3 days
b) [ ] 7 days
c) [ ] 14 - 15 days
d) [x] 21 days
e) [ ] 26 days
CS Correct for staphylococcal food poisoning is:

a) [x] food borne outbreaks are more common
b) [ ] morbidity is higher in children group
c) [ ] increasing of the morbidity is observed
d) [ ] vaccination is required
e) [ ] the outbreak is rare
CS The main source of pathogenic agents for Botulism is:

a) [ ] man
b) [x] animals
c) [ ] soil
d) [ ] water
e) [ ] food
CS Correct for botulism is:

a) [ ] it is a foodborne infection
b) [x] sapronosis
c) [ ] has an incubation period of several months
d) [ ] it is a water-borne infection
e) [ ] the vaccination is performed with live vaccine
CS Typical for foodborne infections of staphylococcal origin is:

a) [x] morbidity is registered in groups
b) [ ] more frequent is registered in children
c) [ ] high risk group is population working in food industry
d) [ ] more frequent is registered in adults
e) [ ] incbation period is 21 days
---------------------------------------------------------------------
CS Incubation period for botulism poisons is:

a) [x] 6-36 hours
b) [ ] 30 '- 7 hours
c) [ ] 1 hour - 3 days
d) [ ] 2-7 days
e) [ ] 7-10 days
CS Agent of intestinal yersiniosis is:

a) [x] Yersinia enterocolitica
b) [ ] Yersinia pseudotuberculosis
c) [ ] Yersinia pestis
d) [ ] Shigella
e) [ ] Salmonela
CS Manifestations of epidemic process in yersiniosis is:

a) [x] sporadic
b) [ ] pandemic
c) [ ] airborne
d) [ ] exotic
e) [ ] epizootic
CS The main way of transmission of yersiniosis and pseudotuberculosis is by:

a) [x] food
b) [ ] water
c) [ ] habitual contact
d) [ ] blood
e) [ ] from mother to child
CS The incubation period of intestinal yersiniosis is:

a) [x] 3 - 7 days
b) [ ] 14 - 15 days
c) [ ] 21 days
d) [ ] 26 days
e) [ ] 45 days
CS The Yersiniosis are:

a) [ ] antroponosis
b) [x] zooanthroponosis
c) [ ] sapronosis
d) [ ] zoonosis
e) [ ] parasitosis
CS The main source of yersiniosis infection are:

a) [x] synanthrope animals
b) [ ] xenantrope animals
c) [ ] sick persons
d) [ ] contacts
e) [ ] carriers
CS The incidence of campylobacteriosis is higher in:

a) [x] countries with tropical climate
b) [ ] countries with moderate climate
c) [ ] the different territories regardless of the climate
d) [ ] countries with cold climate
e) [ ] countries with subtropical climate
CS E.coli enteroinvazive most commonly affects:

a) [ ] small intestine
b) [ ] terminal portion of small intestine and check intestine
c) [x] distal portions of the large intestine
d) [ ] stomach
e) [ ] lever
CS Travellers diarrhea" is determined by E.coli:

a) [ ] enterohaemorrhagic
b) [ ] enteroinvazive
c) [x] enterotoxigenic
d) [ ] enteropathogenic
e) [ ] gastroentheric
CS Legionellosis determined by Legionella pneumophilla is extremely dangerous infection because

of:
a) [ ] capacity to transmit from a person to person
b) [x] high lethality
c) [ ] similar manifestations to quarantine diseases
d) [ ] fast spreading
e) [ ] capacity to transmit from a animal to person
CS Seasonality of habitual legionellosis is:

a) [ ] spring-summer
b) [x] summer - autumn
c) [ ] autumn - winter
d) [ ] winter-spring
e) [ ] throughout the year
CS Seasonality of hospital legionellosis is:

a) [ ] summer - autumn
b) [ ] autumn - winter
c) [x] throughout the year
d) [ ] winter-spring
e) [ ] spring-summer
--------------------------------------------------------------------345. Intrebarea nr. 345: I104 Capitol: Intestinal infections Mod de punctare: A3 Grad de dificultate: mediu
CM The favourable factors for the preservation and multiplication in the environment of intestinal
infectious pathogens are:
a) [x] milk
b) [ ] roasted meat
c) [ ] cucumbers
d) [ ] tomatoes
e) [x] vegetable salad with sour cream
CM Investigation methods of contacts in typhoid fever focus are:

a) [x] thermometer
b) [ ] bacteriology of blood
c) [x] bacteriology of faeces
d) [x] reaction of passive hemagglutination
e) [ ] surveillance for 10 days
CM At the current period the following characteristics are specific for typhoid fever:
a) [ ] increasing of the morbidity
b) [x] sporadic morbidity
c) [ ] seasonal increasing of cases
d) [x] ununiform distribution of morbidity in the territory
e) [x] trend of stabilization of the morbidity
CM Correct for typhoid fever is:

a) [ ] sick is contagious from first appearance of clinical symptoms
b) [x] chemical terminal disinfection is required
c) [x] planned vaccination are performed according to epidemiological indications in specific
groups of population
d) [ ] children are more frequently affected
e) [x] to discharge from the hospital, epidemiological importance has laboratory analysis

a) [x] source of infection is the man
b) [ ] morbidity is controlled by vaccination
c) [ ] young adults are more susceptible
d) [x] incubation period is 6-25 days
e) [x] correct or wrong dismission from the hospital has epidemiological importance

a) [ ] dangerous are sick and carrier animals
b) [ ] man is dangerous in the prodromal period
c) [x] blood culture is one of the early method of diagnosis
d) [x] chronic carriage is characteristic
e) [x] vaccination is carried out according to epidemiological indications
CM Immunoprophylaxis of typhoid fever is done with:

b) [x] corpuscular vaccine
c) [x] chemical vaccine
d) [ ] toxoids
e) [ ] immune serum and imunoglobulin
CM Sources of infection in typhoid fever are:

a) [ ] domestic animals
b) [x] sick man
c) [x] recovery persons

d) [ ] water, soil
e) [ ] xenantrope animals

a) [x] patient is not contagious at the initial stage of the disease
b) [x] contact person has to be monitored for 21 days
c) [ ] contact persons are vaccinated
d) [ ] blood is bacteriologically investigated at the contact persons
e) [x] contact persons are serologically investigated
CM Vaccination against typhoid fever is indicated to?

a) [ ] contact persons in the focus
b) [x] residents of a city that can not be temporary provided with qualitative water
c) [x] the population from an endemic area of this infection (> 25.0% ooo)
d) [x] persons with professional risk of infection
e) [ ] persons from public food industry
CM Vaccination against typhoid fever is indicated to:

a) [ ] people from the region with the incidence of typhoid fever of 1.7 in the last year
b) [x] laboratory staff who produce typhoid fever vaccine
c) [ ] food industry satff
d) [x] personel from water treatment
e) [ ] staff of house renting

a) [x] the main source of pathogens is carrier of S.typhi
b) [ ] typhoid fever is caused by S. typhimurium
c) [ ] early method of diagnostic is urine culture
d) [x] analysis of gallbladder is used for diagnosis of carriers
e) [x] recovery carriage is specific
CM Specific way of transmission for typhoid fever is:

a) [x] by water
b) [ ] sexual contact
c) [x] by food
d) [ ] parenterally
e) [x] habitual contact
CS Transit"carriers in typhoid fever are:
a) [x] Person detected with Salmonella typhi in faeces only once

b) [ ] Person detected with S.typhi in gallbladder after 6 months of the disease
c) [ ] Person detected with S.typhi in faeces after 2 months of the disease
d) [ ] Person detecred with S.typhi in urine after 4 months of the disease
e) [ ] Person detected with S.typhi in faeces after 3 years of the disease
CS Select from the proposed list the acute carriers:

a) [ ] Person detected with Salmonella typhi in faeces only once
b) [ ] Person detected with S.typhi in gallbladder after 6 months of the disease
c) [x] Person detected with S.typhi in faeces after 2 months of the disease
d) [ ] Person detected with S.typhi in urine after 4 months of the disease
e) [ ] Person detected with S.typhi in faeces after 3 years of the disease
CM Select from the proposed list the chronic carriers:

a) [ ] Person identified with Salmonella typhi in faeces only once
b) [x] Person indentified S.typhi in gallbladder after 6 months of the disease
c) [ ] Person indentified S.typhi in faeces after 2 months of the disease
d) [x] Person indentified S.typhi in urine after 4 months of the disease
e) [x] Person indentified S.typhi in faeces after 3 years of the disease
CM Measures organized for contact persons in typhoid fever focus are:

a) [x] thermometry
b) [ ] blood cultures
c) [x] faeces analyses
d) [x] direct hemagglutination reaction
e) [x] surveillance for 21 days
CM Terminal disinfection is performed in the focus of typhoid fever for:

a) [x] dishes
b) [x] bedding
c) [x] toilet
d) [ ] air
e) [x] toys
CM Factors of transmission of Salmonella are:

a) [ ] water
b) [x] pork
c) [ ] vegetables, fruit
d) [x] eggs
e) [x] poultry meat
---------------------------------------------------------------------
364. Intrebarea nr. 364: I123 Capitol: Intestinal infections Mod de punctare: A3 Grad de dificultate: mediu
CM Factors of transmission of salmonellosis are:

a) [x] eggs
b) [x] meat products
c) [ ] fish and its products
d) [x] milk
e) [ ] vectors
CM Salmonella keeps the viability from few days up to few months in:
a) [x] food
b) [x] soil
c) [ ] water
d) [ ] air
e) [x] animal feed
CM Ways of transmission in salmonellosis are:

a) [x] by food
b) [x] by water
c) [x] habitual contact
d) [x] by air
e) [ ] transmisive
CM Correct for salmonellosis are:

a) [x] it is a zooantroponosis
b) [x] S.enteritidis and S. typhimurium are determined more frequently in RM
c) [x] medical surveillance of the focus is one week
d) [ ] more affected are adults
e) [ ] vaccination is performed according to epidemiological indications
CM Correct for salmonellosis are:

a) [ ] it is a antroponosis
b) [ ] S.enteritidis frequently determine appearance of nosocomial infection
c) [x] medium resistance in the environment
d) [x] often lead to food poisoning
e) [x] it is more characteristics for pediatric profile institutions as hospital infections
CM In case of an salmonellosis outbreak in boarding school is necessary:

a) [ ] to hospitalize all persons
b) [x] to hospitalize patients according to clinical indications
c) [x] to investigate clinically and bacteriologically all persons fed in that cafeteria
d) [ ] to indicate prophylaxis with antibiotics to all pupils
e) [x] to investigate bacteriologically canteen workers
CM Measures for neutralization of ways and factors of transmission in salmonellosis are:

a) [x] sanitary and veterinary
b) [x] control of preparation, technology, transportation, and sale of animal products
c) [ ] deratization
d) [ ] emergency prophylaxis with antibiotics
e) [x] bacteriological control of food
CM Socio-economic factors that increase the morbidity of salmonelozis are:

a) [x] internaltional commercial contacts
b) [x] centralized production of food
c) [x] expanding the production of semi-finished meat
d) [ ] activation of population migration processes
e) [ ] increasing the length of the drinking water supply systems
CM Measures to neutralize factors and ways of transmission in salmonellosis are:

a) [x] sanitary and veterinary control of maintenance and killing the animals
b) [x] disinfection and deratization at mills and processors of meat products
c) [x] compliance with hygiene and antiepidemic regime in the hospitals to prevent the occurrence
of nosocomial salmonellosis
d) [ ] immunoprophylaxis of population
e) [ ] immunoprophylaxis o high risk group of infection
CM Socio-economic factors that increase the morbidity by salmonellosis are:

a) [x] broadening trade of animal products
b) [ ] high number of localities with centralized water supply
c) [ ] decrease in export and import of animal feed
d) [x] centralized food production
e) [x] activation of migration processes
CS Causative agents of dysentery are:

a) [ ] Yersinia
b) [ ] Salmonella
c) [ ] Klebsiella
d) [x] Shigella
e) [ ] E.coli
CM Pathogenic agents of dysentery are:

a) [x] Dysenteriae
b) [ ] Enteritidis
c) [x] Flexneri
d) [ ] Virhov
e) [x] Sonnei
CS Most frequently pathogen of dysentery in Moldova is:

a) [ ] Dysenteriae
b) [ ] Flexnery
c) [x] Sonnei
d) [ ] Boydi
e) [ ] Newkastl
CS More pathogen agent is:

a) [ ] Sh. Boyd
b) [ ] Sh.Flexneri
c) [ ] Sh.Sonnei
d) [x] Sh.Dyzenteriae
e) [ ] other types
CM Transmission of Shigella is done by:

a) [x] water
b) [x] habitual contact
c) [ ] parenterally
d) [x] food
e) [x] through mechanical factors (flies)
CS Dysentery patient is most contagious in:

a) [ ] prodromal period
b) [x] clinical manifestations
c) [ ] incubation
d) [ ] recovery
e) [ ] all of the mentioned above
CM To confirm the diagnosis of dysentery are used the following laboratory diagnostic methods:
a) [x] bacteriological investigations of faeces
b) [ ] bacteriological investigations of urine and blood
c) [x] serological investigations
d) [ ] bacterioscopia of faeces
e) [ ] investigations of faeces to blood occult
CM Hospitalization of patients with dysentery:

a) [ ] is compulsory
b) [x] is performed based on clinical indications
c) [x] is done based on epidemiological indications
d) [ ] is not done
e) [ ] is performed according to the patient's willingness
CS Basic prophylactic measures in dysentery are:

a) [ ] detection and treatment of infection source
b) [x] interruption of transmission ways
c) [ ] immunization of susceptible population group
d) [ ] laboratory diagnosis
e) [ ] health education
CM The contemporary epidemic process in dysentery is characteristics of:

a) [x] seasonal increase of morbidity
b) [x] all transmission ways are specific
c) [ ] transmitted mostly by water
d) [x] transmission by habitual contact
e) [x] transmission by food
CM Hospitalization of patient with Sh.sonnei is compulsory at the following persons:

a) [ ] engineer who lives in his own apartment
b) [x] a kindergarten nanny
c) [x] locksmith at the dairy production
d) [ ] the employee providing services to population
e) [ ] student at the Technical University
CM Specific for food outbreaks of dysentery is:

a) [x] prevalence of severe and medium clinical forms
b) [x] the same pathogen is identified in patients and carriers
c) [ ] contagious are mainly people contacted with the source of infection
d) [ ] acute diarrheal disease are increased before the dysentery outbreaks
e) [ ] outbreaks are registered more in children
CM The correct statements for dysentery are:

a) [ ] S.boydi produce exotoxin
b) [ ] serology is the basic in laboratory confirmation

c) [x] children are afected more frequently
d) [x] some recovered persons may be discharged without laboratory investigations
e) [x] there is no effective vaccine

a) [x] discharge from the hospital can be done according to different schemes
b) [x] morbidity of Sh.Sonnei prevails in RM
c) [ ] the pathogen is particularly resistant in the environment
d) [x] S.flexneri is transmitted primarily by water
e) [ ] supervision of contact persons is 5 days

a) [x] mechanism of transmission is realized by several ways
b) [ ] morbidity is dependent on medical actions
c) [x] post infectious immunity has great practical importance
d) [ ] 3 types of pathogens form exotoxin
e) [ ] patients are the source of infection from the11th-day of illness

a) [ ] it is a sapronosis
b) [x] it is widespread in the world
c) [x] there is no effective means of specific prophylaxis
d) [x] S.dyzenteriae produces exotoxin
e) [ ] the contagious period start at the end of the first week, beginning of the second week of
clinical manifestations

a) [ ] Sh.sonnei is transmitted primarily by water
b) [ ] sources of infection are carriers animals
c) [x] Sh.flexneri is the most pathogenic
d) [x] there is no effective vaccines
e) [x] seasonality is specific
CM Persons supervised in dysentery are:

a) [ ] all children of age school
b) [x] children of kindergarten
c) [x] students
d) [x] catering staff
e) [ ] all recovered persons regardless of profession age
---------------------------------------------------------------------
CM The correct statements for E.coli infection are:

a) [ ] sources of infection are domestic animals (sheep)
b) [x] it is a antroponosis that affect children
c) [x] seasonality is specific
d) [x] incubation period is 1-10 days
e) [ ] mechanism of transmission is the contact
CM The correct statements for escherichiosis are:

a) [x] the pathogen is a microorganism of the genus E. coli
b) [x] antigenic structure is represented by three antigens: O, H, K
c) [ ] the causative agent of escherichiosis is very sensitive to the action of external factors of the
environment
d) [x] source of infection may be the sick person or carrier
e) [ ] basic anti-epidemic measures are directed to the source of pathogens
---------------------------------------------------------------------
CM Not correct statements for escherichiosis are:

a) [x] the causative agent is Yersinia enterocolitica and pseudotuberculosis
b) [ ] factors of transmission are unwashed vegetables and fruits
c) [ ] transmission of infection occurs by contaminated hands of mothers and medical personnel
during the child care and feeding
d) [ ] patients are contagious during all the period of the diseas
e) [x] treatment of the carriers of E. coli is the basic measure to prevent the spreading
CM Specific peculiarities for enterohaemorrhagic E.coli are:

a) [x] sever evolution
b) [x] development of hemolitico-uremic syndrome
c) [ ] development of pseudomembranous colitis
d) [ ] subclinical evolution
e) [x] development of hemorrhagic colitis
CM Hospitalization of patients with escherichiosis is performed to:

a) [ ] children of 0-14 years
b) [ ] adults
c) [ ] all patients
d) [x] persons working in food industry
e) [x] kindergarten children, orphanages and boarding schools
CM Sources of pathogens in enteropathogenic E.coli are:

a) [x] patient with typical form of the disease
b) [x] patient with rudimentary form of the disease
c) [x] carrier
d) [ ] animal carrier
e) [ ] sick animal
CM The correct statements for enteropathogenic E.coli are:

a) [ ] the main way of transmission is by water
b) [x] the source of infection may be the carrier
c) [ ] clinical manifestations vary depending on the type of pathogen
d) [x] most frequently are affected children up to 1 year
e) [x] enteropathogenic E. coli can cause clinical manifestations similar to cholera
CM Pathogen agent of cholera is:

a) [x] V. cholerae biovar Cholera (classical) serological group 01
b) [ ] V. parahaemoliticus
c) [x] V. cholerae El Tor biovar serological group 01
d) [x] V. cholerae 01 0139 "Bengal"
e) [ ] NAG vibrion
CM Water outbreaks with intestinal infections are characterized by:

a) [x] territorial limit
b) [ ] summer seasonality
c) [x] no seasonality
d) [ ] manifestation of outbreaks with a single nosological form
e) [x] different sero-and biovariante of microorganisms
CM The pathogen agent of Campylobacteriosis are:

a) [x] Campylobacter jejuni
b) [ ] Campylobacter pyloric
c) [x] Campylobacter coli
d) [ ] Campylobacter freundii
e) [x] Campylobacter fetus
CM The source of campylobacteriosis infection are:

a) [ ] hen eggs
b) [x] cattle
c) [x] rodents
d) [x] sick people and carriers
e) [ ] contaminated water
CM Ways of transmission in campylobacteriosis are:

a) [x] by food
b) [ ] transmissive
c) [ ] parenteral
d) [x] by water
CM The mechanism of transmission of Polio virus are:

a) [x] fecal-oral
b) [x] respiratory
c) [ ] transmissive
d) [ ] contact
e) [ ] vertically
CM Sources of polio infection are:

a) [x] the person with asymptomatic form of the disease
b) [x] patients with symptomaticform of the disease
c) [x] patient with acute form of the disease
d) [x] the carrier
e) [ ] patient with chronic form of the disease
CM The mechanisms and ways of transmission specific for polio are:

a) [x] fecal-oral
b) [x] airborne
c) [x] habitual contact
d) [ ] transmissive
e) [ ] vertically
CM Enteroviruses are pathogens of:

a) [x] polio
b) [x] Coxsackie A and B
c) [x] ECHO
d) [x] hepatitis A
e) [ ] hepatitis C
CM The correct statements for the infections caused by Coxsackie virus A and B are:
a) [x] sources of infection may be sick and healthy people
b) [ ] epidemic spreading is characteristic
c) [ ] has a winter-spring seasonality
d) [x] no specific prophylaxis

e) [ ] adults are affected more frequently
CM The correct statements for botulism are:

b) [ ] terminal disinfection is required in outbreaks
c) [ ] the patient is isolated according to epidemiological indications
d) [x] one of the prevention methods is thermal processing of food before using
e) [x] Cl.botulini does not change the organoleptic of the products
CM The correct statements for poliomyelitis are:

a) [x] there are 3 types of viruses
b) [x] in specific prophylaxis is using live ore inactivated vaccine
c) [x] infection is eradicated in the country
d) [ ] emergency prophylaxis is performed with antibiotics
e) [ ] paralytic forms predominate after the infection
CM The correct statements for polio are:

a) [x] the main source of infection is the sick with all clinical forms
b) [x] it is transmitted by two mechanisms: fecal-oral and respiratory
c) [ ] incubation period is 3-14 days
d) [ ] patients with mild paralytic forms are isolated for 20 days
e) [ ] live attenuated and inactivated polio vaccine is used in immunoprophylaxis
CM Basic preventive measures in legionellosis is:

a) [ ] immunoprophylaxis
b) [ ] emergency prophylaxis with specific Ig
c) [ ] isolation of contacts
d) [x] regular cleaning of air conditioning systems
e) [x] disinfection of water and shower facilities
---------------------------------------------------------------------
Viral hepatitis
413. Intrebarea nr. 413: I242 Capitol: Viral hepatitis Mod de punctare: A1 Grad de dificultate: scazut
CS Maximum incubation period of HAV is:

a) [ ] 35 days
b) [x] 50 days
c) [ ] 60 days
d) [ ] 90 days
e) [ ] 180 days
--------------------------------------------------------------------414. Intrebarea nr. 414: I243 Capitol: Viral hepatitis Mod de punctare: A1 Grad de dificultate: scazut
CS Patient with HAV are contagious in period of:

a) [ ] incubation
b) [x] prodrome
c) [ ] jaundice
d) [ ] convalescence
e) [ ] incubation-convalescence
CS Medical surveillance of contact persons in hepatitis A focus is performed for:

a) [x] 35 days
b) [ ] 50 days
c) [ ] 60 days
d) [ ] 90 days
e) [ ] 180 days
CS The disinfection with the chloramines in outbreaks of hepatitis A needs to be performed with
solution of:
a) [ ] 0.1%
b) [x] 3%
c) [ ] 5%
d) [ ] 10%
e) [ ] 20%
CS More frequently are affected by HAV in Moldova:

a) [ ] children
b) [x] adults
c) [ ] elderly people
d) [ ] newborns
e) [ ] animals
CS Patient with HVA are more contagious in:

a) [x] incubation and prodromal period
b) [ ] prodromal and clinical manifestations
c) [ ] clinical manifestations and recovery
d) [ ] only recovery period
e) [ ] only incubation period
CS The most affected age group in HAV are:

a) [ ] first year children
b) [x] 4 - 15 year children
c) [ ] teenagers and adults
d) [ ] elderly people
e) [ ] newborns
CS Multiannual periodicity of acute viral hepatitis is specific for:

a) [x] HAV
b) [ ] HBV and HDV
c) [ ] HCV
d) [ ] HGV
e) [ ] HTTV
CS Eruptive manifestations of epidemic process of viral hepatitis is specific for:

a) [ ] HBV
b) [ ] HCV
c) [ ] HDV
d) [x] HAV
e) [ ] HBV and HDV
CS The vertical mechanism of transmission of viral hepatitis is not specific for:

a) [ ] HDV
b) [x] HAV
c) [ ] HCV
d) [ ] HBV
e) [ ] HBV and HDV
CS Evolution of viral hepatitis in chronic form is not specific for:

a) [x] HAV
b) [ ] HBV
c) [ ] HCV
d) [ ] HBV
e) [ ] HBV and HDV
CS Viral hepatitis affect more 4-15 year children is:

a) [x] HAV
b) [ ] HBV
c) [ ] HEV and HCV
d) [ ] HBV
e) [ ] HBV and HDV
CS HAV virus contains:

a) [x] one antigen
b) [ ] two antigens
c) [ ] three antigens
d) [ ] four antigens
e) [ ] five antigens
CS Autumn-winter seasonality is specific for:

a) [x] HAV
b) [ ] HBV
c) [ ] HCV
d) [ ] HDV
e) [ ] HGV
CS Outbreaks of HAV occur frequently after transmission by:

a) [ ] food
b) [x] water
d) [ ] vertucally
e) [ ] parenteral
CS Medical surveillance of contact persons in hepatitis A focus is performed during:

a) [ ] the maximum incubation period
b) [ ] 21 days
c) [x] 35 days
d) [ ] 45 days
e) [ ] 60 days
CS The fecal-oral mechanism is specific for:

a) [x] HAV and HEV
b) [ ] HCV
c) [ ] HBV and HDV
d) [ ] HGV
e) [ ] HTTV
CS Fecal-oral mechanism is specific for hepatitis:

a) [ ] C, D
b) [x] A, E
c) [ ] B, E
d) [ ] C, E
e) [ ] B, G
CS Transmission by water is crucial for:

a) [ ] Salmonella
b) [ ] shigella
c) [x] HAV
d) [ ] E.coli infection
e) [ ] campilobateriosis
CS Main source of HBV infection is:

a) [ ] patient with chronic form
b) [ ] patient with acute form
c) [x] carrier
d) [ ] animals
e) [ ] blood
CS The characteristic ways of transmission of HBV are:

a) [x] natural and artificial
b) [ ] only natural
c) [ ] only artificial
d) [ ] fecal- oral
e) [ ] habitual contact
CS The incubation period of HBV is:

a) [ ] 15-50 days
b) [x] 60 - 180 days
c) [ ] 120-180 days
d) [ ] 50 - 90 days
e) [ ] 90 -110 days
CS Patient with HBV is contagious:

a) [ ] only during the incubation and prodromal period
b) [ ] only during clinical manifestations
c) [x] from incubation period till the recovery
d) [ ] only during the jaundance
e) [ ] only incubationa period
CS The correct statement for HBV is:

a) [ ] there is no specific prophylaxis
b) [ ] the main source of infection is the sick man
c) [x] duration of infectiousness of the source can be very long
d) [ ] live vaccine is administrated
e) [ ] the main way of transmission is natural
CS High risk age group for HBV are:

a) [ ] children
b) [ ] young people
c) [x] elderly people
d) [ ] newborns
e) [ ] animals
CS The criterion for vaccinationation against HBV is:

a) [ ] anti-HBs
b) [ ] anti-HBc
c) [ ] anti-HBe
d) [ ] anti-HBc and HBe
e) [x] no one mentioned
CS Vaccination against HBV is performed with:

a) [ ] one booster
b) [ ] two boosters
c) [x] four boosters
d) [ ] five boosters
e) [ ] six boosters
CS Supervision of children born from positive to HBsAg mothers needs to be done:

a) [ ] 3 months
b) [x] 6 months
c) [ ] 12 months
d) [ ] 18 months
e) [ ] 24 months
CS Basic anti-epidemic measures in HBV are directed to:

c) [x] receptivity of the population
d) [ ] population awareness
e) [ ] dezinfection
CS Vaccination against HBV is performed at:

a) [x] 0, 2, 4 and 6 months
b) [ ] 0, 2 and 6 months
c) [ ] 3, 4, 5 and 6 months
d) [ ] 1, 2, 3, and 4 months
e) [ ] 2, 4 and 12 months
CS People are in risk to develop HDV in case of:

a) [x] HBs positive
b) [ ] anti-HBs positive
c) [ ] anti-HBc positive
d) [ ] sick with HCV
e) [ ] sick with HAV
CS The main way of transmission of HCV is:
a) [ ] by water
b) [x] parenteral
c) [ ] sexual contact
d) [ ] by food
e) [ ] vertical
CS Waterborne transmission is important for:

a) [ ] HDV
b) [x] HEV
c) [ ] HBV
d) [ ] HCV
e) [ ] HBV and HDV
CS Who cannot be the source of infection of HEV from the list below?
a) [ ] patients with jaundice form of the disease
b) [x] patients with chronic forms of the disease
c) [ ] patients without jaundice
d) [ ] patient in prodromal period
e) [ ] patient with mild form of disease
CS Fecalo-oral mechanism of transmission is the main mechanism in the following viral hepatitis:
a) [x] HEV
b) [ ] HCV
c) [ ] HBV
d) [ ] HDV
e) [ ] HGV
CS HAV virus belongs to the family:

a) [x] Picornoviruse (Picornoviridae)
b) [ ] Rabdoviruse (Rhabdoviridae)
c) [ ] Hepadnoviruse (Hepadnaviridae)
d) [ ] Flaviviruse (Flaviviridae)
e) [ ] Togaviruse (Togaviridae)
CS Sources of infection in hepatitis B are people with persistent HBs antigenemie over:
a) [ ] 3 months
b) [x] 6 months
c) [ ] a year
d) [ ] 24 months
e) [ ] 36 months
CS Predominant way of transmission in HCV is:

a) [ ] natural (perinatal, horizontal, sexual)
b) [x] artificial (nosocomial, habitual, intravenous administration of drugs)
c) [ ] natural and artificial
d) [ ] vertical
e) [ ] transmisive
CS Perinatal transmission of HBV virus is most valuable in:

a) [ ] first trimester of pregnancy
b) [ ] second trimester of pregnancy
c) [x] the third trimester of pregnancy
d) [ ] during the delivery
e) [ ] summer
CS HEV is not transmitted by:

a) [x] water
b) [ ] blood
c) [ ] food
d) [ ] body fluids
e) [ ] saliva
CS The antibodies of acute HVC can be detected:

a) [x] at least over 4-6 weeks after onset of illness
b) [ ] in the first week of incubation period
c) [ ] already in the second week of the incubation period
d) [ ] at the beginning of clinical manifestations
e) [ ] in the recovery period
CS Persons at risk for superinfection with HDV are:

a) [ ] persons without hepatitis B in anamnesis
b) [x] patients with chronic hepatitis B
c) [ ] patients without hepatitis D or B in anamnesis
d) [ ] patients with chronic hepatitis C
e) [ ] patients with chronic hepatitis A
CS Receptive for HDV coinfection are:

a) [ ] persons with HBs-antigenemie
b) [x] patients with acute or chronic hepatitis B
c) [ ] all persons without hepatitis D and/or Bin anamnesis
d) [ ] patients with acute or chronic hepatitis C

e) [ ] patients with acute or chronic hepatitis E
CS The highest rate of HVB infection among adults in Moldova is registered at persons of:
a) [x] 20-29 years old
b) [ ] 30-39 years old
c) [ ] 40-49 years old
d) [ ] 50-59 years old
e) [ ] persons over the 60 years old
CS The epidemiological manifestations of viral hepatitis in Moldova are:

a) [ ] sporadic outbreaks
b) [ ] epidemic spreading
c) [x] endemic spreading
d) [ ] pandemic
e) [ ] exotic
CS The incubation period of HCV is:

a) [ ] 2-10 days
b) [ ] 15-45 days
c) [ ] 45 - 180 days
d) [x] 14 - 110 days
e) [ ] 90-120 days
CS Incubation period of HEV is:

a) [ ] 15-45 days
b) [ ] 21-90 days
c) [x] 30-60 days
d) [ ] 45-180 days
e) [ ] 90-110 days
CS The premonition phenomenon is specific for the following viral hepatitis:

a) [x] HAV
b) [ ] HBV
c) [ ] HCV
d) [ ] HDV
e) [ ] HGV
CS The seasonality is not specific for the following viral hepatitis:

a) [x] HAV
b) [ ] HBV
c) [ ] HCV
d) [ ] HDV
e) [ ] HGV
CS Hepatitis B virus is transmitted vertically:

a) [ ] during embryonic development
b) [ ] during fetal development
c) [x] during birth
d) [ ] during second trimester
e) [ ] during first trimester
CS The HbsAg appears in the blood of the patient with acute viral hepatitis:
a) [ ] at the first clinical signs of the disease
b) [ ] during the clinical manifestation of the disease
c) [x] in the incubation period
d) [ ] during the recovery
e) [ ] when jaundance appear
CS Chronic carrier of the HbsAg is considered when antigenemia is:

a) [ ] till 3 months
b) [ ] till 6 months
c) [x] more than 6 months
d) [ ] 12 months
e) [ ] 24 months
CS Hepatitis B is not developed at people with high concentrations of:

a) [ ] anti-HBc
b) [ ] anti-HBe
c) [x] anti-HBs
d) [ ] anti -HCV
e) [ ] anti- HDV
CS Higher risk of infection with hepatitis B have:

a) [x] medical personnel of operating rooms and nurse procedures
b) [ ] staff from physical procedures
c) [ ] staff from sterilization unit
d) [ ] family doctor
e) [ ] anesthesiologist
CS The measures necessary to undertake regarding the medical personnel with HBsAg-positive,
dealing with the collection and processing of donated blood are:
a) [ ] to allow the professional activity without restriction
b) [x] to transfer to the another job, avoiding contact with blood
c) [ ] to provide with personal protective equipment and allow the professional activity
d) [ ] to treat person and allow further activity
e) [ ] to vaccinate all medical personal
CS The socio-economical impact of hepatitis C is determined by:

a) [ ] development of fulminant forms of infection
b) [ ] prevalence of latent forms of the disease
c) [x] high probability of chronicization
d) [ ] high lethality
e) [ ] quick spreading among family memebres
CS The incidence HDV correlates with the spreading of the following hepatitis:
a) [ ] A
b) [x] B
c) [ ] C
d) [ ] E
e) [ ] G
--------------------------------------------------------------------470. Intrebarea nr. 470: I172 Capitol: Viral hepatitis Mod de punctare: A3 Grad de dificultate: mediu
CM The correct statements for HAV are:

a) [x] it is caused by the enterovirus
b) [x] parenteral way of transmission is not excluded
c) [x] autumn-winter seasonality is characteristic
d) [ ] 0-1 year children are most affected
e) [ ] supervision after the contact persons is carried out during the maximum incubation period
from the moment of isolation the source of pathogen agents
CM The correct statements for HAV are:

a) [x] age groups with high risk of contamination differ in different countries
b) [x] effective vaccine is developed already
c) [x] disinfection plays a palliative role
d) [ ] the propfylaxis with imunoglobulin is not rationally to be administrated
e) [ ] patient starts to be contagious at the appearance of jaundice
CM Specific features for water-born outbreaks of HAV are:

a) [ ] the morbidity of acute diarrhea diseases is not increased
b) [x] a high number of people are affected
c) [ ] contamination of kindergarten children prevails
d) [x] autumn-winter seasonality

e) [x] men are priority affected
CM The ways of transmission of HAV are:

a) [ ] direct contact
b) [x] by food
c) [x] by water
d) [ ] indirect contact
CM The source of infection in HAV is:

a) [x] patient with rudimentary form
b) [x] patient with acute form
c) [ ] recovery carriers
d) [ ] immune carriers
e) [x] patients in the prodromal period
CM Transmission by water is more specific for:

a) [x] HAV
b) [x] escherichiosis
c) [ ] HCV
d) [ ] HDV
e) [x] HEV
CM Factors of transmission in HBV are:

a) [x] blood
b) [ ] saliva
c) [ ] water, food
d) [x] semen and vaginal secretions
e) [x] amniotic fluid
CM The vaccines for viral hepatitis exist in medical practice for?

a) [x] HAV
b) [x] HBV
c) [x] HBV and HDV
d) [ ] HCV
e) [ ] HEV
CM The fluids with high concentration of HBV are:

a) [x] blood
b) [x] sperm
c) [ ] urine
d) [ ] tears
e) [x] saliva
CM The complex of prevention measures in HBV are:

a) [x] to use the disposabale syringes
b) [x] qualitative sterilization
c) [x] vaccination of newborns
d) [ ] investigation of the HBsAg carriers
e) [ ] sanitary supervision of food departments
CM The sources of pathogens in HBV are:

a) [x] patients with acute forms of the disease
b) [x] chronically ill
c) [x] carriers
d) [ ] patients with HDV
e) [ ] anti-HBs recovered people
CM Person with HBV is contagious in:

a) [ ] throughout the period of incubation
b) [x] prodromal period
c) [x] the period of clinical manifestations
d) [x] the period of recovery
e) [ ] 40-50% of convalescents is releasing with antigenemie
CM Patients with HCV are contagious in:

a) [ ] incubation period
b) [ ] during the prodromal period
c) [x] during the clinical manifestations
d) [x] during the recovery
e) [ ] there are not contagious after the clinical recovery
CM The correct statements for HDV are:

a) [x] the morbidity is significantly influenced by the vaccination in Moldova
b) [x] it is a antroponosis
c) [ ] chronic forms are not characteristic
d) [x] medical personel are in high risk to infection
e) [ ] the quality of sterilization of medical instruments does not affect the level of the morbidity
CM The measures of prevention in HDV are:

a) [ ] vaccination against HDV
b) [ ] to reduce the number of donors per recipient
c) [x] correct disinfection of instruments
d) [x] vaccination against HBV
e) [x] to test the donors blood at HBV
CM The HDV is dangerous because of:

a) [x] high lethality
b) [x] high rate of chronic forms
c) [x] high rate of liver cancer
d) [ ] very short incubation period
e) [ ] more often are affected children
CM Receptive to HDV are:

a) [ ] healthy people who are not carriers of HBsAg
b) [ ] patients with HAV
c) [x] patients with HBV
d) [x] HBsAg carriers
e) [x] HBeAg carriers
CM The correct statements for HEV are:

a) [ ] the mechanism of transmission is parenteral
b) [x] young people are priority affected
c) [x] water outbreaks are characteristic
d) [x] worldwide spreadinf may occur
e) [ ] prevention by vaccination is performed according to epidemiological indications
CM The viral hepatitis with fecal-oral mechanism of transmission are:

a) [ ] HAV and HCV
b) [x] HAV and HEV
c) [x] HAV
d) [x] HEV
e) [ ] HCV
CM The viral hepatitis with the priority blood mechanism of transmission are:
a) [ ] HAV
b) [x] HBV and HCV
c) [x] HBV and HDV
d) [x] HDV
e) [ ] HEV
CM The possible ways of transmission of HAV are:

a) [x] by water
b) [ ] by blood
c) [x] by food
d) [x] habitual contact
e) [ ] vertically
CM The sources of pathogens in HAV are:

a) [x] patients without jaundice
b) [ ] convalescens
c) [x] patients in anti- jaundice period
d) [ ] patients in the second period of clinical manifestations
e) [x] patients with asymptomatic forms
CM The transmission ways of HBV are:

a) [x] parenteral
b) [ ] transmissive
c) [ ] by water
d) [x] sexual contact
e) [x] vertical
CM Parenteral way of transmission is specific for:

a) [ ] HAV
b) [x] HBV
c) [x] HCV
d) [x] HDV
e) [ ] HEV
CM The transmission mechanisms of HVB are:

a) [ ] contact
b) [x] vertical
c) [ ] transmissive
d) [x] sexual contact
e) [x] parenterally
CM The correct statements for HCV are:

a) [x] parenteral way of transmission is the most common
b) [x] patients with acute forms are the main source of infection
c) [ ] prevention by vaccination is one of the basic measure
d) [ ] it is quite resistant pathogen in the environment

e) [x] results of serological investigations not always allow to do a conclusion about the risk
CM The correct statements for HCV are:

a) [ ] HCV can cause a coinfection or superinfection only in the presence of HBV
b) [x] the mechanism and ways of transmission of HCV are similar to HBV
c) [x] artificial ways of transmission prevails in HCV
d) [x] HCV is widespread among IDUs
e) [ ] the prognosis is moderately favorable, but with high mortality in pregnant women
CM The correct statements for HBV are:

a) [x] medical staff have a special place in the epidemic process
b) [x] the needle can contain up to 100 infectious doses of HB virus during a pricking
c) [x] minimal protective titre of antibodies after the vaccination is 1/10 mU.I. / ml
d) [ ] live attenuated vaccine is using in immunoprophylaxis
e) [ ] rate of chronicization is 95%
CM The control measures of HBV infection are:

a) [ ] to supply with safe drinking water
b) [ ] cleaning up the area
c) [x] proper organization of harmless decontamination and liquidation of medical instruments of
multiple use
d) [x] protection of the skin and the mucous membranes of medical staff at the working place
e) [x] vaccination of infants, adults and medical staff that are in risk of contamination
CM The sexual communicable disease group are:

a) [ ] HAV
b) [x] HBV
c) [x] HCV
d) [x] HDV
e) [ ] HEV
CM The sexual communicable disease group are:

a) [x] HBV
b) [x] syphilis
c) [x] HIV/AIDS
d) [ ] Herpes Zoster
e) [ ] HEV
CM The control measures of HBV infection are:
a) [x] vaccination of newborns and risk group

b) [x] screening to HBsAg in blood, organs, tissues and donated sperm
c) [x] replace the multiple using instruments with disposable one
d) [ ] the maximum reduction of blood transfusions
e) [ ] to prohibit using the pharmaceutical preparations of blood
CM The seasonality is specific for the following viral hepatitis:

a) [ ] HAV
b) [x] HBV
c) [x] HCV
d) [ ] HEV
e) [x] HDV
CM The capsule is not specific the following viral hepatitis:

a) [x] HAV
b) [ ] HBV
c) [ ] HCV
d) [x] HDV
e) [x] HEV
CM Patient with viral hepatitis A is:

a) [ ] not hospitalized
b) [ ] compulsory hospitalized
c) [x] hospitalized according to clinical indications
d) [x] hospitalized according to epidemiological indications
e) [x] hospitalized according to clinical and epidemiological indications
CM Measures directed to contact persons in HAVfocus are:

a) [x] medical surveillance for 35 days
b) [x] daily thermometry to determine the size of the liver
c) [ ] investigate to the IgM anti-HAV
d) [ ] to investigate blood to the ALT activity
e) [x] investigate the blood to the ALT activity at the onset of the disease
CM The hepatitis B virus is maintained as biological species by the following ways of transmission:
a) [ ] blood transfusion
b) [x] sexual contact
c) [x] parenteral
d) [x] intranatal
e) [ ] habitual
---------------------------------------------------------------------
507. Intrebarea nr. 507: I209 Capitol: Viral hepatitis Mod de punctare: A3 Grad de dificultate: mediu
CM The markers of hepatitis B virus in anamnesis are:

a) [x] HbsAg
b) [x] anti-HBc
c) [x] anti-HBs
d) [x] anti-HBe
e) [ ] anti-HCV
CM Socio-economic impact of HVB is determined by:

a) [x] chronicization
b) [ ] prevalence of asymptomatic and subtle forms of infection
c) [x] the development of primary liver cancer
d) [x] development of liver cirrhosis
e) [ ] high lethality among newborns
CS The intensity of the epidemic process in HVB is determined by:

a) [x] the morbidity of acute HBV
b) [ ] the spreading of the hepatocellular carcinoma
c) [ ] reduced capacity to work due to the contamination
d) [ ] high spreading of the HbsAg carriers, including other markers of hepatitis B among the
population
e) [ ] limited spreading of the morbidity due to liquidation of infection in some territories
--------------------------------------------------------------------510. Intrebarea nr. 510: I299 Capitol: Respiratory infections Mod de punctare: A1 Grad de dificultate: scazut
CS Autumn-winter seasonality in respiratory infections is determined by?

a) [x] changes of communication conditions of population
b) [ ] change of typical characteristics of pathogens
c) [ ] lower immune stratus at the population
d) [ ] high immune stratus at the population
e) [ ] intensification of migration of the population
CS Select anti-epidemic measures more efficient in respiratory infections:

a) [ ] early isolation of the source of pathogens
b) [ ] disinfection in epidemic focus and crowded places
c) [x] immunoprophylaxis
d) [ ] desinsection
e) [ ] sterilization
CS Periodicity in respiratory infections is caused by:

a) [x] immune stratus of the population
b) [ ] housing conditions
c) [ ] type of transport
d) [ ] climatic type in the country
e) [ ] resistance of population of microorganisms
CS Diphtheria toxoid leads to the formation of:

a) [ ] bacterial artificial immunity
b) [x] antitoxic artificial immunity
c) [ ] antibacterial and antitoxic immunity
d) [ ] antiviral artificial immunity
e) [ ] antiviral passive immunity
CS Compulsory isolation of patient in hospital is made in case of:

a) [x] carrier of lizogene strains of C.diphteriae
b) [ ] dysentery
c) [ ] pertussis
d) [ ] streptococcal infection
e) [ ] staphylococcal infection
CS Less resistant in the environment is:

a) [ ] C.difteriae
b) [x] N.meningitidis
c) [ ] St.haemoliticus
d) [ ] Str. pyogenes
e) [ ] C. botulinum
CS The main source of pathogens in diphtheria is:

a) [ ] patient
b) [x] immune carrier
c) [ ] convalescent carrier
d) [ ] a deceased animal
e) [ ] air
CS Protective titer of antibodies to diphtheria is:

a) [ ] 0.001 AU / ml
b) [ ] 0.003 AU / ml
c) [x] 0.03 AU / ml
d) [ ] 0.1 IU / ml
e) [ ] 0.6 IU / ml
CS Carriers of non toxigen C. diphtheriae in the actual period:
a) [ ] presents little epidemiological significance

b) [x] have not epidemiological importance
c) [ ] are the main source of infection
d) [ ] transmit the pathogens to the contacts
e) [ ] develop a very high morbidity
CS Medical supervision of contact person in diphtheria focus is performed during:

a) [ ] 3 days
b) [x] 7 days
c) [ ] 14 days
d) [ ] 17 days
e) [ ] 21 days
CS Patients with diphtheria are contagious:

a) [ ] up to 2 weeks
b) [x] few days till 4 months
c) [ ] usually, up to 1 year
d) [ ] few years
e) [ ] whole life
CS Vaccination against diphtheria is performed with:

a) [ ] vaccine
b) [ ] toxoid
c) [x] anatoxine
e) [ ] serum
CS Outbreaks of diphtheria is caused frequently by:

a) [ ] C. mitis
b) [x] C. gravis
c) [ ] C. intermedius
d) [ ] C. botulinum
e) [ ] C. haemolyticum
CS Healthy carriers of toxigen corinebateriae need to be:

a) [ ] isolated at home
b) [ ] outpatient treatment
c) [x] isolated in hospital
d) [ ] don't need any isolation
e) [ ] don't need any treatment
---------------------------------------------------------------------
524. Intrebarea nr. 524: I313 Capitol: Respiratory infections Mod de punctare: A1 Grad de dificultate: scazut
CS Chemical disinfection in outbreaks of diphtheria:

a) [x] is necessary
b) [ ] is not required
c) [ ] shall be performed according epidemiological indications
d) [ ] shall be performed according clinical indications
e) [ ] shall be performed according clinical and epidemiological indications
CS Diphtheria presents major risk for:

a) [ ] children
b) [ ] adults from the service area
c) [x] unvaccinated persons
d) [ ] teenagers
e) [ ] pupils
CS Incubation period in diphtheria is:

a) [ ] 1-2 days
b) [x] 2-10 days
c) [ ] 21 days
d) [ ] 21-25 days
e) [ ] up to 35 days
CS Smallpox virus is characteristic of:

a) [x] low viability in the environment
b) [ ] high resistance in the environment
c) [ ] sensitivity to antibiotics
d) [ ] insensibility to antibiotics
e) [ ] low sensibility for dezinfectants
CS Maintaining of the epidemic process in diphtheria during the period of sporadic morbidity is the
result of:
a) [ ] patients with typical forms of diphtheria
b) [ ] convalescents people
c) [x] carriers of toxigen corinebateriae
d) [ ] patients with non typical forms of diphtheria
e) [ ] carriers of non toxigen corinebateriae
CS Clinical manifestations of diphtheria occur at people with:

a) [x] low antitoxic immunity
b) [ ] low antimicrobial immunity
c) [ ] high level of antitoxic immunity

d) [ ] low antiviral immunity
e) [ ] high level of antiviral immunity
CS Carriage of toxigen corinobacteriae is determined by:

a) [x] antitoxic immunity without antimicrobial immunity
b) [ ] antimicrobial immunity without antitoxic immunity
c) [ ] low protective antitoxic immunity
d) [ ] antiviralal immunity without antitoxic immunity
e) [ ] antimicrobial immunity with antitoxic immunity
CS Resistance of the C.diphtheriae in the environment is:

a) [ ] weak
b) [x] medium
c) [ ] high resistance
d) [ ] very low
e) [ ] extreme high
CS Terminal disinfection in diphtheria focus is made by:

a) [ ] patient's family members
b) [ ] district nurse
c) [x] disinfection staff
d) [ ] the patient
e) [ ] the nurse on duty
CS The necessity of immunization in diphtheria is determined by:

a) [ ] high level of morbidity
b) [x] high level of lethality
c) [ ] high level of infectiousness
d) [ ] low level of morbidity
e) [ ] low level of lethality
CS The source of pathogens in Smallpox is:

a) [x] sick man with sever forms
b) [ ] sick man with asymptomatic forms
c) [ ] carrier of the virus
d) [ ] sick chickens
e) [ ] carriers among chickens
CS Vaccination against smallpox is made with:
a) [ ] inactivated vaccine
b) [x] live attenuated vaccine
c) [ ] chemical vaccine
d) [ ] anatoxine
e) [ ] serum
CS Administration of smallpox vaccine is:

a) [ ] intracutaneous
b) [x] cutaneous
c) [ ] intramuscularly
d) [ ] intravenous
e) [ ] subcutaneous
CS Duration of immunity after vaccination against smallpox is:

a) [x] lifelong
b) [ ] 3 years
c) [ ] 10 years
d) [ ] up 15 years
e) [ ] up one year
CS Source of pathogens in whooping cough is:

a) [x] sick man with typical form of the disease
b) [ ] recovery person
c) [ ] carrier of pathogen
d) [ ] sick animal
e) [ ] polluted air
CS Patient with whooping cough is contagious:

a) [ ] last few days of incubation
b) [x] catarrhal period
c) [ ] convalescence
d) [ ] in the debut of incubation period
e) [ ] whooping cough is a non contagious disease
CS Whooping cough is more common among:

a) [ ] children up to 2 years
b) [x] children 3-6 years
c) [ ] adolescents
d) [ ] adults
e) [ ] old persons
---------------------------------------------------------------------
CS Vaccination against whooping cough is:

a) [ ] performed according to the epidemiological indications
b) [ ] planned
c) [x] not performed
d) [ ] performed according to the clinical indications
e) [ ] is determined by the type of circulating pathogen
CS The main source of whooping cough infection is:

a) [x] patient with asymptomatic forms
b) [ ] patients with symptomatic forms
c) [ ] carrier
d) [ ] patients with chronic evolution of whooping cough
e) [ ] diseased animal (donkeys)
CS The most effective anti-epidemic measures in Whooping cough are:

a) [ ] terminal disinfection
b) [ ] treatment of the patient
c) [x] precocious detection and isolation of the patient
d) [ ] current disinfection
e) [ ] prophylactic disinfection
CS Incubation period for whooping cough is:

a) [x] 3-14 days
b) [ ] 7-21 days
c) [ ] 14 to 28 days
d) [ ] 21-25 days
CS Basic measure of prophylaxis of Whooping cough is:

a) [ ] detection and isolating of the source of pathogens
b) [ ] disinfection
d) [ ] disinsection
e) [ ] deratization
CS Vaccination against whooping cough is carried out with:

a) [ ] live vaccine
b) [ ] toxoid
c) [x] corpuscular inactivated vaccine
e) [ ] serum
CS Manifestations of epidemic process in whooping cough are characterized by:

a) [ ] no seasonality
b) [x] presence of the seasonality
c) [ ] high incidence
d) [ ] high lethality among adults
e) [ ] the absence of seasonality
CS Whooping cough is spread by:

a) [ ] solid aerosols (contaminated dust)
b) [x] air
d) [ ] fecal - oral mechanism of transmission
e) [ ] vertically
CS Most effective method of laboratory diagnosis of Whooping cough is:

a) [ ] bacteriological method
b) [ ] bacterioscopic method
c) [x] PCR
d) [ ] virusological method
e) [ ] serological mehod
CS Diagnosis of whooping cough is confirmed based on:

a) [ ] clinical status
b) [x] the results of bacteriological investigations
c) [ ] epidemiological history
d) [ ] the results of virusological investigations
e) [ ] the results of immune fermentative method of diagnosis
CS Vaccination against Whooping cough is performed to children:

a) [ ] children up to 2 months
b) [x] children up to 3 years
c) [ ] children 5 years old
d) [ ] adults up to 45 years old
e) [ ] is not performed at all.
CS Emergency prophylaxis of whooping cough is performed with:

a) [ ] DTP
b) [ ] bacteriophages
d) [ ] serum
e) [ ] antibiotics
CS Group wit high risk of contamination with whooping cough are:

a) [ ] children of 2-3 years old
b) [x] children up to 1 year old
c) [ ] students
d) [ ] adults up to 45 years old
e) [ ] old persons
CS Patient with Rubella are contagious:

a) [ ] 4 days before the appearance of the rash on the body and four days after
b) [x] 7 days before the appearance of the rash on the body and 7 days after
c) [ ] during the appearance of the rash on the body and till its involution
d) [ ] 10 days before the appearance of the rash on the body and 10 days after
e) [ ] patients with rubella are not contagious
CS Patient with rubella are contagous:

a) [ ] 7 days
b) [x] 14 days
c) [ ] 21 days
d) [ ] 35 days
CS Correct answer for rubella is:

a) [ ] tends to become chronic
b) [ ] vaccination is not performed
c) [x] may lead to genetic defects in children
d) [ ] in most cases affects adult population
e) [ ] rubella is not specific for European countries
CS Incubation period in measles is:

a) [ ] 2-3 days
b) [ ] 9-15 days
c) [x] 17 to 21 days
d) [ ] a week
e) [ ] few hours
CS Immunity after rubella:

a) [ ] is short-term
b) [ ] is long-term
c) [x] is lifelong
d) [ ] is not developing
e) [ ] is antibacterial
CS Most common congenital syndrome in rubella affect:

a) [x] heart, hearing and sight organs
b) [ ] osteo-muscular system
c) [ ] skin
d) [ ] urinary tract
e) [ ] lymphatic system
CS Frequency of congenital malformations in rubella is high in:

a) [x] first trimester of pregnancy
b) [ ] second quarter of pregnancy
c) [ ] third quarter of pregnancy
d) [ ] during all period of pregnancy
e) [ ] pregnant woman are not affected by rubella virus
CS Rate of cases with congenital rubella syndrome is around:

a) [x] 0.13%
b) [ ] 5%
c) [ ] 20-30%
d) [ ] up to 50%
e) [ ] 100%
CS Pathogen of rubella is:

a) [ ] togavirus
b) [ ] paramyxovirus
c) [x] mixovirus
d) [ ] rhabdovirus
e) [ ] hepadnavirus
CS Resistance of measles pathogen in the environment is:

a) [ ] high
b) [ ] medium
c) [x] low
d) [ ] extreme low
e) [ ] not described in literature
CS Higher infectiousness is characteristic of:

a) [x] measles
b) [ ] diphtheria
c) [ ] tuberculosis
d) [ ] whooping cough
e) [ ] streptococcicall infectiouses
CS Higher infectiousness is characteristic of:

a) [ ] diphtheria
b) [x] chickenpox
c) [ ] scarlet fever
d) [ ] tuberculosis
e) [ ] influenza
CS Patient with measles are contagious:

a) [x] 4 days before the rash appears on the body and four days after
b) [ ] 7 days before the rash appears on the body and 7 days after
c) [ ] when the rash appears on the body and till their involution
d) [ ] 10 days before the appearance of the rash on the body and 10 days after
CS Patients with measles are contagious:

a) [ ] 4-5 days
b) [x] 8-9 days
c) [ ] up to 21 days
d) [ ] 35 days
e) [ ] patients with measles are not contagious
CS Source of infection in measles is:

a) [ ] carrier
b) [ ] patient in convalescence
c) [x] patient in prodromal period
d) [ ] sick chicken
e) [ ] pregnant woman
CS Emergency prophylaxis of measles is performed with:

a) [ ] toxoid
b) [ ] immunoglobulin
c) [x] inactivated vaccine
d) [ ] antibiotics
e) [ ] serum
CS Measles vaccines is:

a) [ ] toxoid
b) [x] live vaccine
d) [ ] inactivated vaccine
e) [ ] corpuscular vaccine
CS Chemical disinfection in measles outbreaks is:

a) [x] not made
b) [ ] required
c) [ ] required only according to epidemiological indications
d) [ ] according to clinical indications
e) [ ] very effective
CS Sick with measles may serve as a source of pathogens:

a) [x] in prodromal period
b) [ ] during convalescence
c) [ ] 4 days before the onset of illness
d) [ ] in incubation period
e) [ ] during carriage
CS Pathogen of measles is transmitted by:

a) [x] airborne route
b) [ ] secondary aerosol (dust)
c) [ ] habitual route
d) [ ] alimentary route
e) [ ] hidric route
CS Is it necessary to do medical surveillance of the convalescence with measles?

a) [ ] yes
b) [x] no
c) [ ] only in certain conditions
d) [ ] yes, about one year after disease
e) [ ] yes, during the whole life
CS Children born from seronegative mother for measles are vaccinated at:
a) [ ] 8 months
b) [x] 12 months
c) [ ] vaccination is not indicated
d) [ ] it is indicated at 8 months with the administration immunoglobulin in the same time
e) [ ] it is indicated at 12 months with the administration immunoglobulin in the same time
CS Whom of contact children in measles focus require medical surveiilance:

a) [ ] children vaccinated with measles vaccine
b) [ ] children suffered already of measles
c) [x] children who are not vaccinated and have never suffered of measles
d) [ ] children, who are smaller than one year
e) [ ] all children who are older than one year
CS Isolation measure in measles outbreak in kindergarten will be performed to:

a) [ ] child of 7 years old, who previously surferd of measles
b) [ ] child of 5 years old, who did not get measles, but is vaccinated at the 18 months
c) [x] child of 3 years old who did not get measles/or vaccination
d) [ ] the teacher, who wasn't sick of measles
e) [ ] the teacher, who wasn't vaccinates against measles in childhood
CS Hospitalization of patients with mumps is performed:

a) [ ] in all cases of the disease
b) [x] according to clinical and epidemiological indications
c) [ ] only according to epidemiological indications
d) [ ] in case of tendency to development of chronic form
e) [ ] in atypical evolution
CS The main preventive measures in mumps are:

a) [ ] early detection and isolation of the patient
b) [ ] restriction measures in communities
d) [ ] the prophylaxis by using of antibiotics
e) [ ] the administration of immunoglobulin
CS Planned vaccination against mumps is carried out according to schedule:

a) [x] 12 months, 6-7 years, 15 years
b) [ ] 3 months
c) [ ] 22-24 months
d) [ ] 12 months
e) [ ] 2, 4 and 6 months
CS Vaccine coverage in mumps has to be at age of 2 years old minimal:

a) [ ] 95%
b) [x] 98%
c) [ ] up to 95%
d) [ ] up to 85%
e) [ ] doesn't matter
CS Incubation period in mumps is:

a) [ ] 7-12 days
b) [x] 12 to 26 days
c) [ ] 4 to 16 days
d) [ ] 1-6 days
e) [ ] 30 min. - 24 hours
CS Specific prophylaxis of mumps is performed with:

a) [x] live vaccine
b) [ ] inactivated vaccine
d) [ ] serum
e) [ ] immunoglobulin
CS Source of pathogens in mumps is:

a) [x] sick man
b) [ ] carrier
c) [ ] convalescence
d) [ ] sick animal (pigs)
e) [ ] a carrier animal
CS A patient with mumps may be isolated at home for:

a) [ ] 4 days
b) [ ] 6 days
c) [x] 9 days
d) [ ] 11 days
e) [ ] all period of clinical manifestations
CS Vaccination against mumps is performed at the age of:

a) [ ] 3 months
b) [ ] 9 months
c) [x] 12 months
d) [ ] 18-24 months
e) [ ] 5 years
CS Pandemic spread is typical for:

a) [x] the flu
b) [ ] measles
c) [ ] varicella
e) [ ] streptococcal infection
CS Patient with mumps is contagious in:

a) [ ] incubation period
b) [x] last 1-2 days of incubation period and clinical manifestations
c) [ ] convalescence period
d) [ ] only in clinical manifestation
e) [ ] starting with clinical manifestation till to convalescence
CS Hospitalization of patients with mumps is:

a) [ ] compulsory in all cases
b) [ ] according to clinical indications
c) [x] according to clinical and epidemiological indications
d) [ ] in case of tendency to development of chronic form
e) [ ] in atypical evolution
CS Vaccination against influenza has effectiveness:

a) [ ] high
b) [ ] low
c) [x] dependent on the antigenic structure of vaccine strains
d) [ ] doesn't have any effectiveness
e) [ ] is the main and single antiepidemic measure
CS Prophylaxis of influenza is carried out with:

a) [x] vaccine
b) [ ] tetanus
c) [ ] bacteriophage
d) [ ] serum
CS Incubation period in influenza is:

a) [x] 1-3 days
b) [ ] 3-5 days
c) [ ] 6-7 days
d) [ ] 30 min. - 2 hours
e) [ ] 24-36 hours
CS Pandemic's spread is characteristics of:

a) [ ] dysentery
b) [ ] HAV
c) [x] flu
e) [ ] staphylococcal infection
CS Source of pathogens for influenza may be:

a) [x] sick man
b) [ ] carrier of virus
c) [ ] domestic animals
d) [ ] wild birds
e) [ ] sea products
CS Select means of prevention in influenza during pre-epidemic period:

a) [x] immunoprophylaxis with influenza vaccine
b) [ ] human leukocyte interferon
c) [ ] remantadine
d) [ ] serum
e) [ ] bacteriophage
CS Patients with flu have to be hospitalized:

a) [ ] compulsory
b) [x] according to clinical and epidemiological indications
c) [ ] depending on the social status of the patient
d) [ ] according to the period of the disease
e) [ ] all patients with flu are treated in ambulatory conditions
CS When the patient with chickenpox is contagious?

a) [x] last day of incubation period, all period of rash and until the 5th day of the last appearance of
the rash
b) [ ] incubation period
c) [ ] until the scabs fall
d) [ ] all incubation period till clinical manifestation
e) [ ] is not contagious
CS Most affected with chickenpox are:

a) [ ] children up to 6 months
b) [x] children from 6 months to 7 years
c) [ ] adults
d) [ ] pupils
e) [ ] retired persons
CS Incubation period in chickenpox is:

a) [ ] 4-12 days
b) [ ] 6-12 days
c) [x] 11 to 17 days
d) [ ] 1-6 days
e) [ ] several weeks
CS Contagious are patients with:

b) [ ] ascaridosis
c) [x] chickenpox
d) [ ] fowl cholera
e) [ ] murrain
CS Terminal disinfection in outbreak of chickenpox is:

a) [x] not performed
b) [ ] shall be compulsory
c) [ ] performed for patient hospitalized according to epidemiological indications
d) [ ] done in first 12 hours after hospitalization of patient
e) [ ] done in the presence of patient
CS Hospitalization of patients with chickenpox is performed:

a) [x] according to clinical indications
b) [ ] according to epidemiological indications
c) [ ] according to clinical and epidemiological indications
d) [ ] mandatory in all cases
e) [ ] is not indicated in any case
CS Specific prophylaxis of chickenpox is carried out with:

a) [x] live attenuated vaccine
b) [ ] specific immunoglobulin
c) [ ] corpuscular inactivated vaccine
e) [ ] antibiotics
CS Incubation period in adenoviral infection is:

a) [ ] 1-6 days
b) [x] 4-14 days
c) [ ] 5-28 days
d) [ ] few hours
e) [ ] couple of weeks
CS Source of infection of adenoviral infection may be:

a) [x] sick man, carrier
b) [ ] domestic sick animal
c) [ ] xenantrope animal
d) [ ] sinantrope animal
e) [ ] carrier animal
CS The diagnosis of mononucleosis is based on:

a) [ ] bacteriological investigation
b) [ ] virological methods
c) [x] serological investigation
d) [ ] subjective analysis
e) [ ] functional analysis
CS Pathogen of mononucleosis is:

a) [ ] bacteria
b) [x] virus
c) [ ] riketts
d) [ ] parasite
e) [ ] helminth
CS Main sources of pathogens in mononucleosis are:

a) [ ] sick in the first days of illness
b) [ ] patients during clinical manifestations
c) [x] patients throughout the period of illness and convalescence
d) [ ] domestic animal
e) [ ] xenantrope animal
CS Incubation period in mononucleosis is:

a) [ ] 5-10 days
b) [ ] 10-15 days
c) [x] 15-45 days
d) [ ] 45 days till 180 days

e) [ ] 1-10 years
CS Transmission way of meningococcus is:

a) [x] airborne (primary aerosol)
b) [ ] secondary aerosol (contaminated dust)
d) [ ] sexual contact
e) [ ] alimentary
CS Patients with generalized form of meningococcal infection are high contagious in:
a) [x] prodromal period
b) [ ] during convalescence
c) [ ] from the onset till the convalescence period
d) [ ] incubation period
e) [ ] only in period of clinical manifestation
CS Epidemic period caused by meningococcal meningitis pathogen is determined by:

a) [x] A
b) [ ] B
c) [ ] C
d) [ ] D
e) [ ] E
CS The resistance of Neiseria Meningitidis in the environment is:

a) [x] low
b) [ ] average
c) [ ] high
d) [ ] moderate
e) [ ] not yet described
CS Contact persons in meningococcal meningitis focus have to be under medical supervision

during:
a) [ ] 7 days
b) [x] 10 days
c) [ ] 14 days
d) [ ] 28 days
e) [ ] few hours
CS The main source of pathogens in meningococcal infection are:
a) [x] healthy carriers

b) [ ] patients with meningitis
c) [ ] convalescence carriers
d) [ ] sick domestic animals
e) [ ] carrier animal
CS Incubation period in meningococcal infection is:

a) [ ] 1-2 days
b) [x] 2-10 days
c) [ ] 14 days
d) [ ] up to 25 days
CS Vaccination against meningococcal infection is carried out:

a) [ ] planned
b) [ ] before seasonal spread of meningitis
c) [x] according to clinical indications
d) [ ] is not performed
e) [ ] by using of human immunoglobulin
CS Meningococcal infection is:

a) [ ] an anthroponosis with viral etiology
b) [x] an anthroponosis with bacterial etiology
c) [ ] a zooanthroponosis with bacterial etiology
d) [ ] a zooanthroponosis with natural focality
e) [ ] a zoonosis
CS Population group at high risk of contamination with mononucleosis are:

a) [ ] children, who do not go to kindergarten
b) [x] primary school children and closed type of institutions (orphanages, boarding school, etc.)
c) [ ] adults
d) [ ] newborns
e) [ ] retired population
CS Most common serogroups of meningococcal strains in epidemic eruptions are:

a) [ ] A, X, W 35
b) [ ] B, C, Y
c) [x] A, B, C
d) [ ] F, G, TT
e) [ ] A, C, D
---------------------------------------------------------------------
CS Isolation of patients with scarlet fever is performed during:

a) [ ] 3-6 days
b) [x] 7-12 days
c) [ ] 24 days
d) [ ] a week
e) [ ] a month
CS Contact person in scarlet fever focus has to be under medical surveillance during:
a) [ ] 3 days
b) [x] 7 days
c) [ ] 12 days
d) [ ] 17 days
e) [ ] 22 days
CS Pathogen of scarlet fever is:

a) [ ] Staphylococcus aureus
b) [x] Streptococcus pyogenes
c) [ ] Staphylococcus epidermidis
d) [ ] Salmonella typhi
e) [ ] Escherichia coli
CS Chemical disinfection is performed in outbreaks of scarlet fever:

a) [ ] compulsory
b) [ ] not performed
c) [x] performed according to epidemiological indications
d) [ ] performed according to way of transmission
e) [ ] performed depending on localization of focus
CS Maximum incubation period of scarlet fever takes:

a) [x] 3 days
b) [ ] 7 days
c) [ ] 12 days
d) [ ] 14 days
e) [ ] 21 days
CS Tuberculosis in humans may be caused by:

a) [ ] M.tuberculosis
b) [ ] M.bovis
c) [x] M.tuberculosis and M.bovis in equal measure
d) [ ] M. hominis
e) [ ] M. genitalium
CS When is the patient with scarlet fever most contagious:

a) [ ] in incubation period
b) [x] during clinical manifestations
c) [ ] in convalescence period
d) [ ] started in incubation period and continuing in clinical manifestations
e) [ ] started in incubation period and continuing in clinical manifestations and in convalescence
CS When may convalescence children of scarlet fever, who go to the primary school or first two
classes of school, be admitted to institutions:
a) [ ] immediately after recovery
b) [ ] after negative results of bacteriological examination to streptococcus
c) [x] after 12 days of clinical recovery
d) [ ] after 21 days of recovery period
e) [ ] in a month after disease
CS The patient with scarlet fever is discharged:

a) [ ] after 2 weeks of the onset of disease
b) [x] after clinical recovery, but not earlier than 10 days after initiation of the treatment
c) [ ] after clinical recovery and negative bacteriological result
d) [ ] after recovery, regardless of results of bacteriological investigations
e) [ ] after clinical recovery and positive bacteriological result
CS Disinfection is performed in scarlet fever outbreak by:

a) [x] family members of the patient
b) [ ] employees of disinfection service
c) [ ] personnel of Center of Public Health
d) [ ] family doctor
e) [ ] infectious disease's doctor
CS If sick person of scarlet fever is hospitalized, contact persons will be supervised in focus during?
a) [ ] 17 days
b) [x] 7 days
c) [ ] 12 days
d) [ ] 3 days
e) [ ] 21 days
CS If the sick patient of scarlet fever is treated in home conditions, the deadlines of medical
supervision of contact persons will be during?

a) [ ] 7 days
b) [ ] 12 days
c) [x] 17 days
d) [ ] 21 days
e) [ ] 25 days
CS Factor of transmission of tuberculosis is:

a) [ ] water
b) [ ] fish
c) [x] meat
d) [ ] eggs
e) [ ] fruits
CS BCG vaccine is introduced into the body:

a) [ ] subcutaneous
b) [ ] intramuscular
c) [x] intradermal
d) [ ] cutaneous
e) [ ] oral
CS Sources of pathogens in tuberculosis are:

a) [ ] man
b) [ ] animals
c) [x] man and animals
d) [ ] mosquitoes
e) [ ] flies
CS Positive Monteux test may be at:

a) [ ] vaccinated person
b) [ ] tuberculosis diseased persons
c) [x] vaccinated person and diseases as well
d) [ ] vaccinated animal
e) [ ] tuberculosis diseased cows
CS BCG revaccination of 100 children requires minimal:

a) [ ] 50 doses of vaccine
b) [ ] 100 doses of vaccine
c) [x] 200 doses of vaccine
d) [ ] 300 doses of vaccine
e) [ ] 500 doses of vaccine
CS BCG vaccination is carried out with:

a) [ ] toxoid
b) [ ] corpuscular inactivated vaccine
c) [x] live attenuated vaccine
d) [ ] fractionated vaccine
e) [ ] polysaccharide vaccine
CS Among adults in prevention of tuberculosis the big role has:

a) [ ] vaccine-prevention
b) [ ] disinfection
c) [x] socio-hygienic and economic status
d) [ ] deratization
e) [ ] sanitary-veterinary measures
CS Disinfection must be carried out in tuberculosis focus with:

a) [ ] 3% chlorinated lime
b) [x] 5% chlorinated lime
c) [ ] 20% chlorinated lime
d) [ ] 10% chlorinated lime
e) [ ] 1% chlorinated lime
CS Standard chemoprophylaxis of tuberculosis consists of daily administration of isoniazid in dose

of:
a) [ ] 3 mg / kg / day for 2 months
b) [x] 5 mg / kg / day for 6 months
c) [ ] 10 mg / kg / day for 12 months
d) [ ] 15 mg / kg / day for 12 months
e) [ ] 20 mg / kg / day for 24 months
CS A focus with higher epidemiological risk is:

a) [x] focus with continuously elimination of mycobacteria
b) [ ] focus with formal and conditional elimination of mycobacteria
c) [ ] focus with non-abundant and periodic elimination of mycobacteria
d) [ ] focus without elimination of mycobacteria
e) [ ] focus with formal elimination of mycobacteria
CS Basic anti-epidemic measure in tuberculosis is:

a) [x] disinfection
b) [ ] specific prevention among population
c) [ ] isolation of the patient

d) [ ] deratization
e) [ ] specific prevention among animals
CS Which of clinical form of tuberculosis is contagious:

a) [ ] laryngeal tuberculosis
b) [x] pulmonary tuberculosis
c) [ ] any form of extra pulmonary tuberculosis
d) [ ] tuberculosis of lymphatic ganglions
e) [ ] tuberculosis of Central Nervous System
CS The most common diagnosis of tuberculosis is caused by:

a) [ ] Mycobacterium bovis
b) [x] Mycobacterium tuberculosis
c) [ ] Mycobacterium africanum
d) [ ] European Mycobacterium
e) [ ] Mycobacterium americanum
CS Patient that get both AIDS and TB:

a) [ ] is not contagious
b) [x] may be contagious even before the formation of caverns and apparently normal result of
radiological investigation
c) [ ] co-infection of AIDS/TB is not described
d) [ ] super infection of AIDS/TB is not described
e) [ ] may be contagious only after the formation of caverns
CS Prevalence of tuberculosis is:

a) [x] proportion of reactive people (positive tuberculin test) at 100% persons of a certain age
b) [ ] number of positive persons at the bacteriological examination
c) [ ] number of inpatients with TB during a calendar year
d) [ ] number of negative persons at the bacteriological examination
e) [ ] number of inpatients with TB during a half of an year
CS Incubation period in tuberculosis may be defined as:

a) [x] period of time between the contamination moment and the appearance of the cellular
hypersensitivity phenomenon
b) [ ] interval of time between contamination and addressing of patient after medical assistance
c) [ ] interval of time between contamination and detection of pathogenic agents
d) [ ] period of appearance of first symptoms
e) [ ] period of disappearance of any symptoms
---------------------------------------------------------------------
CS Microscopic examination of sputum in tuberculosis is considered positive effect (M +) if :

a) [ ] density of MTB in sputum is at least 50-100/ml
b) [ ] density of MTB in sputum is at least 500-1000/ml
c) [x] density of MTB in sputum is at least 5000-10000/ml
d) [ ] density of MTB in sputum is at least 1000-10000/ml
e) [ ] density of MTB in sputum is at least 100-1000/ml
CS Tuberculin hypersensitivity in patients infected with TB appears with an interval of:

a) [ ] 2-3 days after contamination
b) [ ] 1-2 weeks after contamination
c) [x] 4-6 weeks after contamination
d) [ ] few hours after contamination
e) [ ] a couple of weeks before contamination
CS Diagnosis of tuberculosis is made on the bases of:

a) [ ] positive result of tuberculin skin test
b) [x] cultures isolated from clinical specimens MTB in localized tuberculosis
c) [ ] subjective examination of the patient
d) [ ] negative result of tuberculin skin test
e) [ ] cultures isolated from surfaces around MTB infected patients
CS Tuberculin skin test:

a) [x] provide diagnosis of latent tuberculosis infection with relative accurate
b) [ ] allows to determine tuberculosis as a disease
c) [ ] does not have clinical importance
d) [ ] does not have an epidemiological importance
e) [ ] has an epidemiological importance and does not have a clinical one
CS Collection of samples in tuberculosis is done in laboratory strictly sterile conditions in case of:
a) [ ] pulmonary tuberculosis
b) [x] extrapulmonary tuberculosis
c) [ ] all cases of tuberculosis, regardless of the clinical form
d) [ ] tuberculosis of lymphatic ganglions
e) [ ] tuberculosis of Central Nervous System
CS The most effective way to prevent TB infection is:

a) [x] detection and treatment of cases of active pulmonary tuberculosis
b) [ ] selective vaccination of newborns
c) [ ] tuberculin testing of newborns
d) [ ] selective vaccination of children and adults

e) [ ] tuberculin testing of adults
--------------------------------------------------------------------655. Intrebarea nr. 655: I212 Capitol: Respiratory infections Mod de punctare: A3 Grad de dificultate: mediu
CM Infections caused by herpes viruses are:

a) [x] chickenpox
b) [ ] mononucleosis
c) [x] cytomegalovirus
d) [x] herpes disease
e) [ ] rubella
CM Morbidity of airborne infections is increased periodically as a result of:

a) [x] immune stratus of the population
b) [x] migration processes
c) [x] natality
d) [ ] habitual conditions
e) [ ] gender structure of the population
CM What types of epidemiological manifestations are characteristic of respiratory infections:

a) [x] sporadic type of morbidity
b) [ ] epidemic type of morbidity
c) [ ] uniform morbidity over the years
d) [x] multiannual periodicity of morbidity
e) [x] seasonality in the cold season
CM Correct statements for diphtheria are:

a) [x] not all healthy carriers are hospitalized
b) [x] serum is administered only for the treatment
c) [ ] vaccine is used for emergency prevention
d) [ ] infection is characteristic only for children
e) [x] contagious period may takes up to several months
CM Sick with diphtheria is contagious:

a) [ ] last day of the incubation period
b) [x] after appearance of first clinical signs
c) [x] throughout the clinical manifestations
d) [x] in period of convalescence
e) [ ] after two weeks of clinical manifestations

a) [ ] vaccination leads to the formation of passive antitoxic immunity
b) [ ] revaccination is carried out till 40 years old

c) [x] protective titer of antibodies is 0.03 IU / ml
d) [x] main source of infection is immune carrier
e) [x] terminal disinfection in focus is strictly necessary

a) [x] it is an antroponozis
b) [ ] protective's titer is 0,003 IU / ml
c) [x] main source of infection is immune carrier
d) [ ] average incubation period is only a few hours
e) [x] imuoprophylaxis is performed with toxoid
CM Ways of transmission in diphtheria are:

a) [x] airborne by droplets
b) [x] airborne by dust
c) [x] by household items
d) [ ] foodborne
e) [ ] by vectors

a) [x] carrier is the main source of infection
b) [x] immunity is protective for many years after vaccination
c) [ ] serum is used for emergency prevention of diphtheria
d) [ ] receptivity is not dependent on age
e) [x] morbidity is determined by the quality of vaccination
CM Bacteriological investigations in diphtheria are carried out according to the epidemiological

indications to:
a) [ ] the population living in an area with a high morbidity
b) [x] the contact persons in the focus
c) [x] the contact persons who had contact with the carrier of toxigen strains
d) [ ] the contact persons who had contact with the carrier of atoxigen strains
e) [x] the people with angina
CM Bacteriological investigation to detect difteria pathogens is indicated to:

a) [ ] all patients with ORL diseases
b) [x] patients with angina
c) [x] patients with peritonsillar abscess
d) [x] patients with laryngotracheitis
e) [ ] all patients discharged from the ORL department
---------------------------------------------------------------------
666. Intrebarea nr. 666: I223 Capitol: Respiratory infections Mod de punctare: A3 Grad de dificultate: mediu
CM Sources of infection in diphtheria are:

a) [ ] sick in incubation period
b) [x] carrier of toxigen corynebacterium (immune carrier)
c) [ ] carrier of atoxigen corynebacterium
d) [x] convalescence carrier
e) [x] sick during the clinical manifestations
CM Epidemic process in diphtheria in the territory with low collective antitoxic immunity is
characterized by:
a) [x] epidemic morbidity
b) [ ] disease ris ecorded mostly in children
c) [ ] sporadic morbidity
d) [x] prevalence of sever forms
e) [x] maintaining of crarirge of diphtheria corynebacteria
CM Sources of infection in diphtheria are:

a) [x] patient
b) [x] healthy carrier
c) [x] convalescence
d) [ ] animal
e) [ ] liquid aerosols
CM Ways of transmission of diphtheria are:

a) [x] habitual-contact
b) [ ] transmissive
c) [ ] waterborne
d) [x] liquid aerosol
e) [x] foodborne
CM Peculiarities of the epidemic process in diphtheria before vacination period are:

a) [x] high morbidity among children aged up to 10 years
b) [ ] high morbidity in adults
c) [x] autumn-winter seasonality
d) [ ] high morbidity among children in the first year of life
e) [x] periodicity of 10-15 years
CM Cases of diphtheria have never been registered for the last four years in the city C. What could
be the following actions?
a) [ ] to continue vaccination of risk groups
b) [x] to continue planned vaccination of the population

c) [ ] to stop the vaccination
d) [ ] to continue planned vaccination with the approval of the Ministry of Health
e) [x] to continue vaccination of the population without any changes in the vaccination schedule
CM Bacteriological investigations in diphtheria are performed with the purpose of:

a) [x] prophylaxis
b) [x] diagnosis
c) [x] epidemiological indications
d) [ ] planned for 1-14 year children
e) [ ] is not made
CM To perform bacteriological investigation of patients with diphtheria the following samples are
collected:
a) [x] smear of nasal cavity
b) [x] smear of pharynx
c) [ ] sputum
d) [ ] urine
e) [ ] faeces
CM Transmission of Corynebacterium diphtheriae is possible by:

a) [x] respiratory mechanism
b) [ ] water
c) [x] habitual contact (toys, lingerie etc.)
d) [x] by food (dairy products, creams etc.)
e) [ ] hematophagous insects
CM Epidemiological features of diphtheria are:

a) [ ] causative agent is hemolytic streptococcus
b) [x] sources of infection are patients and carriers
c) [ ] mechanism of transmission is fecal-oral
d) [ ] winter seasonality
e) [x] it is a group of infections controlled by the vacination
CM The correct statements for the meningococcal infection are:

a) [ ] the pathogen is resistant in the environment
b) [x] source of infection is patient with nasopharyngitis
c) [ ] vaccination is carried out in a planned manner
d) [ ] supervision of the contact persons have to be during 21 days
e) [x] bacteriological investigation is the main method of diagnosis
---------------------------------------------------------------------
CM Purulent meningitis is caused by:

a) [x] Haemophylus influenzae
b) [x] Neiseria meningitidis
c) [ ] ECHO virus
d) [ ] Coxackie B virus
e) [ ] Pneumococus pneumoniae
CM Indicators of improving situation in meningococcal infections are:

a) [x] low morbidity among adults and adolescents
b) [x] high rate of the morbidity in children under 2 years
c) [ ] high focal index among children under 2 years
d) [x] high rate of rare meningococcal strains (group X, Y, Z, W-135 etc.)
e) [ ] high rate of meningococcal serogroup A, B and C
CM Risk of contamination with meningococcal infection is determined primarily by:

a) [x] ambient temperature
b) [x] distance from the source of pathogens
c) [x] duration of contact with the source of pathogens
d) [ ] vaccination performed in advance
e) [ ] time when person is addressed to the health assistance from the onset of the disease
CM The correct statements for the meningococcal infection are:

a) [x] main source of infection are carriers
b) [ ] contact mechanism of transmission
c) [x] incubation period is 2-10 days
d) [x] bacteriological investigation is the main method of diagnosis of carriers and diseased persons
e) [ ] immunoprophylaxis is the main planned prophylactic measure in Republic of Moldova
CM Hospitalization is compulsory in meningococcal infection at the following patients:

a) [x] patients with meningitis
b) [ ] patients with nasopharynx
c) [x] patients with meningococcemia
d) [ ] meningococcal carriers
e) [x] patients with meningoencephalitis
CM Whom of the specialists mentioned bellow, carriers of meningococcus, will be removed from
the work:
a) [x] teacher from the kindergarten
b) [ ] employee of the infectious diseases department
c) [x] professional school student

d) [x] employee of orphanages
e) [ ] nurse of the retirement home
CM To perform laboratory examination of meningococcal infection is necessary to collect:

a) [ ] urine
b) [x] cerebrospinal fluid
c) [x] mucus of the throat
d) [ ] mucus from the nose
e) [x] blood
CM Anti-epidemic measures performed to the contacts in meniningococal infection focus:

a) [x] otorinolaringoscopic examination
b) [ ] serological examination
c) [x] thermometery
d) [ ] use of phages
e) [x] use of immunoglobulins
CM At the actual period, manifestations of the epidemic process in meningococcal infection are:
a) [x] periodic increasing of the morbidity (with intervals of 10 years or more)
b) [ ] autumn -winter seasonality
c) [x] winter-spring seasonality
d) [x] high morbidity among children
e) [ ] immunopronophylaxis has the main role in the regulation of the epidemic process
CM The correct statements for the whooping cough are:

a) [ ] vaccines are not efficiency
b) [x] mainly children of early age are affected
c) [x] isolation of sick is allowed at home
d) [ ] all patients are isolated for a period of 20-25 days
e) [x] diseased persons are the main source of infection
CM The correct statements for the whooping cough are:

a) [ ] immune carrier is the main source of whooping cough
b) [x] contamination occurs in result of direct contact with the source of infection
c) [ ] incubation period is 1-6 days
d) [x] spring-summer seasonality
e) [x] there is one revaccination
CM What measures will be performed in the whooping cough outbreak:
a) [ ] vaccination of the contacts

b) [x] current disinfection
c) [x] bacteriological examination of all members of the family
d) [ ] terminal disinfection
e) [x] medical surveillance during the maximum incubation period
CM The contemporary epidemic process in whooping cough is characterized by:

a) [x] sporadic morbidity
b) [x] children are more affected
c) [x] increasing number of carriers
d) [x] prevalence of mild disease
e) [ ] adults are more affected
CM To perform bacteriological examination in whooping cough is necessary to collect:

a) [ ] mucus from the nose
b) [ ] mucus from the oropharynx
c) [x] mucus from the throat
d) [x] drops of mucus during the cough
e) [ ] blood of cubital vein
CM The correct statements for the scarlet fever are:

a) [x] it is a anthroponosis
b) [x] vaccination is not performed
c) [ ] summer-autumn seasonality
d) [x] convalescence has epidemiological risk
e) [ ] chemical disinfection is required
CM Hospitalization of patient with scarlet fever:

a) [x] is carried out according to clinical indications
b) [x] is carried out according to epidemiological indications
c) [x] is carried out according to clinical and epidemiological indications
e) [ ] is not compulsory
CM At the present stage, epidemic process in scarlet fever is characterized by:

a) [x] autumn-winter seasonality
b) [ ] seasonality is not characteristic
c) [x] more cases of the diseases are registered among children
d) [x] periodicity of morbidity in multiannual dynamic
e) [ ] epidemic type of morbidity
---------------------------------------------------------------------
CM The polymorphism of clinical forms and epidemiological manifestations of streptococcus

infection are results of:
a) [x] heterogeneity of human population as response to pathogens
b) [x] inhomogeneity and flexibility of biological peculiarities of pathogens
c) [ ] absolute receptivity to infection
d) [ ] high activity of airborne mechanism of transmission of infection
e) [ ] not uniform spreading of clinical forms of infection in different territories
CM Primary prophylaxis of streptococcal infections is provided by:

a) [ ] sanitary-epidemiological institutions
b) [ ] urology department
c) [ ] rheumatologic dispensaries
d) [x] peadiatric and adults clinics
e) [x] health care units
CM Scarlet fever is transmitted by the following ways:

a) [ ] transmissive
b) [x] habitual contact
c) [x] waterborne
d) [x] liquid aerosol
e) [x] foodborne
CM High morbidity of scarlet fever is registered in:

a) [ ] summer
b) [x] autumn
c) [x] winter
d) [x] spring
e) [ ] morbidity is uniform throughout the year
CM Medical surveillance measures of contacts in scarlet fever focus are:

a) [x] examination of the skin
b) [x] examination of the nasopharynx
c) [ ] determination of the liver limits
d) [ ] determination of diuresis
e) [x] thermometers
CM Medical surveillance will be performed in scarlet fever focus to:

a) [x] three years brother of the sick person who get scarlet fever
b) [x] the patient's mother who works at the dairy laboratory
c) [x] the father who is a surgeon

d) [x] 10 year sister with scarlet fever in anamnesis
e) [ ] grandfather, employee at the water treatment station
CM The correct statements for the tuberculosis are:

a) [x] vaccination develop active immunity
b) [x] not all patients are contagious
c) [ ] results of Mantoux test are assessed over 24 hours
d) [ ] negative result of Mantoux test indicates no need to carry out the vaccination
e) [x] disinfection is performed with a 5% of chloramines solution in tuberculosis focus
CM Contagiousness of tuberculosis is determined by:

a) [x] the intensity of elimination of the pathogen
b) [x] the duration of eliminatation of mycobacteria
c) [ ] the mycobacterial virulence
d) [ ] the patient age
e) [ ] the home conditions
CM Intensity of elimination of of mycobacteria may be:

a) [x] abundant
b) [x] continue
c) [ ] formal
d) [x] not abundant
e) [x] conditional
CM Sources of infection of Mycobacterium tuberculosis are:

a) [ ] catlle with tuberculosis
b) [x] patient with cavitary pulmonary TB
c) [x] patients with non treated TB and they are eliminating acidoalcooloresistant bacilli
d) [x] patients with chronic TB
e) [ ] persons with latent TB
CM Contamination with Mycobacterium bovis may occur:

a) [x] after the contact with diseased animals
b) [x] after the consumption of raw milk or milk products
c) [ ] mainly after damage of the muco-cutaneous barriers
d) [ ] mainly from patients with extrapulmonary forms
e) [x] transmission among people is not registered
CM Tuberculosis in humans may be caused by:
a) [x] Mycobacterium bovis

b) [ ] Y.pseudotuberculosis
c) [x] Mycobacterium tuberculosis
d) [x] Mycobacterium africanum
e) [ ] Mycobacterium leprae
CM Primary diagnosis of tuberculosis is based on:

a) [ ] isolation of MTB
b) [ ] results of tuberculin skin test
c) [x] epidemiological data
d) [x] clinical signs
e) [x] paraclinical signs
CM To achieve the combating of tuberculosis according to DOTS strategy, is necessary to initiate

following measures:
a) [x] to increase accessibility of patient to health services
b) [ ] full inpatient treatment of all clinical forms of tuberculosis
c) [x] involvement of family doctors in patients monitoring
d) [x] to develop guidelines for patients
e) [x] to improve the organization of treatment centers
CM The correct implementation of DOTS strategy results from:

a) [ ] detection of all cases of tuberculosis by tuberculine skin test performed among all population
b) [x] prevention of new cases of infection by treating of all contagious patients
c) [x] prevent the development of drug-resistant tuberculosis by the correct treatment
d) [x] success rate of the treatment will achieve 85% even in the poorest countries
e) [ ] planned BCG vaccination of adult performed every five years
CM DOTS strategy has the following key components:

a) [x] government commitment to support the control activities in tuberculosis
b) [x] detection of tuberculosis by microscopic examination of sputum from symptomatic patients
c) [x] standardized directly observed treatment, lasting between 6 and 8 months
d) [ ] patients have to be provided with apartment according to hygienic norms
e) [x] a standardized system of recording and reporting of cases to assess the treatment results for
each patient and for all TB control program
CM Basic measures to reduce the nosocomial transmission of tuberculosis are:

a) [x] room of the patient with tuberculosis should be sunny and have effective ventilation
b) [ ] patients with tuberculosis and AIDS may be hospitalized in the same room
c) [x] cases of tuberculosis (especially bacteriological confirmed) have to be separated from the
other respiratory diseases
adequate ventilation of bacteriological laboratories, places where is carried the investigation

of MTB cultures and spaces where sputum is collected or carried out bronhoscopies
e) [ ] on admission, tuberculin test of patients is peformed indeferent of diagnostic
d) [x]
CM Adenoviral infection is spread by:

a) [x] respiratory mechanism
b) [x] fecal-oral mechanism
c) [ ] contact mechanism
d) [ ] parenteral
e) [x] food
CM The correct statements for the adenoviral infection are:

a) [x] sick man or carrier is the source of infection
b) [x] virus is eliminated with the faeces from the first days of illness up to 3 weeks
c) [x] transmission may be by fecal-oral mechanism
d) [ ] prophylaxis is performed by using live attenuated vaccine
e) [ ] bacteriological investigation is the main method of diagnosis
CM The false statements for the adenoviral infection are:

a) [x] it is a intestinal infection
b) [x] factors of transmission are meat and milk
c) [ ] autumn-winter seasonality
d) [ ] incubation period is 4-14 days
e) [ ] methods of prevention are similar to those of flu
CM The correct statements for chickenpox are:

a) [x] it is a anthroponosis
b) [ ] mechanism of transmission is fecal-oral
c) [ ] complications can be very severe
d) [x] morbidity is not controlled by vaccination in RM
e) [x] patient is contagious during the prodrome period
CM The epidemic process in chickenpox is characterized by:

a) [x] epidemic type of morbidity
b) [ ] sporadic type of morbidity
c) [x] pronounced seasonality of the morbidity
d) [ ] morbidity is high among children who are not going to the children institutions
e) [x] morbidity is high among children who are going to the children institutions
CM The correct statements for the chickenpox are:

a) [x] virus is not resistant in the environment
b) [x] it is transmitted by airborne droplets
c) [ ] it is transmitted by airborne dust particles
d) [ ] it is transmitted by habitualcontact
e) [x] it is transmitted transplacental
CM Chickenpox may be transmitted by:

a) [x] liquid aerosol
b) [ ] solid aerosol
c) [x] transplacental
d) [ ] transmissive
e) [ ] habitual contact
CM Source of pathogens in chickenpox can be patient with:

a) [x] chickenpox
b) [x] herpes zoster
c) [ ] herpes infection
d) [ ] infectious mononucleosis
e) [ ] cytomegalovirus
CM Patients with chickenpox are contagious:

a) [ ] in the period of convalescence
b) [ ] when the last crust fall
c) [x] in the last day of incubation
d) [x] till 5th day after the last appearance of the eruptions
e) [x] during rashes developing on the body
CM Cytomegalovirus is characterized by:

a) [ ] monoorganotropism
b) [x] teratogenicity
c) [x] immunosuppression influence
d) [x] thermolability
e) [ ] antigenic variability
CM Cytomegalovirus infection is characterized by:

a) [x] wide spreading
b) [ ] periodicity
c) [ ] seasonality
d) [x] seroconversion is spreading without any professional features
e) [x] frequency of infection is dependence of age
CM In present conditions the following features are characteristic for the measles:
a) [x] significant reduction of the morbidity
b) [ ] multiannual periodicity is not common
c) [x] multiannual periodicity is common
d) [x] no seasonality
e) [ ] presence of the foci mostly with 1-3 cases
CM The correct statements for the measles are:

a) [x] it is less resistant pathogen in the environment
b) [ ] the contagiosness of patient is throughout the clinical manifestations
c) [ ] laboratory diagnosis is based on bacteriological investigations
d) [x] the incubation period may last till 21 days in some cases
e) [x] vaccination is made with live attenuated vaccine

a) [x] it is caused by a rabdovirus
b) [x] chronic forms are not characteristic
c) [ ] the patient is contagious before the clinical signs
d) [ ] supervision of the contact persons shall be 14 days
e) [x] chemical disinfection is not required

a) [x] morbidity is dependence on vaccination
b) [x] patient is contagious in prodromal period
c) [ ] carriers are a secondary source of infection
d) [x] the pathogen is better preserved at low temperatures
e) [ ] chemical disinfection is required
CM Hospitalization of patients with measles:

a) [x] is performed according to epidemiological indications
b) [x] is performed according to clinical indications
c) [ ] is compulsory
e) [x] is performed according to clinical and epidemiological indications
CM Measles pathogen is transmitted:

a) [x] airborne by droplets
b) [ ] airborne by dust
c) [ ] by the habitual contact
d) [ ] by the fecal oral mechanism

e) [x] transplacental

a) [ ] carrier is one of the main sources of infection
b) [x] source of infection is contagious only 8-9 days
c) [ ] vaccination is made with corpuscular inactivated vaccine
d) [ ] the disinfection is carried out with 1% cloramines solution in focus
e) [x] only in some cases immunoglobulin is indicated for emergency prophylaxis

a) [x] infection is under the control
b) [ ] contagious period starts during the incubating of the disease
c) [ ] carriers of measles are the source of pathogens
d) [x] incubation period is 8-17-21 days
e) [x] terminal disinfection is not performed in outbreak
CM Patient with measles is contagious in:

a) [ ] the onset of the incubation period
b) [x] the last 2 days of the incubation period
c) [x] eruptions
d) [x] prodrome
e) [ ] the period of convalescence
CM Measles immunoglobulin will be administrated in case of:

a) [ ] planned vaccination
b) [ ] revaccination of seronegative persons
c) [x] contact children in measles focus
d) [x] treatment of patients with measles
e) [x] persons allergic to neomycin
CM Emergency prevention of measles in outbreak:

a) [ ] is not made
b) [x] is performed with live measles vaccine
c) [x] is carried out with measles immunoglobulin
d) [x] is performed with live vaccine or measles immunoglobulin
e) [ ] is carried out with antibiotics
CM Sources of pathogens of rubella are:

a) [x] patient with manifest forms
b) [x] patient with asymptomatic forms

c) [ ] carrier
d) [ ] recovery
e) [x] children with congenital rubella syndrome
CM Sources of pathogens in mumps are:

a) [x] patient with typical form of the disease
b) [x] patient with atypical form of the disease
c) [x] patient with unapparent forms of the disease
d) [ ] reconvalescence
e) [ ] carriers
CM Patient with mumps is contagious:

a) [ ] throughout the period of incubation
b) [x] in the last 1-2 days of incubation period
c) [x] during the clinical manifestation of the disease
d) [ ] in the period of convalescence
e) [x] in the prodromal period
CM The correct statements for the mumps are:

a) [x] the patient is isolated after the onset of illness for a period of 9 days
b) [x] vaccination is performed according to epidemiological indications
c) [ ] pathogen is resistant in the environment
d) [x] vaccination is carried out in a planned manner
e) [ ] contact person needs to be monitored for 12 days
CM Sources of pathogens in mumps are:

a) [x] the patient with clinical manifestations
b) [x] the person with asymptomatic forms
c) [ ] the patient with chronic mumps
d) [x] the patient with unapparent form
e) [ ] carriers
CM Select the possible ways of contamination with mumps:

a) [ ] by habitual objects contaminated by the diseased person
b) [x] contaminated toys with children saliva
c) [x] transplacental
d) [ ] by kisses
e) [ ] by food
CM Diagnosis of numps is determined according to:

a) [x] epidemiological anamnesis
b) [x] the clinical picture
c) [x] the results of laboratory examinations of urine and blood
d) [ ] the virological examination
e) [ ] the bacteriological examination
CM Immunoprophylaxis in mumps has the following impact:

a) [x] reduce morbidity among children
b) [x] reduce the complications
c) [x] reduce inpatients
d) [ ] liquidate disease among adults
e) [ ] maintain the morbidity among children
CS The causative agent of mumps belongs to the group:

a) [x] paramyxovirus
b) [ ] adenoviruses
c) [ ] reovirus
d) [ ] retroviruses
e) [ ] herpeviruses
CS From the infection moment, patient with mumps is contagious no more than:
a) [ ] 2 days
b) [ ] 4 days
c) [ ] 6 days
d) [ ] 8 days
e) [x] 10 days
CS The most effective measures to prevent mumps are:

a) [ ] sanitary and hygiene
b) [ ] isolation
c) [ ] regime and restrictions
d) [x] vaccination of children with live attenuated vaccine
e) [ ] there are no effective measures
CS Immunity to mumps after natural infection lasts:

a) [ ] up to 1 year
b) [ ] up to 2 years
c) [ ] up to 3 years
d) [ ] up to 5 years
e) [x] long-term and and it is stable
CS After the contact, mumps vaccine is administrated to children who were not infected and were
not imunized in the term of:
a) [ ] 24 hours
b) [ ] 36 hours
c) [ ] 48 hours
d) [x] 72 hours
e) [ ] 96 hours
CS Immunization against mumps is performed in Moldova:

a) [x] at 12-15 months and 6 years
b) [ ] at 15-18 months
c) [ ] at 15-18 months and 6 years
d) [ ] at 12-15 months
e) [ ] in 12-15 months and 7 years
CM Sources of the pathogen of mumps are:

a) [ ] immune carriers
b) [x] patients with typical forms of the disease
c) [x] patients with atypical forms of the disease
d) [x] patients with asymptomatic disease
e) [ ] convalescence
CM Anti-epidemic measures carried out to vaccinated contact children in mumps focus are:
a) [x] medical surveillance during 21 days
b) [x] thermometers 2 times a day
c) [ ] exclusion from the children institutions at the 8th and 21th day
d) [x] children are not excluded from the institutions
e) [ ] exclusion from the children institutions at the 11th and till 21st day
CM Anti-epidemic measures carried out to unvaccinated contact children in mumps focus are:
a) [x] medical surveillance during 21 days
b) [x] thermometers 2 times a day
c) [ ] exclusion from the children institutions at the 8th and 21th day
d) [x] exclusion from the children institutions at the 11th and till 21st day
e) [x] immunoprophylaxis
CM The correct statements for the herpes infection are:

a) [ ] it is caused by several types of viruses
b) [x] relapses occur, usually due to the presence of a high titer of antibodies
c) [ ] has 3 mechanisms of transmission

d) [x] vaccine is used for the treatment
e) [x] sick man is not contagious
CM The correct statements for the mononucleosis are:

a) [x] it is a virus
b) [x] it is registered among young people
c) [x] the incubation period is 15-45 days
d) [ ] serological reactions are the criterion for diagnosis
e) [ ] prophylaxis with immunoglobulin is indicated for contact persons
CM Sources of infection in mononucleosis are:

a) [x] patients with manifested forms of infection
b) [x] patients with subtle forms of the disease
c) [x] convalescence carriers
d) [x] healthy carriers
e) [ ] persons infected with any of the viruses of the Herpesviridae family
CM Mononucleosis pathogen is transmitted by:

a) [x] liquid aerosol
b) [ ] solid aerosol
c) [x] sexual
d) [x] habitual contact
e) [x] intranatal
CM Currently mononucleosis is caractherized by:

a) [x] wildworld spreading
b) [x] sporadic morbidity
c) [ ] high morbidity in autumn seasonality
d) [ ] mostly morbidity is registered among children up to 7 years
e) [x] mostly morbidity is registered among adolescents
CM Anti-epidemic measures carried out in mononucleosis focus are:

a) [x] hospitalization according to clinical indications
b) [ ] current and terminal disinfection is required
c) [x] medical surveillance of the contacts is performed during 20 days
d) [ ] quarantine is performed in the focus
e) [x] quarantine is not performed
CM The correct statements for the flu are:
a) [x] pandemic spreading is regular

b) [ ] specific type of virus is typical for a certain territory
c) [ ] social and economic losses are not significant
d) [x] sequelae can be dramatic
e) [x] patients are the primary source of infection
CM What is necessary to perform during the epidemic influenza in medical institutions?

a) [x] to move working week to 7 days
b) [x] to reprofile gradual the stationary
c) [ ] to vaccinate medical personnel
d) [x] to increase the number of health workers in the department
e) [ ] to give imunoglobuline as prophylaxis to patients at the initial stage of the disease
CM The correct statements for the influenza are:

a) [x] most variable virus is type A influenza
b) [x] virus type C is the most stable antigen
c) [ ] the mechanism of transmission is contact
d) [x] interferon is used for emergency prophylaxis
e) [ ] route of transmission is direct contact
CM The correct statements for the influenza are:

a) [ ] the sporadic spread prevails
b) [ ] periodicity is not characteristic
c) [ ] the patient is secondary source of infection
d) [x] periodic increasing of the morbidity is characteristic
e) [x] children are most affected
CM The vaccination of flu is rational to be done to the risk groups:

a) [ ] children up to 3 years
b) [x] 3 year children that attend kindergarten
c) [x] elderly persons
d) [ ] persons with chronic diseases
e) [ ] only to people from the service sector
CS Transmission ways of the influenza virus:

a) [ ] airborne by dust
b) [x] airborne by droplets
c) [ ] indirect contact
d) [ ] foodborne
e) [ ] waterborne
---------------------------------------------------------------------
CM Influenza is prevented by using:

a) [ ] immune serum
b) [ ] vaccine
c) [ ] antibiotics
d) [x] interferon
e) [x] remantadine
CM Epidemic process in flu is characteristic of:

a) [ ] sporadic morbidity
b) [x] epidemic and pandemic morbidity
c) [x] seasonality
d) [ ] morbidity is higher in rural population
e) [x] periodicity of morbidity in multiannual dynamics
CM To prevent influenza is given during the epidemic period:

a) [ ] vaccine
b) [x] dibasol
c) [x] remantadine
d) [x] human leukocyte interferon
CM To prevent influenza at the contact people is given:

a) [ ] inactivated vaccine
b) [x] interferon
d) [x] oxolinic ointment
e) [ ] antibiotics
CM Epidemiological peculiarities of parainfluenza are:

a) [x] the morbidity is sporadic during the antiepidemic period
b) [x] epidemic outbreaks
c) [x] autumn-winter seasonality
d) [x] children are more affected
e) [ ] high resistance of the pathogen to high temperature
--------------------------------------------------------------------767. Intrebarea nr. 767: I444 Capitol: Vector-borne infections Mod de punctare: A1 Grad de dificultate: scazut
CS Mechanism of transmission of the recurrent typhus is:

a) [ ] contact
b) [x] transmissive
c) [ ] airborne
d) [ ] alimentary
e) [ ] hydric
CS Transmission of recurrent typhus pathogen is done by:

a) [ ] fleas
b) [x] lice
c) [ ] bedbugs
d) [ ] bugs
e) [ ] mosquitoes
CS Mode of infection with recurrent typhus is:

a) [ ] non-specific contamination
b) [ ] specific inoculation
c) [x] specific contamination
d) [ ] non-specific inoculation
e) [ ] specific contamination or specific inoculation
CS Diagnostic method of recurrent typhus is:

a) [ ] serological
b) [x] bacterioscopic
c) [ ] bacteriological
d) [ ] virusological
e) [ ] clinical
CS The incubation period of recurrent typhus is:

a) [x] 3-15 days
b) [ ] 21 to 25 days
c) [ ] 1-2 days
d) [ ] a couple of weeks
e) [ ] 1-7 days
CS Source of infection of recurrent typhus is:

a) [ ] patients with Brill-Zinsser
b) [x] sick people
c) [ ] ill sinantrope animals
d) [ ] domestic animals
e) [ ] xenantrope animals
CS Recurrent typhus is:

a) [ ] zooanthroponosis
b) [ ] infection with natural focus

c) [x] anthroponosis
d) [ ] zoonosal infection
e) [ ] a sapronose
CS Transmission mechanism of recurrent typhus is:

a) [ ] vertical
b) [x] transmissive
c) [ ] fecal oral
d) [ ] respirator
e) [ ] through contact
CS Pathogen of recurrent typhus is:

a) [ ] Salmonella typhi
b) [x] Borrelia recurrentis
c) [ ] Rickettsia prowazeki
d) [ ] Mycoplasma hominis
e) [ ] Plasmodium vivax
CS Focus of endemic typhus is under medical control in term of:

a) [ ] 30 days
b) [ ] 15 days
c) [x] 25 days
d) [ ] 21 days
e) [ ] few hours
CS Lice are contagious of endemic typhus after blood feeding in term of:
a) [ ] 1-2 days
b) [x] 5-6 days
c) [ ] 10 days
d) [ ] 14 days
e) [ ] three weeks
CS Endemic typhus is:

a) [x] anthroponose
b) [ ] zooanthroponose
c) [ ] sapronose
d) [ ] zoonose
e) [ ] parasitosis
CS Early detection of sick of endemic typhus is considered to be:

a) [ ] 3-9 days
b) [x] up to 5 days
c) [ ] 5-7 days
d) [ ] 1-14 days
CS The incubation period of endemic typhus is:

a) [ ] 2-9 days
b) [ ] 4-12 days
c) [x] 6-23 days
d) [ ] 1-5 days
e) [ ] up to a week
CS Source of infection of endemic typhus is:

a) [x] patient with Brill-Zinsser
b) [ ] carriers of Borrelia recurrents
c) [ ] only sick with endemic typhus during the incubation period
d) [ ] only sick with endemic typhus during the clinical manifestation
e) [ ] louce
CS Mode of transmission in endemic typhus:

a) [ ] specific inoculation
b) [x] specific contamination
c) [ ] non-specific inoculation
d) [ ] non-specific contamination
e) [ ] specific contamination or specific inoculation
CS Mechanism of transmission in endemic typhus is:

a) [ ] fecal-oral
b) [x] transmissive
c) [ ] contact
d) [ ] respirator
e) [ ] vertical
CS Brill-Zinsser is:
a) [ ] viroses
b) [ ] candidiasis
c) [x] rickettsiosis
d) [ ] parasitosis
e) [ ] veneric disease
CS Cutaneous leishmaniasis is:

c) [ ] sapronosis
d) [ ] zoonosis
e) [ ] parasitosis
CS Source of infection of the urban cutaneous leishmaniasis is:

a) [ ] the carrier of germs
b) [x] the sick man
c) [ ] domestic animals
d) [ ] sinantrope animal
e) [ ] xenantrope animal
CS The incubation period of the urban type of cutaneous leishmaniasis is:

a) [x] 2 months - 1.5 years
b) [ ] 10-15 days
c) [ ] from few hours till 1 to 2 days
d) [ ] a couple of weeks
e) [ ] 45 days up to 180 days
CS Cutaneous leishmaniasis is registered in:

a) [x] Africa and Asia
b) [ ] Latin America
c) [ ] Moldova, Romania
d) [ ] Alaska and Canada
e) [ ] USA
CS Trypanosomiasis is transmitted by:

a) [ ] ticks
b) [x] Tsetse flies
c) [ ] fleas
d) [ ] leas
e) [ ] mosquitoes
CS Trypanosomiasis is frequently registered in:

a) [ ] South America
b) [x] Africa
c) [ ] Europe and Asia
d) [ ] North America
e) [ ] Aistralia
CS Pathogen of trypanosomiasis is:

a) [ ] virus
b) [x] monocecular parasite
c) [ ] helminthes
d) [ ] bacteria
e) [ ] fungus
CS Mechanism of transmission in trypanosomiasis is:

a) [ ] fecal-oral
b) [x] transmissive
c) [ ] contact
d) [ ] vertical
e) [ ] respirator
CS The entrance gate of the african trypanosomiasis is:

a) [ ] airways
b) [ ] digestive tract
c) [x] site of bite by the tsetse flies
d) [ ] Central Nervous System
e) [ ] skin
CS Entrance gate for the pathogen of endemic typhus is:

a) [ ] intact skin
b) [x] site of bite by louse
c) [ ] airways
d) [ ] digestive tract
e) [ ] Central Nervous System
CS Wider spread in Moldova has:

a) [x] Pl.vivax
b) [ ] Pl.falciparum
c) [ ] Pl.malariae
d) [ ] Pl.ovale
e) [ ] Pl. knowlesi
CS The main anti-epidemic measures of malaria in Moldova:

a) [ ] disinfection
b) [x] prevent the import of new cases

c) [ ] chemoprophylaxis
d) [ ] specific immunization
e) [ ] deratization
CS Malaria is:
a) [ ] worldwide disease
b) [ ] with natural focus
c) [x] limited by biological factors
d) [ ] limited by social factors
e) [ ] limited by socio-economic factors
CS Transmission of malaria can be done by following mosquitoes in Moldova:

a) [ ] Aedes
b) [ ] Culex
c) [x] Anopheles
d) [ ] Mansonia
e) [ ] Shannoniana
CS Vectors of transmission in malaria is mosquito:

a) [ ] Aedes
b) [x] Anopheles
c) [ ] Culex
d) [ ] Mansonia
e) [ ] Shannoniana
CS Prophylaxis of malaria is done with:

a) [ ] vaccine
b) [ ] toxoid
c) [x] chimioprophylaxis
d) [ ] specific immunization
e) [ ] deratization
CS A higher risk of spreading has in the Republic of Moldova:

a) [x] Pl.vivax vivax
b) [ ] Pl.vivax hibernans
c) [ ] Pl.malariae
d) [ ] Pl.ovale
e) [ ] Pl. knowlesi
CS At the actual moment the main purpose of epidemiological surveillance of malaria in Moldova
is:
a) [ ] to eradicate the parasites
b) [ ] to prevent appearance of epidemic outbreaks
c) [x] to prevent the import
d) [ ] to treat patients
e) [ ] to avoid export
CS Sporozoites can be found in human blood after the bite of mosquito:

a) [x] up to 30 minutes
b) [ ] up to 24 hours
c) [ ] throughout the incubation period
d) [ ] throughout the clinical manifestation
e) [ ] up to recovery period
CS Hematophagous vector which transmits urban type of cutaneous leishmaniasis is:

a) [ ] flea
b) [ ] tick
c) [x] phlebotomy
d) [ ] tsetse flies
e) [ ] louse
--------------------------------------------------------------------805. Intrebarea nr. 805: I325 Capitol: Vector-borne infections Mod de punctare: A3 Grad de dificultate: mediu
CM Specific for endemic typhus is:

a) [x] mechanism of transmission - transmisive
b) [ ] specific inoculation is characteristic
c) [x] sources of infection are patients with Brill-Zinsser
d) [x] major risk groups for contamination are people from the service sector (hairdressing,
bathroom, laundry, public transport)
e) [x] one of the main measures is to prevent pediculosis
CM Source of endemic typhus is:

a) [x] sick with endemic typhus
b) [x] sick with Brill-Zinsser
c) [ ] body louse
d) [ ] head lice
e) [ ] convalescence
CM Entrance gates for pathogen of endemic typhus are:

a) [x] bite site
b) [ ] intact skin
c) [x] eye conjunctiva
d) [x] airways
e) [ ] digestive tract
CM The correct statements for endemic typhus are:

a) [ ] seasonality is not pronounced
b) [x] patient is contagious already at the last 2 days of the incubation period
c) [ ] infection occurs during the bite of the louse
d) [x] louse is not contagious immediately after the feeding the infected blood
e) [x] louse is contagious till the end of its life
CM The correct statements for the endemic typhus are:

a) [x] source of pathogens is the man
b) [x] control of pediculosis is basic preventive measure
c) [x] early detection of patients is considered up to first 5 days of illness
d) [ ] morbidity is controlled by the vaccination
e) [ ] contact persons are under the medical surveillance in term of 14 days
CM The correct statements for the Brill-Zinsser disease are:

a) [x] sick man is contagious
b) [ ] the pathogen is Borrelia Recurrents
c) [x] louse is the vector of transmission
d) [ ] infection occurs during blood feeding of louse
e) [x] louse is not necessary to be present for the contamination
CM The correct statements for the Brill-Zinsser are:

a) [ ] it is a relapse of the recurrence typhus
b) [x] it is a relapse of the endemic typhus
c) [x] sick with pediculosis can be a source of infection
d) [x] the pathogen is Rickettsia prowazeki
e) [ ] transmission mechanism is transplacental
CM The correct statements for the malaria are:

a) [x] there is no specific prophylaxis
b) [ ] worldwide spreading
c) [x] patient is contagious only in specific conditions
d) [x] laboratory diagnosis is based on serological method
e) [x] indigenous malaria was eradicated in the Republic of Moldova
CM The purpose of chemoprophylaxis in malaria is:

a) [x] to prevent the infection
b) [ ] to avoid contamination
c) [ ] to prevent severe clinical forms
d) [x] to prevent the illness
e) [x] to prevent the treatment which is very long
CM The correct statements for the malaria are:

a) [x] it is a parasitosis
b) [x] chemoprophylaxis is used in practice
c) [ ] mosquito Aedes is the main vector of transmission
d) [x] Pl.vivax has a high risk of spreading in RM
e) [ ] worldwide spreading can be registered
CM Type of malaria that can spread in Moldova:

a) [x] Pl.vivax
b) [ ] Pl.malariae
c) [x] Pl.ovale
d) [ ] Pl.falciparum
e) [ ] all types
CS Sources of pathogens in malaria are:

a) [ ] sick animals
b) [ ] man and animals
c) [x] the sick and carrier
d) [ ] environmental objects
e) [ ] environmental objects and animals
CS The causative agent of malaria is:

a) [ ] triponosoma
b) [x] plasmodium
c) [ ] leishmania
d) [ ] bacteria
e) [ ] toxoplasma
CM Types of malaria are:

a) [x] tropical
b) [x] three days malaria
c) [x] malaria-ovale
d) [x] four days malaria
e) [ ] fulminant
CM Malaria can be transmitted:

a) [ ] by direct contact with the sick man of malaria
b) [x] by the mosquito
c) [x] by the hemotransfusion
d) [x] transplacental
e) [ ] by the mosquitoes and bed bugs bite
CM Anti-epidemic measures in the outbreaks of malaria are:

a) [x] detection of patients and carriers with malaria
b) [x] epidemiological investigation of the outbreak
c) [x] insecticides are applied
d) [ ] seasonal chemoprophylaxis
e) [ ] immunoprophylaxis
CM The correct statements for the recurrent typhus are:

a) [x] causative pathogen is Borrelia recurrentis
b) [ ] infection is a zooanthroponosis
c) [x] louse is contagious immediately after blood feeding
d) [ ] source of infection are patients with Brill-Zinsser disease
e) [x] mechanism of transmission is transmissive
CM Group of Anthroponosal Richettsiosis are:

a) [x] Bril-Zinsser disease
b) [x] endemic typhus
c) [ ] Q fever
d) [ ] tsutsugamushi fever
e) [ ] typhoid fever
CS The causative agent of recurrent typhus is:

a) [ ] viruse
b) [x] richettsia
c) [ ] bacteria
d) [ ] borelii
e) [ ] fungi
CS Vector of transmission in recurrent typhus are:

a) [ ] pubic lice
b) [x] body lice
c) [ ] ticks
d) [ ] mosquitoes
e) [ ] fleas
CS Sources of pathogens in recurrent typhus are:

a) [ ] lice
b) [ ] fleas
c) [x] people
d) [ ] ticks
e) [ ] rats
CM Anti-epidemic measures of endemic typhus in outbreak are:

a) [x] early detection and inpatient hospitalization
b) [x] disinfection and disinsection measures
c) [ ] deratization
d) [x] monitoring of contacts
e) [x] sanitary and hygienic processing of people contacted with the source of pathogens
CM To perform terminal disinfection in recurrent typhus outbreak is necessary:

a) [x] to process the objects from the habitual environment of the patient
b) [x] sanitary and hygienic processing of contact persons
c) [x] disinsection of patient's clothes
d) [x] desinsection of objects of the contact people, including oven desinsection
e) [ ] desinsection is not required in recurrent typhus outbreak
CS Source of pathogens in recurrent typhus is:

a) [ ] convalescence
b) [ ] sick animal
c) [x] sick man
d) [ ] sick man with Brill-Zinsser disease
e) [ ] carrier of B. recurrentis
--------------------------------------------------------------------829. Intrebarea nr. 829: I481 Capitol: HIV/AIDS Mod de punctare: A1 Grad de dificultate: scazut Punctajul:
10 Timp pe intrebare: 0 sec Autor: V. Prisacaru
CS Pathogen of HIV infection is:

a) [x] retrovirus
b) [ ] picornovirus
c) [ ] rabdovirus
d) [ ] herpevirus
e) [ ] arbovirus
CS The incubation period of HIV/AIDS is:

a) [ ] 2-4 weeks
b) [ ] 10-20 weeks
c) [x] 2-10 years
d) [ ] 30 min. - 24 hours
e) [ ] 45 hours - 180 days
CS To control HIV/AIDS are effective:

a) [ ] drugs
b) [ ] vaccines
c) [x] nonspecific methods of prevention
d) [ ] vitamins
e) [ ] food supplements
CS Epidemiological manifestations of the AIDS is:

a) [ ] endemic morbidity
b) [ ] epidemic morbidity
c) [x] pandemic morbidity
d) [ ] sporadic morbidity
e) [ ] natural focality
CS Effective vaccine against human immunodeficiency virus is not possible to elaborate because of:
a) [ ] virus infectivity
b) [x] high variability of the virus
c) [ ] virus tropism
d) [ ] virus resistance in the environment
e) [ ] virus high sensibility to disinfectants
CS The HIV affects:

a) [ ] erythrocytes
b) [ ] thrombocytes
c) [x] lymphocytes
d) [ ] Human Conjunctival Epithelial Cells
e) [ ] endometrium
CS The HIV has tropism to:

a) [ ] urogenital system
b) [ ] nervous system
c) [x] the bloodstream
d) [ ] endocrine system
e) [ ] gastrointestinal system
CS What tipe of T lymphocytes are affected in HIV?

a) [x] helpers
b) [ ] suppressors
c) [ ] killers
d) [ ] rescuers
e) [ ] guards
CS Prognosis of HIV/AIDS is:

a) [ ] positive
b) [x] moderately favorable
c) [ ] unfavorable
d) [ ] unknown
e) [ ] dramatically unfavorable
CS Patients with HIV/AIDS are under to medical surveillance in term of:

a) [ ] 2 years
b) [ ] 10 years
c) [x] longlife
d) [ ] during acute period
e) [ ] during acute and asymptomatic period of disease
CS Whom of the persons listed bellow are obligatory screened to HIV?

a) [ ] health personnel
b) [x] IDU, blood donors
c) [ ] pregnant women
d) [ ] just married persons
e) [ ] medical students
CS Whom of the persons listed bellow are obligatory screened to HIV?

a) [ ] patients with hemophilia
b) [ ] homosexuals
c) [x] IDU
d) [ ] medical students
e) [ ] pregnant women
CS Age group affected by HIV in Moldova is:

a) [x] 20-29
b) [ ] 30-39 years
c) [ ] persons over the 60 years old
d) [ ] children under one year old
e) [ ] teenagers
CS What is the main factor that determines the prevalence of HIV?

a) [ ] concentration of the virus in the blood and other body fluids
b) [ ] high variability of the virus
c) [x] lifelong persistent infection
d) [ ] the resistance of virus in the environment
e) [ ] the absence of specific prevention of the disease
CS What way of transmission of HIV prevails in Moldova at present?

a) [x] sexual
b) [ ] parenteral
c) [ ] perinatal
d) [ ] respirator
e) [ ] nosocomial
CS HIV is mostly registered in Moldova in:

a) [ ] sex workers
b) [ ] medical staff
c) [x] IDU
d) [ ] MSM
e) [ ] teenagers
CS Daily, the number of HIV/AIDS cases registered in the world is:

a) [x] about 7 thousand persons
b) [ ] 10.000 infected persons
c) [ ] 16.000 infected persons
d) [ ] one million persons
e) [ ] one billion persons
CS The main argument to not perform total screening to HIV of the patients admitted to the medical
institutions is?
a) [ ] there is no new generation of reagents
b) [ ] significant cost of the reagents for diagnostic
c) [x] the risk of contamination of the medical personnel is minimal in result of compliance with the
universal precautions
d) [ ] significant cost of the medicines for treatment
e) [ ] the necessity of isolation of patients from the society
CS Why the total screening to HIV of the inpatients is not performed at the admission to the
hospital?
a) [x] it is expensive to test the population with low prevalence of HIV and frequent false-positive
reactions
b) [ ] there are no diagnostic reagents of latest generation

c) [ ] insufficient qualified medical staff
d) [ ] the insufficiency of labor equipment
e) [ ] frequent false-negative results
CS Seropositivity to HIV/AIDS is more common in period of:

a) [ ] 2-4 weeks after the risk contact
b) [x] 4-12 weeks after risk contact
c) [ ] 10-12 months after risk contact
d) [ ] 30 min. after a risk contact
e) [ ] in asymptomatic period
CS In the early stages of HIV infection, one ml of blood of infected person contains:
a) [ ] 80-100 doses of infection
b) [x] 10 to 12 doses of infection
c) [ ] 1-6 doses of infection
d) [ ] till 3000 doses of infection
e) [ ] one dose of infection
CS To stabilize the HIV epidemic outbreak is performed:

a) [x] public awareness
b) [ ] vaccination
c) [ ] a set of sanitary measures
d) [ ] chemoprophylaxis
e) [ ] a set of hygienic measures
CS The main source of infection according to the gender is:

a) [ ] male
b) [ ] women
c) [x] equally men and women
d) [ ] transgender people
e) [ ] hermaphrodites
CS AIDS is defined as:

a) [ ] primary stage of HIV
b) [x] the final stage of HIV manifested by immune deficiency accompanied by opportunistic
infections
c) [ ] the stage of primary clinical manifestations
d) [ ] a synonym of HIV infection
e) [ ] the incubation of HIV
---------------------------------------------------------------------
853. Intrebarea nr. 853: I505 Capitol: HIV/AIDS Mod de punctare: A1 Grad de dificultate: scazut Punctajul:
CS HIV infection is:

c) [ ] sapronosis
d) [ ] zoonosis
e) [ ] parasitosis
CS Correct statement for the HIV are:

a) [ ] HIV has higher risk among female
b) [ ] HIV has higher risk in male
c) [x] HIV is contagious equally among female and male
d) [ ] HIV is contagious for persons from some geographical zones
e) [ ] HIV is contagious for people of certain age
--------------------------------------------------------------------855. Intrebarea nr. 855: I374 Capitol: HIV/AIDS Mod de punctare: A3 Grad de dificultate: mediu Punctajul:
CM High number of HIV-positive people among drug addicts is depending on:

a) [x] contamination of drugs during the preparation
b) [ ] the type of drug
c) [ ] the amount of drug
d) [x] sharing of syringes
e) [x] sexual promiscuity
CM Transmission of HIV is realized by:

a) [x] sexual contact
b) [ ] habitual contact
c) [x] exposure to blood
d) [x] perinatal
e) [ ] hematophagous vectors
CM Ways of transmission of HIV/AIDS are:

a) [x] sexual
b) [ ] airborne
c) [ ] transmissive
d) [x] parenteral
e) [x] intranatal
CM Contamination with HIV/AIDS may be in result of:

a) [x] parenteral maneuvers
b) [x] surgery
c) [ ] physiotherapy procedures
d) [x] teeth removal

e) [ ] performing of the roentgen
CM Risk factors for the contamination with HIV/AIDS are:

a) [x] sexual promiscuity
b) [x] sexual contact during the menstrual cycle
c) [x] bisexual contacts
d) [ ] sexual contact with a condom
e) [ ] chemical methods of contraception
CM Correct statements for the HIV/AIDS are:

a) [x] premises of spreading of the HIV/AIDS in Moldova are: migration, high morbidity of STD
(sexual transmissible diseses) etc
b) [x] HIV is acquired mainly by sexual contact
c) [ ] in 1995 were registered first cases of HIV/AIDS in Moldova
d) [ ] children born from infected mothers are in risk of 100% to have HIV infection
e) [x] education of population is still the main anti-epidemic measure
CM The correct statements for the HIV/AIDS are:

a) [x] HIV/AIDS is part of the STD
b) [x] risk of contamination depend on the profession
c) [x] the causative agent is identified in period of 3-12 weeks after the contact
d) [ ] B lymphocytes are mostly affected in HIV
e) [x] source of infection is contagious lifelong
CS Basic epidemiological measures in HIV/AIDS are:

a) [ ] antiepidemic measures directed to the source of infection
b) [x] antiepidemic measures directed to the transmission mechanism
c) [ ] antiepidemic measures directed to the population responsiveness
d) [ ] general measure
e) [ ] all of the mentioned above
CM There are following indications to perform investigation to the HIV?

a) [x] fever that lasts more than one month
b) [ ] migraine
c) [x] long period with diarrhea
d) [x] infection that is not treated by the traditional schemes
e) [ ] frequent dyspepsia mentioned by patient
CM The following statments listed bellow can be used to perform invesgations to HIV?
a) [ ] chronic diseases in anamnesis

b) [ ] frequent and long period hospitalizations in anamnesis
c) [x] administration of intravenous drugs
d) [x] unsafe sex practiced with people with high risk behavior
e) [x] promiscuity
CM The preventive measures of HIV/AIDS are?

a) [ ] processing of food and drink water
b) [x] desinfection and sterilization of medical instruments
c) [x] blood testing of donors to HIV is mandatory
d) [ ] vaccination
e) [x] promotion of the monogamous sexual relationships
CM Premises of spreading of the HIV/AIDS in Moldova are?

a) [x] high migration of population
b) [x] difficult socio-economic conditions
c) [ ] ethnic traditions of population
d) [x] high morbidity of syphilis and other STIs
e) [ ] climaterical and geographical conditions
CM The risk factors in transmission of HIV/AIDS by hemotransfuzion are:

a) [ ] multiple medical instruments and equipment used in practice
b) [x] direct blood transfusion from donor to recipient
c) [x] high volume of blood transfused increase the risk
d) [x] false-negative results at the investigated donors
e) [ ] no modern method to process the medical instruments
CM The correct statements for the HIV/AIDS are:

a) [ ] it is a disease transmitted by hematophagous vectors
b) [ ] source of pathogens are monkeys
c) [ ] the main route of transmission of the HIV is parenteral in Moldova
d) [x] contagious period lasts lifelong
e) [x] education of population is one of the antiepidemic measures
CM Not correct statements for the HIV/AIDS are:

a) [ ] HIV/AIDS is a disease that affects previously uninformed population
b) [ ] sources of infection are equally men and women
c) [x] patients with hemophilia are in high risk to contaminate HIV/AIDS
d) [x] medical staff is in major risk group
e) [x] to prevent HIV/AIDS is used genetic engineering vaccine
---------------------------------------------------------------------
870. Intrebarea nr. 870: I389 Capitol: HIV/AIDS Mod de punctare: A3 Grad de dificultate: mediu Punctajul:
CM Not correct statements for the HIV/AIDS are:

a) [x] HIV is highly resistant in the environment and to the disinfectants
b) [x] HIV is transmitted only by the contact mechanism
c) [ ] HIV have tropism to the body's immune system
d) [ ] antibody to HIV testing is done by ELISA, radiometric, immunofluorescent investigation
e) [x] high contagiousness of the virus is an obstacle in the development of anti-HIV vaccine
CM For HIV/AIDS are correct statements:

a) [x] onset of the epidemic process by HIV/AIDS in Western Europe country and the U.S. has been
especially due to persons practicing homosexual
b) [x] Currently as a source of HIV infection equally serve men and women
c) [x] HIV/AIDS affects previously fertile population
d) [ ] risk of HIV infection after a blood trnsfuzion from a seropozitive persons is 50%
e) [ ] in Moldova HIV screening is performed to all patients of medical institutions
CM For HIV/AIDS are correct statements:

a) [ ] HIV belongs to the Hepadnaviridae family
b) [x] HIV/AIDS is transmitted by two mechanisms (contact and vertical)
c) [x] virus is isolated from blood, semen, vaginal secretions, saliva, etc.
d) [x] in result of heat treatment, blood products that contain factors of coagulation eliminates the
risk of HIV infection in patients with hemophilia
e) [ ] at the onset of the epidemic process of HIV/AIDS is not significant to minimize the
indications for hemotransfuzion
CM Groups with risk behavior for HIV/AIDS are:

a) [ ] children from the kindergarten
b) [x] drug addicts
c) [ ] blood donors
d) [x] promiscuity persons
e) [ ] patients from medical institutions
CM More then 10 doses of HIV are in:

a) [ ] breast milk
b) [x] blood
c) [ ] vaginal fluids
d) [x] sperm
e) [ ] amniotic fluid
CM The infection dose in HIV is containing in:
a) [ ] amniotic fluid
b) [x] sperm
c) [x] blood
d) [ ] saliva
e) [ ] cerebrospinal fluid
CM Routes of transmission of HIV/AIDS are:

a) [x] parenteral
b) [x] sexual
c) [ ] waterborne
d) [ ] habitual contact
e) [ ] foodborne
CM Standard actions of precautions in case of prick with the syringe needle are:
a) [ ] there is nothing happening
b) [ ] to bandage the wound and change the gloves
c) [x] to wash the affected area under the running water
d) [x] to apply solution of potassium permanganate or hydrogen peroxide
e) [x] to apply bandage of protective impermeable material and dress new gloves
CS The risk of HIV infection from a needle stickt is?

a) [x] 0.3%
b) [ ] 1%
c) [ ] 10%
d) [ ] 30%
e) [ ] more than 50%
CS HIV seropozitive patients must:

a) [ ] be isolated from society
b) [ ] be restricted from public places
c) [x] have normal life
d) [ ] to attend medical institution dedicated exclusively to people infected with HIV
e) [ ] be treated as a disabled person
CM HIV can be transmitted by:

a) [x] unprotected sex
b) [ ] sharing of toilets
c) [ ] usual contact in the family
d) [x] blood transfusion and/or blood products
e) [x] from mother to child
---------------------------------------------------------------------
881. Intrebarea nr. 881: I400 Capitol: HIV/AIDS Mod de punctare: A3 Grad de dificultate: mediu Punctajul:
CM Factors of transmission of HIV are:

a) [x] sperm
b) [ ] perspiration
c) [ ] expired air of HIV-positive person
d) [x] blood
e) [x] milk
CS HIV-positive person is contagious in period of:

a) [ ] only during periods of clinical manifestations
b) [ ] only in the final stage of HIV
c) [ ] only in the acute period of the disease
d) [x] lifelong
e) [ ] only in the immunological window
CM Typical for the epidemic process of HIV is:

a) [ ] manifestion by outbreaks
b) [ ] summer-autumn seasonal
c) [ ] high indices of the morbidity in population under one year
d) [x] emergent evolution of the morbidity
e) [x] epidemic process has professional origine
CM Investigations for HIV is compulsory to perform to:

a) [x] blood donors
b) [x] sperm donors
c) [x] organ donors
d) [ ] pregnant women
e) [ ] patients from surgical department
CS Contamination of medical staff with HIV is possible by:

a) [ ] various medical procedures
b) [x] accidental puncture during surgery
c) [ ] preparation for the dental prosthesis
d) [ ] descaling
e) [ ] physiotherapy procedures
CM Human immunodeficiency virus affects:

a) [x] lymphoid tissue
b) [ ] muscle tissue
c) [ ] epithelial cells
d) [x] neurogliale cells

e) [ ] skin and mucous membranes
CM Transmission routes of HIV are:

a) [ ] waterborne
b) [x] transplacental
d) [ ] foodborne
e) [x] intranatal
CM Opportunistic infections associated with AIDS are:

a) [x] pneumocystosis
b) [x] toxoplasmosis
c) [x] tuberculosis
d) [x] infection caused by cytomegalovirus
e) [ ] streptococcal and/or staphylococcal infection
CM The cells affected by HIV are:

a) [x] T-helpeii
b) [ ] T-killers
c) [ ] endothelial cells
d) [x] macrophages
e) [ ] hepatocytes
CM The most sensitive and specific tests for HIV are:

a) [x] IFR
b) [x] PCR
c) [ ] IHAR
d) [ ] RFC
e) [ ] RHADE
CM Risk behavior for HIV have the following persons:

a) [x] drug users
b) [ ] medical staff
c) [x] truck drivers
d) [x] persons from sexual services
e) [x] promiscuity
CM Contamination with HIV is possible in result of:

a) [ ] protected sexual contact
b) [x] blood transfusions

c) [x] breasfeeding
d) [ ] mosquito bite
e) [x] parentrerale manipulations
CS The optimal time to initiate prophylactic treatment of post-accidental contact is?

a) [x] the first 12-24 hours
b) [ ] the first 24-72 hours
c) [ ] the first 24-96 hours
d) [ ] the first week
e) [ ] the first month
CM The risk of contamination with HIV is higher in case of:

a) [x] injecting drug
b) [ ] caring for a sick of AIDS
c) [x] promiscuity
d) [ ] frequenting swimming pools and public saunas
e) [ ] using of th same plates with an infected person
CM Risk of HIV infection can be reduced by:

a) [x] correct use of condom
b) [x] compliance with occupational standard precautions
c) [ ] isolation of HIV-positive persons from the society
d) [x] educational methods in population
e) [ ] prohibition of free migration of persons HIV +
--------------------------------------------------------------------896. Intrebarea nr. 896: I507 Capitol: Nosocomial infections Mod de punctare: A1 Grad de dificultate: scazut
CS The correct statement for the nosocomial infections is:

a) [ ] patient is infected at home
b) [x] patient is infected at the polyclinic or in clinic, but medical staff is infected during daily
medical activities
c) [ ] patient is infected as a result of vaccination
d) [ ] infecting the patient after discharge from hospital
e) [ ] infecting patients following administration of pharmaceutical preparations
CS High morbidity of nosocomial infections is determined by:

a) [ ] time of the year
b) [x] high number of invasive diagnostic interventions and treatments
c) [ ] low number of antibiotics administrated to the patient
d) [ ] increase in the number of patients in the hospital
e) [ ] renovation of medical equipment
---------------------------------------------------------------------
898. Intrebarea nr. 898: I509 Capitol: Nosocomial infections Mod de punctare: A1 Grad de dificultate: scazut
CS Nosocomial infection is:

a) [ ] only exogenous infection of human
b) [ ] only the activation of endogenous microflora
c) [x] exogenious and endogenous contamination
d) [ ] absence of pathogenic factors
e) [ ] favorable environment
CS Typical for the nosocomial strains is:

a) [ ] high sensitivity to antibiotics
b) [x] resistance to disinfectants
c) [ ] high sensitivity to UV rays
d) [ ] sensitivity to bacteriophages
e) [ ] sensitivity to bactericidal
CS In order to prevent nosocomial infections it is necessary:

a) [ ] to plan administration of human immunoglobulin to medical staff
b) [x] to do fewer invasive medical interventions
c) [ ] to administer antibiotics from the first day of hospitalization
d) [ ] to administer blood preparations
e) [ ] reuse injection equipment
CS Hands of medical personnel contaminated with blood:

a) [ ] are cleaned for 2 minutes with a disinfectant pad over 5 minutes and washed under running
water
b) [ ] are cleaned with a disinfectant pad and washed under running water
c) [x] are washed with soap under running water
d) [ ] are applied with an antiseptic/ disinfectant
e) [ ] are rubbed in the affected area and then apply antiseptic
CS Medical gloves contaminated with patient's blood:

a) [ ] are unusable
b) [x] wash with soap and running water
c) [ ] immediately are washed under running water, then is sunk into disinfectant solution
d) [ ] dress over a pair of gloves// dress another pair of gloves over the other
e) [ ] are cleaned immediately with a disinfectant pad, then washed under running water
CS Sterile table is arranged in the procedure room:

a) [ ] every 2 hours
b) [x] after each work shift
c) [ ] every working day

d) [ ] if necessary
e) [ ] once a week
CS General cleaning of the procedure's room need to be performed:

a) [ ] daily after work
b) [ ] daily before starting the work, using 1% chloramine solution
c) [x] only once in period of 7 days for the processing of walls and floor with disinfectant, then is
necessary to do bactericidal processing
d) [ ] after each work shift
e) [ ] if necessary
CS Which of the following situations is nosocomial infection?

a) [ ] children with primary diagnosis of acute respiratory infections and eruptions on the face, but
on the 4th day of hospitalization patient is diagnosed with measles
b) [ ] inpatient with angina on the first day of hospitalization is detected with toxigenic
corynebacterium diphtheriae as well
c) [x] inpatient with pneumonia is detected with salmonellosis on the 8th-10th day of hospitalization
d) [ ] inpatient with angina on the first day of hospitalization is detected with shigella
e) [ ] inpatient with angina on the first day of hospitalization is detected with salmonella
CS The onset and the severity of clinical manifestations in nosocomial infections depend on:
a) [ ] only of the pathogen properties
b) [ ] only the own host factors of the body (age, concomitant diseases, immunological status,
nonspecific resistance etc.)
c) [x] pathogenic properties and host factors
d) [ ] massive infective dose
e) [ ] present a full pathogenicity factors
CS Main source of infection of nosocomial infection is:

a) [ ] patients with acute form of the disease
b) [x] chronic carriers of pathogenic and conditionally pathogenic agent
c) [ ] convalescence carriers
d) [ ] immune carriers
e) [ ] patients with chronic form of the disease
CS More frequently, causative agents of nosocomial infections are:

a) [x] Gram-positive cocci
b) [ ] enterobacteriaceae
c) [ ] mycoses
d) [ ] protozoa
e) [ ] viruses
CS More frequently nosocomial infections are:

a) [ ] gastrointestinal
b) [ ] airborne
c) [x] septic-purulent
d) [ ] parenteral
e) [ ] blood-borne
CS Frequently septic-purulent infection are registered in:

a) [x] the operating room
b) [ ] bandage room
c) [ ] the reanimation and intensive care unit
d) [ ] care unit
e) [ ] room procedures
CS After cleaning the rooms and medical offices, sanitary devises should be:
a) [ ] washed in water and dried
b) [x] soaked for 1 hour in disinfectant solution, then washed in water and dried
c) [ ] washed in disinfectant solution and dried
d) [ ] replaced with new inventory
e) [ ] sterilized
CS The incubation period of nosocomial infections is:

a) [ ] 3-10 days
b) [ ] 4-7 days
c) [x] from a few hours to several months, depending on the causative agent
d) [ ] 21 days
e) [ ] 24 hours
CS To prevent hospital infections following steps are performed:

a) [x] monitoring on the health status of medical personnel
b) [ ] vaccination of medical staff with staphylococcal toxoid
c) [ ] non rational use of antibiotics, including for prophylaxis
d) [ ] frequent exchange of medical staff
e) [ ] switching from a disposable instruments to reusable instruments
CS To stop the outbreaks of salmonellosis in the hospital is:

a) [ ] not necessary terminal disinfection
b) [ ] performed terminal disinfection with the agreement of curative-prophylactic institution
c) [x] performed oven processing only of bedding

d) [ ] current disinfection is carried out only
e) [ ] antibacterial treatment is performed
--------------------------------------------------------------------915. Intrebarea nr. 915: I349 Capitol: Nosocomial infections Mod de punctare: A3 Grad de dificultate: mediu
CM Risk factors in nosocomial infections are:

a) [x] duration of hospitalization
b) [ ] patient's gender
c) [ ] administration of antibiotics
d) [x] duration of surgery
e) [x] quality of sterilization of medical instruments
CM High morbidity of hospital infection is in result of:

a) [x] building of large hospital complexes
b) [x] uncontrolled administration of antibiotics
c) [ ] introduction of exogenous microflora
d) [x] high rate of risk patients
e) [ ] transitition to disposible medical instruments
CM Nosocomial infections are characterized by:

a) [x] polirezistence to antibiotics
b) [x] polirezistence to disinfectants
c) [x] conditionally pathogenic microorganisms prevail
d) [ ] the main mechanism of transmission is fecal-oral
e) [ ] only surgical patients are afected
CM Epidemiological manifestationss of hospital strains are:

a) [x] polirezistence to antibiotics
b) [x] resistance to disinfectants
c) [ ] high sensitivity to the action of external environmental factors
d) [ ] high virulence
e) [ ] high sensitivity to phages
CM Hospital strain is:

a) [ ] S.typhi
c) [x] S.java
d) [x] S. typhimurium
e) [x] S.newport
CM Mechanisms of transmission of nosocomial infections are:
a) [ ] fecal-oral
b) [x] contact
c) [x] parenteral
d) [ ] transmissive
e) [ ] waterborne
CM The correct statements for the nosocomial infections are:

a) [ ] it is a quarantine infection
b) [x] causative agents are bacterial microorganisms
c) [x] there are caused by conditionally pathogenic microorganisms
d) [ ] frequently men fall ill
e) [x] seasonality is not characteristic
CM Characteristic for the nosocomial infections is:

a) [x] polymorphism of clinical manifestations
b) [x] polyrezistence to antibiotics
c) [x] polyrezistence to disinfectants
d) [x] polyetiological
e) [ ] more frequently is detected during the warm season
CM Prevention measures of the nosocomial infections are:

a) [ ] immunoprophylaxis
b) [x] disinfection
c) [x] sterilization of the medical instruments
d) [x] antibiotics are administrated only according to antibiogram
e) [ ] isolation of patients ir performed only in the hospital for infectious diseases
CS Which of the situations listed bellow are nosocomial infections?

a) [ ] inpatient has vomiting, pain in the abdomen, and in faeces was found Sh.sonnei at the 8th day
of hospitalization into the radiology department
b) [ ] patient with pyelonephritis was detected with Salmonella london in urine at the time of
admission to the urology department
c) [x] patients has signs of HBV after 6 months of discharg from the surgery department
d) [ ] patient with pneumonie is diagnosed with "typhoid fever" on the 2nd day of hospitalization
e) [ ] patient was diagnosed with flu at the 4th day of hospitalization to the traumatology
department
CM The etiological agents of septic-purulent nosocomial infections are:

a) [x] Gram-positive cocci
b) [ ] anaerobic bacteria
c) [ ] fungi
d) [x] aerobic gram-negative bacteria

e) [ ] gram-negative cocci
CM Mechanism of transmission of hospital infections are:

a) [x] airborne
b) [x] transmissive
c) [x] fecal-oral
d) [x] contact
e) [ ] vertically
CM Contamination with septic-purulent infection frequently registered in:

a) [x] the operating room
b) [x] the bandage room
c) [ ] the procedure room
d) [ ] the salon
e) [ ] the room of physical procedures
CM Peculiarities of the hospital strains are:

a) [x] high virulence
b) [x] polirezistence to antibiotics
c) [x] resistance to the disinfectants
d) [ ] succeptibility to the phage
e) [ ] sensitivity to the antibiotics
CM Causes of high morbidity of septic-purulent infections are:

a) [ ] imunostimulatious preparations are not enougth administrated
b) [x] invasive diagnostic and therapeutic methods are used in medical practice
c) [x] building of large hospital complexes
d) [x] long duration of patient hospitalization
e) [x] non rational use of antibiotics
CM Risk factors of septic-purulent infections are:

a) [x] duration of hospitalization
b) [x] concomitant diseases
c) [x] immunodeficiency states
d) [ ] patient gender
e) [ ] the living conditions of the patient
CM A higher risk of appearance of the hospital infections is in the following departments:

a) [x] combustion
b) [ ] therapeutic
c) [ ] neurologic
d) [x] urology
e) [ ] psychiatric
CM A higher risk of septic-purulent nosocomial infections is in the following department:

a) [x] thermal injuries
b) [ ] therapeutical
c) [ ] neurological
d) [x] urology
e) [x] surgery
CM Which of the nosological forms may be nosocomial infections?

a) [x] postoperative suppuration wound
b) [x] peritonitis
c) [x] pneumonia
d) [ ] purulent tracheobronchitis
e) [x] septicemia
CM Tasks of the hospital epidemiologist are:

a) [ ] to perform anti-epidemic measures in the hospital
b) [x] to perform the retrospective and operative analysis
c) [x] to control the compliance of the anti-epidemic regime in the hospital
d) [ ] to diagnose and record the nosocomial infections in the hospital
e) [x] to control the quality of disinfection and sterilization of the medical instruments
CM Epidemiological surveillance of hospital infections consist of:

a) [x] analysis of patient morbidity
b) [x] analysis of medical staff morbidity
c) [x] determination of the type of hospital strain
d) [x] evaluation of the effectiveness of measures performed in the hospital
e) [ ] elaboration of plan with prophylactic measures against hospital infections
CM Peculiarities of hospital salmonellosis are:

a) [x] more frequently outbreaks occur in pediatric hospital
b) [x] usually the man is the source of infection
c) [x] route of transmission is habitual contact
d) [ ] airborne transmission of the causative agent is excluded
e) [ ] summer-autumn seasonalty
CM Contamination with hospital infections may be determined by the following manipulations and
procedures:
a) [x] surgical interventions
b) [x] parenterally manipulations
c) [x] bladder catheterization
d) [x] gastroscopy
e) [ ] electrophoresis
CS Responsible for the control of nosocomial infections in the hospital is:

a) [ ] superior nurse
b) [ ] hospital epidemiologist
c) [x] head of the institution
d) [ ] deputy chief doctor for curative activity
e) [ ] head of the department
CM Measures of prevention of the hospital infections are:

a) [x] lower number of invasive interventions
b) [x] use of disposable instruments
c) [x] minimum duration of hospitalisation
d) [x] compliance with anti-epidemic regime
e) [ ] vaccination of all hospital staff
--------------------------------------------------------------------940. Intrebarea nr. 940: I526 Capitol: Conventional infections Mod de punctare: A1 Grad de dificultate: scazut
CS Sanitary protection of the territory from the import and spread of conventional (quarantine)
infections is:
a) [ ] the complexity of medical measures
b) [x] a system of state measures regarding the limitation and liquidation of outbreaks with high
spreading diseases
c) [ ] the complexity of departmental action
d) [ ] the complexity of military measures
e) [ ] the complexity of customs measures
CS Infectious diseases included in the group of conventional infections (quarantine) are:

a) [ ] tularemia
b) [ ] malaria
c) [x] yellow fever
d) [ ] tick encephalitis
e) [ ] legionellosis
CS The quarantine, as anti-epidemic measures, is determined when conventional disease occures by:
a) [ ] curative services
b) [ ] sanitary-epidemiological service
c) [x] local government bodies

d) [ ] environmental inspectorate
e) [ ] the police
CS Measures of limitation organized on the administrative territory in case of the import of

conventional infections, are performed by:
a) [ ] epidemiological service
b) [ ] curative medical service
c) [x] extraordinary anti-epidemic commission
d) [ ] veterinary service
e) [ ] ecological service
CS International medical regulations require informing the WHO about conventional infections in
humans within:
a) [ ] 48 hours
b) [x] 24 hours
c) [ ] 72 hours
d) [ ] 36 hours
e) [ ] 12 hours
CS Conventional infections are:

a) [ ] plague, tick encephalitis
b) [ ] cholera, malaria
c) [x] yellow fever, plague
d) [ ] legionellosis, borreliosis
e) [ ] HIV/AIDS, meningitis
CS The correct statement for quarantine infections are:

a) [ ] high resistance of pathogens in the environment
b) [x] ability to affect high number of people in a short time
c) [ ] ubiquitous distribution (cosmopolitan)
d) [ ] they only spread by food
e) [ ] they spread only through hydrous (water spread)
CS Conventional infections are:

a) [x] plague, yellow fever
b) [ ] cholera, tick encephalitis
c) [ ] rabies, tetanus
d) [ ] meningitis, HVC
e) [ ] HIV/AIDS, borreliosis
---------------------------------------------------------------------
948. Intrebarea nr. 948: I534 Capitol: Conventional infections Mod de punctare: A1 Grad de dificultate: scazut
CS The mechanism of transmission of yellow fever is:

a) [ ] airborne
b) [x] transmissive
c) [ ] fecal oral
d) [ ] contact
e) [ ] vertical
CS Cholera pathogen is:

a) [ ] gram-positive
b) [x] aerobic
c) [ ] less resistant in the environment
d) [ ] resistant in the environment
e) [ ] anaerobic
CS Cholera according to source of pathogens is:

a) [ ] zoonosis
b) [ ] zooanthroponsis
c) [x] sapronosis
d) [ ] virosis
e) [ ] rickettsioza
CS The main way of transmission of V. cholera is:

a) [ ] by food
b) [x] by water
c) [ ] by contact
d) [ ] habitual
e) [ ] sexual
CS The incubation period for cholera is:

a) [x] from a few hours up to 5 days
b) [ ] from a few hours up to 7 days
c) [ ] 1-6 days
d) [ ] 5-7 days
e) [ ] 6 days
CS Emergency prophylaxis of cholera is carried out with:

a) [x] antibiotics
b) [ ] vaccine
c) [ ] immunoglobulin
d) [ ] sulfanilamide
e) [ ] sodium chloride
CS The spreading of cholera is:

a) [ ] endemic
b) [ ] sporadic
c) [x] pandemic
d) [ ] geopolitics
e) [ ] continental
CS Seventh pandemia of cholera is caused by Vibrio:

a) [ ] V. cholerae
b) [x] V. El Tor
c) [ ] V. parahaemolyticus
d) [ ] V. anaerobic
e) [ ] V.foetus
CS Cholera is an infection:
a) [ ] zoonosis
c) [x] sapronosis
d) [ ] virosis
e) [ ] rickettsiosis
CS Higher resistance of pathogen of cholera in the environment is typical for:

a) [ ] V. parahaemolyticus
b) [ ] V. cholerae
c) [x] V. El Tor
d) [ ] V. anaerobic
e) [ ] V. foetus
CS Cholera pathogens are less resistant to:

a) [ ] base
b) [x] acids
c) [ ] preparations that denatures protein
d) [ ] table salt
e) [ ] sodium bicarbonate
CS The outbreak of cholera is considered liquidated after the hospitalization of the last sick with
cholera or carrier and performing terminal disinfection in term of:
a) [ ] 5 days
b) [x] 10 days
c) [ ] 1.5 months
d) [ ] 3 days
e) [ ] 7 days
CS Recovery people with cholera are admitted to their job indifferent of the specialty:
a) [x] immediately at the discharge from the hospital
b) [ ] after 3 months
c) [ ] after expiry the period of clinic examination by family doctor
d) [ ] after 1,5 months
e) [ ] after 6 months
CS The correct statement for cholera is:

a) [ ] the pathogen-is a NAG vibrions
b) [ ] the pathogen is highly resistant to disinfectants
c) [x] the pathogen can find viable state in the environment for a very long time in specific
conditions
d) [ ] the pathogen changes his virulence depending on environmental addiction
e) [ ] the pathogen is anaerobic
CS Cholera pathogen is:

a) [x] less resistant to disinfectants
b) [ ] resistant as other intestinal microbes
c) [ ] highly resistant
d) [ ] sensitive to sea salt
e) [ ] resistant to gastric juice
CS Source of cholera infection are:

a) [ ] the sick
b) [ ] carrier
c) [x] patient and carrier
d) [ ] horned cattle
e) [ ] pigs
CS Minimum incubation period of cholera is:

a) [x] a few hours
b) [ ] 1-2 days
c) [ ] 5 days
d) [ ] 6 days
e) [ ] 7 days
CS More contagious as a source of infection in cholera are:

a) [ ] patient with typical form of the disease
b) [x] patient with atypical form
c) [ ] chronic carrier of vibrios
d) [ ] healthy people
e) [ ] patient arrived from abroad
CS Plague is possible to acquire in case of:

a) [x] pulmonary plague
b) [ ] intestinal plague
c) [ ] bubonic form of plague
d) [ ] bone
e) [ ] kidney
CS At the actual period of time, the prophylaxis of plague is based in Moldova on:
a) [x] preventing the import
b) [ ] natural outbreaks sanitation
c) [ ] vaccination of population
e) [ ] early detection of patients
CS The vector which transmit plague is:

a) [x] flea
b) [ ] louse
c) [ ] mosquito
d) [ ] fly
e) [ ] spider
CS Supervision of contact persons in plague focus is carried out during:

a) [x] 6 days
b) [ ] 10 days
c) [ ] 14 days
d) [ ] 5 days
e) [ ] 3 days
--------------------------------------------------------------------970. Intrebarea nr. 970: I456 Capitol: Conventional infections Mod de punctare: A3 Grad de dificultate: mediu
CM International medical rules concerns:

a) [x] plague
b) [x] cholera
c) [ ] tularemia
d) [x] yellow fever

e) [ ] anthrax
CM Conventional infections are:

a) [x] plague
b) [x] cholera
c) [ ] flu
d) [ ] malaria
e) [x] yellow fever
CM Conventional infections are:

a) [x] cholera
b) [ ] tularemia
c) [x] yellow fever
d) [ ] anthrax
e) [x] plague
CM Antiepidemic measures in yellow fever are:

a) [x] disinfection
b) [ ] territory protection from the virus import
c) [x] vaccination according to the epidemiological indications
e) [ ] deratization
CM Compulsory measures for cholera as quarantine infection are:

a) [x] report the information about ill patient to the regional Centers of Public Health
b) [x] inpatient hospitalization
c) [x] daily bacteriological control of aqueduct water, open basins and standing water
d) [ ] installation of quarantine in the territory with outbreak
e) [ ] vaccination of population
CM Compulsory antiepidemic measures performed in cholera outbreaks are:

a) [x] isolation of contacts and medical supervision
b) [x] emergency antibiotic prophylaxis is done to the contact persons
c) [ ] medical surveillance of contact persons for 15 days
d) [x] terminal disinfection
e) [x] current disinfection
CM Source of infection in cholera are:

a) [ ] water, soil
b) [x] the sick man

c) [x] convalescent carrier
d) [x] healthy carrier
e) [ ] soil
CM Cholera pathogens are:

a) [x] vibriocholerae biovar cholerae
b) [x] vibriocholerae biovar eltor
c) [ ] vibriocholerae biovar 01
d) [x] vibriocholerae non 01 0139'' Bengal''
e) [ ] vibrio parahaemolyticus
CM The correct statements for cholera are:

a) [ ] there is no increasing of the seasonality
b) [x] the seasonality is evident
c) [x] morbidity is primarily dependent on socio-hygienic factors
d) [x] not all people have the same risk for infection
e) [ ] vibrio cholerae biovar cholera is the main pathogen in the last pandemic
CM The correct statements for cholera are:

a) [x] it is a sapronosis
b) [ ] specific prophylaxis is basic anti-epidemic measures
c) [x] contacts are isolated for a period of 5 days
d) [ ] disinfection in focus is performed with 10-20% chloramine solution
e) [x] V.eltor is detected most frequently
CM The correct statements for plague are:

a) [x] no cases registered in Moldova
b) [x] can spread in Moldova
c) [x] priority mechanism of transmission is transmissive
d) [ ] sick man is the main source of infection
e) [ ] incubation period is up to 14 days
CM Sources of pathogens in plague may be:

a) [x] synanthrope rodents
b) [x] xenantrope rodents
c) [x] camels
d) [ ] cattle, pigs
e) [ ] birds
CM The pathogen of Plague is:

a) [ ] Yersinia enterocolitica
b) [x] Yersinia pestis
c) [x] Gram-negative microorganisme
d) [ ] form spors
e) [x] form exotoxin
CM Plague is an infection:
a) [x] conventional
b) [ ] with fecal-oral mechanism of transmission
c) [x] with natural focus
d) [x] with high lethality
e) [ ] with high receptivity
CS The incubation period of plague is:

a) [x] 1-6 days
b) [ ] 7-21 days
c) [ ] 21 to 31 days
d) [ ] 1-3 months
e) [ ] 4-6 months
CM Clinical forms of plague are:

a) [x] pulmonary
b) [x] skin
c) [x] bubonic
d) [x] intestinal
e) [ ] liver
CM The causative agent of plague is transmitted among animals by:

a) [ ] water
b) [ ] contact
c) [x] hematophagous vectors
d) [x] airborne
e) [ ] food
CM The correct staments for plague are:

a) [ ] patients are isolated at home
b) [x] patients are isolated in specialized hospitals
c) [x] contacts are isolated for a period of 5 days
d) [x] contacts received prophylactic course of antibiotics
e) [ ] disinfection and disinsection in outbreak is not compulsory
--------------------------------------------------------------------988. Intrebarea nr. 988: I556 Capitol: Military and disaster epidemiology Mod de punctare: A1 Grad de
CS Select the correct definition of military epidemiology:

a) [ ] epidemiology is a medical military science aims to prevent the infectious disease in period of
war
b) [x] military epidemiology is a component of epidemiology aimed to study the laws of the
epidemic process in military group and develop the system of antiepidemic measures
c) [ ] military epidemiology is a science regarding the study about biological weapons and other
methods of mass destruction, elaborate the measures to protect the military staff
d) [ ] military epidemiology is a science regarding the study about epidemic process in civil group
e) [ ] military epidemiology is a science regarding the study about spreading the disease among
human population
CS Antibacteriological protection of the population and military staff includes:

a) [x] a complex of organizational, sanitary and hygienic, antiepidemic measures, treatment and evacuation,
aimed to prevent and liquidat the outbreaks in conditions of application of biological weapons
b) [ ] preventive awareness of the population about the possible application of biological weapons by the
enemy, providing the population with gas masks and costumes against plague
c) [ ] current bacteriological recognition and evacuation of the population from potential areas of application
of biological weapon
d) [ ] a complex of measures carried out to determine the application of the biological weapons
e) [ ] bacteriological surveillance of the territory of dislocation of troops and military applications
CS Observation is:
a) [ ] a system of epidemiological measures with regime and restriction aimed to total isolation of outbreaks
and liquidation of the infectious morbidity

b) [ ] permanent medical surveillance of civilians, including the military staff, from the zone of application
of biological weapon
c) [x] a system of isolation measures, restriction and curative-prrophylactic aimed to prevent the spreading
of infectious diseases, inside of outbreak and outside as well
d) [ ] a system of antiepidemic measures organized in the outbreak, which involves special medical
supervision during the minimum period of incubation from the last patient isolation and terminal disinfection
e) [ ] evaluation of the epidemiological situation in zone with outbreak and estimation of the sanitary losses
of the military effective
CS Quarantine is:
a) [x] a system of epidemiological measures with special regime that include total isolation of outbreaks
b) [ ] a system of antiepidemic measures organized in the outbreak, which involves special medical
supervision during the minimum period of incubation from the last patient isolation and terminal disinfection
c) [ ] isolation of outbreaks and performing of the antiepidemic measures. Foreigners enter the quarantine
zone only with special permission of exceptional commission
d) [ ] a science that has an objective to find the best way of protecting military staff from biological
weapons
e) [ ] a system of isolation measures aimed to prevent the spreading of infectious diseases
CS The indication is:

a) [ ] determination of the territory with applied biological weapons, specifying the measures to protect the
population
b) [x] a complex of measures of detection and identification of the biological weapon and identification of
pathogen species
c) [ ] evaluation of the epidemiological situation in zone with contaminated outbreak and estimation of the
sanitary losses of the effective military
d) [ ] bacteriological surveillance of the territory of dislocation of troops and military applications
e) [ ] a system of epidemiological measures with special regime that include total isolation of outbreaks
CS Select the correct definition of sanitary-epidemiological recognition:

a) [ ] sanitary-epidemiological recognition is a military medical measures aimed to early detection of enemy
preparation to apply the biological weapons

b) [x] sanitary-epidemiological recognition suppose timely and accurate receipt of data necessary to ensure
sanitary-epidemiological situation of the military army
c) [ ] sanitary-epidemiological recognition is a part of the medical recognition aimed to prevent the import of
zooanthroponosis into the military staff
d) [ ] measure aimed to stop the spreading of the insects and rodents in disaster zone
e) [ ] early detection and isolation of sick person and carriers
CS Bacteriological recognition is:

a) [x] a complex of special measures aimed to detect at the early stage the preparation of the enemy to apply
biological weapons, detection of pathogens and toxins of infectious diseases in different substrates of the
environment
b) [ ] done by a special military specialists dealing with detection of the bacteriological laboratories, where
the bioweapon is prepared
c) [ ] a complex of measures performed by military medical specialists according to the Geneva Convention
called "About prohibition to apply the biological weapons"
d) [ ] is a part of the medical recognition aimed to prevent the import of zooanthroponosis among the
military staff
e) [ ] a science that has an objective to find the best way of protecting military staff from biological
weapons
CS Natural disasters according to the classification are:

a) [ ] earthquakes, gas eruptions, fires, floods
b) [x] landslides, atmospheric deposition rains, hurricanes, volcanic eruptions
c) [ ] poisoning with chemicals, epidemics as a result of damage of the water supply system
d) [ ] transport calamities, military conflicts, fires
e) [ ] famine, alcoholism, drug abusing, violation of the public order
CS Artificial disasters are:

a) [ ] terrestrial
b) [x] industrial
c) [ ] meteorological
d) [ ] hydrological
e) [ ] geophysical
CS Risk factors that influence the appearance of disasters are:

a) [x] thermal action
b) [ ] high industrial development of society
c) [ ] the computerization of the society
d) [ ] high number of rodents
e) [ ] low density of population
CS How many types of antiplaque costumes can be used in case of specific artificial disaster:
a) [ ] two
b) [ ] three
c) [x] four
d) [ ] five
e) [ ] seven
CS The anti-epidemic measures carried out after the onset of the disaster are:
a) [x] development of the alarm system; (strict epidemiological surveillance)
b) [ ] vaccination according to the indications
c) [ ] strict epidemiological surveillance
d) [ ] health education of the population
e) [ ] staff training
CS Conditions that fosters the spreading of the infectious diseases in a disaster situation are:
a) [x] disoders in providing of drinking water and food, disintegration humans and animals cadavers
b) [ ] entering of new pathogens on the territory
c) [ ] changes of the resistance to different pathogens
d) [ ] evacuation of sick people and animals
e) [ ] realization of antiepidemic measures
CS Technogenic disasters are:

a) [ ] social
b) [ ] specific
c) [x] transport
d) [ ] geophysical
e) [ ] meteorological
CS Specific calamities are:

a) [ ] public order disturbances, earthquakes
b) [x] epidemics
c) [ ] war, famine, bioterrorism
d) [ ] cyclonic storms
e) [ ] floods
CS Social hazards include:

a) [ ] disorderes of public order, earthquakes
b) [x] wars, famine, terrorism, bioterrorism
c) [ ] alcoholism and drug addiction, floods, landslides, storms
d) [ ] cyclonic storms, floods, wars
e) [ ] hailstorms, heat waves, tornadoes, famine
CS Epidemics and pandemics, can be considered the following type of the disasters:
a) [ ] natural
b) [x] specific
c) [ ] anthropogenic
d) [ ] industrial
e) [ ] geophysical
CS The risk of epidemic outbreaks in extremal conditions depends on the following factors:
a) [ ] the season of the calamity
b) [ ] type of the calamity
c) [x] socio-economic level of the population registered before the disaster
d) [ ] region where is registered epidemic outbreak
e) [ ] low density of human population
CS Contamination of people in extremal conditions depends on:

a) [ ] the season of the appearance of calamity
b) [x] long term contact with the undetected sources of infection
c) [ ] long term contact with undetected sources of infection in relation to weather when the calamity
occurred
d) [ ] timely isolation of sick people
e) [ ] timely identification of the source of infection
CS Limits of the outbreak of contamination of the population depend on the following factors:
a) [ ] ensuring the stricken people with needs for personal hygienic
b) [x] the presence of contagious patients among flood victims that eliminates pathological agents
c) [ ] the factors mentioned in point a and b are equally epidemiologically important
d) [ ] timely making of antiepidemic measures
e) [ ] decontamination of environment
CS To plann the anti-epidemic measures in calamities is important to:

a) [x] determine the potential nosological forms and the volume of the population with high risk of infection
b) [ ] provide the stricken population with drinking water and food
c) [ ] make disinfection of crowded places
d) [ ] stop spreading of infectious disease by immunization of people from disaster zone
e) [ ] stop spreading of rodents and insects into disaster zone
CS The spreading of airborne infections among the population in calamities can be determined by:
a) [ ] providing of the stricken population with drinking water and food
b) [x] crowding in different places not sufficient ventilated
c) [ ] drinking water and food, crowding in different places not sufficient ventilated
d) [ ] ventilation of crowded places
e) [ ] disinfection of crowded places
CS The risk of appearance of cholera in the sinister area is the result of the:
a) [x] high infectivity and the ability to cause disease in a relatively short period of incubation
b) [ ] impossibility of water and food contamination
c) [ ] low vaccination coverage
d) [ ] good organization of antiepidemic measures
e) [ ] presence of rodents in the sinister area
CS The risk of appearance of anthrax outbreaks in calamities is determined by:

a) [ ] impossibility to acquire the pathogen by different ways of transmission
b) [x] high stability of spore foms of pathogens in the environment
c) [ ] low stability of spore foms of pathogens in the environment
d) [ ] low lethality of anthrax
e) [ ] very long incubation period
CS The notion of primary sanitary losses in calamities suppose:

a) [x] injury and trauma obtained as a result of the calamity
b) [ ] entering into the body of infectious germs in result of the calamity
c) [ ] both mentioned in the point a and b are considered primary sanitary losses
d) [ ] number of destroyed sanitary objectives
e) [ ] only number of dead people
CS Sanitary-epidemiological supervision in the area of disaster includes:

a) [ ] two stages of the activity
b) [ ] three stages of activity
c) [x] four stages of activity
d) [ ] five stages of activity
e) [ ] seven stages of acitivity
CS The epidemiological situation can be assessed, in case of the disaster zone with massive destruction and
life losses, essential disorders in insurance systems with minimal necessary for existence, recorded foci of
infectious diseases, including conventional disease with epidemic spreading, as the following:
a) [ ] unstable
b) [ ] unsatisfactory
c) [x] extraordinary
d) [ ] satisfactory
e) [ ] opportune
CS The sanitary-hygienic and anti-epidemic insurance of the population during the evacuation, suppose:
a) [x] organization and control of insurance of the sinister population with bath in place of temporary
dislocation, waste evacuation and decontamination of its collection place
b) [ ] health education of the population
c) [ ] staff training
d) [ ] early evaluation of the results
e) [ ] active detection of infectious patients, yearly diagnosis and the emergency isolation of patients or
suspects to be ill
CS Vaccination in the calamity zone is done:

a) [x] in strictly aseptic conditions
b) [ ] in usual conditions
c) [ ] the conditions will depend on the infection
d) [ ] by health workers from calamity zone
e) [ ] immediately after antibiotics administration
CS Laboratory investigations in disaster area, in case of the environment contamination with pathogens of the
infectious diseases, are directed to:
a) [x] specific indication of bacteria, viruses, rickettsia, fungi and toxins, microbiological control of food,
semi-products, drinking water and delivery the conclusions about the possibility to consume them
b) [ ] determination of bacteria, viruses only from environment
c) [ ] microbiological control of air
d) [ ] performing all necessary measures to protect population and military staff
e) [ ] determination of bacteria, viruses only from environment
CS Basic requirement to perform the bacteriological recognition is:

a) [x] early evaluation of the results
b) [ ] emergency verification and confirmation of the results, which would allow a more operational
involvement of specific forces and means, including the specific and emergency prophylaxis
c) [ ] reporting the results of bacteriological recognition horizontally or vertically to all medical services to
organize appropriate antibacteriological measures
d) [ ] is not limited only to the finding of application of the biological weapons
e) [ ] performing all necessary measures to protect population and military staff
CS The appearance of the epidemic outbreaks among the military staff or suspicion to the infectious disease
suppose the following measures:
a) [x] active detection of infectious patients, yearly diagnosis and the emergency isolation of patients or
suspects to be ill, with evacuation from the calamities zone
b) [ ] immunoprophylaxis of infectious disease among civil population
c) [ ] maintaining of the favourable sanitary-epidemiological situation
d) [ ] quality control to ensure the military staff with drinking water
e) [ ] ensuring compliance of personal hygiene conditions
---------------------------------------------------------------------
1020. Intrebarea nr. 1020: I588 Capitol: Military and disaster epidemiology Mod de punctare: A1 Grad de
CS Sanitary-epidemiological recognition is performed continuously fulfilling:

a) [ ] two requirements
b) [ ] three requirements
c) [x] five requirements
d) [ ] seven requirements
e) [ ] nine requirements
CS The measures necessary to be performed in case of the application of biological weapon are:
a) [x] to perform systematic sanitary-hygienic and anti-epidemic measures
b) [ ] to use the individual and collective protection
c) [ ] identification of infectious pathogen of plague, cholera, anthrax and botulini toxin
d) [ ] limitation of entry and exit from observation zone
e) [ ] early detection and isolation of sick and carrier person
CS The measures necessary to be performed in case of the application of biological weapon are:
a) [ ] to perform systematic sanitary-hygienic and anti-epidemic measures
b) [x] to use the individual and collective protection
c) [ ] vaccination of the medical staff and affected population
d) [ ] the decontamination of objects of the external environment
e) [ ] early detection and isolation of sick and carrier person
CS The meaning of the quarantine regime is:

a) [ ] restriction of the entrence and exit from the zone with observation regime, including prohibition of
removal of part of the goods without previous sanitary treatment
b) [ ] restriction or interruption the contact of the military staff from different military units and/or with
civilian population in the area
c) [x] total isolating of affected area
d) [ ] limitation of entry and exit from disaster zone
e) [ ] determination of bacteria, viruses only from environment
CM The basic goals of the military medical service directed to the the antiepidemic supervision of
the military staff are:
a) [x] to maintain favorable sanitary-epidemiological situation and prevent the import of the
infectious diseases in the military staff
b) [ ] to organize and provide with drinking water the military staff in outdoors conditions
c) [x] to localizate and liquidate the outbreaks occurred in troops and in the civilian population
around it
d) [x] prevent the appearance of the infectious diseases from the military staff to the civilian
population
e) [x] to prepare the military staff to prevent infectious diseases in case of the application of the
biological weapon
CM Sanitary-epidemiological supervision of the permanent dislocation zone of military units

suppose:
a) [x] detection in time of patients with infectious diseases and epizootic diseases dangerous to
humans
b) [x] identification of pollution sources of drinking water, food, air, etc.
c) [x] permanent medical control of the dislocation territory to maintain the sanitary and hygienic
situation
d) [ ] head of the medical service report daily to Military Public Health Center about the
epidemiological situation and about the performed activity
e) [x] sanitary-epidemiological study of the situation in the dislocation zone
CM Specific for the biological weapon are:

a) [x] affect mass population
b) [x] retroactive
c) [x] ability to penetrate technical means
d) [ ] one method of administration
e) [ ] quick in the indications
CM Observation system suppose:

a) [ ] to prohibit the entrance and exit from the calamities zone
b) [x] to reduce the contacts among civilian and military
c) [x] to reduce the entrance and exit from the area
d) [ ] the army guard at the border area
e) [x] continuation of the military activities
CM Quarantine regime suppose:

a) [x] prohibition of entrance and exit from the area
b) [ ] to reduce the contacts among civilian and military
c) [x] the army guard at the border area
d) [ ] to reduce the entrance and exit from the area
e) [x] the contact with the outside territory is possible only through the special points
CM The measures performed in case of the application of biological weapons are:

a) [x] to inform the military staff
b) [x] to use individual protection
c) [x] to use collective means of protection
d) [ ] vaccination
e) [ ] sanitary processing of the staff and equipment
CM Specific for the artificial epidemic process (after application of the biological weapon) are:
a) [x] the appearance of the diseases at the immune persons
b) [x] there is no source of pathogens

c) [ ] cyclicity
d) [ ] seasonality
e) [x] non specific ways of transmission
CM The articularities of the artificial epidemic process (after application of the biological weapon)
are:
a) [ ] there are no cases of the disease at the immune persons
b) [x] there is no source of pathogens
c) [x] difficulties in identification of pathogens
d) [x] there is no effect of antibiotic therapy
e) [ ] it is not registered mixed infections
CM Bacteriological weapon is characterized by the following peculiarities:

a) [x] effectiveness and high contagiousness
b) [x] presence of latent period of the activity
c) [ ] simple in production and inexpensive
d) [x] psychological activity
e) [ ] simple in indication
CM Choose the possible methods to apply the biological weapons:

a) [x] contamination of the air by bacterial aerosol
b) [ ] by infecting the prisoners and then released from the prison
c) [x] by infecting the vectors and then its spreading
d) [x] diversions
e) [ ] there is only one method of application by water and food contamination
CM Basic compartment of antibacterial protection are:

a) [x] measures carried out in case of application of the biological weapons
b) [x] measures performed in the moment of application of the biological weapons
c) [ ] disinfection, disinsection and deratization
d) [ ] immunoprophylaxis
e) [x] actions performed after the application of the biological weapon
CM The measures necessary to be performed in case of application of the biological weapons are:
a) [x] to find the fact about the application of the biological weapons
b) [ ] vaccination of the population
c) [x] to inform the population
d) [x] to use the individual protection equipment
e) [x] to use the collective protection means
---------------------------------------------------------------------
1036. Intrebarea nr. 1036: I486 Capitol: Military and disaster epidemiology Mod de punctare: A3 Grad de
CM The measures directed to liquidate the consequences of biological weapons are:

a) [x] emergency prevention and immunoprophylaxis
b) [x] sanitary processing of military staff
c) [x] the sanitary processing of the equipment
d) [ ] evacuation and treatment of the military staff
e) [ ] bacteriological recognition
CM The type of indications of the bacteriological means are:

a) [ ] laboratory
b) [ ] epidemiological
c) [ ] chemical
d) [x] specific
e) [x] nonspecific
CM The schemes of specific indication are:

a) [ ] total
b) [ ] partial
c) [x] complet
d) [x] restricted
e) [ ] complex
CM Indication suppose the following stages of the activity:

a) [x] to receive, record and select the samples with its primary processing
b) [x] express analysis of native samples
c) [x] quck analysis of enriched biological material
d) [x] evaluation of the results
e) [ ] evaluation of the biological effects on the laboratory animals
CM Preventive measures in exceptional conditions caused by calamities are:

a) [x] hygienic education of the population
b) [ ] save the ijured people
c) [x] staff training
d) [ ] cadavers evacuation
e) [x] development of the action plans
CM Natural disasters are:

a) [ ] of production - with elimination of mechanical energy, chemical, thermal, radioactive,
bacteriological agents
b) [x] cosmic
c) [x] meteorological
d) [x] tectonics
e) [ ] social - famine, terrorism, drug abuse, social disorder
CM Risk to spread the infectious disease in calamities are deremined by:

a) [x] previous epidemiological situation
b) [ ] the leve of training of medical staff
c) [ ] the quality of the alarm system
d) [x] level of hygiene education of the population
e) [x] provision with quality drinking water and food
CM Primary, the calamities are classified into:

a) [ ] social
b) [x] natural
c) [x] artificial
d) [ ] transport
e) [ ] specific
CM Outbreaks in the disaster have the following epidemiological peculiarities:

a) [ ] outbreaks in the disaster area are not characterized by specific epidemiological features
b) [x] the possibility to form active long lasting outbreaks
c) [x] relatively short incubation period
d) [ ] adults are affected in mass
e) [x] mass contamination of the population and as a consequence, form multiple secondary
outbreaks
CM The risk of epidemic outbreaks in exceptional circumstances depends on:

b) [x] unorganized migration of group of people
c) [x] socio-economic level of the population before the disasters
d) [x] accumulation of wastes and impossibility to evacuate its
e) [x] disorders of the environmental hygiene
CM Disasters are classified into the following types:

a) [x] natural disasters
b) [x] anthropogenic disasters
c) [x] social disasters
d) [ ] economic disaster
e) [x] specific disasters
CM Technogenic disasters are:

a) [x] industrial
b) [ ] specific
c) [x] transport
d) [ ] social
e) [ ] natural
CM Natural disasters are classified into:

a) [ ] industrial
b) [x] tectonics
c) [x] topological
d) [x] cosmic
e) [x] meteorological
CM Social disasters are:

a) [ ] disorder of public order, earthquakes
b) [x] wars, famines
c) [x] acts of terrorism, bioterrorism
d) [x] high level of alcoholism and drug addiction among the population
e) [ ] landslides, hurricanes, storms
CM Specific calamities are:

a) [ ] hurricanes, storms, torrential rains
b) [x] epidemics
c) [x] pandemics
d) [x] mass poisoning of the population
e) [ ] disorders of public order, earthquakes
CM Mass contamination of people in exceptional circumstances depends on:

b) [x] long lasting contagious period of undetected sources of infection
c) [x] permanent contact with undetermined sources of infection
d) [x] deficiencies in isolation of infectious patients
e) [x] multitude of ways of transmission of pathogens in disaster
CM The border of the outbreak in disaster dependent on the following factors:

a) [x] the presence of contagious persons among flood victims and the possibility of pathogens to
spread
b) [x] evacuation of the affected population and stop the unorganized migration
c) [ ] the level of providing the affected population with the necessary means for individual hygiene
d) [x] the accuracy and the possibility of organization of the emergency prevention among the
population
e) [ ] all of the factors mentioned above are epidemiologically important
CM To plan the anti-epidemic measures in calamities is important to:

a) [x] establish the time of the activity of epidemic outbreak
b) [x] diagnose the possible nosological forms
c) [x] monitor the progress of the epidemic process
d) [x] determine groups of population with high risk of infection
e) [ ] organize education measures in population
CM The posibility to spread plague in calamities is determined by the following features:

a) [x] high contagiousness and the possibility to spread very rapidly, especially pulmonary forms of
plague
b) [x] high receptivity of the population and possibility to infect by different ways
c) [x] difficulties in the differential diagnosis of the first cases of the disease
d) [x] the possibility to form stable plague outbreaks in case of rodents and vectors in the focus
e) [ ] high numbers of mosquitoes in the teritory
--------------------------------------------------------------------1055. Intrebarea nr. 1055: I415 Capitol: Zooanthroponosis Mod de punctare: A3 Grad de dificultate: mediu
CM Anti-epidemic measures in haemorrhagic fevers are:

a) [x] deratization
b) [x] disinfection
c) [ ] vaccination
e) [x] health education of the population
CM The correct statements for listeriosis are:

a) [x] source of infection may be synanthrope animals
b) [x] epizootic process is maintained by the fecal-oral and transmisive mechanism
c) [x] receptivity is increased in infants during the first 3 weeks and at the elderly
d) [ ] the incubation period is 5 months
e) [ ] all mentioned above
CM The correct statements for tularemia are:

a) [ ] its may be transmitted by household items
b) [ ] birds are sources of infection
c) [ ] natural focus is not characteristic
d) [x] the vaccine is very effective
e) [x] infection can be transmitted by water and food
CM Mechanisms of transmission in tularemia are:
a) [x] fecal-oral
b) [x] transmissive
c) [x] airborne
d) [x] contact
e) [ ] vertically
CM High risk of tularemia infection are characteristic for:

a) [x] hunting
b) [ ] manufacturers
c) [x] fishermen
d) [x] person works with scythe
e) [x] farmers
CM Mesures of epidemiological surveillance in natural foci of tularemia are:

a) [x] monitoring of rat population
b) [x] supervision of hematophagous vectors
c) [x] bacteriological investigation of rats and arthropods
d) [ ] permanent prophylactic vaccination of population
e) [x] control of population immune status against tularemia
CM More pathogenic for humans are Brucellas:

a) [x] abortus
b) [x] suis
c) [ ] rangiferi
d) [x] melitensis
e) [ ] canis
CM The correct statements for brucellosis are:

a) [ ] Br.abortus is the most virulent for humans
b) [ ] the main source of infection are synanthrope animals
c) [x] different pathogens have different epidemiological importance
d) [x] sick man has not epidemiological importance
e) [x] vaccination is performed according to epidemiological indications
CM Type of brucellosis pathogens:

a) [ ] gravis
b) [x] melitensis
c) [x] bovis
d) [ ] intermedius
e) [x] suis
---------------------------------------------------------------------
1064. Intrebarea nr. 1064: I424 Capitol: Zooanthroponosis Mod de punctare: A3 Grad de dificultate: mediu

a) [x] vaccination is made with live attenuated vaccine
b) [x] pathogen remains viable in some food products during 60 days
c) [ ] xenantrope animals are the main source of infection
d) [ ] sick man is hospitalized according to epidemiological indications
e) [x] meat of sick animals can be used after rigorous thermal processing
CM Pathogenic for humans are:

a) [x] Brucella melitensis
b) [ ] B. canis
c) [x] B. Suis
d) [x] B. abortus
e) [ ] B. ovis

a) [x] it has several types of pathogens
b) [ ] it is a sapronosis
c) [x] it is transmitted by milk
d) [x] the pathogen does not form spores
e) [x] meat of sick animals can be used in eating after thermal processing
--------------------------------------------------------------------1067. Intrebarea nr. 1067: I427 Capitol: Zooanthroponosis Mod de punctare: A1 Grad de dificultate: scazut
CS The main route of transmission in pseudotuberculosis and yersiniosis is:

a) [ ] waterborne
b) [x] foodborne
c) [ ] Contact
d) [ ] airborne
e) [ ] parenteral
CM Main factors of transmission in pseudotuberculosis and and yersiniosis are:

a) [x] vegetables
b) [x] milk
c) [x] meat
d) [ ] water
e) [ ] air
CS Typical seasonality for yersiniosis is:

a) [ ] spring-summer
b) [ ] summer-autumn
c) [ ] autumn and winter
d) [x] winter-spring
e) [ ] summer-autumn-winter
CM Prevention measures in pseudotuberculosis and yersiniosis are:

a) [x] sanitary and hygiene
b) [x] sanitary and veterinary
c) [ ] immunoprophylaxis
d) [x] deratization
e) [ ] disinfection
CS The main route of transmission of pathogens in yersiniosis and pseudotuberculosis are:

a) [x] foodborne
b) [ ] waterborne
c) [ ] contact
d) [ ] airborne
e) [ ] vectors transmission
CM The correct statements for yersiniosis are:

a) [ ] the pathogen is Iersinia Pestis
b) [x] pathogen multiplies at low temperatures
c) [x] frequently factors of transmission are fruits and vegetables
d) [ ] vaccination is performed according to epidemiological indications
e) [x] it has a winter-spring seasonality
CM The correct statements for leptospirosis are:

b) [ ] the main source of infection is man
c) [x] epidemiological indications for vaccination is after the age of 7 years
d) [x] it is caused by several types of pathogens
e) [x] more frequently is recorded during the warm season
CM More contagious for human are the following leptospires:

a) [x] L.icterohaemorrhagia
b) [ ] L.canicola
c) [x] L.pomona
d) [x] L.grippotyphosa
e) [ ] L.biflexa
CM Sources of leptospirosis infection are:

a) [x] rats
b) [x] murine
c) [ ] sheep, goats
d) [x] dogs
e) [ ] water, soil
CM Pathogenic and saprophytic forms of leptospire differ by the following peculiarities:

a) [x] cultural
b) [x] biochemistry
c) [x] serological
d) [ ] morphological
e) [ ] antigenical
CM People with leptosirosis are compulsory investigated by the:

a) [x] ophthalmologist
b) [x] neurologist
c) [x] family doctor
d) [ ] nephrologist
e) [ ] gastroenterologist
CM Measures required to be peformed in natural outbreaks of leptospirosis are:

a) [ ] vaccination of all population
b) [x] respecting hygienic measures by persons working in outbreak
c) [x] to fulfill the sanitary requirements in transportation and storage of drinking water and food for
people working outdoor
d) [x] to detect and treat sick and carrier of leptospire animals
e) [ ] vaccination of contact people
CM The correct statements for rabies are:

a) [ ] immunoglobulin is reasonable to use only within 30 'after bite
b) [x] in some cases vaccination is not indicated after bite
c) [ ] monitoring on the animal is performed for 14 days
d) [x] rabies inevitably lead to death
e) [x] processing of wound is recommended with iodine
CS Contraindications for curative-prophylactic vaccination against rabies are:

a) [ ] pregnancy
b) [ ] chronic hepatitis
c) [ ] fever
d) [ ] all of the mentioned above
e) [x] there are no contraindications
---------------------------------------------------------------------
1081. Intrebarea nr. 1081: I441 Capitol: Zooanthroponosis Mod de punctare: A3 Grad de dificultate: mediu
CM Measures to control rabies are:

a) [x] to capture homeless animals
b) [x] to prevent rabies among domestic animals
c) [ ] to kill xenantrope animals that form natural outbreaks of rabies
d) [ ] health education of population
e) [x] monitoring of the wild animals
CM To prevent rabies is administrated:

a) [x] immunoglobulin
b) [x] live attenuated vaccine
c) [ ] corpuscular inactivated vaccine
d) [ ] chemical vaccine
e) [ ] bacteriophage
CM Humans can acquired B.anthracis:

a) [x] in case of damag skin contaminated during the treating of sick animal with anthrax
b) [ ] in case of contact with any animal product
c) [x] in case of using the meat and meat products unsufficiently thermal processed
d) [x] breathing the contaminated dust with B.anthracis
e) [x] transmissive
CM Group with high risk of infection with anthrax are:

a) [x] zootechnics and veterinarians
b) [x] slaughterer
c) [x] persons dealing with processing, storage and transportation of animal products
d) [ ] workers from sanitation stations
e) [ ] drivers
CM The correct statements for anthrax are:

a) [x] vaccination is planned according to epidemiological indications
b) [ ] low resistance of pathogen in the environment
c) [ ] it is more registered among children
d) [x] the vaccine is administrated by scarification or subcutaneous
e) [x] in generally, the sick man is not a source of pathogens
CM For anthrax are correct statements:

a) [x] the pathogen eliminate a toxic complex in receptive animals
b) [x] the vegetative form of bacillus is sensitive to chemical and physical
c) [ ] anthrax is a disease with natural focus
factors
vaccination of animals and workers from the zootechnics field is performed as a prophylactic
measure
e) [ ] meat and animal products can be used after thermal processing
d) [x]
CM Source of infection in anthrax are:

a) [ ] the sick man
b) [x] big horned cattle
c) [x] small horned animals
d) [ ] cats, dogs
e) [x] soil
CM Emergency prophylaxis of anthrax is done with:

a) [x] immunoglobuline
b) [ ] live attenuated vaccine
c) [ ] immune serum
d) [ ] bacteriophages
e) [x] antibiotics
CM Anthrax is transmitted by:

a) [x] contact
b) [x] fecal-oral
c) [x] inhaling the causative agent
d) [x] transmissive
e) [ ] vertically
CS Transmission ways in tetanus are:

a) [ ] waterborne
b) [ ] food
c) [ ] transmissive
d) [x] skin lesion
e) [ ] contact
CM Factors that inactivate the tetanus exotoxin are:

a) [x] high temperatures
b) [ ] low temperatures
c) [x] alkaline
d) [ ] acid medium
e) [ ] ultraviolet rays
CM Sources of pathogens in tetanus are:
a) [ ] the sick man

b) [ ] herbivorous sick animals
c) [ ] xenantrope sick animals
d) [x] herbivorous animals with Clostridium tetani colonizing in intestine
e) [x] people with Clostridium tetani colonizing in intestine
CM Risk factors that contribute to contamination with Clostridium tetani are:

a) [ ] food
b) [ ] water
c) [x] animal faeces
d) [ ] soil
e) [x] footwear, clothing, medical instruments contaminated soil
CM The correct statements for tetanus are:

a) [ ] it is a antroponosis
b) [x] the vaccination is the main prophylactic measure
c) [x] the pathogen is particularly resistant in the environment
d) [x] the patient is not contagious
e) [ ] the protective titer is of 0.03 IU / ml
CM Emergency prophylaxis in tetanus is carried out:

a) [x] after being bitten by the animal
b) [x] in any open trauma
c) [ ] only if the trauma wound is contaminated with soil
d) [ ] after any combustion
e) [x] in combustion of grade II-III
CS More ways of transmission is typical for:

a) [ ] tuberculosis
b) [ ] dysentery
c) [x] tularemia
e) [ ] measles
CS Tularemia is an infection:
a) [ ] only of domestic animals
b) [ ] only of wild animals
c) [x] with natural focus
d) [ ] only of sinantrope animals
e) [ ] sapronosis
---------------------------------------------------------------------
1098. Intrebarea nr. 1098: I3 Capitol: Zooanthroponosis Mod de punctare: A1 Grad de dificultate: scazut
CS The incubation period of tularemia is:

a) [ ] 1-6 days
b) [x] from 1 day to 3 weeks
c) [ ] 1-3 months
d) [ ] 1-2 weeks
e) [ ] 1-6 moths
CS Tularemia is a group of infections:

a) [x] controlled by vaccination
b) [ ] non-controlled by vaccination
c) [ ] partially controlled by vaccination
d) [ ] controlled with antibiotics
e) [ ] isolation of contact people
CS The most important measure of individual protection against tularemia in natural outbreaks is:
a) [ ] use of repellents
b) [ ] use of protective mosquito nets
d) [ ] administration of antibiotics
e) [ ] administration of immunoglobulins
CS The most resistant microorganism in the environment is:

a) [x] B.anthracis
b) [ ] Br. melitensis
c) [ ] L. icterohemoragica
d) [ ] F. tularensis
e) [ ] N. meningitidis
CS Pathogen of anthrax is:

a) [ ] not resistant in the environment
b) [ ] has an average resistance in the environment
c) [x] very resistant in the environment
d) [ ] very resistant at high temperature
e) [ ] not resistant to disinfectants
CS The main sources of pathogen of anthrax are:

a) [ ] pigs
b) [x] cattle
c) [ ] rats, mice
d) [ ] humans
e) [ ] birds
CS The main mechanism of transmission of anthrax is:

a) [ ] transmissive
b) [ ] respiratory
c) [x] contact
d) [ ] fecal-oral
e) [ ] vertical
CS Incubation period of anthrax is:

a) [ ] 2-3 hours
b) [x] 1-10 days
c) [ ] 6-14 days
d) [ ] 3-5 days
e) [ ] 2-20 days
CS Virulence factor of B.anthracis is:

a) [ ] capsule and form spore
b) [x] capsule
c) [ ] form spore
d) [ ] exotoxin
e) [ ] endotoxin
CS Dead animals of anthrax are:

a) [ ] buried
b) [x] burned
c) [ ] is technique used
d) [ ] normally used
e) [ ] meat is used after a period of time
CS Emergency prophylaxis of anthrax is carried out with:

a) [x] antibiotics
b) [ ] vaccine
c) [ ] toxoids
e) [ ] synthetic vaccine
CS Emergency prophylaxis of anthrax is carried out with:

a) [ ] immunoglobulin
b) [ ] antibiotics
c) [x] both of the mentioned above
e) [ ] synthetic vaccine
CS Allergic skin test is used if you suspect:

a) [ ] yellow fever
b) [x] anthrax
c) [ ] leptospirosis
d) [ ] tularemia
e) [ ] rabies
CS Sources of infection of brucellosis among animals are:

a) [ ] synanthrope animals
b) [ ] xenantrope animals
c) [x] domestic animals
d) [ ] dogs
e) [ ] cats
CS The main sources of infection in brucellosis are:

a) [x] cattle
b) [ ] pigs
c) [ ] dogs and cats
d) [ ] birds
e) [ ] dogs
CS Higher virulence has:

a) [x] B. melitensis
b) [ ] B. abortus
c) [ ] B. bovis
d) [ ] B. suis
e) [ ] B. canis
CS To perform vaccination against brucellosis is used:

a) [ ] B.abortus
b) [x] B.melitensis
c) [ ] B. bovis
d) [ ] B. suis
e) [ ] B. ovis
CS Basic measure to prevent leptospirosis is:

a) [ ] planned vaccination
b) [x] deratization
c) [ ] isolating of the sick
d) [ ] immunization with live vaccine
e) [ ] administration of immunoglobulins
CS Natural outbreaks of leptospirosis are formed by:

a) [ ] synanthropic rats
b) [ ] domestic animals
c) [x] xenantrope animals
d) [ ] plants
e) [ ] water
CS The basic method of laboratory diagnosis in leptospirosis is:

a) [ ] bacteriological
b) [ ] microscopic
c) [x] serological
d) [ ] allergic
e) [ ] bacterioscopic
CS Dispensarisation of leptospirosis patients lasts:

a) [ ] 1 month
b) [ ] 1,5 months
c) [x] 6 months
d) [ ] 8 moths
e) [ ] 3 months
CS Specific prophylaxis of leptospirosis is done with:

a) [ ] toxoid
b) [ ] gammaglobulins
c) [x] corpuscular inactivated vaccine
d) [ ] antibiotics
e) [ ] live attenuated vaccine
CS Prophylaxis of leptospirosis is based on:

a) [x] anti-epizootic measures
b) [ ] specific prophylaxis
c) [ ] prophylactic disinfection
d) [ ] administration of synthetic vaccine
e) [ ] administration ox toxoids
CS Rabies is group of infection:

a) [ ] compulsory transmissive
b) [ ] optionally transmissive
c) [x] non-transmissive
d) [ ] reemerging infection
e) [ ] opportunistic infection
CS Dog can be source of rabies in period of:

a) [x] 7 days before illness
b) [ ] 14 days before illness
c) [ ] incubation
d) [ ] 4 days before illness
e) [ ] 20 days before illness
CS Pathogen of rabies is:

a) [ ] enterovirus
b) [x] rabdovirus
c) [ ] picornovirus
d) [ ] retrovirus
e) [ ] hepatovirus
CS Supervision of animal in rabies lasts:

a) [ ] 4 days
b) [ ] 6 days
c) [x] 10 days
d) [ ] 17 days
e) [ ] 20 days
CS Conditional course of the vaccination is indicated to:

a) [ ] all persons bitten by carnivores
b) [x] persons bitten by animals that can be monitored for 10 days
c) [ ] persons with bitten fingers, neck and head
d) [ ] persons bitten by animals that can be monitored for 7 days
e) [ ] persons bitten by animals that can be monitored for 15 days
CS The correct statements for ornithosis are:

a) [ ] sick is the main source of infection
b) [x] in outbreak is required to perform terminal disinfection
c) [ ] in the focus is performed selective vaccination of contact persons
d) [ ] in outbreak is required to vaccinate birds

e) [ ] in outbreak is required to vaccinate human
CS Haemorrhagic fevers are:

a) [ ] anthroponosis
b) [x] zooanthroponosis with natural focus
c) [ ] sapronosis
d) [ ] zoonosis
e) [ ] zooanthroponosis
CS The causative agent of listeriosis is:

a) [x] bacteria
b) [ ] a virus
c) [ ] a parasite
d) [ ] prion
e) [ ] protozoal
CS Mechanism of transmission in listeriosis is: (digestive, respirator, cutanat, conjunctival)

a) [x] fecal-oral
b) [ ] contact
c) [ ] respiratory
d) [ ] parenteral
e) [ ] vertical
CS Mechanism of transmission in tetanus, which allows its preservation as biological species is:
a) [ ] transmissive
b) [x] fecal-oral
c) [ ] contact
d) [ ] vertical
e) [ ] respiratory
CS The incubation period in tetanus is:

a) [ ] 2-4 days
b) [x] 4-21 days
c) [ ] 14-36 days
d) [ ] 5-40 days
e) [ ] 10-60 days
CS Spores of tetanus are kept in soil for:

a) [ ] one year
b) [x] up to 11 years
c) [ ] by 30 years
d) [ ] up to 90 years
e) [ ] 2 years
CS The main measure to prevent tetanus is:

a) [ ] detection and isolation of the source of pathogens
b) [ ] disinfection
c) [x] specific prophylaxis
e) [ ] hospitalization of sick people
CS Specific prophylaxis of tetanus is carried out with:

b) [ ] corpuscular inactivated vaccine
c) [x] tetanus (anatoxin)
d) [ ] chemical vaccine
e) [ ] recombinant vaccine
CS Minimum protective titer of antitoxic antibodies in tetanus is:

a) [x] 0.1 IU / ml
b) [ ] 0.01 IU / ml
c) [ ] 0.03 IU / ml
d) [ ] 0,0003 IU/ml
e) [ ] 0,2 IU/ml
CS The main source of infection in yersiniosis are:

a) [ ] sick people
b) [ ] domestic animals and birds
c) [x] xenantrope carnivorous animals
d) [ ] animal carrier
e) [ ] human carrier
CS The outbreaks of pseudotuberculosis occur more frequently in:

a) [ ] summer
b) [x] spring
c) [ ] any time of the year
d) [ ] autumn
e) [ ] winter
CS Sources of pathogens in pseudotuberculosis are:

a) [x] animals
b) [ ] man
c) [ ] water
d) [ ] soil
e) [ ] air
CS The main sources of infection in pseudotuberculosis are:

a) [ ] domestic animals
b) [x] synanthrope animals
c) [ ] xenantrope animals
d) [ ] human
e) [ ] food
CS The characteristic of tick encephalitis is:

a) [ ] outbreaks
b) [x] natural outbreaks
c) [ ] human outbreaks
d) [ ] endemic spread
e) [ ] pandemic spread
CS Contamination with tick encephalitis can be by:

a) [ ] water
b) [x] milk
c) [ ] usual household items from patient apartment
d) [ ] soil
e) [ ] air
CS Sources of pathogens in tick encephalitis are:

a) [x] domestic animals
b) [ ] birds
c) [ ] ill people
d) [ ] fish
e) [ ] spiders
CS Vaccination against tick encephalitis with inactivated vaccine is indicated to:

a) [ ] all adult population
b) [ ] the population aged 4-70 year who live in natural outbreak
c) [x] persons who leave to natural outbreak area during spring-summer period
d) [ ] all children
e) [ ] all newborns
---------------------------------------------------------------------
1144. Intrebarea nr. 1144: I505 Capitol: The epidemiological method Mod de punctare: A3 Grad de dificultate:
mediu Punctajul: 10 Timp pe intrebare: 0 sec Autor: V. Prisacaru
CM Observational epidemiological studies are:

a) [x] descriptive studies
b) [x] analytical studies
c) [ ] experimental studies
d) [ ] modeling of the epidemic process
e) [ ] intervention studies
--------------------------------------------------------------------1145. Intrebarea nr. 1145: I506 Capitol: The epidemiological method Mod de punctare: A3 Grad de dificultate:
CM Descriptive epidemiological studies are:

a) [x] individual studies
b) [x] population studies
c) [ ] cohort studies
d) [ ] randomized trials
e) [ ] field studies
CM Analytical epidemiological studies are:

a) [ ] population studies
b) [x] ecological studies
c) [ ] randomized trials
d) [x] "case-control" studies
e) [x] cohort studies
CM The prevalence of the disease may be lower than the incidence in case of:
a) [x] quick recovery after the treatment
b) [ ] few number of new cases
c) [x] few patients completely recovered
d) [ ] the appearance of a new remedy which helps to extend the life of the patients
e) [x] death installed in a short time after the onset of the disease
scazut Punctajul: 10 Timp pe intrebare: 0 sec Autor: V. Prisacaru
CS The mortality as an indicator of public health is expressed by:

a) [ ] the rate of deaths of a particular disease from all deaths indifferent of the cause of death
b) [ ] the number of deaths of a particular disease in a population
c) [ ] the proportion of deaths of all new cases of the diseases in an administrative territory
d) [x] the number of deaths in a population, indifferent of the cause of death
e) [ ] the rate of deaths from total cases of disease
CS The lethality as an indicator of the public health is expressed by:

a) [ ] the number of deaths of a particular cause, in a population
b) [ ] the number of deaths in a population indifferent of the cause of death
c) [ ] the proportion of deaths from total new cases of the diseases in the respectively territory
d) [x] the rate of deaths from total cases with the respectively disease
e) [ ] the proportion of deaths from a particular cause from all deaths indifferent
of the cause of
death
CM The features of descriptive studies are:

a) [ ] allow the evaluation of a new treatment
b) [ ] measure the association between a disease and a risk factor
c) [x] determine the distribution of the disease based on the person, place, time
d) [x] include a series of cases
e) [ ] are costly and difficult to perform
CS Which is the most appropriate epidemiological studies to compare the frequency of a disease in
the same population, but at different times:
a) [ ] correlation
b) [x] transversal
c) [ ] case-control
d) [ ] cohort
e) [ ] randomized
CM What are the advantages of case-control studies besides cohort studies:

a) [ ] study several possible effects of exposure
b) [x] it requires a smaller number of subjects
c) [x] can study rare diseases
d) [x] have a shorter duration
e) [x] are cheaper
CM Epidemiological case-control studies can be:

a) [x] single-blind
b) [x] double-blind
c) [x] triple blind
d) [x] single-blind, double-blind and triple blind
e) [ ] none
CM Analytical epidemiological study can be:

a) [x] retrospective
b) [x] prospectively
c) [x] observation
d) [ ] experimental
e) [ ] of field
CM Epidemiological investigation is:

a) [x] investigation of infectious disease outbreak
b) [x] "case-control" investigation performed in clinic
c) [ ] "case-control" investigation made outdoor
d) [ ] research of tinctorial properties of the microorganism
e) [x] investigation of the non infectious disease outbreak
CS The correlation is direct strong when R" is:

a) [ ] 0.0 to 0.20
b) [ ] 0.20 - + 0.40
c) [ ] + 0.40 - + 0.70
d) [x] + 0.70 - + 1.0
e) [ ] + 1.0
CS The weak indirect correlation of R" is:

a) [ ] - 1.0
b) [ ] from 1.0 to 0.70
c) [ ] from 0.70 to 0.40
d) [x] from 0.40 to 0.20
e) [ ] from 0.20 to 0.0
CS The correlation of R = + 0.45 means:

a) [ ] direct weak correlation
b) [x] moderate direct correlation
c) [ ] Strong direct correlation
d) [ ] indirect weak correlation
e) [ ] indirectly moderate correlation
CM The advantages of transversal epidemiological studies are:

a) [x] they are easy to perform and low cost
b) [x] allow the assessment of health problems and prioritize response actions
c) [ ] allows to identify the temporality regarding on exposure and disease
d) [ ] are useful in assessing the incidence of rare diseases
e) [x] may serve as a first step in describing the epidemiological outbreaks with unknown cause
CS The intensieve indices are:

a) [ ] 20 cases of the disease
b) [ ] 10 %
c) [x] 12
d) [ ] 24
e) [ ] 11
---------------------------------------------------------------------

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Epidemic process

CS The study object of epidemiology of infectious diseases is:

CS The subject of epidemiology as a general medical science is:

CS The sporadic morbidity is:

CS The duration of the epidemic outbreak corresponds to the period:

6. Intrebarea nr. 6: I6 Capitol: Characteristics of the epidemic process Mod de punctare:

CS Focality index is:

CS Natural focality is specific for:

CS Natural focality is specific for:

CS Natural focality is specific for:

CS Natural focality is specific for:

CS Exotic infections are:

CS Chain of the epidemic process is:

CS The epidemiological classification of anthroponosis is based on:

CS The factor that determine the patient's contagiousness in anthroponosis is:

CS A longer period of pathogen agents carriage is specific for:

CS Mechanisms of transmission are:

punctare: A1 Grad de dificultate: scazut Punctajul: 10 Timp pe intrebare: 0 sec

CS Mechanisms of transmission are:

CS Mechanisms of transmission in anthroponosis are determined by:

CS Mosquitoes can be vectors of transmission in:

CS Vectors are epidemiologically important in:

CS Seasonality is specific for:

CS Sources of pathogen agents in sapronosis are:

CS A higher epidemiological risk as a source of infection have:

CS Sources of pathogens in zooanthroponosis are:

CS Zooanthroponosis transmitted from xenantrope animals are:

CS Animals are sources of pathogens in:

CS Sources of pathogen agent in sapronosis are:

CS Infectious diseases are divided according to the sources of infection into:

CS The most common infections in early childhood are:

CS At the basis of epidemiological classification of the anthroponosis are:

CS Rodents are sources of pathogens in:

punctare: A1 Grad de dificultate: scazut Punctajul: 10 Timp pe intrebare: 0 sec

CS Sources of infection are:

CS A wider spread infections in the Republic of Moldova are:

CS Sources of pathogen agents in zooanthroponosis are:

CS A person can be source of infection in the following zooanthroponosis:

CS Emergency sheet (about disease) is transmitted to the Center of Public Health:

CS Hospitalization of patients with anthrax, leptospirosis and brucellosis:

CS When the focus is considered liquidated?

CS Index of epidemiological effectiveness is the ratio of:

population morbidity with not performed antiepidemic measures to total morbidity in

CS Compulsory isolation in the hospital is performed in case of:

CS Man can be contagious as a source of infection in following zooanthroponosis:

CS Periodical increasing of morbidity is specific for:

CS Factors for realization of the fecal-oral transmission mechanism are:

CS What chain of the epidemic process can be influenced by natural factors:

CS Periodicity of epidemic process manifestations specific to certain infectious disease is

CS Classification of infectious diseases according to mechanism of transmission is based on:

a) [x] affinity of causative agent to specific macroorganism tissues

CS Transmission way of infectious diseases is:

CS Transmission mechanism is a process carried out in:

CS The vertical mechanism of transmission of diseases includes:

CS Premunition is a result of:

CS Epidemiological surveillance is:

CS Epidemiological surveillance is based on:

CM Basic concepts explaining the mechanism of epidemic process development are:

CM Chains of the epidemic process are:

CM Natural focus is characteristic of:

CM Infections with natural focus are:

CM Natural focus is characteristic of:

CM Choose from the list proposed possible sources of pathogenic agents:

CM Sources of pathogenic agents are: